Determinants of healthcare-seeking behavior from pharmacies and associated out-of-pocket spending: a population-based study from Jordan.

IF 1.5 Q3 PHARMACOLOGY & PHARMACY
Rasha M Arabyat, Eman A Hammad, Samah Al-Shatnawi, Haneen A Amawi
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引用次数: 0

Abstract

Objectives: To identify determinants of healthcare seeking from pharmacies in Jordan using Andersen's healthcare utilization model. Additionally, an analysis of the out-of-pocket (OOP) spending was performed.

Methods: An analysis of the Jordan Population and Family Health Survey (JPFHS), a nationally representative survey of Jordanian households, was conducted. Weighted hierarchical multiple logistic regression models were built to specify important variables related to seeking care from pharmacies in Jordan compared to other outpatient healthcare facilities.

Key findings: Out of 12,716 respondents, 19.1% reported visiting a pharmacy within the past 4 weeks. The associated average OOP spending was JD17.7, significantly lower than for other outpatient healthcare facilities (JD 24.8). Among predisposing characteristics, females were more inclined to visit a pharmacy compared to males (adjusted odds ratio [AOR] = 1.16; 95% CI: 1.02-1.33). Positive enabling factor included residing in northern (AOR: 1.85; 95% CI: 1.19-2.87) or southern regions (AOR: 3.66; 95% CI: 1.57-8.56) compared to center regions of Jordan. The cost of transportation was a negative enabling factor (AOR: 0.24; 95% CI: 0.15-0.40). Significant need factors that increased the odds of visiting a pharmacy included seeking care for fever/diarrhea (AOR: 1.99; 95% CI: 1.04-3.80). Preventive care/vaccination (AOR: 0.18; 95% CI: 0.05-0.68) decreased the odds of visiting a pharmacy.

Conclusion: The geographical location of a pharmacy, as indicated by transportation costs and region, significantly influences visiting patterns. Pharmacies appeared to be convenient and accessible for managing minor ailments and they offer significant potential for cost savings. To enhance pharmacies' contribution to public health, the integration of new services is strongly recommended.

从药店寻求医疗保健行为的决定因素和相关的自费支出:约旦的一项基于人群的研究。
目的:利用Andersen的医疗保健利用模型,确定约旦药房就诊的决定因素。此外,还对自付费用(OOP)进行了分析。方法:对约旦人口和家庭健康调查(JPFHS)进行分析,这是一项具有全国代表性的约旦家庭调查。建立了加权层次多元逻辑回归模型,以指定与约旦药房与其他门诊医疗机构相比寻求护理相关的重要变量。主要调查结果:在12,716名受访者中,19.1%表示在过去4周内曾到访药房。相关的平均OOP支出为17.7迪拉姆,显著低于其他门诊医疗机构(24.8迪拉姆)。在易感特征中,女性比男性更倾向于去药店(调整优势比[AOR] = 1.16;95% ci: 1.02-1.33)。积极促成因素包括居住在北方(AOR: 1.85;95% CI: 1.19-2.87)或南部地区(AOR: 3.66;95% CI: 1.57-8.56),与约旦中部地区相比。运输成本是一个负的使能因素(AOR: 0.24;95% ci: 0.15-0.40)。增加去药房就诊几率的重要需求因素包括:寻求发烧/腹泻护理(AOR: 1.99;95% ci: 1.04-3.80)。预防保健/疫苗接种(AOR: 0.18;95% CI: 0.05-0.68)降低了去药店的几率。结论:药房的地理位置(交通成本和区域)对就诊方式有显著影响。在治疗小病方面,药店似乎很方便,而且有很大的节省成本的潜力。为加强药房对公众健康的贡献,强烈建议整合新服务。
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
CiteScore
2.90
自引率
5.60%
发文量
146
期刊介绍: The International Journal of Pharmacy Practice (IJPP) is a Medline-indexed, peer reviewed, international journal. It is one of the leading journals publishing health services research in the context of pharmacy, pharmaceutical care, medicines and medicines management. Regular sections in the journal include, editorials, literature reviews, original research, personal opinion and short communications. Topics covered include: medicines utilisation, medicine management, medicines distribution, supply and administration, pharmaceutical services, professional and patient/lay perspectives, public health (including, e.g. health promotion, needs assessment, health protection) evidence based practice, pharmacy education. Methods include both evaluative and exploratory work including, randomised controlled trials, surveys, epidemiological approaches, case studies, observational studies, and qualitative methods such as interviews and focus groups. Application of methods drawn from other disciplines e.g. psychology, health economics, morbidity are especially welcome as are developments of new methodologies.
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