scholarly journals SOCIAL SUPPORT AND HEALTHCARE-SEEKING BEHAVIOR OF OLDER PERSONS IN NIGERIA

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S143-S144
Author(s):  
Funmi Togonu-Bickersteth ◽  
Joshua O Aransiola ◽  
Catherine O Oyetunji-Alemede ◽  
Opeyemi Ekundayo ◽  
Oluwasegun Oluwaleimu
Keyword(s):  
Social Support ◽  
Older Persons ◽  
Healthcare Facility ◽  
Care Utilization ◽  
Binary Logistic Regression Analysis ◽  
Health Seeking ◽  
Healthcare Facilities ◽  
Healthcare Seeking ◽  
Seeking Behavior ◽  
Healthcare Seeking Behavior

Abstract Abstract The choice of healthcare facility by older persons is an important factor in their healthcare seeking behavior, and this can be associated with a number of factors. This study investigated the relationship between social support and healthcare facility choice of older persons in Nigeria. Other factors associated with the choice of healthcare facilities by older persons were also identified. Quantitative data were collected from a sample of 3,696 elderly aged 60 years above (55.6% male; 44.4% females; mean age = 69.2, SD = 8.60) who were selected through multi-stage systematic random sampling. Binary logistic regression analysis revealed that older persons who received social support were more likely to seek treatment in formal healthcare facilities, while older persons who did not receive any form of social support were more likely to seek treatment in informal healthcare facilities. Membership of social or religious groups was found to be a predictor of health seeking behavior among the older adults. Sex, age, level of education, and ability to handle activities of daily living (ADL), and ease of access to the nearest health facility, were found to be significantly associated with choice of healthcare facilities. The article concludes that there is need for conscious planning to provide formal supports to ease access of older persons to available health facilities. Such facilitation should include financial support and removal of existing physical and cultural barriers to health care utilization by older persons.

scholarly journals Analysis of Healthcare Seeking Behavior

2015 ◽  
Vol 7 (1) ◽  
Author(s):  
Chrissy Dangel ◽  
Steven Allgeier ◽  
Adam Haas ◽  
Amanda Johnson
Keyword(s):  
Emergency Department ◽  
Water Contamination ◽  
Poison Control ◽  
Poison Control Center ◽  
Health Seeking ◽  
Control Center ◽  
Healthcare Seeking ◽  
Health Seeking Behaviors ◽  
Seeking Behavior ◽  
Healthcare Seeking Behavior

This paper describes analyses of health seeking behaviors from two surveillance datastreams: Poison Control Center (PCC) calls and Emergency Department (ED) visit records. These analyses were conducted in order to quantify behaviors following the development of symptoms after water contamination exposure and to understand  the motivation, decision-making and timing behind healthcare seeking behaviors.

scholarly journals Health care seeking behavior for common childhood morbidities in Ethiopia: The effects of maternal behavior and access to key health services

2020 ◽  
Author(s):  
Cindy Xin Feng ◽  
Nigatu R Geda ◽  
Susan J Whiting ◽  
Rein Lepnurm ◽  
Carol J Henry ◽  
...  
Keyword(s):  
Working Mothers ◽  
Survey Design ◽  
Medical Attention ◽  
Demographic And Health Surveys ◽  
High Morbidity ◽  
Care Seeking ◽  
Health Seeking ◽  
Healthcare Seeking ◽  
Seeking Behavior ◽  
Healthcare Seeking Behavior

Abstract Background: Childhood morbidities such as diarrhea and pneumonia are the leading causes of death in Ethiopia. Appropriate healthcare-seeking behavior of mothers for common childhood illnesses could prevent a significant number of these early deaths; however, little nation-wide research has been conducted in Ethiopia to assess mothers’ healthcare-seeking behavior for their children.Method: The study used the Ethiopian Demographic and Health Surveys (EDHS) conducted in 2016 on a nationally representative sample of 10641 children under the age of five. The main determinants of care-seeking during diarrhea and Acute Respiratory Infection (ARI) episodes were assessed using multiple logistic regression analyses while adjusting for complex survey design.Results: Only 43% and 35% of households sought medical attention for their children in episodes of diarrhea and ARI, respectively, during a reference period of two weeks before the survey. The odds of seeking care for diarrhea are lower for non-working mothers versus working mothers. The likelihood of seeking care for diarrhea or ARI is higher for fathers who had education versus no education. The place of delivery for the child, receiving postnatal checkup and getting at least one immunization in the past determined the likelihood of seeking care for ARI, but not for diarrhea. The odds of seeking care are higher for both diarrhea and ARI among households that are headed by females and where mothers experienced domestic violence. Religion and types of family structure are also significant factors of seeking care for diarrhea episodes, but not for ARI.Conclusion: Given the high morbidity and mortality rates for children in Ethiopia, a deeper understanding of the health-seeking behaviour of mothers may provide insights for identifying the potential gaps and developing improvement of mothers’ awareness and perception towards childhood problems

scholarly journals Mothers’ Perception and Healthcare Seeking Behavior of Pneumonia Children in Rural Bangladesh

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Farzana Ferdous ◽  
Fahmida Dil Farzana ◽  
Shahnawaz Ahmed ◽  
Sumon Kumar Das ◽  
Mohammad Abdul Malek ◽  
...  
Keyword(s):  
Cold Water ◽  
Group Discussion ◽  
Signs And Symptoms ◽  
Healthcare Facility ◽  
Dust Particles ◽  
Childhood Pneumonia ◽  
Healthcare Seeking ◽  
Rural Bangladesh ◽  
Seeking Behavior ◽  
Healthcare Seeking Behavior

We describe mothers’ perception about signs and symptoms, causes of the illness, and healthcare seeking behaviors related to pneumonia and express the major modifiable barriers to seeking timely treatment when their under-5 children had pneumonia in rural Bangladesh. Using focus group discussion, we understood mothers’ perception and healthcare seeking behavior of childhood pneumonia. Although mothers described pneumonia as a serious life threatening disease in young children but most of the mothers (n=24) could not diagnose whether their child had pneumonia or not. Environmental factors such as dust particles, spread from coughing mother, and drinking cold water or playing with water were perceived as the causes for pneumonia. Three common barriers noted were as follows: illness was not perceived as serious enough or distance from healthcare facility or lack of money at household for seeking treatment outside. Most of the rural mothers did not have knowledge about severity of childhood pneumonia.

scholarly journals How Can One Strengthen a Tiered Healthcare System through Health System Reform? Lessons Learnt from Beijing, China

2020 ◽  
Vol 17 (21) ◽  
pp. 8040
Author(s):  
Shuduo Zhou ◽  
Jin Xu ◽  
Xiaochen Ma ◽  
Beibei Yuan ◽  
Xiaoyun Liu ◽  
...  
Keyword(s):  
Primary Care ◽  
Ambulatory Care ◽  
Healthcare System ◽  
Primary Healthcare ◽  
Healthcare Facilities ◽  
Healthcare Seeking ◽  
Seeking Behavior ◽  
Tertiary Hospitals ◽  
Healthcare Seeking Behavior ◽  
The Impact

How one can reshape the current healthcare sector into a tiered healthcare system with clarified division of functions between primary care facilities and hospitals, and improve the utilization of primary care, is a worldwide problem, especially for the low and middle-income countries (LMICs). This paper aimed to evaluate the impact of the Beijing Reform on healthcare-seeking behavior and tried to explain the mechanism of the change of patient flow. In this before and after study, we evaluated the changes of outpatient visits and inpatient visits among different levels of health facilities. Using the monitored and statistical data of 373 healthcare institutions 1-year before and 1-year after the Beijing Reform, interrupted time series analysis was applied to evaluate the impact of the reform on healthcare-seeking behavior. Semi-structured interviews were used to further explore the mechanisms of the changes. One year after the reform, the flow of outpatients changed from tertiary hospitals to community health centers with an 11.90% decrease of outpatients in tertiary hospitals compared to a 15.01% increase in primary healthcare facilities. The number of ambulatory care visits in primary healthcare (PHC) showed a significant upward trend (P < 0.10), and the reform had a significant impact on the average number of ambulatory care visits per institution in Beijing’s tertiary hospitals (p < 0.10). We concluded that the Beijing Reform has attracted a substantial number of ambulatory care visits from hospitals to primary healthcare facilities in the short-term. Comprehensive reform policies were necessary to align incentives among relative stakeholders, which was a critical lesson for other provinces in China and other LMICs.

scholarly journals Can a Multitiered Copayment System Affect People’s Healthcare-seeking Behavior? A Case Study of Wenzhou, China

2021 ◽  
Author(s):  
Lizheng Ge ◽  
Yunyun Huang ◽  
Tingke Xu ◽  
Qianru Zhao ◽  
Chun Chen ◽  
...  
Keyword(s):  
Medical Care ◽  
Healthcare System ◽  
Tertiary Care ◽  
Care Facility ◽  
Healthcare Services ◽  
Health Seeking ◽  
Medical Care System ◽  
Healthcare Seeking ◽  
Seeking Behavior ◽  
Healthcare Seeking Behavior

Abstract Background. Facilitating the primary health care (PHC) system and maintaining people’s reasonable health-seeking behavior are key to establishing a sustainable healthcare system. China has employed a multitiered copayment system to incentivize the public to utilize PHC services through its hierarchical medical care system; however, most people still prefer visiting tertiary care hospitals. Methods. This preliminary study was conducted in 2016 on 1831 individuals from four regions of Wenzhou in Zhejiang Province to explore the effect and influencing factors of the multitiered copayment system that drives their primary healthcare-seeking behavior. We question whether a quality gap in healthcare services influences the minimal effect of the multitiered copayment system, which existing literature has considered as an important factor in the lack of reform in the Chinese healthcare system. We discuss the effect of the policy following the current situation in which there exists a large gap and further consider the hypothetical situation of a reduced gap in the future. Result. The results indicate that the initial effects of the multitiered copayment system was limited. However, they become more pronounced after the equalization of the quality of healthcare services. Moreover, the main determinants in people’s selection of PHC institutions changed from age and needs variables (self-rated health status) to age and enabling variables (distance to a medical care facility). Conclusion. This study confirms that changes in the quality gap in healthcare services influence the multitiered copayment system. Hence, reducing this gap can help to achieve the intended outcome of the tiered healthcare insurance schedule.

scholarly journals Determinants of Delay in Healthcare Seeking for Common Childhood Illnesses among Caregivers with Under-Five Children in Touboro Health District, Near Cameroon’ s Northeastern Border with Chad

2021 ◽  
pp. 1-14
Author(s):  
H. Ngouakam ◽  
E. Nekehforba ◽  
B. Tientche
Keyword(s):  
Health District ◽  
Health Seeking ◽  
Children Under Five ◽  
Healthcare Seeking ◽  
Under Five ◽  
Under Five Children ◽  
Childhood Illnesses ◽  
Female Children ◽  
Seeking Behavior ◽  
Healthcare Seeking Behavior

Aims: The study sought to determine the determinants of delay in health-seeking among caregivers with under-five children. Study Design: This was a mixed-method, cross-sectional study. Place and Duration of Study: The study took place in Touboro Health District involving 386 caregivers of under-five children from May to July 30, 2020. Methodology: A structured questionnaire and two focused group discussions were used to gather information on caregiver knowledge of healthcare-seeking behavior. Data were analyzed using SPSS version 25.0. Bivariable logistic regression was employed to identify factors associated with of healthcare seeking behavior. Results: Results of the 386 sick children, fever 39.9% (154/386), diarrhea 30.3% (117/386) and cough 24.9% (96/386) were the common symptoms. The majority of the caregivers of the under-five children had poor knowledge of 63% (243/386) about common infant illnesses. Caregivers of female children under-five(OR= 2.26, 95% CI: 1.29-3.96, P = 0.004), caregivers aged between 21 and 30 years (OR=5.53, 95% CI: 1.32-23.11, P = 0.019), caregivers whose occupation is housewife (OR=2.64 95% CI 1.23-5.68, P =10.013),) ,caregivers who host > 6children in a household (OR= 3.56 95% CI  1.42-8.92 , P =0.007) were key determinants of delay in health-seeking. Conclusion: Caregivers of female children under-five, caregivers aged between 21 and 30 years, caregivers whose occupation is housewife, caregivers under-five children residing in a rural area, caregivers who host more than 6 children in a household, households with an average monthly income of  <10.000 FRS Cfa were predictors of delay appropriate health-seeking. There is a need to intensify health education focusing on childhood illnesses, and timely care-seeking to effectively respond to caregiver's expectations among others.

scholarly journals Healthcare-Seeking Behavior among Chinese Older Adults: Patterns and Predictive Factors

2021 ◽  
Vol 18 (6) ◽  
pp. 2969
Author(s):  
Yanbing Zeng ◽  
Yuanyuan Wan ◽  
Zhipeng Yuan ◽  
Ya Fang
Keyword(s):  
Older Adults ◽  
Predictive Factors ◽  
Medical Insurance ◽  
Utilization Rate ◽  
Heckman Selection Model ◽  
Healthcare Seeking ◽  
Inpatient Services ◽  
Medical Institutions ◽  
Seeking Behavior ◽  
Healthcare Seeking Behavior

This study aimed to investigate the patterns and predictive factors of healthcare-seeking behavior among older Chinese adults. A sample of 10,914 participants aged ≥60 years from the 2011, 2013 and 2015 China Health and Retirement Longitudinal Study (CHARLS) was included. The bivariate analyses and Heckman selection model was used to identify predictors of healthcare-seeking behavior. Results shows that the utilization rate of outpatient services increased from 21.61% in 2011 to 32.41% in 2015, and that of inpatient services increased from 12.44% to 17.68%. In 2015, 71.93% and 92.18% chose public medical institutions for outpatient and inpatient services, 57.63% and 17.00% chose primary medical institutions. The individuals who were female, were younger, lived in urban, central or western regions, had medical insurance, had poor self-rated health and exhibited activity of daily living (ADL) impairment were more inclined to outpatient and inpatient services. Transportation, medical expenses, the out-of-pocket ratio and the urgency of the disease were associated with provider selection. The universal medical insurance schemes improved health service utilization for the elderly population but had little impact on the choice of medical institutions. The older adults preferred public institutions to private institutions, preferred primary institutions for outpatient care, and higher-level hospitals for hospitalization.

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