Examining determinants of health service utilisation among Filipino older people: A cross-sectional study

Australas J Ageing. 2019 Mar;38(1):E31-E36. doi: 10.1111/ajag.12599. Epub 2018 Nov 16.

Abstract

Objective: This study was done to study, using Andersen's Behavioral Model, factors affecting health service utilisation among older Filipinos.

Methods: A total of 237 older people from Marikina City, Philippines, were randomly selected and surveyed face-to-face on factors affecting health service utilisation, specifically age, civil status, educational level, employment status, sex, health insurance coverage, household income, chronic disease status and perceived health status.

Results: Seventy-nine per cent had used health services in the past year (mean: 5.7 visits per year). Female sex and having a chronic disease were significantly associated with health service utilisation. The odds of using health services was 3.1 times higher for those who had a chronic disease and 2.2 times higher for female sex, assuming all other variables are held constant.

Conclusion: Findings of this study support targeting men in health promotion campaigns and implementing population-based, chronic disease screening programs to improve the reach of health services among Filipino older people.

Keywords: geriatric health services; health care surveys; health services for the aged; insurance coverage; non communicable diseases.

MeSH terms

  • Age Factors
  • Aged
  • Aged, 80 and over
  • Aging / psychology*
  • Chronic Disease / psychology
  • Cross-Sectional Studies
  • Female
  • Geriatrics*
  • Health Knowledge, Attitudes, Practice*
  • Health Resources*
  • Health Services for the Aged*
  • Health Status
  • Humans
  • Male
  • Middle Aged
  • Patient Acceptance of Health Care*
  • Philippines
  • Sex Factors
  • Time Factors