PDF(Pubmed)
Abstract：
UNASSIGNED: People with disabilities (PWD) typically face a range of obstacles when accessing healthcare, particularly when compared with the general population. This challenge becomes more pronounced for PWDs in lower socioeconomic groups. This study aimed to assess the socioeconomic-related disparity in financial access to rehabilitation services among Iranian PWDS.
UNASSIGNED: A total of 766 Iranian PWDs aged ≥18 years participated in this cross-sectional study. We employed the concentration index (C) to estimate socioeconomic inequality in accessing rehabilitation services.
UNASSIGNED: In this study, 766 Iranian adults aged 18 to 70 took part, with a mean age of 36.50 (SD, ±10.02) years. The findings revealed that 72.15% (n = 469) of participants had to borrow money to cover the costs of rehabilitation services. The concentration index (C = -0.228, P = 0.004) demonstrated a notable concentration of inadequate financial access to rehabilitation services among individuals with lower socioeconomic status (SES). Decomposition analysis identified the wealth index as the primary contributor to the observed socioeconomic disparities, accounting for 309.48%.
UNASSIGNED: Our findings show that socioeconomic inequalities disproportionately impact PWDs in lower socioeconomic groups. It is recommended that efforts be made to enhance the national capacity for monitoring the financial protection of PWDs and to develop equitable mechanisms that promote prepayment and risk pooling, thus reducing reliance on out-of-pocket payments at the time of service utilization.
UNASSIGNED: A total of 766 Iranian PWDs aged ≥18 years participated in this cross-sectional study. We employed the concentration index (C) to estimate socioeconomic inequality in accessing rehabilitation services.
UNASSIGNED: In this study, 766 Iranian adults aged 18 to 70 took part, with a mean age of 36.50 (SD, ±10.02) years. The findings revealed that 72.15% (n = 469) of participants had to borrow money to cover the costs of rehabilitation services. The concentration index (C = -0.228, P = 0.004) demonstrated a notable concentration of inadequate financial access to rehabilitation services among individuals with lower socioeconomic status (SES). Decomposition analysis identified the wealth index as the primary contributor to the observed socioeconomic disparities, accounting for 309.48%.
UNASSIGNED: Our findings show that socioeconomic inequalities disproportionately impact PWDs in lower socioeconomic groups. It is recommended that efforts be made to enhance the national capacity for monitoring the financial protection of PWDs and to develop equitable mechanisms that promote prepayment and risk pooling, thus reducing reliance on out-of-pocket payments at the time of service utilization.
摘要：
■残疾人（PWD）在获得医疗保健时通常会面临一系列障碍，特别是与普通人群相比。对于较低社会经济群体的残疾人来说，这一挑战变得更加明显。这项研究旨在评估伊朗PWDS在获得康复服务方面与社会经济相关的差异。
■共有766名年龄≥18岁的伊朗残疾人参加了这项横断面研究。我们使用集中指数（C）来估计获得康复服务的社会经济不平等。
■在这项研究中，766名18至70岁的伊朗成年人参加了会议，平均年龄36.50岁(标准差，±10.02）年。调查结果显示，72.15％（n=469）的参与者不得不借钱来支付康复服务的费用。集中度指数（C=-0.228，P=0.004）表明，在社会经济地位（SES）较低的个人中，获得康复服务的财务机会明显不足。分解分析确定财富指数是观察到的社会经济差异的主要贡献者，占309.48%。
■我们的研究结果表明，社会经济不平等不成比例地影响较低社会经济群体的残疾人。建议努力提高国家监测残疾人财政保护的能力，并建立促进预付款和风险分担的公平机制，从而减少在使用服务时对自费支付的依赖。
■共有766名年龄≥18岁的伊朗残疾人参加了这项横断面研究。我们使用集中指数（C）来估计获得康复服务的社会经济不平等。
■在这项研究中，766名18至70岁的伊朗成年人参加了会议，平均年龄36.50岁(标准差，±10.02）年。调查结果显示，72.15％（n=469）的参与者不得不借钱来支付康复服务的费用。集中度指数（C=-0.228，P=0.004）表明，在社会经济地位（SES）较低的个人中，获得康复服务的财务机会明显不足。分解分析确定财富指数是观察到的社会经济差异的主要贡献者，占309.48%。
■我们的研究结果表明，社会经济不平等不成比例地影响较低社会经济群体的残疾人。建议努力提高国家监测残疾人财政保护的能力，并建立促进预付款和风险分担的公平机制，从而减少在使用服务时对自费支付的依赖。
