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一项关于了解古吉拉特邦瓦多达拉地区城郊居民的就医行为模式和医疗保健利用情况的研究。

A study to understand the health seeking behaviour pattern and healthcare utilisation of peri-urban people in Vadodara district, Gujarat.

作者信息

Dave Rucha, Parmar Piyushkumar C, Singh Pooja, Desai Maulik, Pandit Niraj

机构信息

Department of Community Medicine, Smt. B.K. Shah Medical Institute and Research Centre, Sumandeep Vidyapeeth Deemed to be University, Vadodara, Gujarat, India.

出版信息

J Family Med Prim Care. 2025 Apr;14(4):1225-1230. doi: 10.4103/jfmpc.jfmpc_1401_24. Epub 2025 Apr 25.

DOI:10.4103/jfmpc.jfmpc_1401_24
PMID:40396065
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12088551/
Abstract

BACKGROUND

The definition of delivering healthcare services is "the timely use of personal health services to achieve the best possible health outcomes". Due to social, economic and health policy considerations, different countries, groups and individuals may have varying degrees of access to healthcare. Limitations on healthcare services have a negative influence on treatment effectiveness, consumption of medical services. The objective of this study is to understand the pattern of healthcare-seeking behaviour in adults and also their healthcare services utilisation.

METHODOLOGY

A cross-sectional community-based study in peri-urban population of Vadodara, Gujarat, was done for a period of 3 months.

RESULTS

51% participants were male, and 48% participants were female. Most the participants belonged to Class 1 and 2 socio-economic class. The factors such as socio-economic status, visitation and awareness about full body checkup, travelling and cost-related variables were found to be statistically significant. The awareness and health-seeking nature was seen more in the younger (40-59) population than the older population, mainly because of the distance. However, doctors' advice was more followed through by the elderly population.

CONCLUSION

Financial limitations, distance and transportation costs, the ability to take paid time off work to use services, personal constraints and poor health literacy are some of the factors to consider when it comes to healthcare access.

摘要

背景

提供医疗保健服务的定义是“及时利用个人健康服务以实现尽可能好的健康结果”。出于社会、经济和健康政策方面的考虑,不同国家、群体和个人获得医疗保健的程度可能有所不同。医疗保健服务的限制会对治疗效果和医疗服务消费产生负面影响。本研究的目的是了解成年人的就医行为模式及其医疗服务利用情况。

方法

在古吉拉特邦巴罗达市城郊人口中进行了一项为期3个月的基于社区的横断面研究。

结果

51%的参与者为男性,48%为女性。大多数参与者属于社会经济阶层1和2。发现社会经济地位、全身检查的就诊和知晓情况、出行以及与费用相关的变量等因素具有统计学意义。年轻人(40 - 59岁)比老年人更有就医意识和就医倾向,主要是因为距离原因。然而,老年人更听从医生的建议。

结论

在获得医疗保健方面,经济限制、距离和交通成本、请假使用服务的能力、个人限制以及健康素养差等都是需要考虑的因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26d9/12088551/bf3a80fd1267/JFMPC-14-1225-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26d9/12088551/d37836a5e16b/JFMPC-14-1225-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26d9/12088551/2e3a2b0a1da2/JFMPC-14-1225-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26d9/12088551/bf3a80fd1267/JFMPC-14-1225-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26d9/12088551/d37836a5e16b/JFMPC-14-1225-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26d9/12088551/2e3a2b0a1da2/JFMPC-14-1225-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26d9/12088551/bf3a80fd1267/JFMPC-14-1225-g005.jpg

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本文引用的文献

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PLOS Glob Public Health. 2023 Sep 5;3(9):e0001101. doi: 10.1371/journal.pgph.0001101. eCollection 2023.
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Health seeking behavior and its determinants for cervical cancer among women of childbearing age in Hossana Town, Hadiya zone, Southern Ethiopia: community based cross sectional study.埃塞俄比亚南部哈迪亚地区霍萨纳镇育龄妇女的宫颈癌求医行为及其决定因素:基于社区的横断面研究。
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