Predictors and outcomes of unmet health needs of the elderly population in the Republic of Serbia

[N. N. Savić]

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Uvod: Neostvarene zdravstvene potrebe višestruko utiču na zdravstveni potencijal starog stanovništva, potrebno ih je kontinuirano evaluirati u cilju podizanja kvaliteta života ove populacije. Cilj: Cilj ovog istraživanja je utvrditi prediktore i ishode neostvarenih zdravstvenih potreba populacije starih u Republici Srbiji. Materijal i metod: Istraživanje predstavlja deo istraživanja zdravlja stanovništva Republike Srbije iz 2019. godine, sprovedeno u vidu studije preseka. Kao instrument istraživanja korišćeni su upitnici u skladu sa metodologijom Evropskog istraživanja zdravlja. Istraživanjem je obuhvaćen uzorak od 3540 ispitanika starosti 65 i više godina. Rezultati: Svaki treći ispitanik u posmatranom uzorku nije ostvario potrebnu zdravstvenu zaštitu. Identifikovani razlozi neostvarenih zdravstvenih potreba su finansijska ograničenja (23,2%), dugo čekanje na zakazan pregled (15,8%) i udaljenost i problemi sa prevozom (8,3%). Ispitanici su najčešće imali poteškoće u realizaciji potrebne medicinske usluge, usluge dijagnostike, lečenja ili rehabilitacije (16,1%), ali i da ostvare potrebu za nabavkom lekova (15,2%). Zaključak: Istraživanje omogućava evaluaciju najdominantnijih prediktora i ishoda neostvarenih zdravstvenih potreba starijeg stanovništva Srbije. Nejednakosti u pristupu zdravstvenoj zaštiti, u posmatranoj populaciji, najčešće su iz razloga finansijskih ograničenja. Rezultati ovog istraživanja mogu biti osnova za bolju organizaciju zdravstvene zaštite i kreiranje zdravstvenih politika.

Introduction: Unsatisfied health needs have multiple effects on the health potential of the elderly population, they need to be continuously evaluated in order to raise the quality of life of this population. Aim: The aim of this research is to determine the predictors and outcomes of the unmet health needs of the elderly population in the Republic of Serbia. Material and method: The research is part of the population health survey of the Republic of Serbia from 2019, conducted in the form of a cross-sectional study. As a research instrument, questionnaires were used in accordance with the methodology of the European Health Survey. The research included a sample of 3,540 respondents aged 65 and over. Results: Every third respondent in the observed sample did not receive the necessary health care. Identified reasons for unmet health needs are financial constraints (23.2%), long waits for a scheduled medical examination (15.8%) and distance and transportation problems (8.3%). Respondents most often had difficulties in realizing the necessary medical services, diagnostic, treatment or rehabilitation services (16.1%), but also in realizing the need to purchase medicines (15.2%). Conclusion: The research enables the evaluation of the most dominant predictors and outcomes of the unmet health needs of the elderly population of Serbia. Inequalities in access to health care, in the observed population, are most often due to financial constraints. The results of this research can be the basis for a better organization of health care and the creation of health policies.

neostvarene zdravstvene potrebe, nacionalno istraživanje zdravlja stanovništva, populacija starih, zdravstvena zaštita, zdravstvene usluge, javno zdravlje.

unmet health needs, national population health survey, elderly population, health care, health services, public health.

616-058(497.11)

Socijalna medicina

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