Factors Associated with Health Services Utilization by the General Population in the Center of Kayseri, Turkey

Abstract

A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : Pre vi o us stu di es ha ve re ve a led the so ci al, eco no mic, and psycho lo gi cal fac tors that inf lu en ce con sul ting be ha vi o ur; ho we ver the he alth ser vi ces uti li za ti on by the ge ne ral po pu la ti on are seldomly stu di ed. The aim of this study was to exa mi ne the le vel of he alth ser vi ces uti li za ti on and the ef fects of pre dis po sing, enab ling, and ne ed fac tors on Tur kish ge ne ral po pu la ti on. M Ma at te er ri ia al l a an nd d M Me et t h ho od ds s: : This cross-sec ti o nal study was per for med on se ven pub lic he alth cen ters (PHCs) which we re se lec ted among 21 PHCs in the cen ter of Kay se ri bet we en 2005 and 2006. The study po pu la ti on was com pri sed of 1880 ho use hold mem bers who we re se lec ted by a stra ti fi ed ran dom samp ling met hod. Ho u se hold mem bers we re inter vi e wed with a fa ce-to-fa ce met hod in the ir ho mes by me ans of a qu es ti on na i re. Pre dic tors of he alth ser vi ces uti li za ti on inc lu ded pre dis po sing, enab ling, and ne ed fac tors. The qu an ti ta ti ve va ri ab les we re summa ri zed as me ans ± stan dard de vi a ti ons. Com pa ri sons ma de among the gro ups we re per for med using in depen dent samp les t-test and one-way analy sis of va ri an ce (ANO VA). Mul tip le li ne ar reg res si on analy sis was used to mo del the ef fects of pre dic tor-fac tors spe ci fi ed in the An der sen Mo del of he alth ser vi ces uti li za tion. R Re e s su ul lt ts s: : In the last ye ar, ra te of he alth ser vi ces uti li za ti on was 79.6% and the me an vi sit num ber was 5.0 ± 5.4. The ra te of app li ca ti ons to the sta te hos pi tals was hig her (49.9%) than tho se of pri va te me di cal ins ti tu ti ons (13.2%). Pre dis po sing fac tors: Be ing mar ri ed 4.9 ti mes, be ing ma le 1.9 ti mes; enab ling fac tors: Ab sen ce of so ci al in su ran ce co ve ra ge 2.2 ti mes, suf fi ci ent monthly in co me 2.4 ti mes and clo se ness (< 500 met ers) 1.7 ti mes; ne ed fac tors: Po or per cep ti on he alth 1.7 ti mes and pre sen ce of chro nic di se a se 2.5 ti mes, ha ve a hig her pro ba bi lity of using the he alth ser vi ces. C Co on nc c l lu u s si i o on n: : Be ing mar ri ed, ha ving a go od fa mily inco me and chro nic di se a se we re the most im por tant pre dic tors on uti li za ti on of he alth ser vi ces. Ha ving poor per ce i ved he alth was al so mo re clo sely as so ci a ted with he alth ser vi ces uti li za ti on. K Ke ey y W Wo or rd ds s: : He alth ser vi ces mi su se; ca u sa lity; he alth sta tus Ö ÖZ ZE ET T A Am ma aç ç: : Da ha ön ce ya pı lan ça lış ma lar da baş vu ru dav ra nı şı nı sos yal, eko no mik ve psi ko sos yal fak tör lerin et ki le di ği gös te ril miş, an cak ge nel po pü las yon da sağ lık hiz me ti kul la nı mı üze rin de na di ren du rul muş tur. Bu ça lış ma nın ama cı ge nel po pu las yon da sağ lık hiz me ti kul la nım dü ze yi ni, ha zır la yı cı, ko lay laş tı rı cı ve gerek si nim fak tör le ri nin et ki le ri ni in ce le...

An Investigation on the Healthcare Use of Elderly Individuals in Terms of Some Variables: A Cross-Sectional Research

“…We found in our study that having health insurance increased utilization of healthcare services, but it was not significantly effective. With this aspect, our study was in agreement with other studies that were carried out in Turkey (1,2,19). We may state that this could have been caused by state policies such as elderly care salaries for those who do not have pensions or private health insurance, free health and care assistance for the elderly, or that the elderly may also receive healthcare services by making payments without receiving any healthcare insurance or assistance.…”

“…Cotingting (2019) also found that the variable of health insurance does not have an effect on the demand, while some studies determined that increased income status is a significant variable that increases the demand (1,2,(11)(12)(13)(14)(15)(16)(17)(18).…”

“…This has made healthcare service usage a topic that needs to be carefully investigated, researched, and analyzed as a result of which policies are developed. Since healthcare needs and expenditures usually increase as age increases, developing countries whose demographic characteristics are changing fast have less opportunities and time in terms of adaptation to the needs of an aging society (2).…”

Evaluating the level of satisfaction of patients utilizing first-level health facilities as a function of&nbsp;health system performance rating in the province of Elazig, Turkey

“…19 In the study conducted by Senol et al in 2010 in Kayseri, it was determined that the elderly, female patients and the illiterate people utilized the health services significantly more, and when considered in terms of occupations, the housewives and retired people applied to health centers more frequently like in our study. 20 The greater number of applications to the first step by the housewives may be due to the fact that women make more application since men are at work during the business hours and that the children are taken to the doctor by mothers. Scores of the patients whose occupation was farming were higher compared to other groups of occupation ( P <0.05).…”

Mevsimlik Tarım İşçileri ve Ailelerinin Sağlık Kuruluşlarına Başvuru Tercihleri-Application Preferences of Seasonal Farm Workers And Their Families for Health Care Institutions

“…Uzak çadır bölgelerinde kalanların özellikle birinci basamak sağlık hizmetlerini daha çok kullandığı belirlendi. Literatürde sağlık hizmeti kullanımının mesafeden etkilendiğini belirten çalışmalar bulunmaktadır (30)(31)(32)(33) Birinci basamak sağlık kuruluşlarına başvuran MTİ'lerinde en çok görülen sağlık sorunları sindirim sistemi hastalıkları, solunum sistemi hastalıkları, pediatrik hastalıklar ve kas-iskelet sistemi hastalıkları idi. MTİ'nin yoğun olarak yaşadığı Türkiye'nin Güneydoğu Anadolu Bölgesi'nde yapılan çalışmalarda en sık görülen hastalıklar üst solunum yolu hastalıkları ve kas-iskelet sistemi hastalıkları olarak bildirilmiştir (11,12) .…”