تعیین نابرابری اجتماعی- اقتصادی در بهره مندی از خدمات سلامت بیماران ایسکمیک قلبی؛ نمونه موردی شهرستان فلاورجان

Introduction: Determination of health inequities and gaps in health status between different socioeconomic groups, particularly in patients with chronic diseases such as heart disease, has always been of public concern for politicians and social sciences researchers. This study was aimed to evaluate the status of socioeconomic inequality in health care utilization in patients with ischemic heart disease with cumulative index approach. Materials and Methods: The present cross-sectional study was conducted in 2014 year. The study population was all patients with ischemic heart disease in Falavarjan Imam Khomeini Hospital, among which 302 households were selected using stratified random sampling. Data analysis was performed using SPSS via factor analysis by regression methods and using STATA software via concentration index method. Results: Services reception in this groups (patients with ischemic heart pains) was associated with significant inequality (P= 0.000) and Inequality Index (ci) was equal to -0.11. Their analysis was indicate on the significant impact of the economic situation (62%); the job situation (23.45%) and supplemental insurance situation (11.11%) on the utilization from diagnostic services. Although, there was no significant inequality between other variables using the concentration index  analysis, statistically it was observed that the average cost of paying for outpatient services was higher with an increase in the income level (P= 0.001). Conclusion: Inequalities in health service utilization reflect socio-economic differences, including the economic quintile, insurance eligibility and lifestyle. Thus, equality in utilization of services is expected to be promoted by taking steps to improve livelihood conditions, the society's lifestyle, increase health insurance coverage, integrate insurance companies and extend the family physician program.