Inequalities in use of health services by type of settlements in Bulgaria

Abstract

Introduction: The place of residence and the region form the context for the work, education, and income opportunities for individuals. It can be considered as a determinant of health and of health inequalities. The aim of this study is to analyse the disparities in the use of health services among the inhabitants of the different types of settlements in the Northeast region of Bulgaria. Material and Methods: Data from inquiry are retrieved to analyse the use of health services. The inquiry is conducted in 2014 among 618 citizens of Northeast region in Bulgaria, living in district cities, small towns and villages. Results and Discussion: The highest frequency of visits are those with general practitioners. By type of settlements, the average usage of health services is highest in small towns, except for diagnostic tests. In villages, the use of primary and specialised medical care is lower than the total average for the sample, mainly due to the difficulty in access to health services. Statistically significant disparities according to the type of settlement exist in the use of dental and hospital care. Conclusion: The findings show that there are differences in the use of health services and access to medical care, depending on the place of residence, which is an example of health inequities.