What Drives Utilization of Primary Care Facilities? Evidence from a National Facility Survey

This analysis aims to assess the association between commune health station (CHS) service availability/readiness and health service utilization. Data from the 2015 Vietnam District and Commune Health Facility Survey was used to build a series of multivariate negative binomial regressions to measure...

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Main Authors: Vu, Lan T.H., Bales, Sarah, Bredenkamp, Caryn
Format: Journal Article
Published: Taylor and Francis 2022
Subjects:
Online Access:http://hdl.handle.net/10986/36824
id okr-10986-36824
recordtype oai_dc
spelling okr-10986-368242022-01-28T16:14:27Z What Drives Utilization of Primary Care Facilities? Evidence from a National Facility Survey Vu, Lan T.H. Bales, Sarah Bredenkamp, Caryn COMMUNE HEALTH STATION HEALTH SERVICE UTILIZATION NONCOMMUNICABLE DISEASE SERVICE READINESS SERVICE AVAILABILITY HEALTHCARE INFRASTRUCTURE FACILITY SURVEY This analysis aims to assess the association between commune health station (CHS) service availability/readiness and health service utilization. Data from the 2015 Vietnam District and Commune Health Facility Survey was used to build a series of multivariate negative binomial regressions to measure the association between domains of service availability/readiness and CHS's average number of visits per capita. Three domains of service availability/readiness are significantly associated with higher utilization rates: health infrastructure, basic equipment availability, and capacity to deliver services for non-communicable diseases. If all three modifiable CHS characteristics were to be improved from their current level, the predicted utilization rate of the CHS would be 3.3–3.7 times as high as current levels. Investments in improving facility infrastructure, making available essential equipment items, and enabling the CHS to provide hypertension and diabetes services would all likely increase health service utilization at CHS level. 2022-01-14T20:55:59Z 2022-01-14T20:55:59Z 2021 Journal Article International Journal of Healthcare Management 2047-9700 http://hdl.handle.net/10986/36824 CC BY-NC-ND 3.0 IGO http://creativecommons.org/licenses/by-nc-nd/3.0/igo World Bank Taylor and Francis Publications & Research Publications & Research :: Journal Article East Asia and Pacific Vietnam
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
topic COMMUNE HEALTH STATION
HEALTH SERVICE UTILIZATION
NONCOMMUNICABLE DISEASE
SERVICE READINESS
SERVICE AVAILABILITY
HEALTHCARE INFRASTRUCTURE
FACILITY SURVEY
spellingShingle COMMUNE HEALTH STATION
HEALTH SERVICE UTILIZATION
NONCOMMUNICABLE DISEASE
SERVICE READINESS
SERVICE AVAILABILITY
HEALTHCARE INFRASTRUCTURE
FACILITY SURVEY
Vu, Lan T.H.
Bales, Sarah
Bredenkamp, Caryn
What Drives Utilization of Primary Care Facilities? Evidence from a National Facility Survey
geographic_facet East Asia and Pacific
Vietnam
description This analysis aims to assess the association between commune health station (CHS) service availability/readiness and health service utilization. Data from the 2015 Vietnam District and Commune Health Facility Survey was used to build a series of multivariate negative binomial regressions to measure the association between domains of service availability/readiness and CHS's average number of visits per capita. Three domains of service availability/readiness are significantly associated with higher utilization rates: health infrastructure, basic equipment availability, and capacity to deliver services for non-communicable diseases. If all three modifiable CHS characteristics were to be improved from their current level, the predicted utilization rate of the CHS would be 3.3–3.7 times as high as current levels. Investments in improving facility infrastructure, making available essential equipment items, and enabling the CHS to provide hypertension and diabetes services would all likely increase health service utilization at CHS level.
format Journal Article
author Vu, Lan T.H.
Bales, Sarah
Bredenkamp, Caryn
author_facet Vu, Lan T.H.
Bales, Sarah
Bredenkamp, Caryn
author_sort Vu, Lan T.H.
title What Drives Utilization of Primary Care Facilities? Evidence from a National Facility Survey
title_short What Drives Utilization of Primary Care Facilities? Evidence from a National Facility Survey
title_full What Drives Utilization of Primary Care Facilities? Evidence from a National Facility Survey
title_fullStr What Drives Utilization of Primary Care Facilities? Evidence from a National Facility Survey
title_full_unstemmed What Drives Utilization of Primary Care Facilities? Evidence from a National Facility Survey
title_sort what drives utilization of primary care facilities? evidence from a national facility survey
publisher Taylor and Francis
publishDate 2022
url http://hdl.handle.net/10986/36824
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