title: Factors Affecting Health Care Utilization in Tehran.
abstract: BACKGROUND
  Successful health system planning and management is dependent on well informed decisions, so having complete knowledge about medical services' utilization is essential for resource allocation and health plans. The main goal of this study is identification of factors effecting inpatient and outpatient services utilization in public and private sectors.
  
  
  METHODS
  This study encompasses all regions of Tehran in 2011 and uses Urban HEART questionnaires. This population-based survey included 34700 households with 118000 individuals in Tehran. For determining the most important factors affected on health services consumption, logit model was applied.
  
  
  RESULTS
  Regarding to the finding, the most important factors affected on utilization were age, income level and deciles, job status, household dimension and insurance coverage. The main point was the negative relationship between health care utilization and education but it had a positive relationship with private health care utilization. Moreover suffering from chronic disease was the most important variable in health care utilization.
  
  
  CONCLUSIONS
  According to the mentioned results and the fact that access has effect on health services utilization, policy makers should try to eliminate financial access barriers of households and individuals. This may be done with identification of households with more than 65 or smaller than 5 years old, people in low income deciles or with chronic illness. According to age effect on health services usage and aging population of Iran, results of this study show more importance of attention to aged population needs in future years.
authors.forename: Soraya
authors.initials: S
authors.lastname: Nouraei Motlagh
authors.affiliation: . sabermahany@gmail.com.
authors.forename: Asma
authors.initials: A
authors.lastname: Sabermahani
authors.forename: Mohammad
authors.initials: M
authors.lastname: Hadian
authors.forename: Mohsen Asadi
authors.initials: MA
authors.lastname: Lari
authors.forename: Mohamad Reza Vaez
authors.initials: MR
authors.lastname: Mahdavi
authors.forename: Hassan
authors.initials: H
authors.lastname: Abolghasem Gorji
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D019458:Insurance Coverage / Q000706:statistics & numerical data; D007492:Iran; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D012307:Risk Factors; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires