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Document Type |
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Article In Journal |
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Document Title |
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Equity in Access to Health Services for People in Poor Urban Areas in Alexandria Equity in Access to Health Services for People in Poor Urban Areas in Alexandria |
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Document Language |
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English |
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Abstract |
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This study was conducted to assess the prevalence and determinants associated
with inequity in the utilization of outpatient or inpatient health services. Data was obtained from
a cross-sectional study carried out in two poor urban areas in Alexandria, from March to May
2001, by interviewing 4154 individuals of all age groups. The Polytomous Logit Universal
Models [PLUM] ordinal regression was used for multivariate analysis to extract the most
significant determinants of the inequity of health services utilization and adjusted odds ratios
with 95% confidence intervals were obtained. Dependent variables were the number of
outpatient visits within 6 months and number of inpatient episodes within five years. Both
dependent variables were categorized as no contact, 1-2 contacts and 3 or more contacts.
Adjusted odds ratios showed that lower utilization rates are linked to younger age, male gender,
working as clerical or skilled in contrast to manual work, lack of health insurance coverage,
being the Ministry.of Health [MOH] a main site of care, absence of acute or chronic illnesses,
living in separate house, high crowding index, and ownership of <6 electric instruments. Results
suggest that despite the health system's universal coverage and free access, there is still some
sort of inequity that could be overcome by extension of health insurance coverage, education
and improvement of environmental conditions |
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ISSN |
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0379-7988 |
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Journal Name |
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Bulletin of High Instituteof Public Health |
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Volume |
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33 |
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Issue Number |
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4 |
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Publishing Year |
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1424 AH
2003 AD |
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Article Type |
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Article |
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Added Date |
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Saturday, April 21, 2012 |
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Researchers
| منى حسن | hassan, mona | Researcher | Doctorate | |
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