Health services utilisation and responsiveness profiles in Iran:a provincial household study

作     者：Mostafa Farahbakhsh Homayoun Sadeghi Bazargani Mohammad Saadati Jafar Sadegh Tabrizi Mina Golestani Akram Zakery 

作者机构：Psychiatrics Research CenterTabriz University of Medical SciencesTabrizIran Road Traffic Injury Research CenterStatistics and Epidemiology DepartmentSchool of HealthTabriz University of Medical SciencesTabrizIran Road Traffic Injury Research CenterTabriz University of Medical SciencesTabrizIran Tabriz Health Services Management Research CenterTabriz University of Medical SciencesTabrizIran 

出 版 物：《Family Medicine and Community Health》 (家庭医学与社区卫生（英文）)

年 卷 期：2019年第7卷第1期

页      面：1-7页

学科分类：0202[经济学-应用经济学] 02[经济学] 020205[经济学-产业经济学] 

基　　金：This research was done under the support of health vice-chancellor of TUOMS and was funded by Tabriz Health Services Management Research Center,Tabriz University of Medical Science,Tabriz,Iran The study was approved by the Ethical Committee of Tabriz University of Medical Sciences(TUOMS)(TBZMED.REC.1394.35) 

主　　题：services northwest household 

摘      要：Objective The aim of this study was to describe health services utilisation and responsiveness in East Azerbaijan province,*** A cross-sectional household study as part of a larger research on primary healthcare *** We carried out the study in East Azerbaijan Province,northwest Iran from July to September *** A total of 1318 households were *** Most of the participating households had social security health *** failure or hypertension care,general outpatient care and arthritis care were the most used *** services cost and inadequate medicine and medical equipment were introduced to be the main barriers to health services utilisation in Tabriz and province representative sample(PRS),*** system responsiveness mean score(the maximum is 100)was 33.71±16.15(95%CI 32.45 to 34.97)in Tabriz and 32.02±14.3(95%CI 30.9 to 33.13)in PRS,which showed significant difference(p≤0.02).Conclusions Differences in the utilisation and responsiveness of health services and distribution of health resources were observed between Tabriz and ***,health system responsiveness in both Tabriz and PRS was at low *** results demonstrate the need for changing resource distribution policies and employing reactive health policies to response the public health.