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Published on: January 19, 2024
Healthcare Utilization for Noncommunicable Disease Management among Adults in a Rural South Indian Community: A
Jobinse Jose1, B Unnikrishnan2, T Rekha2
1Department of Community Medicine, Jubilee Mission Medical College and Research Institute, Thrissur, Kerala, India.
Summary
Shorter disease duration and proximity to healthcare facilities significantly increase public health service use for noncommunicable disease (NCD) management. These factors, alongside socioeconomic status and religion, guide healthcare-seeking behavior.
Area of Science:
- Public Health
- Health Services Research
- Epidemiology
Background:
- Healthcare provider choice is influenced by multiple factors beyond accessibility.
- Noncommunicable diseases (NCDs) require ongoing management, making healthcare utilization crucial.
Purpose of the Study:
- To identify determinants influencing healthcare service utilization for NCD management.
- To explore factors beyond physical accessibility impacting NCD care choices.
Main Methods:
- Community-based cross-sectional study in Dakshina Kannada, India.
- Multistage cluster sampling of 700 adults diagnosed with NCDs.
- Data collected using a validated semistructured questionnaire.
Main Results:
- Socioeconomic status, religion, disease duration (<10 years), and proximity (<5 km) predicted public healthcare utilization.
- Shorter disease duration showed higher odds (aOR=2.453) for using government services.
- Closer proximity to facilities (aOR=7.213) significantly increased government health service use.
Conclusions:
- Shorter disease duration and proximity are key to increased public health service utilization for NCDs.
- Sociodemographic and disease-related factors substantially influence healthcare-seeking behavior.
- Findings offer insights for strengthening public health system NCD management.
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