The determinants of primary health care utilization: a comparison of three rural clinics in Southern Honduras
The determinants of primary health care utilization: a comparison of three rural clinics in Southern Honduras
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DOI：
10.1007/s10708-006-9001-8
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发表时间：
2006-08-01
期刊：
影响因子：
2.7
通讯作者：
Liu, Lin
中科院分区：
文献类型：
--
作者：
Baker, Jonathan;Liu, Lin
发展中国家的许多地区对初级卫生保健的利用知之甚少。在洪都拉斯圣卢西亚、因蒂布卡等农村地区尤其如此，那里只有三个初级卫生保健设施，为近 12,000 人提供服务，而且一般来说获得护理的机会有限。本研究探讨了可用于解释初级卫生保健利用的因素，旨在提高对患者利用行为的理解。卫生服务规划者可以更好地了解利用率，以改善该地区和类似地区的初级卫生保健服务。这项研究的结果表明，利用率在很大程度上可以通过与经济状况和步行到诊所的时间相关的因素来解释。这些发现与之前的研究结果一致。此外，家园变量用于检查使用行为的空间变化。该变量在之前的利用研究中尚未考虑，但被发现是研究区域卫生设施利用的一个非常重要的决定因素。
Primary health care utilization is poorly understood in many parts of the developing world. This is especially true in rural places, such as Santa Lucia, Intibuca, Honduras, where there are only three primary health care facilities servicing almost 12,000 people, and generally speaking access to care is limited. This study examines the factors that can be used to explain primary health care utilization, and aims to improve the understanding of patient utilization behavior. A better understanding of utilization can be used by health service planners to improve primary health care delivery in this and similar locations. The findings of this research indicate that utilization can be explained, to a large extent, by factors relating to economic status and walking time to clinic. These findings are consistent with findings from prior research. In addition, a home territory variable is used to examine spatial variations of utilization behavior. This variable has not been considered in previous utilization research, and is found to be a very significant determinant of health facility utilization in the study area.