Medical Service Load and accessibility: Modelling and comparison in Tehran regions.
Cognition of medical demand in every society is necessary not only for determining of third level Preventive care but also in Planning for first and second level intervention Programms.
Objectives: Determining burden of medical demand
Determining load of medical service Utilization
Determining burden of medical demand and medical Service utilization in different regions of Tehran and different groups of age, sex and education.
Material & methods: this investigation is a Cross-sectional study held in Tehran.
Sampling was randomized and multistage and 5973 Persons have been selected and this data was gathered by questionnaire.
The data included demographic information, medical complaint and utilization of medical service by individuals.
Result: 5973 individuals have been studied, who involve 1416 families.
The result revealed that in 2001 every 100 person in Tehran had 122 demands for medical service and 102 cases have received related medical services. Other 20 cases received no services.
Also the results revealed: Significant difference in demand between different age groups
Significant difference in demand between women and men.
Significant difference in demand, utilization and accessibility between different regions in Tehran.
Musculoskeletal dis., Cardiovascular dis., neuro psychological dis., have the most demand frequency in understuding individuals, of course after Influenza.
Conclusion: In this study every 100 persons had 122 demands for medical service per year, 102 of them had received related services.
After influenza, Cardiovascular, musculoskeletal and neuro- psychological diseases were the most common diseases groups. Attending to relation between demands and age, sex and living regions in Tehran, it necceciate planning of preventive, treatment and rehabilitation services (3 levels of Preventive care) specially in the most Common disease and for groups who are in high risk, and so we could acheived to social equity.
Additionally, using demand rate, the health sector can calculate work load and stimate the number of health providers required for people of Tehran city.
Moreover base on these informations it seems the most common disease such as musculoskeletal dis., cardiovascular dis and neuropsychological dis must be important in medical education specially in family medicine.