scholarly journals A CROSS SECTIONAL STUDY OF HEALTH SEEKING BEHAVIOUR AND OUT OF POCKET EXPENSES AMONG ELDERLY IN THE RURAL POPULATION IN INDORE.

Author(s):  
Akanksha Lazarus ◽  
Aarti Sahasrabudhhe ◽  
V.K. Arora

Background: Population ageing is global phenomenon. In India, size and share of elderly population is growing fast. The elderly due to increased morbidity from chronic disease have long term health care needs. The cost of the health care during old age appears to be very high. Objectives: 1. To determine health seeking behaviour of elderly rural population of Indore.        2. To assess their out of pocket expense. Methods: A Cross sectional study was conducted at Field practice area of Index Medical College, Indore in November 2017 to February 2018. A semi structured questionnaire was administered using the interview technique. Sample Size calculated was 250 by Simple Random Sampling. Elderly 60 years of age and above were included in the study. Study variables included sociodemographic parameters such as age, sex, education, occupation, socioeconomic status, and marital status. Data entry and statistical analysis used SPSS version 20.0.  Results:  Out of 250 participants 139 were males and 111 were females.76.2% elderly suffering from chronic illness were on regular treatment, Prevalence of chronic illness (75.9%) was highest in participants who were above 80 years. The reason for not taking regular treatment in 57.7% elderly was expensive medicines and 29.6% showed ignorance towards health seeking in terms of treatment prescribed, 62% participants get the money from their children or other family members for their health care needs. Conclusions: Out of the total expenditure on health care, nearly half of it is towards medicines. Treatment cost for chronic morbidities is also quite high. When older persons are economically dependent, increasing health expenditure adds to the economic burden on the family. Elderly patients should be encouraged to visit government health setups and avail the benefits of various government health policies. Keywords: Ageing, elderly, rural, health seeking, out of pocket expenses.

2019 ◽  
Author(s):  
Mukesh Poudel ◽  
Asmita Ojha ◽  
Deepak Kumar Yadav ◽  
Ram Bilakshan Sah ◽  
Avaniendra Chakravartty ◽  
...  

Abstract Background : Global ageing population is in increasing trend. Morbidity increases with age and enhances the burden of health problems that results in new challenges to meet the additional demands. There can be various types of issues such as health problems, health care utilization, physical and social care which should be carefully assessed and addressed.Objective : This study aimed to assess the unmet health care needs among elderly.Methodology : A Community based, House to House, Cross sectional study was conducted in urban areas of sunsari district using face to face interview. Sample size of 530 elderly were selected by Systematic proportionate random sampling technique.Results : This study unfurled the prevalence of unmet need for consultation for Near vision 52.3%, Far vision 53.7%%, Hearing 79.7%, Dental 79.4%, Hypertension 6.7%, Diabetes 3.9%, CVD 5.3 %, and of at least one Unmet Health care need to be 64.9%. At least one unmet health need was significantly associated with higher odds among elderly of age more than 70, of dalit and janajati ethnicity, illiterate, poor, those with difficulty leaving home, distance of health facility > 30 mins, and those with depressive symptoms.Conclusion : The study highlighted higher prevalence and associated factors related to unmet health care needs among elderly. There is an urgent need to promote geriatric health services and make it available at the primary health care level.


2020 ◽  
Author(s):  
Mukesh Poudel ◽  
Asmita Ojha ◽  
Deepak Kumar Yadav ◽  
Ram Bilakshan Sah ◽  
Avaniendra Chakravartty ◽  
...  

Abstract Background: The global aging population is in increasing trend. Morbidity increases with age and enhances the burden of health problems that result in new challenges to meet additional demands. There can be various types of issues such as health problems, health care utilization, physical and social care which should be carefully assessed and addressed. This study aimed to assess the unmet health care needs among elderly. Methods: A Community based, House to House, Cross-sectional study was conducted in urban areas of the sunsari district using face to face interviews. The sample size of 530 elderly was selected by a systematic proportionate random sampling technique. Results: This study unfurled the prevalence of unmet need for consultation for Nearsightedness 52.3%, Farsightedness 53.7%%, Hearing 79.7%, Dental 79.4%, Hypertension 6.7%, Diabetes 3.9%, CVD 5.3 % among those with these specific health needs and of at least one Unmet Health care need to be 64.9% among the studied participants. At least one unmet health need was significantly associated with higher odds among elderly age more than 70, of dalit and janajati ethnicity, illiterate, poor, those with difficulty leaving home, the distance of health facility > 30 mins, and those with depressive symptoms. Conclusion: The study highlighted the higher prevalence and associated factors related to unmet health care needs among the elderly which should be addressed to promote healthy ageing. There is an urgent need to promote geriatric health services and make it available at the primary health care level the first level of contact with a national health system.


2020 ◽  
Vol 18 ◽  
pp. 101074 ◽  
Author(s):  
Y.J. Evers ◽  
C.J.P.A. Hoebe ◽  
N.H.T.M. Dukers-Muijrers ◽  
C.J.G. Kampman ◽  
S. Kuizenga-Wessel ◽  
...  

Author(s):  
Hemant Kumar ◽  
Sachidananda Kapinakadu ◽  
Manjula Anil

Background: Remedial action that a person takes to treat his or her perceived illnesses, is called health-seeking behaviour. Understanding health seeking behaviour (HSB) in a community and the factors which influence their decision, are crucial for planning a “need based” comprehensive health care programmes for the people, especially for underprovided and rural population. The objective of present study was to determine HSB and its determinants in a defined rural population.Methods: A community based cross -sectional study was conducted in rural field practice area of A. J. Institute of Medical Sciences and Research Centre, Mangalore (Karnataka) from 1st October 2017 to 31st July 2018. A total of 866 heads of households were included in the study, using universal sampling method. A pre-tested, validated questionnaire was used to collect the data. p values of <0.05 were considered significant.Results: Among 866 participants, almost all (98.03%) heads of families were males, while majority of them (35.68 %) were farmers. Further, majority (48.15%) of the households preferred to visit government hospitals for their ailments, while among those visiting private practitioners, majority of them (55.54%) preferred Allopath system of medicine. Health insurance subscription rates were found to be low (18.93%). Main determinants of HSB were observed to be cost of treatment, convenience of approach, quality of services and life threatening emergencies.Conclusions:Present study brings out higher utilization of government health care facilities among the study subjects, while cost of treatment and life threatening emergencies were the main predictors of HSB.  


CMAJ Open ◽  
2017 ◽  
Vol 5 (2) ◽  
pp. E354-E358 ◽  
Author(s):  
Anna Oda ◽  
Andrew Tuck ◽  
Branka Agic ◽  
Michaela Hynie ◽  
Brenda Roche ◽  
...  

2007 ◽  
Vol 44 (8) ◽  
pp. 1296-1303 ◽  
Author(s):  
Maud M. Heinen ◽  
Anke Persoon ◽  
Peter van de Kerkhof ◽  
Marisol Otero ◽  
Theo van Achterberg

Sign in / Sign up

Export Citation Format

Share Document