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Health-Care Access and Utilization Among Individuals With Low Back Pain in Iran: A Who-Ilar Copcord Study Publisher Pubmed



Faezi ST1 ; Baghdadi A1, 2 ; Nejadhosseinian M1 ; Moradilakeh M3 ; Yekaninejad MS4 ; Holakoui K4 ; Moghimi N5 ; Sandoughi M6 ; Dehghan A7 ; Banihashemi AT8 ; Ghadimi M2 ; Davatchi F1
Authors
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Authors Affiliations
  1. 1. Rheumatology Research center, Tehran University of Medical Sciences, North Amirabad street, Tehran, 1411713137, Iran
  2. 2. Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins University, School of Medicine, Baltimore, MD, United States
  3. 3. Preventive Medicine and Public Health Research Center, Iran University of Medical Sciences, Tehran, Iran
  4. 4. Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Department of Internal Medicine, Faculty of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran
  6. 6. Department of internal medicin Ali Ebn Abitaleb Hospital, Zahedan University of medical sciences, Zahedan, Iran
  7. 7. Department of Internal Medicine, Shahid Sadoughi Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
  8. 8. Preventive Medicine and Public Health Research Center, Community Medicine Department, Iran University of Medical Sciences, Tehran, Iran

Source: BMC Health Services Research Published:2020


Abstract

Background: Low back pain (LBP) is a major contributor to chronic pain and disability. The purpose of this study was to evaluate health-care access and utilization among patients with LBP in Iran. We also sought to study the pattern and characteristics of care-utilization behavior in these patients. Methods: Data from the Community Oriented Program for Control of Rheumatic Diseases (COPCORD) were used for this study. Three cities (Zahedan, Sanandaj, Yazd) were selected to represent the Iranian population, with different socioeconomic status and ethnic, cultural, and religious background. Demographic data, acute or chronic LBP, disability index, and utilizing care from conventional medicine (CM), allied health providers (AHP), and complementary and alternative medicine (CAM) providers were recorded. Results: Of 9101 patients, 38.6% reported LBP. Only 3.3% did not utilize care of any kind, 66.7% referred to CM providers, 20.8% to AHP, and 9.2% to CAM care. Health-care utilization was higher in female patients, older age, higher education, and higher disability index. Conclusions: The findings of this study indicate a high rate of health-care utilization among patients with LBP in Iran. CM is the most prevalent health-care resource sought by patients. These findings could be used as a framework in developing more efficient health-care programs according to the needs of specific populations. © 2020 The Author(s).
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