Utilization of health care services in public and private healthcare in India: Causes and determinants

Rout, Sarit Kumar; Sahu, Kirti Sundar; Mahapatra, Sandeep

doi:10.1080/20479700.2019.1665882

Cited by 42 publications

(45 citation statements)

References 18 publications

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“…Individuals from the highest wealth quintile are more likely to use private inpatient services than individuals from the poorest wealth quintile, while individuals from poorer households are more likely to rely on government facilities for inpatient services (40). A recent study from India also indicated that wealth quintile is a major predictor for choice of health facility (41).…”

Section: Discussionmentioning

confidence: 99%

“…The quality of health services is a primary determinant for choice of health facility. Studies conducted in India, Pakistan, South Africa, Nigeria, Malawi, and Saudi Arabia have indicated that poor quality of care in public health services was a key determinant for shifting to private facilities (41)(42)(43)(44)(45)(46). There is widespread debate regarding the quality of services in private versus public facilities (29).…”

Section: Discussionmentioning

confidence: 99%

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Trends in and determinants of visiting private health facilities for maternal and child health care in Nepal: Comparison of three Nepal Demographic Health Surveys, 2006, 2011, and 2016.

Adhikari

Shrestha

Satinsky

et al. 2020

Preprint

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Abstract Background: Maternal and child health care services are available in both public and private facilities in Nepal. No study has yet looked at trends in maternal and child health service use over time in Nepal. This paper assesses trends in and determinants of visiting private health facilities for maternal and child health needs using nationally representative data from the last three successive Nepal Demographic Health Surveys (NDHS). Methods: Data from the NDHS conducted in 2006, 2011, and 2016 were used. Maternal and child health-seeking was established using data on place of antenatal care (ANC), place of delivery, and place of treatment for child diarrhoea and fever/cough. Logistic regression models were fitted to identify trends in and determinants of health-seeking at private facilities. Results: The results indicate an increase in the use of private facilities for maternal and child health care over time. Across the three survey waves, women from the highest wealth quintile had the highest odds of accessing ANC services at private health facilities (AOR=6.0, CI= 3.78 -9.52 in 2006; AOR=5.6, CI= 3.51 – 8.81 in 2011; AOR=3.0, CI= 1.53 -5.91 in 2016). Women from the highest wealth quintile (AOR=8.3 CI= 3.97 – 17.42 in 2006; AOR=7.3, CI= 3.91 – 13.54 in 2011; AOR=3.3, CI= 1.54 – 7.09 in 2016) and women with more years of schooling (AOR=1.1, CI= 1.07 – 1.16 in 2006; AOR=1.1, CI= 1.04 – 1.14 in 2011; AOR=1.2, CI= 1.17 -1.27 in 2016) were more likely to deliver in private health facilities. Likewise, children belonging to the highest wealth quintile (AOR=6.4, CI= 1.59 – 25.85 in 2006; AOR=8.0, CI= 2.43 – 26.54 in 2016) were more likely to receive diarrhoea treatment in private health facilities.Conclusions: Women are increasingly visiting private health facilities for maternal and child health care in Nepal. Household wealth quintile, and the mother’s years of schooling were the major determinants for selecting private health facilities for these services. These trends indicate the importance of collaboration between private and public health facilities in Nepal to foster a public private partnership approach in the Nepalese health care sector.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Trends in and determinants of visiting private health facilities for maternal and child health care in Nepal: Comparison of three Nepal Demographic Health Surveys, 2006, 2011, and 2016.

Adhikari

Shrestha

Satinsky

et al. 2020

Preprint

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“…This proportion of market share has remained stable over time, as health care consumption has risen in both public and private sectors in India. While antibiotics can also be obtained through government‐run or affiliated clinics and hospitals, private providers account for 75% of outpatient and 62% of inpatient visits in India, mainly due to the poor quality and long wait times at public providers 28–30 . As a result, the vast majority of antibiotic consumption is sourced from private providers.…”

Section: Methodsmentioning

confidence: 99%

“…4). Public vaccine consumption exhibited alternating positive and negative associations with antibiotic consumption, with positive associations at lags of 7,8,9,19,20,43,44, and 47 months and negative associations at lags of 14,15,16,26,27,28,39, and 20 months. (For all estimates and confidence intervals, see Table 1.)…”

Section: Analysis With Monthly Datamentioning

confidence: 98%

Associations between private vaccine and antimicrobial consumption across Indian states, 2009–2017

Schueller

Nandi

Joshi

et al. 2021

Annals of the New York Academy of Sciences

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Vaccines can reduce antibiotic use and, consequently, antimicrobial resistance by averting vaccine-preventable and secondary infections. We estimated the associations between private vaccine and antibiotic consumption across Indian states during 2009-2017 using monthly and annual consumption data from IQVIA and employed fixedeffects regression and the Arellano-Bond Generalized Method of Moments (GMM) model for panel data regression, which controlled for income and public sector vaccine use indicators obtained from other sources. In the annual data fixed-effects model, a 1% increase in private vaccine consumption per 1000 under-5 children was associated with a 0.22% increase in antibiotic consumption per 1000 people (P < 0.001). In the annual data GMM model, a 1% increase in private vaccine consumption per 1000 under-5 children was associated with a 0.2% increase in private antibiotic consumption (P < 0.001). In the monthly data GMM model, private vaccine consumption was negatively associated with antibiotic consumption when 32, 34, 35, and 44-47 months had elapsed after vaccine consumption, with a positive association with lags of fewer than 18 months. These results indicate vaccine-induced longer-term reductions in antibiotic use in India, similar to findings of studies from other low-and middle-income countries.

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“…The service relationship between consumers and providers also has a very close relationship. This type of health service will occur if there is intense interaction between the two (consumers and providers) (Rout et al, 2019). Exploring factors contribute to level of health service utilization may help policymakers to seek solution for a better and higher oro-dental health awareness in a certain community.…”

Section: Introductionmentioning

confidence: 99%

Perceived Utilization of Dental and Oral Health Services at RSGM UNIMUS Based on the Level of Education

Kusniati

Sholekah

2021

JMMR

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Utilization of dental and oral health services characterized by interaction between patients who need health services and health care workers. The level of utilization of health services is very important since it could be an indicator of the occurrence of a type of health service the level of public awareness of dental and oral health. The level of utilization of dental and oral health services can be measured by the patient's perception of the services provided. An objective of this study was to investigate the relationship between levels of education and the perceived utilization of dental and oral health services at RSGM Unimus Semarang, Central Java. The project used an accidental sampling method with 76 subjects were recruited from RSGM Unimus Semarang. This research was conducted using a questionnaire designed to measure the factors of utilization of dental and oral health services. The results of the research using chisquare analysis showed that there was no significant relationship between the level of education (p = 0.089) and utilization of dental and oral health services at RSGM Unimus. Interestingly, respondents with a higher level of education had higher frequencies to utilize facilities at RSGM Unimus compared to respondents with lower level education.

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Utilization of health care services in public and private healthcare in India: Causes and determinants

Cited by 42 publications

References 18 publications

Trends in and determinants of visiting private health facilities for maternal and child health care in Nepal: Comparison of three Nepal Demographic Health Surveys, 2006, 2011, and 2016.

Trends in and determinants of visiting private health facilities for maternal and child health care in Nepal: Comparison of three Nepal Demographic Health Surveys, 2006, 2011, and 2016.

Associations between private vaccine and antimicrobial consumption across Indian states, 2009–2017

Perceived Utilization of Dental and Oral Health Services at RSGM UNIMUS Based on the Level of Education

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