{"id":"https://openalex.org/W4411002575","doi":"https://doi.org/10.1155/hsc/3497396","title":"Healthcare Needs and Services Utilization Among Older People in Iran: A National\u2010Level Analysis of Socioeconomic Inequalities","display_name":"Healthcare Needs and Services Utilization Among Older People in Iran: A National\u2010Level Analysis of Socioeconomic Inequalities","publication_year":2025,"publication_date":"2025-01-01","ids":{"openalex":"https://openalex.org/W4411002575","doi":"https://doi.org/10.1155/hsc/3497396"},"language":"en","primary_location":{"id":"doi:10.1155/hsc/3497396","doi":"https://doi.org/10.1155/hsc/3497396","is_oa":true,"landing_page_url":"https://doi.org/10.1155/hsc/3497396","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1155/hsc/3497396","source":{"id":"https://openalex.org/S176659572","display_name":"Health & Social Care in the Community","issn_l":"0966-0410","issn":["0966-0410","1365-2524"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-1","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health &amp; Social Care in the Community","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1155/hsc/3497396","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5035459848","display_name":"Maryam Tajvar","orcid":"https://orcid.org/0000-0003-0608-6768","observed_orcids":["https://orcid.org/0000-0003-0608-6768","https://orcid.org/0000-0002-4477-4273"]},"institutions":[{"id":"https://openalex.org/I70640408","display_name":"Tehran University of Medical Sciences","ror":"https://ror.org/01c4pz451","country_code":"IR","type":"education","lineage":["https://openalex.org/I70640408"]}],"countries":["IR"],"is_corresponding":false,"raw_author_name":"Maryam Tajvar","raw_affiliation_strings":["Department of Health Management, Policy and Economics ,  School of Public Health ,  Tehran University of Medical Sciences ,  Tehran ,  Iran , tums.ac.ir"],"raw_orcid":"https://orcid.org/0000-0003-0608-6768","affiliations":[{"raw_affiliation_string":"Department of Health Management, Policy and Economics ,  School of Public Health ,  Tehran University of Medical Sciences ,  Tehran ,  Iran , tums.ac.ir","institution_ids":["https://openalex.org/I70640408"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Maria Mohammadi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I70640408","display_name":"Tehran University of Medical Sciences","ror":"https://ror.org/01c4pz451","country_code":"IR","type":"education","lineage":["https://openalex.org/I70640408"]}],"countries":["IR"],"is_corresponding":false,"raw_author_name":"Maria Mohammadi","raw_affiliation_strings":["Department of Health Management, Policy and Economics ,  School of Public Health ,  Tehran University of Medical Sciences ,  Tehran ,  Iran , tums.ac.ir"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Health Management, Policy and Economics ,  School of Public Health ,  Tehran University of Medical Sciences ,  Tehran ,  Iran , tums.ac.ir","institution_ids":["https://openalex.org/I70640408"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5027722795","display_name":"Mehdi Yaseri","orcid":"https://orcid.org/0000-0002-4066-873X","observed_orcids":["https://orcid.org/0000-0002-4066-873X"]},"institutions":[{"id":"https://openalex.org/I70640408","display_name":"Tehran University of Medical Sciences","ror":"https://ror.org/01c4pz451","country_code":"IR","type":"education","lineage":["https://openalex.org/I70640408"]}],"countries":["IR"],"is_corresponding":false,"raw_author_name":"Mehdi Yaseri","raw_affiliation_strings":["Department of Epidemiology and Biostatistics ,  School of Public Health ,  Tehran University of Medical Sciences ,  Tehran ,  Iran , tums.ac.ir"],"raw_orcid":"https://orcid.org/0000-0002-4066-873X","affiliations":[{"raw_affiliation_string":"Department of Epidemiology and Biostatistics ,  School of Public Health ,  Tehran University of Medical Sciences ,  Tehran ,  Iran , tums.ac.ir","institution_ids":["https://openalex.org/I70640408"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5072625432","display_name":"Zeinab Khaledian","orcid":"https://orcid.org/0000-0001-7355-5363","observed_orcids":["https://orcid.org/0000-0001-7355-5363"]},"institutions":[{"id":"https://openalex.org/I4210104301","display_name":"Islamic Azad University Semnan","ror":"https://ror.org/01abrxp85","country_code":"IR","type":"education","lineage":["https://openalex.org/I110525433","https://openalex.org/I4210104301"]},{"id":"https://openalex.org/I70640408","display_name":"Tehran University of Medical Sciences","ror":"https://ror.org/01c4pz451","country_code":"IR","type":"education","lineage":["https://openalex.org/I70640408"]}],"countries":["IR"],"is_corresponding":false,"raw_author_name":"Zeinab Khaledian","raw_affiliation_strings":["Department of Health Management, Policy and Economics ,  School of Public Health ,  Tehran University of Medical Sciences ,  Tehran ,  Iran , tums.ac.ir","Department of Health Service Management ,  Islamic Azad University ,  Semnan ,  Iran , azad.ac.ir"],"raw_orcid":"https://orcid.org/0000-0001-7355-5363","affiliations":[{"raw_affiliation_string":"Department of Health Management, Policy and Economics ,  School of Public Health ,  Tehran University of Medical Sciences ,  Tehran ,  Iran , tums.ac.ir","institution_ids":["https://openalex.org/I70640408"]},{"raw_affiliation_string":"Department of Health Service Management ,  Islamic Azad University ,  Semnan ,  Iran , azad.ac.ir","institution_ids":["https://openalex.org/I4210104301"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5029190906","display_name":"Badrye Karami","orcid":"https://orcid.org/0000-0002-1849-2416","observed_orcids":["https://orcid.org/0000-0002-1849-2416"]},"institutions":[{"id":"https://openalex.org/I39642139","display_name":"Kermanshah University of Medical Sciences","ror":"https://ror.org/05vspf741","country_code":"IR","type":"education","lineage":["https://openalex.org/I39642139"]}],"countries":["IR"],"is_corresponding":true,"raw_author_name":"Badriyeh Karami","raw_affiliation_strings":["Behavioural Diseases Research Centre ,  Health Institute ,  Kermanshah University of Medical Sciences ,  Kermanshah ,  Iran , kums.ac.ir"],"raw_orcid":"https://orcid.org/0000-0002-1849-2416","affiliations":[{"raw_affiliation_string":"Behavioural Diseases Research Centre ,  Health Institute ,  Kermanshah University of Medical Sciences ,  Kermanshah ,  Iran , kums.ac.ir","institution_ids":["https://openalex.org/I39642139"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5029190906"],"corresponding_institution_ids":["https://openalex.org/I39642139"],"apc_list":{"value":2700,"currency":"USD","value_usd":2700},"apc_paid":{"value":2700,"currency":"USD","value_usd":2700},"fwci":2.09,"has_fulltext":true,"cited_by_count":3,"citation_normalized_percentile":{"value":0.83864743,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":96},"biblio":{"volume":"2025","issue":"1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.4595000147819519,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.4595000147819519,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10235","display_name":"Health disparities and outcomes","score":0.41429999470710754,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.03539999946951866,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.953000009059906},{"id":"https://openalex.org/keywords/health-care-utilization","display_name":"health care utilization","score":0.8339999914169312},{"id":"https://openalex.org/keywords/socioeconomic-inequality","display_name":"socioeconomic disparities","score":0.7910000085830688},{"id":"https://openalex.org/keywords/inpatient-services","display_name":"inpatient services","score":0.7390000224113464},{"id":"https://openalex.org/keywords/outpatient-care","display_name":"outpatient care","score":0.9990000128746033},{"id":"https://openalex.org/keywords/health-equity","display_name":"health equity","score":0.7379999756813049},{"id":"https://openalex.org/keywords/concentration-index","display_name":"concentration index","score":0.7689999938011169},{"id":"https://openalex.org/keywords/supplementary-health-insurance","display_name":"supplementary health insurance","score":0.7070000171661377},{"id":"https://openalex.org/keywords/iran","display_name":"Iran","score":0.38499999046325684},{"id":"https://openalex.org/keywords/population-aging","display_name":"population aging","score":0.5690000057220459},{"id":"https://openalex.org/keywords/health-care-access","display_name":"health care access","score":0.5979999899864197}],"concepts":[{"id":"https://openalex.org/C147077947","wikidata":"https://www.wikidata.org/wiki/Q1515895","display_name":"Socioeconomic status","level":3,"score":0.8098326325416565},{"id":"https://openalex.org/C45555294","wikidata":"https://www.wikidata.org/wiki/Q28113351","display_name":"Inequality","level":2,"score":0.7569959759712219},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.48177453875541687},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.3973984122276306},{"id":"https://openalex.org/C45355965","wikidata":"https://www.wikidata.org/wiki/Q1643441","display_name":"Socioeconomics","level":1,"score":0.3841860592365265},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.35131824016571045},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.25673335790634155},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.19909819960594177},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.15426307916641235},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","level":0,"score":0.06599363684654236},{"id":"https://openalex.org/C134306372","wikidata":"https://www.wikidata.org/wiki/Q7754","display_name":"Mathematical analysis","level":1,"score":0.0},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1155/hsc/3497396","doi":"https://doi.org/10.1155/hsc/3497396","is_oa":true,"landing_page_url":"https://doi.org/10.1155/hsc/3497396","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1155/hsc/3497396","source":{"id":"https://openalex.org/S176659572","display_name":"Health & Social Care in the Community","issn_l":"0966-0410","issn":["0966-0410","1365-2524"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-1","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health &amp; Social Care in the Community","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1155/hsc/3497396","doi":"https://doi.org/10.1155/hsc/3497396","is_oa":true,"landing_page_url":"https://doi.org/10.1155/hsc/3497396","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1155/hsc/3497396","source":{"id":"https://openalex.org/S176659572","display_name":"Health & Social Care in the Community","issn_l":"0966-0410","issn":["0966-0410","1365-2524"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-1","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health &amp; Social Care in the Community","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9907000064849854},{"display_name":"Reduced inequalities","id":"https://metadata.un.org/sdg/10","score":0.9629999995231628}],"study_designs":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320319990","display_name":"National Institute for Health and Care Research","ror":"https://ror.org/0187kwz08"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4411002575.pdf","grobid_xml":"https://content.openalex.org/works/W4411002575.grobid-xml"},"referenced_works_count":36,"referenced_works":["https://openalex.org/W1525961017","https://openalex.org/W1541804162","https://openalex.org/W1600520389","https://openalex.org/W1979748983","https://openalex.org/W2006236631","https://openalex.org/W2007909376","https://openalex.org/W2008005040","https://openalex.org/W2031082849","https://openalex.org/W2034413656","https://openalex.org/W2041364887","https://openalex.org/W2044693731","https://openalex.org/W2061326246","https://openalex.org/W2074563393","https://openalex.org/W2086909840","https://openalex.org/W2091271795","https://openalex.org/W2094449984","https://openalex.org/W2109355729","https://openalex.org/W2112832279","https://openalex.org/W2114558566","https://openalex.org/W2122676686","https://openalex.org/W2128248134","https://openalex.org/W2133183370","https://openalex.org/W2135784506","https://openalex.org/W2151329330","https://openalex.org/W2155946658","https://openalex.org/W2160177996","https://openalex.org/W2233336575","https://openalex.org/W2320842841","https://openalex.org/W2520236072","https://openalex.org/W2593124197","https://openalex.org/W2593462975","https://openalex.org/W2620702577","https://openalex.org/W2778475544","https://openalex.org/W3035028843","https://openalex.org/W4250606563","https://openalex.org/W4399406760"],"related_works":["https://openalex.org/W6889999783","https://openalex.org/W2904707171","https://openalex.org/W4296899986","https://openalex.org/W3133559175","https://openalex.org/W642247913","https://openalex.org/W3167600504","https://openalex.org/W2799923523","https://openalex.org/W4251804027","https://openalex.org/W3120183790","https://openalex.org/W4211031976"],"abstract_inverted_index":{"Background":[0],"and":[1,7,19,27,46,83,96,107,111,129,135,149,187,211,223,229,239],"Aims:":[2],"With":[3],"the":[4,8,28,65,89,122,125,151,184,198,264,296,304],"aging":[5],"population":[6,75],"corresponding":[9],"increase":[10],"in":[11,44,71,164,197,244,291],"health":[12,23,48,113,165,287,300,317],"service":[13,166,221,232,246],"needs":[14,103],"due":[15],"to":[16,41,120,145,160,236,302,316],"chronic":[17],"diseases":[18],"age\u2010related":[20],"conditions,":[21],"understanding":[22],"services":[24,49,131,182,193,257],"utilization":[25,50,108,126,167,203,222,233,247,261,283],"rates":[26,204,284],"factors":[29],"influencing":[30],"them":[31],"is":[32],"crucial":[33],"for":[34,207,285,299],"providing":[35],"better":[36,278],"care.":[37],"This":[38,56],"study":[39,74],"aims":[40],"investigate":[42],"inequalities":[43,148],"inpatient":[45,110,128,181,212,256,286],"outpatient":[47,112,130,192,209,220,245],"among":[51,263],"Iranian":[52],"older":[53,79,133,275,308],"adults.":[54],"Methods:":[55],"secondary":[57],"analysis":[58,117,141],"was":[59,118,143,158,234,242],"based":[60],"on":[61,101],"primary":[62],"data":[63],"from":[64,86],"national":[66],"survey":[67],"of":[68,77,109,127,173,249,307],"IrUHSS":[69],"conducted":[70],"2016.":[72],"The":[73,154,271],"consisted":[76],"8205":[78,174],"adults":[80,134,276,309],"aged":[81],"60":[82],"over,":[84],"drawn":[85],"participants":[87],"across":[88],"country.":[90],"Data":[91],"were":[92,205,217],"collected":[93],"through":[94],"personal":[95],"household":[97],"questionnaires,":[98],"gathering":[99],"information":[100],"participants\u2019":[102],"for,":[104],"referrals":[105],"to,":[106],"services.":[114,214,318],"Logistic":[115],"regression":[116],"used":[119],"determine":[121],"associations":[123,216],"between":[124,219],"by":[132],"their":[136],"individual":[137],"characteristics.":[138],"Principal":[139],"component":[140],"(PCA)":[142],"utilized":[144],"assess":[146],"socioeconomic":[147,162,250,279,305],"construct":[150],"wealth":[152],"score.":[153],"concentration":[155],"index":[156],"(CI)":[157],"employed":[159],"measure":[161],"inequities":[163],"using":[168],"R":[169],"software.":[170],"Results:":[171],"Out":[172],"participants,":[175],"1411":[176],"(17.2%)":[177],"individuals":[178,266],"reported":[179],"needed":[180],"during":[183],"last":[185,199],"year,":[186],"3152":[188],"(38.4%)":[189],"ones":[190],"required":[191],"at":[194],"least":[195],"once":[196],"2":[200],"weeks.":[201],"High":[202],"observed":[206,243],"both":[208],"(98%)":[210],"(97%)":[213],"Significant":[215],"identified":[218],"education":[224],"level,":[225],"supplementary":[226,237],"insurance":[227,238],"coverage,":[228],"gender.":[230],"Inpatient":[231],"linked":[235],"age.":[240],"Equity":[241],"regardless":[248],"status":[251,280,306],"(CI":[252,267],"=":[253,268],"0.01993),":[254],"while":[255],"showed":[258],"inequity,":[259],"with":[260,277],"concentrated":[262],"wealthiest":[265],"0.2477).":[269],"Conclusion:":[270],"findings":[272],"indicated":[273],"that":[274],"had":[281],"higher":[282],"services,":[288],"highlighting":[289],"inequality":[290],"access.":[292],"These":[293],"results":[294],"underscore":[295],"urgent":[297],"need":[298],"policymakers":[301],"consider":[303],"when":[310],"designing":[311],"interventions,":[312],"ensuring":[313],"equitable":[314],"access":[315]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":1}],"updated_date":"2026-11-13T13:42:25.865203","created_date":"2025-10-10T00:00:00"}
