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Social determinants of access to healthcare as indicator of health equity among patients with chronic diseases in Jordan: a cross-sectional study

Authors :
Al-Rimawi, Rula
Alshraideh, Jafar Alasad
Al-Hussami, Mahmoud
Jaghbir, Madi
Source :
International Journal of Environment and Health; 2020, Vol. 10 Issue: 1 p24-37, 14p
Publication Year :
2020

Abstract

Background: The study aims to describe and predict the social determinants of accessing healthcare as an indicator of health equity among patients with chronic diseases. Methods: A cross-sectional structured face to face interview survey of 320 patients selected from three hospitals. Hierarchical regression was used to predict the social determinant of accessing healthcare system in Jordan. Results: Seven predictors were statistically significant, R = 0.368, R2= 0.135, adjusted R2= 0.116, F(7,309) = 6.91, P < 0.001. The variables predicted approximately 12% of the variance in accessibility scores. The strongest unique predictive contribution was from household income and gender. Higher income and being female predicted higher scores on accessibility. Whereas, faraway distance between place of residency and hospital predicted lower scores on accessibility. Conclusion: There is inequity between patients in accessing public healthcare system in Jordan based on income, gender and place of residency.

Details

Language :
English
ISSN :
17434955 and 17434963
Volume :
10
Issue :
1
Database :
Supplemental Index
Journal :
International Journal of Environment and Health
Publication Type :
Periodical
Accession number :
ejs55564697
Full Text :
https://doi.org/10.1504/IJENVH.2020.113622