Assessment of health care needs and utilization in a mixed public-private system: the case of the Athens area
2006

Health Care Needs and Utilization in Athens

Sample size: 1426 publication Evidence: moderate

Author Information

Author(s): Pappa Evelina, Niakas Dimitris

Primary Institution: Hellenic Open University

Hypothesis

Need factors are the most important determinant of health care use, while socio-economic factors also play a significant role in differentiating the use of public and private services.

Conclusion

The study found a positive relationship between health care need and the utilization of health services in a mixed public-private health care system.

Supporting Evidence

  • Health care need was the strongest factor associated with health service utilization.
  • Women, elderly, and individuals with lower physical health status were more likely to use public services.
  • Individuals with higher education were more likely to visit private providers.

Takeaway

This study shows that people who feel they need health care are more likely to use health services, and that different groups of people use public and private services in different ways.

Methodology

Data was collected from a representative sample of residents in Athens using the SF-36 Health Survey and logistic regression models to analyze health service utilization.

Potential Biases

Potential underreporting of income and health status may bias the results.

Limitations

The study was limited to the Athens area, which may not represent rural populations, and utilized binary measures of service utilization without assessing service quality.

Participant Demographics

The sample included 53.4% women, with a mean age of 45 years, and varied socio-economic backgrounds.

Statistical Information

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1472-6963-6-146

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