Ethnic Variations in Healthcare Service Utilization and Access in Vietnamese Mountainous Setting
Evidence of health service use and access across different target groups is essential for policy development, health promotion, and promotion of equity in healthcare. This study aims to look at ethnic variations in health service use and access among residents in mountainous areas of Vietnam. A cros...
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| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1155/2021/6650303 |
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| author | Tuan Le Anh Ha Vu Ngoc Dua Nguyen Nhu Anh Truong Thi Mai Tam Ngo Thi Bach Nguyen Xuan Kien Pham Trung Hung Hoang Nam Anh Nguyen Thi Hoang Thanh Luong Trung |
| author_facet | Tuan Le Anh Ha Vu Ngoc Dua Nguyen Nhu Anh Truong Thi Mai Tam Ngo Thi Bach Nguyen Xuan Kien Pham Trung Hung Hoang Nam Anh Nguyen Thi Hoang Thanh Luong Trung |
| author_sort | Tuan Le Anh |
| collection | DOAJ |
| description | Evidence of health service use and access across different target groups is essential for policy development, health promotion, and promotion of equity in healthcare. This study aims to look at ethnic variations in health service use and access among residents in mountainous areas of Vietnam. A cross-sectional descriptive study was conducted on 321 adults from two mountainous communes in Bac Kan province. Healthcare service use and access were evaluated by using a structured questionnaire. Zero-inflated Poisson regression was used to examine the ethnic variations in the healthcare service use and access. Of 321 mountainous residents, 63.6% used health services in the previous 12 months, of which 24.9% respondents used inpatient services and 47.9% used outpatient services. The number of outpatient medical services used by the Tay participant was higher than that of the Kinh and other ethnic groups (p<0.05). Multivariate regression results showed that compared to Kinh people, Tay people had a higher number of outpatient service use (Coef. = 0.25, p=0.04), while people in other ethnicities had a lower number of service use (Coef. = −0.64, p=0.01). Meanwhile, no difference was found among groups regarding the number of inpatient service use (p>0.05). This study showed the ethnic differences in outpatient use of health services among communities living in the northern mountainous setting of Vietnam. |
| format | Article |
| id | doaj-art-6f9b68791a0f42f6b49cd3b51e5acae4 |
| institution | Kabale University |
| issn | 2356-6140 1537-744X |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-6f9b68791a0f42f6b49cd3b51e5acae42025-08-20T03:34:05ZengWileyThe Scientific World Journal2356-61401537-744X2021-01-01202110.1155/2021/66503036650303Ethnic Variations in Healthcare Service Utilization and Access in Vietnamese Mountainous SettingTuan Le Anh0Ha Vu Ngoc1Dua Nguyen Nhu2Anh Truong Thi Mai3Tam Ngo Thi4Bach Nguyen Xuan5Kien Pham Trung6Hung Hoang Nam7Anh Nguyen Thi Hoang8Thanh Luong Trung9VNU University of Medicine and Pharmacy, Vietnam National University, Hanoi 100000, VietnamVNU University of Medicine and Pharmacy, Vietnam National University, Hanoi 100000, VietnamVNU University of Medicine and Pharmacy, Vietnam National University, Hanoi 100000, VietnamVNU University of Medicine and Pharmacy, Vietnam National University, Hanoi 100000, VietnamFaculty of Health Sciences, Thang Long University, Hanoi 100000, VietnamVNU University of Medicine and Pharmacy, Vietnam National University, Hanoi 100000, VietnamVNU University of Medicine and Pharmacy, Vietnam National University, Hanoi 100000, VietnamVNU University of Medicine and Pharmacy, Vietnam National University, Hanoi 100000, VietnamVNU University of Medicine and Pharmacy, Vietnam National University, Hanoi 100000, VietnamHospital of Vietnam National University, Hanoi 100000, VietnamEvidence of health service use and access across different target groups is essential for policy development, health promotion, and promotion of equity in healthcare. This study aims to look at ethnic variations in health service use and access among residents in mountainous areas of Vietnam. A cross-sectional descriptive study was conducted on 321 adults from two mountainous communes in Bac Kan province. Healthcare service use and access were evaluated by using a structured questionnaire. Zero-inflated Poisson regression was used to examine the ethnic variations in the healthcare service use and access. Of 321 mountainous residents, 63.6% used health services in the previous 12 months, of which 24.9% respondents used inpatient services and 47.9% used outpatient services. The number of outpatient medical services used by the Tay participant was higher than that of the Kinh and other ethnic groups (p<0.05). Multivariate regression results showed that compared to Kinh people, Tay people had a higher number of outpatient service use (Coef. = 0.25, p=0.04), while people in other ethnicities had a lower number of service use (Coef. = −0.64, p=0.01). Meanwhile, no difference was found among groups regarding the number of inpatient service use (p>0.05). This study showed the ethnic differences in outpatient use of health services among communities living in the northern mountainous setting of Vietnam.http://dx.doi.org/10.1155/2021/6650303 |
| spellingShingle | Tuan Le Anh Ha Vu Ngoc Dua Nguyen Nhu Anh Truong Thi Mai Tam Ngo Thi Bach Nguyen Xuan Kien Pham Trung Hung Hoang Nam Anh Nguyen Thi Hoang Thanh Luong Trung Ethnic Variations in Healthcare Service Utilization and Access in Vietnamese Mountainous Setting The Scientific World Journal |
| title | Ethnic Variations in Healthcare Service Utilization and Access in Vietnamese Mountainous Setting |
| title_full | Ethnic Variations in Healthcare Service Utilization and Access in Vietnamese Mountainous Setting |
| title_fullStr | Ethnic Variations in Healthcare Service Utilization and Access in Vietnamese Mountainous Setting |
| title_full_unstemmed | Ethnic Variations in Healthcare Service Utilization and Access in Vietnamese Mountainous Setting |
| title_short | Ethnic Variations in Healthcare Service Utilization and Access in Vietnamese Mountainous Setting |
| title_sort | ethnic variations in healthcare service utilization and access in vietnamese mountainous setting |
| url | http://dx.doi.org/10.1155/2021/6650303 |
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