Switching pattern of healthcare services and its determinants among patients with communicable and non-communicable diseases in India

IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health Pub Date : 2024-09-11 DOI:10.1016/j.cegh.2024.101787

Ajit Kumar Jaiswal , Manoj Alagarajan , Mrinmoy Pratim Bharadwaz , Shoummo Sen Gupta , Pravin Kumar Singh

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引用次数: 0

Abstract

Background

The current study investigates the switching behaviour and patterns among patients in India, particularly in the context of various ailments such as Non-Communicable Diseases (NCDs), Communicable Diseases (CDs), and other health issues. To evaluate people's behaviour towards accessing healthcare facilities in public and private healthcare providers separately for CDs, NCDs, and other ailments.

Material and methods

The study design is observational and cross-sectional. The study included data from NSS 71st, NSS 75th, and LASI wave-1 datasets, which provide information on the incidence of switching behaviour among patients with different types of ailments.

Statistical analysis used

The Binary logistic regression analysis has been used to examine the determinants of switching behaviour in usage of healthcare facilities. Prevalence estimates were exhibited using weighted % and 95 % confidence intervals (CI). P values < 0.05 were considered statistically significant.

Results

Present study revealed that patients' behaviour in accessing healthcare facilities is influenced by a multitude of factors, including the nature of their ailment, socio-economic status, education, and regional disparities. Notably, patients suffering from NCDs exhibit a higher propensity for switching between public and private healthcare services, with a preference for the latter. The study found that among patients who were paying for special types of wards, there were significantly lower odds of switching behaviour.

Conclusions

The research highlights the nuanced dynamics of healthcare service utilization in India and underscores the need for tailored strategies to address the specific challenges posed by NCDs and communicable diseases while ensuring equitable and accessible healthcare services for all.

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印度传染病和非传染病患者的医疗服务转换模式及其决定因素

背景本研究调查了印度患者的转院行为和模式，尤其是在非传染性疾病（NCD）、传染性疾病（CD）等各种疾病和其他健康问题的背景下。材料和方法：研究设计为观察性横断面研究。研究数据来自国家抽样调查第 71 次、国家抽样调查第 75 次和 LASI 第 1 波数据集，这些数据集提供了不同类型疾病患者的转换行为发生率信息。使用加权%和95%置信区间（CI）对流行率进行估计。本研究显示，患者使用医疗机构的行为受到多种因素的影响，包括疾病性质、社会经济地位、教育程度和地区差异。值得注意的是，非传染性疾病患者更倾向于在公立和私立医疗机构之间转换，并且更倾向于后者。研究发现，在为特殊类型病房付费的患者中，转换行为的几率明显较低。结论这项研究强调了印度医疗保健服务利用的微妙动态，并强调有必要制定有针对性的战略，以应对非传染性疾病和传染性疾病带来的具体挑战，同时确保所有人都能公平地获得医疗保健服务。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Epidemiology and Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.60

自引率

7.70%

发文量

218

审稿时长

66 days

期刊介绍： Clinical Epidemiology and Global Health (CEGH) is a multidisciplinary journal and it is published four times (March, June, September, December) a year. The mandate of CEGH is to promote articles on clinical epidemiology with focus on developing countries in the context of global health. We also accept articles from other countries. It publishes original research work across all disciplines of medicine and allied sciences, related to clinical epidemiology and global health. The journal publishes Original articles, Review articles, Evidence Summaries, Letters to the Editor. All articles published in CEGH are peer-reviewed and published online for immediate access and citation.