{"title":"艾迪斯健康和家庭医疗保健设施偏好人口监测站点(ADDIS-HDSS),埃塞俄比亚的亚的斯亚贝巴。","authors":"Yoseph Yemane Berhane, Workagegnhu Tarekegn, Dagmawit Tewahido, Semira Abdelmenan, Nebiyou Fasil, Hanna Yemane Berhane, Sitota Tsegaye, Dongqing Wang, Uttara Partap, Wafaie Fawzi, Meaza Demissie, Alemayehu Worku, Yemane Berhane","doi":"10.4314/ejhs.v34i2.5S","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Understanding healthcare facility preferences-public versus private-is essential for formulating policies that promote universal health coverage (UHC). Various sociodemographic factors influence these preferences. This study examines healthcare facility preferences within the ADDIS-HDSS population in Addis Ababa, Ethiopia.</p><p><strong>Methods: </strong>This analysis is based on the ADDIS-HDSS baseline census conducted in Yeka sub-city, Addis Ababa. We focused on respondents' preferred healthcare facility when household members are ill, and the reasons behind their choice. Multivariable logistic regression was used to analyze the factors influencing preferences.</p><p><strong>Results: </strong>Most households (82.81%) preferred public healthcare facilities, citing affordability as the primary reason (59.31%). The remaining 17.19% preferred private healthcare, mainly due to perceived quality of care (43.06%) and timeliness (37.04%). Larger family size was associated with a reduced likelihood of preferring private facilities (AOR = 0.579, 95% CI: 0.522-0.642), while higher education (AOR = 2.573, 95% CI: 2.194-3.017) and wealthier households (AOR = 16.925, 95% CI: 14.705-19.481) were more likely to prefer private care.</p><p><strong>Conclusion: </strong>The majority of households prefer public healthcare facilities, with affordability, quality, and timeliness as key factors. To achieve UHC in low-income countries, improving service quality and timeliness in public healthcare is critical.</p>","PeriodicalId":12003,"journal":{"name":"Ethiopian Journal of Health Sciences","volume":"34 Spec Iss 2","pages":"97-104"},"PeriodicalIF":1.5000,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11793114/pdf/","citationCount":"0","resultStr":"{\"title\":\"Healthcare Facility Preference among Households in Addis Health and Demographic Surveillance Site (ADDIS-HDSS), Addis Ababa, Ethiopia.\",\"authors\":\"Yoseph Yemane Berhane, Workagegnhu Tarekegn, Dagmawit Tewahido, Semira Abdelmenan, Nebiyou Fasil, Hanna Yemane Berhane, Sitota Tsegaye, Dongqing Wang, Uttara Partap, Wafaie Fawzi, Meaza Demissie, Alemayehu Worku, Yemane Berhane\",\"doi\":\"10.4314/ejhs.v34i2.5S\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Understanding healthcare facility preferences-public versus private-is essential for formulating policies that promote universal health coverage (UHC). Various sociodemographic factors influence these preferences. This study examines healthcare facility preferences within the ADDIS-HDSS population in Addis Ababa, Ethiopia.</p><p><strong>Methods: </strong>This analysis is based on the ADDIS-HDSS baseline census conducted in Yeka sub-city, Addis Ababa. We focused on respondents' preferred healthcare facility when household members are ill, and the reasons behind their choice. Multivariable logistic regression was used to analyze the factors influencing preferences.</p><p><strong>Results: </strong>Most households (82.81%) preferred public healthcare facilities, citing affordability as the primary reason (59.31%). The remaining 17.19% preferred private healthcare, mainly due to perceived quality of care (43.06%) and timeliness (37.04%). Larger family size was associated with a reduced likelihood of preferring private facilities (AOR = 0.579, 95% CI: 0.522-0.642), while higher education (AOR = 2.573, 95% CI: 2.194-3.017) and wealthier households (AOR = 16.925, 95% CI: 14.705-19.481) were more likely to prefer private care.</p><p><strong>Conclusion: </strong>The majority of households prefer public healthcare facilities, with affordability, quality, and timeliness as key factors. To achieve UHC in low-income countries, improving service quality and timeliness in public healthcare is critical.</p>\",\"PeriodicalId\":12003,\"journal\":{\"name\":\"Ethiopian Journal of Health Sciences\",\"volume\":\"34 Spec Iss 2\",\"pages\":\"97-104\"},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2024-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11793114/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Ethiopian Journal of Health Sciences\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4314/ejhs.v34i2.5S\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Ethiopian Journal of Health Sciences","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4314/ejhs.v34i2.5S","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
Healthcare Facility Preference among Households in Addis Health and Demographic Surveillance Site (ADDIS-HDSS), Addis Ababa, Ethiopia.
Background: Understanding healthcare facility preferences-public versus private-is essential for formulating policies that promote universal health coverage (UHC). Various sociodemographic factors influence these preferences. This study examines healthcare facility preferences within the ADDIS-HDSS population in Addis Ababa, Ethiopia.
Methods: This analysis is based on the ADDIS-HDSS baseline census conducted in Yeka sub-city, Addis Ababa. We focused on respondents' preferred healthcare facility when household members are ill, and the reasons behind their choice. Multivariable logistic regression was used to analyze the factors influencing preferences.
Results: Most households (82.81%) preferred public healthcare facilities, citing affordability as the primary reason (59.31%). The remaining 17.19% preferred private healthcare, mainly due to perceived quality of care (43.06%) and timeliness (37.04%). Larger family size was associated with a reduced likelihood of preferring private facilities (AOR = 0.579, 95% CI: 0.522-0.642), while higher education (AOR = 2.573, 95% CI: 2.194-3.017) and wealthier households (AOR = 16.925, 95% CI: 14.705-19.481) were more likely to prefer private care.
Conclusion: The majority of households prefer public healthcare facilities, with affordability, quality, and timeliness as key factors. To achieve UHC in low-income countries, improving service quality and timeliness in public healthcare is critical.
期刊介绍：
Ethiopian Journal of Health Sciences is a general health science journal addressing clinical medicine, public health and biomedical sciences. Rarely, it covers veterinary medicine
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