Health-Care-Seeking Patterns in the Emerging Private Sector in Burkina Faso: A Population-Based Study of Urban Adult Residents in Ouagadougou
Health-Care-Seeking Patterns in the Emerging Private Sector in Burkina Faso: A Population-Based Study of Urban Adult Residents in Ouagadougou
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DOI：
10.1371/journal.pone.0097521
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发表时间：
2014-05-19
期刊：
影响因子：
3.7
通讯作者：
Huang, Nicole
中科院分区：
文献类型：
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作者：
Beogo, Idrissa;Liu, Chieh-Yu;Huang, Nicole
背景：私人医疗保健部门正在撒哈拉以南非洲（SSA）的城市中扩大。然而，人们在这一新的景观寻求保健的行为仍然知之甚少;此外，公共和私人提供者之间的区别和各种类型的私人提供者是至关重要的，在这项调查。本研究评估，按类型，医疗服务提供者在布基纳法索城市居民的访问，和他们的选择determinators.Method：我们进行了一项基于人口的调查，从2011年7月至11月的瓦加杜古的1,600个家庭的代表性样本，包括5,820名成年人。我们评估了人们通常为严重和非严重疾病寻求的提供者类型。结果：在被调查者中，97.7%和53.1%的人表示，他们寻求一个正式的提供者治疗严重和非严重的情况下，分别。在正式的提供者寻求者中，分别有20.5%和17.0%的人选择营利性（FP）提供者治疗严重和非严重疾病。2.0%的被调查者拥有保险。拥有保险是寻求FP的最强预测因子，对于重度（OR = 1.15，95%置信区间[CI] = 1.04-1.28）和非重度（OR = 1.22，95% CI = 1.07-1.39）。其他预测因素包括正式工作和接受过高等教育。相比之下，我们没有观察到显着差异的倾向，使，或需要之间的特点不以营利为目的（NFP）提供者的求职者和公共提供者的求职者。结论：研究结果表明，计划生育服务提供者在SSA的城市医疗保健市场中发挥着至关重要的作用。社会经济地位和保险状况是供应商选择的重要预测因素。研究结果可作为决策者在应对撒哈拉以南非洲出现的计划生育服务提供者的重要参考。
Background: The private medical care sector is expanding in urban cities in Sub-Saharan Africa (SSA). However, people's health-care-seeking behaviors in this new landscape remain poorly understood; furthermore, distinguishing between public and private providers and among various types of private providers is critical in this investigation. This study assessed, by type, the healthcare providers urban residents in Burkina Faso visit, and their choice determinants.Method: We conducted a population-based survey of a representative sample of 1,600 households in Ouagadougou from July to November 2011, consisting of 5,820 adults. We assessed the types of providers people typically sought for severe and non-severe conditions. We applied generalized estimating equations in this study.Results: Among those surveyed, 97.7% and 53.1% indicated that they seek a formal provider for treating severe and non-severe conditions, respectively. Among the formal provider seekers, 20.5% and 17.0% chose for-profit (FP) providers for treating severe and non-severe conditions, respectively. Insurance coverage was held by 2.0% of those surveyed. Possessing insurance was the strongest predictor for seeking FP, for both severe (odds ratio [OR] = 1.15, 95% confidence interval [CI] = 1.04-1.28), and non-severe conditions (OR = 1.22, 95% CI = 1.07-1.39). Other predictors included being a formal jobholder and holding a higher level education. By contrast, we observed no significant difference in predisposing, enabling, or need characteristics between not-for-profit (NFP) provider seekers and public provider seekers. Proximity was the primary reason for choosing a provider.Conclusion: The results suggested that FP providers play a crucial role in the urban healthcare market in SSA. Socioeconomic status and insurance status are significant predictors of provider choice. The findings can serve as a crucial reference for policymakers in response to the emergence of FP providers in SSA.