Do Inequalities in Health Care Utilization in Developing Countries Change When We Take into Account Traditional Medicines?

Sato, Azusa

doi:10.1016/j.worlddev.2012.03.019

Cited by 9 publications

(6 citation statements)

References 72 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the current study, higher income and educational level contributed to the higher OOP expenditure, were evidently demonstrated as the significant determinants of the health-seeking behaviors, which was comparable to the results from other studies. 4 , 22 , 28 , 30 , 32 - 36 In this study, insurance status of the participants was shown to be one of the significant determinants in choosing the types of health facilities, which is in line with several studies conducted in Ireland, 37 Pakistan, 35 Ghana, 22 Malaysia, 11 and China. 38 However, it was not a significant determinant in shaping the health-seeking behaviors of our study participants in terms of the other three indicators.…”

Section: Discussionsupporting

confidence: 87%

“…Information on the behaviors of people in seeking healthcare services are essential to form evidencebased health policies and efficiently manage the resources in the country based on the demand and influencing factors. 4,[28][29][30] Health seeking behaviors are determined by physical, political, socioeconomic, cultural factors, gender norms, and health system. 4,5,11,12,31 In the present study, 61.9% of the participants said that they prefer public health center rather than the private sector.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Health-Seeking Behaviors and its Determinants: A Facility-Based Cross-Sectional Study in the Turkish Republic of Northern Cyprus

Abuduxike¹,

Aşut²,

Vaizoğlu³

et al. 2019

Int J Health Policy Manag

View full text Add to dashboard Cite

Background: Understanding health-seeking behaviors and determining factors help governments to adequately allocate and manage existing health resources. The aim of the study was to examine the health-seeking behaviors of people in using public and private health facilities and to assess the factors that influence healthcare utilization in Northern Cyprus. Methods: A cross-sectional study was conducted in 2 polyclinics among 507 people using a structured intervieweradministered questionnaire. Health-seeking behaviors were measured using four indicators including routine medical check-ups, preferences of healthcare facilities, admission while having health problems, and refusal of health services while ill. Descriptive statistics and multivariable logistic regression analyses were done to explore factors influencing the use of health services. Results: About 77.3% of the participants reported to have visited health centers while they had any health problems. More than half (51.7%) of them had a routine medical check-up during the previous year, while 12.2% of them had refused to seek healthcare when they felt ill during the last five years. Of all, 39.1% of them reported preferring private health services. Current smokers (adjusted odds ratio [AOR]=1.92, 95% CI: 1.17-3.14), having chronic diseases (AOR=2.05, 95% CI: 1.95-2.16), having poor perceptions on health (AOR=2.33; 95% CI: 1.563.48), and spending less on health during the last three months (AOR=2.08, 95% CI: 1.43- 3.01) had about twice the odds of having routine checkups. Higher education (AOR=1.87, 95% CI: 1.38-2.55) was shown to be a positive predictor for the health-seeking behaviors, whereas having self-care problems (AOR=0.18, 95% CI: 0.08-0.40) and having a moderate-income (AOR=0.68, 95% CI: 0.57-0.81) were inversely associated with seeking healthcare. Conclusion: The utilization of public and private health sectors revealed evident disparities in the socio-economic characteristics of participants. The health-seeking behaviors were determined by need factors including chronic disease status and having poor health perception and also by enabling factors such as education, income, insurance status and ability to pay by oneself. These findings highlight the need for further nationwide studies and provide evidence for specific strategies to reduce the socioeconomic inequalities in the use of healthcare services.

show abstract

Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Health-Seeking Behaviors and its Determinants: A Facility-Based Cross-Sectional Study in the Turkish Republic of Northern Cyprus

Abuduxike¹,

Aşut²,

Vaizoğlu³

et al. 2019

Int J Health Policy Manag

View full text Add to dashboard Cite

show abstract

“…Of course, we know that this is not currently actualised in healthcare. The very reason why so many people rely upon herbal treatments in resource-poor settings is because they offer the only affordable and accessible choice [ 62 ]. In environments where people have the ability to choose herbal medicine as a complementary treatment, high quality treatment may be priced beyond reach of many.…”

Section: Application Of the Four Values To Herbal Medicinementioning

confidence: 99%

Applying an Ethical Framework to Herbal Medicine

Chatfield

Salehi

Sharifi‐Rad

et al. 2018

Evidence-Based Complementary and Alternative Medicine

View full text Add to dashboard Cite

Herbal medicines make a vital contribution to healthcare globally, but from production through to practice, there are ethical challenges that require attention. Ethical challenges are often analysed through application of an ethical framework because this can facilitate a consistent and structured approach. In healthcare, the most commonly used framework over recent decades has been that of the four principles: beneficence, nonmaleficence, autonomy, and justice. However, for various reasons that are explained, this approach to ethical analysis is not the most fitting for the global phenomenon of herbal medicine. In this paper, a relatively new moral framework that is based upon the globally accepted values of care, respect, honesty, and fairness is explored in relation to herbal medicine for the first time. Through application of this framework, the ethical challenges and actions needed to address them become clear, thus resulting in practical recommendations for enhancing ethical standards in herbal medicine.

show abstract

“…Although traditional healing is recognised as more affordable, less paternalistic, inequality reducing, pro-poor [17,18] and important for preserving indigenous livelihoods, quantitative estimates of the prevalence of the use of traditional healing at the global level are severely limited [19-21, p. 1498]. Lambert et al [22] find that about 34% of the world's population (more than 2 billion people) rely heavily on plants with medicinal properties.…”

Section: Introductionmentioning

confidence: 99%

“…Unfortunately, in India, the measurement of access to healthcare and health utilisation has never considered traditional healing as one of the available options of health care for the poor; and historically, the mainstream health surveys concentrate on the modern healing systems and invariably assume that failure to use modern health care is equivalent to not receiving any health care at all [18]. Other than a few studies such as Lambert [1,27,28], Payyappallimana et al [29], Lohokare and Davar [30], we could not find any study focusing on the importance of varied medical practices other than the formal systems in the country.…”

Section: Introductionmentioning

confidence: 99%

Traditional vs. non‐traditional healing for minor and major morbidities in India: uses, cost and quality comparisons

Singh

Madhavan

2015

Tropical Med Int Health

View full text Add to dashboard Cite

Abstractobjectives To examine the uses, cost and quality of care of traditional healing for short-term morbidities and major morbidities in India and to compare them with the non-traditional healing.methods We used data from a nationally representative survey, the India Human Development Survey (2004)(2005) and descriptive as well as bivariate analyses for the examination.results Use of traditional healing is much less common than use of non-traditional healing in both rural and urban areas and across all socio-economic and demographic characteristics; it is slightly more common in rural than urban areas for short-term morbidities. Use of traditional healing is relatively more frequent for cataract (especially in rural areas), leprosy, asthma, polio, paralysis, epilepsy and mental illnesses; its total cost of care and mean waiting time (in the health facility) are substantially lower than for non-traditional healing. Among patients who use both traditional and non-traditional healing, a relatively higher proportion use traditional healing complemented by nontraditional healing for short-term illnesses, but vice versa for major morbidities.conclusion This is the first study which has investigated at the national level the uses, complementarities, cost and quality aspects of traditional and non-traditional healing in India. Traditional healing is more affordable and pro-poor. Relatively higher use of traditional healing in patients from poorly educated as well as poor households and suffering from diseases, such as, epilepsy and mental illnesses; and higher demand for traditional healing for the above diseases highlight the need for research/policy reorientation in India.keywords traditional healing, minor morbidity, major morbidity, use of health care, cost comparison, quality comparison, India

show abstract

Do Inequalities in Health Care Utilization in Developing Countries Change When We Take into Account Traditional Medicines?

Cited by 9 publications

References 72 publications

Health-Seeking Behaviors and its Determinants: A Facility-Based Cross-Sectional Study in the Turkish Republic of Northern Cyprus

Health-Seeking Behaviors and its Determinants: A Facility-Based Cross-Sectional Study in the Turkish Republic of Northern Cyprus

Applying an Ethical Framework to Herbal Medicine

Traditional vs. non‐traditional healing for minor and major morbidities in India: uses, cost and quality comparisons

Contact Info

Product

Resources

About