Golestan University of Medical Sciences Repository

Healthcare utilization in patients with esophageal cancer in a high risk area in northeast of Iran

Roshandel, G. and Majdzadeh, R. and Keshtkar, A. and Aramesh, K. and Sedaghat, S.M. and Semnani, S. (2011) Healthcare utilization in patients with esophageal cancer in a high risk area in northeast of Iran. Asian Pacific Journal of Cancer Prevention, 12 (9). pp. 2437-2442. ISSN 15137368 (ISSN)

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Abstract

Introduction: Golestan, a province located north of Persian Gulf in northeastern part of Iran is a well known area for high risk of esophageal cancer (EC) in the world. There is no information about healthcare utilization in populations residing in the area. This study was conducted to assess utilization of healthcare and its associated factors among esophageal cancer patients in this region as well as to address ethical implication of this utilization. Methods: All new cases of EC in Golestan province during year of 2007 were recruited. Seven diagnostic and five therapeutic services were used to assess diagnostic utilization index (DUI), and therapeutic utilization index (TUI), respectively. Multivariate regression analysis was used to assess the relationship between variables and DUI or TUI. P-value of less than 0.05 was considered as statistically significant. Results: Tow hundred twenty three, patients were enrolled with mean (Standard Deviation) age of 64.3 (12.5) years with 57.8% male. We observed that occupation (P<0.01), ethnicity (P<0.01) and sex (P=0.03) were strongly associated with DUI. Insurance coverage (P<0.01), place of residency (P<0.01), and occupation (P=0.01) were associated with TUI. Conclusion: We concluded that several factors contribute to disparity in healthcare utilization in the studied population.

Item Type: Article
Additional Information: Unmapped bibliographic data: LA - English [Field not mapped to EPrints] J2 - Asian Pac. J. Cancer Preven. [Field not mapped to EPrints] C2 - 22296397 [Field not mapped to EPrints] AD - Golestan Research Center of Gastroenterology and Hepatology, Tehran University of Medical Sciences, Tehran, Iran [Field not mapped to EPrints] AD - School of Public Health, Tehran University of Medical Sciences, Tehran, Iran [Field not mapped to EPrints] AD - Digestive Diseases Research Center, Tehran University of Medical Sciences, Tehran, Iran [Field not mapped to EPrints] AD - Knowledge Utilization Research Center, Tehran University of Medical Sciences, Tehran, Iran [Field not mapped to EPrints] AD - Endocrinology and Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran [Field not mapped to EPrints] AD - Medical Ethics and History of Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran [Field not mapped to EPrints] AD - Deputy of Health, Golestan University of Medical Sciences, Gorgan, Iran [Field not mapped to EPrints] DB - Scopus [Field not mapped to EPrints]
Uncontrolled Keywords: Esophageal malignancy, Healthcare utilization, Iran, Social justice, article, esophagus tumor, female, health care delivery, human, Iran, male, middle aged, multivariate analysis, risk, risk factor, statistics, utilization review, Delivery of Health Care, Esophageal Neoplasms, Female, Humans, Iran, Male, Middle Aged, Multivariate Analysis, Risk, Risk Factors
Subjects: مقالات نمایه شده محققین دانشگاه در سایت ,Web of Science ,Scopus
موارد کلی
Divisions: معاونت تحقیقات و فناوری
Depositing User: GOUMS
Date Deposited: 15 Apr 2015 09:18
Last Modified: 16 May 2015 15:01
URI: http://eprints.goums.ac.ir/id/eprint/2069

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