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Health care services: Utilization and perception among elderly in an urban resettlement colony of Delhi
CONTEXT: Health care utilization informs us about the utility of services which are available. We have a paucity of studies related to health care utilization among elderly in India. AIMS: The aim of this study is to find out utilization of health care services by elderly (≥60 years), pattern, facto...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9067175/ https://www.ncbi.nlm.nih.gov/pubmed/35516719 http://dx.doi.org/10.4103/jfmpc.jfmpc_1584_21 |
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author | Singh, Shivani Patra, Somdatta Khan, Amir M. |
author_facet | Singh, Shivani Patra, Somdatta Khan, Amir M. |
author_sort | Singh, Shivani |
collection | PubMed |
description | CONTEXT: Health care utilization informs us about the utility of services which are available. We have a paucity of studies related to health care utilization among elderly in India. AIMS: The aim of this study is to find out utilization of health care services by elderly (≥60 years), pattern, factors associated with, and perception of the elderly population regarding facilitators and barriers for the same. SETTINGS AND DESIGN: A community based cross-sectional, observational study was conducted in a resettlement colony of East Delhi. MATERIALS AND METHODS: A pretested, semi-structured, and interviewer-administered questionnaire was used. Duration of data collection was November 2018 to January 2020. STATISTICAL ANALYSIS USED: For quantitative variables, mean, median, proportion, Chi-square test, binary logistic regression using Statistical Package for the Social Sciences (SPSS), and for qualitative variables thematic analysis were done. RESULTS: The study included 288 study participants. Although utilization of health care services in last 15 days among elderly is 90%, it was also found that 69% of the elderly consulted a licensed medical practitioner. A private facility was visited by 58% of the study participants. Female gender (OR: 1.97; P = 0.02), religion as Hindu (OR, 2.09; P = 0.04), and marital status “single” (OR, 1.8; P = 0.04) were observed to be significant predictors of health care utilization. The participants expressed less waiting time, cashless facility for visits, availability of an accompanying person, behavior of staffs work as facilitators for utilization of services. CONCLUSIONS: Considering the unique characteristics of this age group, a shift from facility to community-based approach may be considered. Efforts may be made to create elderly friendly health facilities. |
format | Online Article Text |
id | pubmed-9067175 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-90671752022-05-04 Health care services: Utilization and perception among elderly in an urban resettlement colony of Delhi Singh, Shivani Patra, Somdatta Khan, Amir M. J Family Med Prim Care Original Article CONTEXT: Health care utilization informs us about the utility of services which are available. We have a paucity of studies related to health care utilization among elderly in India. AIMS: The aim of this study is to find out utilization of health care services by elderly (≥60 years), pattern, factors associated with, and perception of the elderly population regarding facilitators and barriers for the same. SETTINGS AND DESIGN: A community based cross-sectional, observational study was conducted in a resettlement colony of East Delhi. MATERIALS AND METHODS: A pretested, semi-structured, and interviewer-administered questionnaire was used. Duration of data collection was November 2018 to January 2020. STATISTICAL ANALYSIS USED: For quantitative variables, mean, median, proportion, Chi-square test, binary logistic regression using Statistical Package for the Social Sciences (SPSS), and for qualitative variables thematic analysis were done. RESULTS: The study included 288 study participants. Although utilization of health care services in last 15 days among elderly is 90%, it was also found that 69% of the elderly consulted a licensed medical practitioner. A private facility was visited by 58% of the study participants. Female gender (OR: 1.97; P = 0.02), religion as Hindu (OR, 2.09; P = 0.04), and marital status “single” (OR, 1.8; P = 0.04) were observed to be significant predictors of health care utilization. The participants expressed less waiting time, cashless facility for visits, availability of an accompanying person, behavior of staffs work as facilitators for utilization of services. CONCLUSIONS: Considering the unique characteristics of this age group, a shift from facility to community-based approach may be considered. Efforts may be made to create elderly friendly health facilities. Wolters Kluwer - Medknow 2022-04 2022-03-18 /pmc/articles/PMC9067175/ /pubmed/35516719 http://dx.doi.org/10.4103/jfmpc.jfmpc_1584_21 Text en Copyright: © 2022 Journal of Family Medicine and Primary Care https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Singh, Shivani Patra, Somdatta Khan, Amir M. Health care services: Utilization and perception among elderly in an urban resettlement colony of Delhi |
title | Health care services: Utilization and perception among elderly in an urban resettlement colony of Delhi |
title_full | Health care services: Utilization and perception among elderly in an urban resettlement colony of Delhi |
title_fullStr | Health care services: Utilization and perception among elderly in an urban resettlement colony of Delhi |
title_full_unstemmed | Health care services: Utilization and perception among elderly in an urban resettlement colony of Delhi |
title_short | Health care services: Utilization and perception among elderly in an urban resettlement colony of Delhi |
title_sort | health care services: utilization and perception among elderly in an urban resettlement colony of delhi |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9067175/ https://www.ncbi.nlm.nih.gov/pubmed/35516719 http://dx.doi.org/10.4103/jfmpc.jfmpc_1584_21 |
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