Determinants of health care avoidance and avoidance reasons in Turkey

Date

2023-05-01

Author

Sülkü, Seher Nur
TOKATLIOĞLU, YAĞMUR
COŞAR, KÜBRA

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Aim This study aimed to identify predictors of avoiding or delaying seeking outpatient clinic level health care service and reasons for avoidance even though treatment is deemed necessary in Turkey. Subject and methods Analysis of data on 12,032 participants aged 15 and older was carried out using 2012 Health Research Survey data. Univariate and multivariable logistic regression models were used to identify predictors of avoiding medical care. In addition, multivariable logistic regression models were used to identify reasons for this avoidance. Results Compared to non-avoiders, the avoiders are more likely to be female. Being +45 age and being employed increases the probability of avoidance, but having SSI and higher income decreases the probability. Both feeling pain (odds ratio = 2.053, 95% confidence interval 1.735-2.429) and using non-prescription medications (odds ratio = 2.105, 95% confidence interval 1.823-2.430) increase the odds of avoidance. Having any-chronic disease, back musculoskeletal system disorders and mental diseases related to higher avoidance probability but cancer is opposite. Female, under 45 age, married, and using non-prescription medications participants are more likely to cite "high cost" and "not enough time" as a reason for avoidance. The reason "late appointment date" is significantly associated with rural and income level. Being +45 age is significantly associated with citing "fear" and being married is associated with the reason "nobody to accompany." Conclusions Understanding behaviors of avoiders and the factors of avoiding medical care are critical to reduce patient delay and avoidance to provide protection against irrevocable health consequences and financial burden.

URI

https://hdl.handle.net/11511/108693

Collections

Graduate School of Informatics, Article