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NEJEDNAKOSTI U KORIŠTENJU USLUGA BOLNIČKOG LIJEČENJA I HITNE MEDICINSKE POMOĆI U REPUBLICI SRPSKOJ
INEQUALITIES IN HOSPITALIZATION AND EMERGENCY CARE SERVICES IN REPUBLIC OF SRPSKA

Authors

 

Slađana Šiljak1, Janko Janković2, Slavenka Janković3
1Institut za javno zdravstvo Republike Srpske, Republika Srpska, Bosna i Hercegovina
2Institut za socijalnu medicinu, Medicinski fakultet, Univerzitet u Beogradu, Srbija
3Institut za epidemiologiju, Medicinski fakultet, Univerzitet u Beogradu, Srbija


 

• Rad je primljen 21.07.2016. / Prihvaćen 10.08.2016.

 

Correspondence to:
Dr sc med. Slađana Šiljak
Jovana Dučića 1, 78 000 Banja Luka,
+387 65 856 617,
e-mail: sladjanaps@gmail.com

 

Abstract

 

Introduction. Inequalities in hospitalization and emergency care exist all over the world. The aim of this study was to investigate demographic, socio-economic, lifestyle and health status inequalities in hospitalization and emergency care (EC) in Republic of Srpska (RS), Bosnia and Herzegovina.
Methods. This study is a part of 2010 National Health Survey for the population of RS. A total of 4673 persons age ≥18 years were identified in households and 4128 were interviewed. Bivariate and multivariate logistic regression analyses were used to assess the influence of different variables on the utilization of hospitalization and emergency care services.
Results. As compared with men, women visited hospital less frequently [odds ratio (OR) = 0.69; 95% confidence interval (95% CI) = 0.50–0.95]. No inequalities by social class were observed neither for hospital utilization nor for EC. Patients with chronic diseases (NCD) compared to those without these conditions more often visited hospitals (OR = 3.18; 95% CI = 2.45–4.13) and EC (OR = 2.05; 95% CI = 1.57–2.67). Persons with NCD and good physicial activity less frequently visited hospital than physical inactive persons, but those who self-perceived their health as a good were less likely to have visited a hospital and EC than those with poor health.
Conclusion. This study has shown that demographic, socio-economic, lifestyle and health status inequalities in the pattern of hospitalization and EC services exist in RS. Reducing inequalities in the utilization of health services in RS is a public health policy priority for future.

 

 

Key words

health service utilization, hospitalization, emergency care services, health survey, inequalities in health, Republic of Srpska

 

 

References

 

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PDF Šiljak S. et al • MD-Medical Data 2016;8(3): 195-202

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