Volume 23, Issue 2 (6-2020)
Hakim 2020, 23(2): 160-169 |
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Ghobad Moradi1 
, Shahin Soltani2 , Faide Mostafavi3 , Mehdi Zokaei4 , Siroos Hemmatpour5 , Elham Nouri6 , Bakhtiar Piroozi * 7
, Shahin Soltani2 , Faide Mostafavi3 , Mehdi Zokaei4 , Siroos Hemmatpour5 , Elham Nouri6 , Bakhtiar Piroozi * 7
1- Associate Professor of Epidemiology, Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran.
2- Assistant Professor of Health Policy, Environmental Determinants of Health Research Center, Faculty of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran.
3- MSc of Epidemiology, Kurdistan University of Medical Sciences, Sanandaj, Iran.
4- Medical Doctor, Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran.
5- Assistant Professor of Neonatal-Perinatal Medicine, Department of Pediatrics, Faculty of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran.
6- MSc Student of Epidemiology, Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran.
7- Assistant Professor of Health Policy, Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran. ,bpiroozi@gmail.com
2- Assistant Professor of Health Policy, Environmental Determinants of Health Research Center, Faculty of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran.
3- MSc of Epidemiology, Kurdistan University of Medical Sciences, Sanandaj, Iran.
4- Medical Doctor, Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran.
5- Assistant Professor of Neonatal-Perinatal Medicine, Department of Pediatrics, Faculty of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran.
6- MSc Student of Epidemiology, Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran.
7- Assistant Professor of Health Policy, Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran. ,
Abstract: (809 Views)
Introduction: This study aimed to determine the perceived need, seeking, and utilization of health services among eight-year-old or younger children with disabilities in Iran.
Methods: This descriptive cross-sectional study was conducted on a sample of 2,000 children with disabilities aged eight years or lower selected through multistage sampling from five provinces of Iran. Data were collected using a researcher-made electronic questionnaire. Descriptive statistical methods were used to analyze the data by Stata 13.
Results: The highest percentages of perceived needs for outpatient services in the last three months belonged to specialist physician visits (65.80%), medication (66.05%), speech therapy (57.58%), and occupational therapy (54.89%). The lowest percentages of seeking for perceived needs belonged to dental services (45.80%), psychiatry services (51.30%), and physiotherapy services (60.69%). The lowest percentages of utilization after seeking for perceived needs belonged to dental services (61.00%), physiotherapy services (82.38%), and outpatient surgery services (86.40%). The percentages of perceived need, seeking, and utilization of inpatient services over the past 12 months were reported to be 22.08%, 88.73%, and 87.89%, respectively.
Conclusion: There was a significant difference between perceived need, seeking, and utilization of health services in children with disabilities in Iran. Health system policymakers should consider the factors affecting the seeking and utilization of health services by children with disabilities in designing appropriate interventions.
Methods: This descriptive cross-sectional study was conducted on a sample of 2,000 children with disabilities aged eight years or lower selected through multistage sampling from five provinces of Iran. Data were collected using a researcher-made electronic questionnaire. Descriptive statistical methods were used to analyze the data by Stata 13.
Results: The highest percentages of perceived needs for outpatient services in the last three months belonged to specialist physician visits (65.80%), medication (66.05%), speech therapy (57.58%), and occupational therapy (54.89%). The lowest percentages of seeking for perceived needs belonged to dental services (45.80%), psychiatry services (51.30%), and physiotherapy services (60.69%). The lowest percentages of utilization after seeking for perceived needs belonged to dental services (61.00%), physiotherapy services (82.38%), and outpatient surgery services (86.40%). The percentages of perceived need, seeking, and utilization of inpatient services over the past 12 months were reported to be 22.08%, 88.73%, and 87.89%, respectively.
Conclusion: There was a significant difference between perceived need, seeking, and utilization of health services in children with disabilities in Iran. Health system policymakers should consider the factors affecting the seeking and utilization of health services by children with disabilities in designing appropriate interventions.
| Please cite this article as follows: Moradi G, Soltani S, Mostafavi F, Zokaei M, Hemmatpour S, Nouri E, Piroozi B. Perceived need, seeking, and utilization of health services among eight-year-old or younger children with disabilities in Iran. Hakim Health Sys Res. 2020; 23(2): 160-169. |
*Corresponding Author: Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran. Tel: (+98)8733664659.E-mail: bpiroozi@gmail.com
Type of Study: Original |
Subject:
General
Received: 2020/07/13 | Accepted: 2020/06/30 | Published: 2020/06/30
Received: 2020/07/13 | Accepted: 2020/06/30 | Published: 2020/06/30
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