Health Service Utilization Among People With Noncommunicable Diseases in Rural Vietnam
Hoang Van Minh 1, Juhwan Oh, Kim Bao Giang, Nguyen Bao Ngoc, Nguyen Minh Hoang, Tran Thi Giang Huong, Nguyen Van Huy, Dinh Thai Son, Jong-Koo Lee, Luu Ngoc Hoat
Center for Population Health Sciences (Dr Van Minh and Ms Bao Ngoc) and Health Management Training Institute (Mr Minh Hoang), Hanoi University of Public Health, Hanoi, Vietnam; LEE Jong-wook Center for Global Medicine of Seoul National University College of Medicine, Seoul, Korea (Drs Oh and Lee); Departments of Health Education (Dr Giang), Health Management and Organization (Dr Van Huy), and Biostatistics and Health Informatics (Drs Son and Hoat), Hanoi Medical University, Hanoi, Vietnam; and Department of International Cooperation, Ministry of Health, Hanoi, Vietnam (Dr Giang Huong).
Context: Chronic noncommunicable diseases (NCDs) have been shown to be major causes of morbidity and mortality in hospitals for the whole country. Objective: This study aims to describe the situation of health service utilization among people with NCDs in a rural area and identify association between the situation of health service utilization among people with chronic diseases and their socioeconomic status. Design: This was a cross-sectional study. Setting: A rural district located in the North of Vietnam. Participants: People 15 years of age and older. Health service utilization was analyzed only among people who reported having NCD. Main outcome measures: Data were collected through a personal household interview conducted by 12 trained field workers. The dependent variable is health care service utilization among people with chronic NCDs. The explanatory variables include both household attributes such as household economic conditions, and so forth, and individual characteristics. Results: Eighteen percent of the adults and 51% of the elderly respondents reported having at least 1 of the NCDs. The proportions of people with NCDs who used at least 1 outpatient service and used at least 1 inpatient health service during the last 12 months were 68.1% and 10.7%, respectively (the nonutilization rates of 31.9% and 89.3%, respectively). The statistically significant correlates of health care service utilization among people with NCDs were ethnicity (ethnic minority was significantly associated with a lower odds of health care service utilization) and health insurance (no health insurance was significantly associated with lower odds of health care service utilization). Conclusion: Given the evidence from this study, actions to improve access to health care services among people with NCDs are clearly needed. The capacity of primary health care system for the prevention and control of NCDs should be ranked a top priority.
Full-text link: Health Service Utilization Among People With Noncommunicable Diseases in Rural Vietnam
Nguồn: Viện Khoa học Sức khỏe (NIHS), Bệnh viện Bạch Mai