Predisposing and Enabling Factors Influencing Private Outpatient Utilisation: Results from A Community Survey

Diane Woei Quan Chong, Anis Syakira Jailani, Iqbal Ab Rahim, Ee Hong Tan DPH, Sararaks Sondi, Foong Ming Moy: Predisposing and Enabling Factors Influencing Private Outpatient Utilisation: Results from A Community Survey. 2019, (Type: POSTER PRESENTATION; Organisation: Ministry of Health Malaysia, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Malaysia, Centre for Health Outcomes Research, Institute for Health Systems Research, Ministry of Health Malaysia, Centre for Health Equity Research, Institute for Health Systems Research, Ministry of Health Malaysia,).

Abstract

INTRODUCTION: Public healthcare services are complemented by the private sector. However, information on key-drivers that influence the utilisation of private outpatient healthcare services is lacking. Thus, we aim to determine the factors that influence private outpatient healthcare services utilisation among Malaysia’s population. METHODS: Secondary data analysis of 2015 National Health and Morbidity Survey with a representative sample of adults aged 18 and above who utilised outpatient healthcare services two weeks preceding the survey was conducted. Multivariable logistic regression was used to determine the associations of predisposing and enabling factors with private outpatient healthcare utilisation. Descriptive and complex sample logistic regression analyses were employed using STATA version 13.1. RESULTS: Among 1,808 respondents who sought outpatient care (representing 8.3%; 95%CI: 7.7, 8.9%, of the population), 42.1% (95%CI: 38.8, 45.5%) used private outpatient healthcare services. Population who preferred private sector for minor health conditions (OR 14.01; 95%CI: 10.21, 19.23), were single (OR 1.58; 95%CI:1.11, 2.27), lived further than ten kilometres from public outpatient facilities (OR 5.18; 95%CI:1.98, 14.7), were economically active (OR 1.74; 95%CI:1.17, 2.58) and possess health insurance (OR 1.50; 95%CI:1.03, 2.18) were more likely to utilise private outpatient healthcare services. Wealth quintile was not a significant predictor except for people from the second quintile. DISCUSSION: Identifying these potential influencing factors of private outpatient healthcare utilisation is timely. The findings will provide additional perspectives to policymakers for policy-planning and decision-making as the Ministry strives to develop a strong partnership between the public and private health sectors towards achieving universal health coverage and sustainable development goals.

    BibTeX (Download)

    @proceedings{APCPH-2019-236,
    title = {Predisposing and Enabling Factors Influencing Private Outpatient Utilisation: Results from A Community Survey},
    author = {Diane Woei Quan Chong and Anis Syakira Jailani and Iqbal Ab Rahim and Ee Hong Tan DPH and Sararaks Sondi and Foong Ming Moy},
    year  = {2019},
    date = {2019-07-22},
    urldate = {2019-07-22},
    journal = {6th Asia-Pacific Conference on Public Health 2019 Proceedings},
    issue = {6},
    abstract = {INTRODUCTION: Public healthcare services are complemented by the private sector. However, information on key-drivers that influence the utilisation of private outpatient healthcare services is lacking. Thus, we aim to determine the factors that influence private outpatient healthcare services utilisation among Malaysia’s population. METHODS: Secondary data analysis of 2015 National Health and Morbidity Survey with a representative sample of adults aged 18 and above who utilised outpatient healthcare services two weeks preceding the survey was conducted. Multivariable logistic regression was used to determine the associations of predisposing and enabling factors with private outpatient healthcare utilisation. Descriptive and complex sample logistic regression analyses were employed using STATA version 13.1. RESULTS: Among 1,808 respondents who sought outpatient care (representing 8.3%; 95%CI: 7.7, 8.9%, of the population), 42.1% (95%CI: 38.8, 45.5%) used private outpatient healthcare services. Population who preferred private sector for minor health conditions (OR 14.01; 95%CI: 10.21, 19.23), were single (OR 1.58; 95%CI:1.11, 2.27), lived further than ten kilometres from public outpatient facilities (OR 5.18; 95%CI:1.98, 14.7), were economically active (OR 1.74; 95%CI:1.17, 2.58) and possess health insurance (OR 1.50; 95%CI:1.03, 2.18) were more likely to utilise private outpatient healthcare services. Wealth quintile was not a significant predictor except for people from the second quintile. DISCUSSION: Identifying these potential influencing factors of private outpatient healthcare utilisation is timely. The findings will provide additional perspectives to policymakers for policy-planning and decision-making as the Ministry strives to develop a strong partnership between the public and private health sectors towards achieving universal health coverage and sustainable development goals.},
    note = {Type: POSTER PRESENTATION; Organisation: Ministry of Health Malaysia, Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Malaysia, Centre for Health Outcomes Research, Institute for Health Systems Research, Ministry of Health Malaysia, Centre for Health Equity Research, Institute for Health Systems Research, Ministry of Health Malaysia,},
    keywords = {enabling factors, outpatient utilisation, predisposing factors, private sector},
    pubstate = {published},
    tppubtype = {proceedings}
    }