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首页> 外文期刊>International Journal of Environmental Research and Public Health >Factors Associated with Utilization of Primary and Specialist Healthcare Services by Elderly Cardiovascular Patients in the Republic of Serbia: A Cross-Sectional Study from the National Health Survey 2013
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Factors Associated with Utilization of Primary and Specialist Healthcare Services by Elderly Cardiovascular Patients in the Republic of Serbia: A Cross-Sectional Study from the National Health Survey 2013

机译：塞尔维亚共和国老年心血管患者利用小学和专家医疗保健服务的因素：2013年国家卫生调查的横断面研究

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The European Health Interview Survey (EHIS) is run every 5 years to examine how people experience and rank their health, how they care about their health, and to what extent they use the healthcare services. We identified the sub-population of special interest, i.e., cardiovascular disease (CVD) patients older than 65 years, in this cross-sectional study from the Serbian national survey of population health (2568 persons from a total of 15,999 subjects surveyed). We performed univariable and multivariable logistic regression analysis to assess the correlation between the healthcare system utilization and identified demographic, geographic, socio-economic, and self-rated factors. The most important factor for the utilization of the primary and the specialist healthcare services by elderly CVD patients is the region where one lives (Southern and Eastern Serbia OR = 2.44, 95% CI = 1.58–3.77/Belgrade OR = 1.75, 95% CI = 1.32–2.30). Age is another factor, where the 65 to 74 years old CVD patients utilize healthcare services the most. Higher education (OR = 1.80, 95% CI = 1.31–2.47), being a part of the highest Wealth Index group (OR = 1.62, 95% CI = 1.10–2.40), having very poor health status (OR = 3.02, 95% CI = 1.41–6.47), and presence of long-term illness (OR = 1.49, 95% CI = 1.16–1.92), play an important role in the utilization of the specialist care only.
机译：欧洲卫生面试调查（EHIS）每5年一次，审视人们如何体验和排名健康，他们如何关心健康，以及他们在多大程度上使用医疗保健服务。我们鉴定了特殊兴趣的亚群，即65岁的心血管疾病（CVD）患者，在塞尔维亚国家人口卫生调查（2568人中，从6,999名受试者调查）的横断面研究中。我们进行了不可变化和多变量的逻辑回归分析，以评估医疗保健系统利用率与确定人口，地理，社会经济和自称因素之间的相关性。通过老年人CVD患者利用主要和专业医疗保健服务的最重要因素是一个人的生活（南部和塞尔维亚或= 2.44，95％CI = 1.58-3.77 / Belgrade或= 1.75，95％CI = 1.32-2.30）。年龄是另一个因素，65到74岁的CVD患者最多利用医疗保健服务。高等教育（或= 1.80,95％CI = 1.31-2.47），是最高财富指数组的一部分（或= 1.62,95％CI = 1.10-2.40），其健康状况非常差（或= 3.02,95 ％CI = 1.41-6.47），并且存在长期疾病（或= 1.49,95％CI = 1.16-1.92），仅在使用专业护理时发挥着重要作用。

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