Berhane Yoseph Yemane, Tarekegn Workagegnhu, Tewahido Dagmawit, Abdelmenan Semira, Fasil Nebiyou, Berhane Hanna Yemane, Tsegaye Sitota, Wang Dongqing, Partap Uttara, Fawzi Wafaie, Demissie Meaza, Worku Alemayehu, Berhane Yemane
Department of Epidemiology and Biostatistics, Addis Continental Institute of Public Health.
Department of Nutrition and Behavioral Science, Addis Continental Institute of Public Health.
Ethiop J Health Sci. 2024 Dec;34(Spec Iss 2):97-104. doi: 10.4314/ejhs.v34i2.5S.
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.
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.
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.
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.
了解医疗保健机构的偏好（公立与私立）对于制定促进全民健康覆盖（UHC）的政策至关重要。各种社会人口因素会影响这些偏好。本研究调查了埃塞俄比亚亚的斯亚贝巴ADDIS-HDSS人群对医疗保健机构的偏好。
本分析基于在亚的斯亚贝巴耶卡子市进行的ADDIS-HDSS基线普查。我们关注家庭成员生病时受访者首选的医疗保健机构及其选择背后的原因。采用多变量逻辑回归分析影响偏好的因素。
大多数家庭（82.81%）首选公立医疗保健机构，主要原因是费用可承受（59.31%）。其余17.19%的家庭首选私立医疗保健，主要是因为认为护理质量（43.06%）和及时性（37.04%）较好。家庭规模较大与选择私立机构的可能性降低相关（比值比[AOR]=0.579，95%置信区间[CI]：0.522-0.642），而受教育程度较高（AOR=2.573，95%CI：2.194-3.017）和家庭较富裕（AOR=16.925，95%CI：14.705-19.481）的家庭更有可能选择私立医疗服务。
大多数家庭首选公立医疗保健机构，费用可承受性、质量和及时性是关键因素。为在低收入国家实现全民健康覆盖，提高公立医疗保健的服务质量和及时性至关重要。
