Médecine communautaire et éducation à la santé

Abstrait

Determinants of Outpatient Services Utilization in Shiraz, 2012

Vajihe Ramezani Doroh, Nahid Hatam, Abdosaleh Jafari, Shahnaz Kafashi and Zahra Kavosi

Introduction: Various factors such as the level of health, socio-economic, demographic, and health system factors can affect on health service’s utilization. Identifying these factors and their importance can be used to reduce access barriers.
Method: 1608 individuals upper than 18 years-old in shiraz city 2012 selected to determine the factors affecting outpatient services utilization in a previous month. Zero Inflated regression n was used to examine the factors affecting utilization. The analysis was conducted using stata se 8 software.
Results: The variables of sex, health, education, region of residence, employment and insurance were related to outpatient services utilization during the past month women, noninsured individuals, employments utilized more than their reference group and individual with college education, better health status, areas number 2, 3 and 5 utilized less than of their reference group.
Conclusion: It seems that appropriate insurance coverage and development healthcare facilities of in other areas can improve utilization and equity.