Factors Affecting Health Care Services Utilisation among Rural Population in Sabah, Malaysia

Malaysia has made significant strides in achieving universal health coverage since gaining independence. However, rural areas in Sabah still confront challenges in accessing adequate healthcare compared to Peninsula Malaysia. This study explores healthcare utilisation patterns among Sabah's rur...

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Main Authors: Adilius Manual, Mohd Yusof Ibrahim, Ho, Chong Mun, Norazah Mohd Suki
Format: Article
Language:English
English
Published: Penerbit UMS 2024
Subjects:
Online Access:https://eprints.ums.edu.my/id/eprint/39227/1/ABSTRACT.pdf
https://eprints.ums.edu.my/id/eprint/39227/2/FULL%20TEXT.pdf
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author Adilius Manual
Mohd Yusof Ibrahim
Ho, Chong Mun
Norazah Mohd Suki
author_facet Adilius Manual
Mohd Yusof Ibrahim
Ho, Chong Mun
Norazah Mohd Suki
author_sort Adilius Manual
collection UMS
description Malaysia has made significant strides in achieving universal health coverage since gaining independence. However, rural areas in Sabah still confront challenges in accessing adequate healthcare compared to Peninsula Malaysia. This study explores healthcare utilisation patterns among Sabah's rural populace, with a focus on identifying access determinants. Over four months, a household cross-sectional study interviewed 438 respondents, employing geographical units for random sample selection. The questionnaire used was adopted and pre-tested from the National Health and Morbidity Survey 2011 (Healthcare Demand Module). Descriptive statistics and logistic regression were utilised to analyse demographic characteristics and determinants of health utilisation among those reporting one or more diseases (n = 99). The findings underscored age and health limitations as significant predictors of healthcare usage. Despite commendable national health outcomes, resource allocation tends to favour secondary care over primary care in rural regions. Prioritising preventive care at the primary level could enhance overall health outcomes. Understanding healthcare utilisation in rural areas, especially those with heightened poverty rates, is crucial for refining tailored healthcare policies. This study fills a crucial gap in the literature, offering insights to shape effective healthcare interventions for underserved rural populations.
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spelling ums.eprints-392272024-07-19T08:14:21Z https://eprints.ums.edu.my/id/eprint/39227/ Factors Affecting Health Care Services Utilisation among Rural Population in Sabah, Malaysia Adilius Manual Mohd Yusof Ibrahim Ho, Chong Mun Norazah Mohd Suki R5-920 Medicine (General) RA960-1000.5 Medical centers. Hospitals. Dispensaries. Clinics Including ambulance service, nursing homes, hospices Malaysia has made significant strides in achieving universal health coverage since gaining independence. However, rural areas in Sabah still confront challenges in accessing adequate healthcare compared to Peninsula Malaysia. This study explores healthcare utilisation patterns among Sabah's rural populace, with a focus on identifying access determinants. Over four months, a household cross-sectional study interviewed 438 respondents, employing geographical units for random sample selection. The questionnaire used was adopted and pre-tested from the National Health and Morbidity Survey 2011 (Healthcare Demand Module). Descriptive statistics and logistic regression were utilised to analyse demographic characteristics and determinants of health utilisation among those reporting one or more diseases (n = 99). The findings underscored age and health limitations as significant predictors of healthcare usage. Despite commendable national health outcomes, resource allocation tends to favour secondary care over primary care in rural regions. Prioritising preventive care at the primary level could enhance overall health outcomes. Understanding healthcare utilisation in rural areas, especially those with heightened poverty rates, is crucial for refining tailored healthcare policies. This study fills a crucial gap in the literature, offering insights to shape effective healthcare interventions for underserved rural populations. Penerbit UMS 2024 Article NonPeerReviewed text en https://eprints.ums.edu.my/id/eprint/39227/1/ABSTRACT.pdf text en https://eprints.ums.edu.my/id/eprint/39227/2/FULL%20TEXT.pdf Adilius Manual and Mohd Yusof Ibrahim and Ho, Chong Mun and Norazah Mohd Suki (2024) Factors Affecting Health Care Services Utilisation among Rural Population in Sabah, Malaysia. Borneo Journal of Medical Sciences, 18 (2). pp. 90-102. ISSN 1985-1758
spellingShingle R5-920 Medicine (General)
RA960-1000.5 Medical centers. Hospitals. Dispensaries. Clinics Including ambulance service, nursing homes, hospices
Adilius Manual
Mohd Yusof Ibrahim
Ho, Chong Mun
Norazah Mohd Suki
Factors Affecting Health Care Services Utilisation among Rural Population in Sabah, Malaysia
title Factors Affecting Health Care Services Utilisation among Rural Population in Sabah, Malaysia
title_full Factors Affecting Health Care Services Utilisation among Rural Population in Sabah, Malaysia
title_fullStr Factors Affecting Health Care Services Utilisation among Rural Population in Sabah, Malaysia
title_full_unstemmed Factors Affecting Health Care Services Utilisation among Rural Population in Sabah, Malaysia
title_short Factors Affecting Health Care Services Utilisation among Rural Population in Sabah, Malaysia
title_sort factors affecting health care services utilisation among rural population in sabah malaysia
topic R5-920 Medicine (General)
RA960-1000.5 Medical centers. Hospitals. Dispensaries. Clinics Including ambulance service, nursing homes, hospices
url https://eprints.ums.edu.my/id/eprint/39227/1/ABSTRACT.pdf
https://eprints.ums.edu.my/id/eprint/39227/2/FULL%20TEXT.pdf
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