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Living Standards Measurements Study - Serbia 2002 - 2007

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People living below the poverty line used dental<br />

services three times less frequently. Those falling<br />

into the lowest quintile used dental services nearly<br />

four times less frequently than the richest. When they<br />

did use dental services they were more slightly more<br />

likely to use private institutions. (2 percent compared<br />

to 1 percent). The Roma almost exclusively used<br />

state dental services (3 percent for state compared to<br />

0.4 percent for private) (Graph 5).<br />

Graph 7.5. Use of health service by type of health<br />

service (percent)<br />

% population<br />

Gender<br />

Age<br />

Type of<br />

settlement<br />

Poverty<br />

line<br />

Total<br />

Male<br />

Female<br />

0 - 14<br />

15 - 29<br />

30 - 44<br />

45 - 59<br />

60+<br />

Urban<br />

Rural<br />

Non poor<br />

Poor<br />

0 15 30 45 60<br />

4<br />

3<br />

4<br />

4<br />

6<br />

6<br />

6<br />

7<br />

6<br />

7<br />

6<br />

Poorest 6<br />

2 7<br />

3 6<br />

4 6<br />

Richest 6<br />

Yes 6<br />

No 4<br />

Roma 4<br />

Refugees &<br />

IDPs 3<br />

Unemployed 3<br />

Outpatient health<br />

care services<br />

Quantiles of consalla<br />

Insurance<br />

9<br />

12<br />

15<br />

15<br />

18<br />

22<br />

21<br />

21<br />

22<br />

27<br />

26<br />

25<br />

25<br />

28<br />

28<br />

28<br />

28<br />

28<br />

27<br />

28<br />

32<br />

32<br />

Dentist health<br />

care services<br />

54<br />

Hospital care<br />

Hospital care . Hospital care was used by 6<br />

percent of the population and it was done almost<br />

exclusively in state health institutions in <strong>Serbia</strong>. The<br />

results of the <strong>Study</strong> of Public Health in <strong>Serbia</strong><br />

(2006), also confirm these results (the percentage of<br />

adult hospitalized population was also 6 percent),<br />

and since it is slightly increased in comparison with<br />

LSMS from 2003, it implies that the conditions of<br />

use and requests for hospital treatment were<br />

relatively unchanged in the observed years. Health<br />

services in hospital institutions were most<br />

frequently used by those aged over 60, which is<br />

more than two times higher than the average for<br />

<strong>Serbia</strong>. There were no differences in the use of<br />

hospital treatment according to gender, type of<br />

urban/other settlement and region. These services<br />

were less frequently used by the population living<br />

below the poverty line (4 percent) or by those from<br />

one of the socially vulnerable groups (Roma, 4<br />

percent, refugees and IDPs, 3 percent the<br />

unemployed 3 percent) (Graph 5).<br />

Over-the-counter use of drugs and alternative<br />

medicine. Over-the-counter purchase and use of<br />

drugs, vitamins and preparations with minerals,<br />

medical consumables such as adhesive strips,<br />

syringes, gauze, etc, and the use of alternative<br />

medicine (acupuncture, chiropractor’ services) was<br />

recorded in 23 percent of the population in the month<br />

before the survey. Women are more likely to buy<br />

over-the-counter drugs and alternative medicine than<br />

men (27 percent and 19 percent respectively), people<br />

older than 45 years use them more than those<br />

younger than 45, the urban population more than the<br />

non urban (26 percent and 19 percent respectively),<br />

as well as residents of Belgrade and Vojvodina, and<br />

most frequently those from the richest quintile (33<br />

percent). These drugs and services were significantly<br />

less used by the population living below the poverty<br />

line (11 percent) and uninsured people (19 percent).<br />

7.6. Non-use of Health Care Services<br />

Among the most significant indicators of<br />

health care deprivation are the reasons for nonutilization<br />

of health care services among the ill<br />

population. In <strong>2007</strong>, the majority of ill people<br />

considered that there was no need to use health care<br />

services (56 percent). Secondly they reported that<br />

they had minor health problems which they were<br />

able to solve themselves (26 percent). The third<br />

mostly quoted reason was that they did not have<br />

money for health care services. This reason was<br />

88 <strong>Living</strong> <strong>Standards</strong> <strong>Measurements</strong> <strong>Study</strong> - <strong>Serbia</strong> <strong>2002</strong> - <strong>2007</strong>

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