Document Detail

Individual determinants of primary healthcare utilisation in Gaza Strip, Palestine.
MedLine Citation:
PMID:  18621955     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To examine the extent to which primary care patients are using the primary healthcare (PHC) services in Gaza Strip, Palestine, and to determine the factors that are associated with the use of these services. METHODS: Using Andersen's behavioural model, the authors interviewed 956 PHC attendees. Patients were questioned about predisposing factors: age, sex, marital status, education, work status, household size, life events (psychological and financial), perceived living conditions and health locus of control. Enabling factors included urbanisation and household income. Need factors included self-rated health. Healthy lifestyle was measured by two variables: smoking and physical activity. Outcome factors were measured by patients' satisfaction with PHC. RESULTS: The study revealed that the majority of interviewed patients (64.7%) reported high use (>3 times per 6 months) of PHC within the 6-month period before the interview. The main factors found to be associated with high use of PHC were older age, married and divorced/widowed status, perceived bad living conditions, not working, high level of income, poorly rated health status and current smoking habit. CONCLUSIONS: Gazean primary care patients are high users of PHC services. The increased use of these services is associated with the basic predisposing, enabling and needs factors and with the unique bad living conditions. Tobacco use was another aspect associated with high use of PHC. Effective health management, based on promoting a healthy lifestyle, is needed. The findings of this study can be used to improve health service planning and guide decision-makers towards healthcare resource allocation according to healthcare needs.
T Abu-Mourad; A Alegakis; S Shashaa; A Koutis; C Lionis; A Philalithis
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of epidemiology and community health     Volume:  62     ISSN:  1470-2738     ISO Abbreviation:  J Epidemiol Community Health     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-07-14     Completed Date:  2008-12-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7909766     Medline TA:  J Epidemiol Community Health     Country:  England    
Other Details:
Languages:  eng     Pagination:  701-7     Citation Subset:  IM    
Department of Social Medicine, School of Medicine, University of Crete, PO Box 2208, Heraklion 71003, Crete, Greece.
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MeSH Terms
Arabs / psychology
Health Services Research / methods
Health Status
Life Style
Middle Aged
Middle East / epidemiology
Motor Activity
Needs Assessment
Patient Acceptance of Health Care*
Patient Satisfaction
Primary Health Care / utilization*
Smoking / epidemiology
Socioeconomic Factors

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