文献详情
Assessing national and subnational inequalities in medical care utilization and financial risk protection in Rwanda
文献类型：期刊
通讯作者：Lu, CL (reprint author), Brigham & Womens Hosp, Div Global Hlth Equ, 75 Francis St, Boston, MA 02115 USA.; Lu, CL (reprint author), Harvard Med Sch, Dept Global Hlth & Social Med, Boston, MA 02115 USA.
期刊名称：INTERNATIONAL JOURNAL FOR EQUITY IN HEALTH
年：2019
卷：18
ISSN：1475-9276
关键词：Health inequality; Medical care utilization; Household catastrophic health spending; Absolute inequality; Relative inequality; Rwanda
所属部门：劳动人事学院
摘要：BackgroundEnsuring equitable access to medical care with financial risk protection has been at the center of achieving universal health coverage. In this paper, we assess the levels and trends of inequalities in medical care utilization and household catastrophic health spending (HCHS) at the national and sub-national levels in Rwanda.MethodsUsing the Rwanda Integrated Living Conditions Surveys of 2005, 2010, 2014, and 2016, we applied multivariable logit models to generate the levels and trends ...More
BackgroundEnsuring equitable access to medical care with financial risk protection has been at the center of achieving universal health coverage. In this paper, we assess the levels and trends of inequalities in medical care utilization and household catastrophic health spending (HCHS) at the national and sub-national levels in Rwanda.MethodsUsing the Rwanda Integrated Living Conditions Surveys of 2005, 2010, 2014, and 2016, we applied multivariable logit models to generate the levels and trends of adjusted inequalities in medical care utilization and HCHS across the four survey years by four socio-demographic dimensions: poverty, gender, education, and residence. We measured the national- and district-level inequalities in both absolute and relative terms.ResultsAt the national level, after controlling for other factors, we found significant inequalities in medical care utilization by poverty and education and -in HCHS by poverty in all four years. From 2005 to 2016, inequalities in medical care utilization by the four dimensions did not change significantly, while the inequality in HCHS by poverty was reduced significantly. At the district level, inequalities in both medical care utilization and HCHS were larger than zero in all four years and decreased over time.ConclusionsPoverty and poor education were significant contributors to inequalities in medical care utilization and HCHS in Rwanda. Policies or interventions targeting poor households or households headed by persons receiving no education are needed in order to effectively reduce inequalities in medical care utilization and HCHS. ...Hide

DOI：10.1186/s12939-019-0953-y
百度学术：Assessing national and subnational inequalities in medical care utilization and financial risk protection in Rwanda
语言：外文
人气指数：2
浏览次数：2
基金：Faculty Resources Grant, Brigham and Women's Hospital
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