The determinants of primary health care utilization: a comparison of three rural clinics in Southern Honduras

Baker, Jonathan B.; Lin, Lu‐Yin

doi:10.1007/s10708-006-9001-8

Cited by 21 publications

(18 citation statements)

References 23 publications

(48 reference statements)

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“…Such problems may be multiplied due to problems attached to using such data which is often collected as part of existing and unconnected administrative processes. The situation in the developing world may be even more problematic given the dearth of data even at aggregate level (Buor 2002;Baker and Liu 2006). Often, in the absence of detailed administrative data, population surveys, panel data or surveys of patients are used to examine localised patterns of utilisation of particular health facilities, leading often to problems of generalisation or transferability of findings (Gesler and Meade 1988;Muller et al 1998).…”

Section: Data Considerationsmentioning

confidence: 99%

The role of GIS for health utilization studies: literature review

Higgs

2009

Health Serv Outcomes Res Method

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There have been a plethora of studies investigating access issues in relation to health services but until recently a relative lack of research on geographical factors that may be influencing utilisation patterns. This paper includes a timely review on what is known from existing studies, a description of the main methodological concerns highlighted by such studies and draws on the review to present some ideas for more research in this area. The use of Geographical Information Systems (GIS) in investigating the relative importance of geographical factors on utilisation patterns is advocated through a review of published studies and a call made for more research to examine potential relationships with for example health outcomes. Recent advances with regard to the availability of detailed geographically disaggregate data and new location-based techniques such as developments in Global Positioning Systems (GPS) hold out great promise in such regards. Finally the policy relevance of such studies is re-iterated in terms of helping to tackle perceived inequities in the system, addressing health inequalities as well as gauging the effectiveness of current and planned service configurations.

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Section: Data Considerationsmentioning

confidence: 99%

The role of GIS for health utilization studies: literature review

Higgs

2009

Health Serv Outcomes Res Method

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“…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. ( Baker & Liu, 2006 )…”

Section: Introductionmentioning

confidence: 99%

Factors Affecting Health Care Utilization in Tehran

S¹,

Sabermahani²,

Hadian³

et al. 2015

GJHS

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Introduction: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.

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“…Unfortunately, health service planning and policy decisions are often made without any clear understanding as to the characteristics of current utilization particularly in rural parts of the developing world, where few studies have been undertaken [3]. …”

Section: Introductionmentioning

confidence: 99%

The long walk to universal health coverage: patterns of inequities in the use of primary healthcare services in Enugu, Southeast Nigeria

Okoronkwo

Onwujekwe

Ani

2014

BMC Health Serv Res

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BackgroundKnowledge and understanding of health service usage are necessary for health resource allocation, planning and monitoring the achievement of universal coverage (UHC). There is limited information on patterns of utilization among adult users of primary health care (PHC) services. Lack of understanding of current and past utilization patterns of health services often hinders the improvement of future Primary Health Care (PHC) delivery in the remote areas of developing countries. This paper presents new knowledge on the patterns of utilization of PHC services among adults in Enugu metropolis southeast Nigeria.MethodsA cross-sectional study was conducted in 15 PHC facilities of Enugu North Local Government Area (LGA) from June to July 2012. A total of 360 consenting adult users aged 18 years and above were consecutively recruited as they attended the health facilities. An interviewer-administered questionnaire was used to collect data from the respondents. A modified Likert scale questionnaire was used to analyze data on patterns of utilization. Utilization of PHC services was compared by gender, socio-economic status (SES) and level of education.ResultsOut of the 360 respondents, (46.9%) utilized PHC services regularly. The components of PHC mostly utilized by respondents were immunization with a mean score of 3.05, treatment of common ailments (2.99) and maternal and child health (2.64). The least poor SES group utilized PHC services the most while the very poor and poor SES groups used PHC services least. There were statistically significant relationships between utilization of PHC services and gender (p = 0.0084), level of education (p = 0.0366) and income (p = 0.0001).ConclusionsMost adult users in this study did not utilize the health facilities regularly and there were gender, educational and SES inequities in the use of PHC services. These inequities will negate the achievement of universal health coverage with PHC services and should be remedied using appropriate interventions.

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The determinants of primary health care utilization: a comparison of three rural clinics in Southern Honduras

Cited by 21 publications

References 23 publications

The role of GIS for health utilization studies: literature review

The role of GIS for health utilization studies: literature review

Factors Affecting Health Care Utilization in Tehran

The long walk to universal health coverage: patterns of inequities in the use of primary healthcare services in Enugu, Southeast Nigeria

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