ArticleIndian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine
Healthcare Utilization for Noncommunicable Disease Management among Adults in a Rural South Indian Community: A Community-based Study.
Article in Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Several factors influence people's decisions about the choice of healthcare provider. This study was planned to identify determinant factors beyond accessibility, that influence the utilization of healthcare services for Noncommunicable Disease (NCD) management. Methods: A community-based cross-sectional study was conducted among adults diagnosed with NCDs in the villages of Dakshina Kannada, the southernmost district of Karnataka, India. Each of these villages has access to both public or private primary, secondary, and tertiary healthcare services. The sample size, determined to be 700, was calculated utilizing the prevalence of healthcare utilization for NCD management, reported in a study done in a neighboring district. Following the implementation of the multistage cluster sampling method, 10 villages were selected as clusters. The line list of the households from each cluster was prepared with the help of health workers. The first household from a cluster was selected utilizing a simple random sampling method. Subsequent households were taken by moving in one direction (right) of the houses till the sample size reached 70 from a single cluster. A semistructured questionnaire, validated by experts and informed by research objectives and a thorough review of the literature, was used for data collection. Results: All the participants were utilizing healthcare services for the management of NCDs. Within our study population, the majority ( Conclusions: This study highlights the key determinants influencing healthcare utilization among individuals with NCDs in the study area. Socioeconomic status, disease duration, religion, and distance to healthcare facilities were significant predictors of public health service utilization. While physical proximity plays an important role, other sociodemographic and disease-related factors also contribute substantially to healthcare-seeking behavior. These findings provide useful insights for policymakers aiming to strengthen NCD management within the public health system.
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