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International Journal for Equity in Health
Published in: International Journal for Equity in Health 1/2017

Open Access 01-12-2017 | Research

An economy-related equity analysis of health service utilization by women in economically underdeveloped regions of western China

Authors: Yuyan Qian, Zhongliang Zhou, Ju’e Yan, Jianmin Gao, Yuping Wang, Xiaowei Yang, Yongjian Xu, Yanli Li

Published in: International Journal for Equity in Health | Issue 1/2017

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Abstract

Background

The Chinese government has long been committed to eliminating the inequality in the utilization of health services; however, it still lacks an analysis or measurement of the economy-related inequality in the utilization of women’s health services.

Methods

The economy-related utilization of health services in women aged 15 years and above was assessed by the horizontal inequity index of a two-week outpatient rate and annual inpatient rate from the 5th National Health Service Survey of Shaanxi Province. The concentration index of each factor was decomposed into the contribution of each factor to the economic-related inequality of health service utilization based on the Probit regression model.

Results

The horizontal inequity indexes of the two-week outpatient rate was 0.0493, and the horizontal inequity indexes of the annual impatient rate was 0.0869. The contributions of economic status to the two indexes were 190.71% and 115.80%, respectively. Economic status, age, basic medical insurance, educational status, marital status, urban/rural area, and self-rated health were the main impact factors that affected the inequality in women’s health services utilization in Shaanxi.

Conclusions

Health service utilization was different between women with different social demographic characteristics, and unequal health service utilization is evident among women in Shaanxi.
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Metadata
Title
An economy-related equity analysis of health service utilization by women in economically underdeveloped regions of western China
Authors
Yuyan Qian
Zhongliang Zhou
Ju’e Yan
Jianmin Gao
Yuping Wang
Xiaowei Yang
Yongjian Xu
Yanli Li
Publication date
01-12-2017
Publisher
BioMed Central
Published in
International Journal for Equity in Health / Issue 1/2017
Electronic ISSN: 1475-9276
DOI
https://doi.org/10.1186/s12939-017-0667-y

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