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Effective Factors of Utilization of Inpatient, Outpatient, Diagnostic, and Pharmaceutical Health Services: A Systematic Review

Solmaz Azimzadeh, Jafar Sadegh Tabrizi, Shirin Nosratnejad, Mostafa Farahbakhsh, Saber Azami Aghdash, Hossein Abdollahi

Utilization is one of the dimensions of equity in health systems. Identifying the factors affecting utilization of health services can be helpful for interventional purposes. This study systematically reviewed the factors affecting the utilization of inpatient, outpatient, diagnostic, and pharmaceutical services. This systematic review was conducted between 2016 and 2017. The search was performed using keywords based on MeSH in valid databases such as Scopus, Embase, ProQuest, ScienceDirect, PubMed, and Web of Science in the fields of title, abstract, and keyword. Related papers published from 2000 to 2017 were searched. First, the retrieved studies were screened and checked for quality; then, the useful data were extracted and analyzed. Out of the 1178 retrieved publications, 20 studies were included in the final analysis. The identified factors were categorized into 5 areas, including demographic (4 items), socioeconomic (13 items), health services–related (13 items), health status–related (7 items), and health insurance–related factors (2 items), and reported. The findings of this study can be a useful source and a comprehensive body of evidence on the utilization of health services. The results can be used by the policy makers and managers in designing interventions for changing the utilization patterns of health services. [GMJ.2019;8:e1236]

Utilization; Health Services; Inpatient; Outpatient; Diagnostics; Pharmaceuticals

Hasanipour H. Why the health system in Iran is lower than 98 countries around the world 2010.

Baker JB, Liu L. The determinants of primary health care utilization: a comparison of three rural clinics in Southern Honduras. GeoJournal. 2006;66(4):295-310.

https://doi.org/10.1007/s10708-006-9001-8

Gholami M, Nasiripoor AA, Maleki MR. The Relation Between Social Determinant of Health with Access to Health Services in Gonbad kavoos. Community Health. 2016;3(1):54-65.

Allin S. Equity in the use of health services in Canada and its provinces. London School of Economics and Political science; 2006.

Pourreza A, Nemati R. Health Economics and Elderly. Salmand Iran J Ageing. 2006;1(2):80-7.

Grøholt EK, Stigum H, Nordhagen R, Köhler L. Health service utilization in the Nordic countries in 1996: Influence of socio‐economic factors among children with and without chronic health conditions. Eur J Public Health. 2003;13(1):30-7.

https://doi.org/10.1093/eurpub/13.1.30

PMid:12678311

Lurie N, Slater J, McGovern P, Ekstrum J, Quam L, Margolis K. Preventive Care for Women--Does the Sex of the Physician Matter? N Engl J Med. 1993;329(7):478-82.

https://doi.org/10.1056/NEJM199308123290707

PMid:8332153

Obrist B, Iteba N, Lengeler C, Makemba A, Mshana C, Nathan R, et al. Access to health care in contexts of livelihood insecurity: a framework for analysis and action. PLoS Med. 2007;4(10):e308.

https://doi.org/10.1371/journal.pmed.0040308

PMid:17958467 PMCid:PMC2039761

Almeida C, Travassos C, Porto S, Labra ME. Health sector reform in Brazil: a case study of inequity. Int J Health Serv.. 2000;30(1):129-62.

https://doi.org/10.2190/NDGW-C2DP-GNF8-HEW8

PMid:10707303

Dunlop S, Coyte PC, McIsaac W. Socio-economic status and the utilisation of physicians' services: results from the Canadian National Population Health Survey. Soc Sci Med.. 2000;51(1):123-33.

https://doi.org/10.1016/S0277-9536(99)00424-4

T.Shaikh B, J H. Health seeking behaviour and health service utilization in Pakistan: challenging the policy makers. J Public Health (Oxf).27(1):49-54.

https://doi.org/10.1093/pubmed/fdh207

PMid:15590705

Andersen R, Newman JF. Societal and individual determinants of medical care utilization in the United States. Milbank Mem Fund Q Health Soc. 2005;83(4):Online‐only-Online‐only.

https://doi.org/10.1111/j.1468-0009.2005.00428.x

PMCid:PMC2690261

Shin H, Song H, Kim J, Probst JC. Insurance, acculturation, and health service utilization among Korean-Americans. J Immigr Health. 2005;7(2):65-74.

https://doi.org/10.1007/s10903-005-2638-4

PMid:15789158

2009 I-UoB. strobe-statement. 2007. https://www.strobe-statement.org/index.php?id=available-checklists.

Morris S, Sutton M, Gravelle H. Inequity and inequality in the use of health care in England: an empirical investigation. Soc Sci Med. 2005;60(6):1251-66.

https://doi.org/10.1016/j.socscimed.2004.07.016

PMid:15626522

EbadiFardAzar F, Rezapour A, Abbasi Broujeni F, safari H, Moeeni Naeeni M. Utilization of health care services in the state of Isfahan. Hospital Journal. 2011;10(38).

Nain C, Kai YC, Yi CH, Yee NS, Yi LM, Jun LX et al. Knowledge of medication use and factors influencing the utilisation of public health clinics. Int Health. 2013;5(3):217-22.

https://doi.org/10.1093/inthealth/iht019

PMid:24159624

Pappa E, Kontodimopoulos N, Papadopoulos AA, Tountas Y, Niakas D. Prescribed-drug utilization and polypharmacy in a general population in Greece: Association with sociodemographic, health needs, health-services utilization, and lifestyle factors. Eur J Clin Pharmacol. 2011;67(2):185-92.

https://doi.org/10.1007/s00228-010-0940-0

PMid:21069519

Sistrom C, McKay NL, Weilburg JB, Atlas SJ, Ferris TG. Determinants of diagnostic imaging utilization in primary care. Am J Manag Care. 2012;18(4):e135-e44.

Borhaninejad V, NaghibzadehTahami A, Nabavi H, Rashedi V, Yazdi-Feyzabadi V. The utilization of health services and its influences among elderly people in Kerman-2014. Journal of North Khorasan University of Medical Sciences. 2015;7(2):229-40.

https://doi.org/10.29252/jnkums.7.2.229

Gong CH, Kendig H, He X. Factors predicting health services use among older people in China: An analysis of the China Health and Retirement Longitudinal Study 2013. BMC Health Serv Res. 2016;16(1).

https://doi.org/10.1186/s12913-016-1307-8

PMid:26892677 PMCid:PMC4758158

Miltiades HB, Wu B. Factors affecting physician visits in Chinese and Chinese immigrant samples. Soc Sci Med. 2008;66(3):704-14.

https://doi.org/10.1016/j.socscimed.2007.10.016

PMid:17996348

Abenhaim HA, Azziz R, Hu J, Bartolucci A, Tulandi T. Socioeconomic and Racial Predictors of Undergoing Laparoscopic Hysterectomy for Selected Benign Diseases: Analysis of 341 487 Hysterectomies. J Minim Invasive Gynecol. 2008;15(1):11-5.

https://doi.org/10.1016/j.jmig.2007.07.014

PMid:18262137

Cifaldi M. Factors affecting health services utilization in the medicare population: Would providing prescription drug coverage to medicare recipients affect their use of health care resources? Research in Human Capital and Development2001. p. 119-41.

https://doi.org/10.1016/S0194-3960(01)14006-0

Lee FH, Li CY, Wang HH, Yang YM. The utilization of Pap tests among different female medical personnel: A nationwide study in Taiwan. Prev Med. 2013;56(6):406-9.

https://doi.org/10.1016/j.ypmed.2013.03.001

PMid:23524115

Tian WH, Chen CS, Liu TC. The demand for preventive care services and its relationship with inpatient services. Health Policy. 2010;94(2):164-74.

https://doi.org/10.1016/j.healthpol.2009.09.012

PMid:19853320

Nooraiee Motlagh S, Saber Mahani A, Barooni M, Vaez Mahdavi M, Hadian M. Determining factors related to health services utilization: case of Tehran. Razi Journal of Medical Sciences. 2014-2015;21(127).

Lee FH, Wang HH. The utilization of pap test services of women: A nationwide study in Taiwan. Cancer Nurs. 2011;34(6):464-9.

https://doi.org/10.1097/NCC.0b013e31820b7866

PMid:21372700

Siti Fatimah AG, Aniza I, Shamsuddin K, Zailiza S. Remeasurement, evaluation and comparison the health services utilization among women staff at universiti kebangsaaan malaysia after eleven years period (2001-2012). Malays J Public Health Med. 2013;13(2).

Ohta B, Kronenfeld JJ. Intensity of acute care services at the end of life: Nonclinical determinants of treatment variation in an older adult population. J Palliat Med . 2011;14(6):722-8.

https://doi.org/10.1089/jpm.2010.0360

PMid:21548789

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