Economic Inequality in the Healthcare Quality and its Decomposition Unequal distribution of Healthcare Quality
Bioethics and Health Law Journal (BHL),
Vol. 2 No. 1 (2022),
Page 1-8 (e6)
Background and Aim: Assessing the quality of the health care system is considered a basic step in the development of quality improvement programs. To date, no research has been conducted assessing the inequality in satisfaction with health care services in Iran using the assets. This study aimed to determine the satisfaction with healthcare services and determine the inequality of satisfaction with the quality of healthcare services.
Methods: This study was a descriptive-analytical survey of 844 people in Arak, multi-stage sampling was performed. The asset variables were used for Principal Component Analysis (PCA). In the present study, satisfaction with healthcare quality was a categorical variable. All analysis was conducted using STATA 12.0, and a P-value lower than 0.05 was taken to show statistical significance.
Ethical Considerations: After the explanation of the study objectives, written informed consent was obtained from all participants.
Results: Mean age of the participants was 33 ± 10.4 years. The level of satisfaction with the quality of health care services was that of agreed. Satisfaction with the quality of health services among people with higher socioeconomic status is more concentrated and statistically significant. The percentage of illiteracy in inequality is 84.18 percent.
Conclusion: Lower-than-high-school education can reduce inequality. Being single, living in rural areas, and having old age can decrease inequality. Among the variables, lower socioeconomic status has the largest contribution to inequality of satisfaction with health care. The results of the study revealed a significant inequality in the quality of health services in such a way that satisfaction with the quality of health care is significantly concentrated among the people with higher socioeconomic status. Decomposition of inequality index indicated that education level, age, gender, place of residence, marital status, and socioeconomic status play a significant role in the formation of this inequality, the largest contribution of which is attributable to socioeconomic status.
Corresponding Author: Rahmatollah Moradzadeh; Email: firstname.lastname@example.org; ORCID: https://orcid.org/0000-0003-4952-3454
Please cite this article as: Sharahi N, Taheri M, Moradzadeh R. Economic Inequality in the Healthcare Quality and its Decomposition. Bioeth Health Law J. 2022; 2(1): 1-8 (e6). http://doi.org/10.22037/bhl.v2i1.38954
- Economic Inequality
- Healthcare Quality
- Concentration index
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