ArticleBMJ open2020
Factors associated with the utilisation of primary care services: a cross-sectional study in public and private facilities in Albania.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Applying a gender and equity matrix for a contextualized antimicrobial stewardship intervention in Pakistan.Health policy and planning · 2026Article
- Comparison of the Number and Reasons for Self-Perceived Barriers to Accessing Primary Health Care Services Between Roma and Ethnic Albanians.Zdravstveno varstvo · 2026Article
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- Professional nurses' perspectives on the influence of Ideal Clinic status on patient care quality in eThekwini, South Africa.Health SA = SA Gesondheid · 2025Article
- Barriers to sexual and reproductive health services among Albanian university students.Frontiers in reproductive health · 2025Article
- Health promotion challenges and opportunities in the Western Balkans: a review of contemporary policies and actions.Frontiers in public health · 2025Review
- Quality of care in South Sudan and its associated factors, a facility-based cross-sectional study in public health facilities in Yambio County, Western Equatoria State.BMC health services research · 2024Article
- Implementing six multi-month dispensing of antiretroviral therapy in Ethiopia: perspectives of clients and healthcare workers.BMC health services research · 2023Article
- Differences between Rural and Urban Practices in the Response to the COVID-19 Pandemic: Outcomes from the PRICOV-19 Study in 38 Countries.International journal of environmental research and public health · 2023Article
- The Organization of Outreach Work for Vulnerable Patients in General Practice during COVID-19: Results from the Cross-Sectional PRICOV-19 Study in 38 Countries.International journal of environmental research and public health · 2023Article
- Construction and Scale Development of Willingness to Utilize Primary Care Services: A Study from China.Risk management and healthcare policy · 2023Article
- Preference and willingness to receive non-communicable disease services from primary healthcare facilities in Bangladesh: A qualitative study.BMC health services research · 2022Article
- Factors Affecting the Use of Private Outpatient Services among the Adult Population in Malaysia.International journal of environmental research and public health · 2022Article
- Article
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- Characteristics and Influencing Factors of Healthcare Utilization in Post-conflict Primary Care Attendees in Northern Sri Lanka.Frontiers in health services · 2021Article
- Health Seeking Behavior Among Adults and Elderly With Chronic Health Condition(s) in Albania.Frontiers in public health · 2021Article
- Assessing the Quality of Care at Primary Health Care Level in Two Pilot Regions of Albania.Frontiers in public health · 2021Article
- Updating Nursing Competencies in Primary Healthcare in Albania; Transforming Roles Through Tailored Education.International journal of public healthArticle
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo identify key factors influencing the utilisation of governmental and private primary healthcare services in Albania.
designA cross-sectional health facility survey using a 4-point Likert scale questionnaire to rank the importance of factors driving services utilisation.
settingExit interviews with patients who consulted one of 23 primary care providers (18 public and 5 private) in Fier district of Albania from the period of July-August 2018.
participantsRepresentative sample of 629 adults ≥18 years of age. MAIN OUTCOMES MEASURES: (1) Factors influencing the decision to visit a governmental or private primary care provider and (2) the association of sociodemographic characteristics and patients' decision to attend a given provider. Data were analysed using mixed logistic regression models.
resultsNearly half of the participants in this study were older than 60 years (45%). The majority (63%) reported to suffer from a chronic condition. Prevailing determinants for choosing a provider were 'quality of care' and 'healthcare professionals' attitudes. Solely looking at patients using a public provider, 'geographical proximity' was the most important factor guiding the decision (85% vs 11%, p<0.001). For private provider's patients, the 'availability of diagnostic devices' was the most important factor (69% vs 9%, p<0.001). The odds of using public facilities were significantly higher among the patients who perceived their health as poor (OR 5.59; 95% CI 2.62 to 11.92), suffered from chronic conditions (OR 3.13; 95% CI 1.36 to 7.24) or were benefiting from a socioeconomic aid scheme (OR 3.52; 95% CI 1.64 to 7.56).
conclusionThe use of primary healthcare is strongly influenced by geographical and financial access for public facility users and availability of equipment for private users. This study found that aspects of acceptability and adequacy of services are equally valued. Additional commitment to further develop primary care through engagement of local decision-makers and professional associations is needed.
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