Abstract
BackgroundSelf-rated health status and healthcare services utilization are important indicators to evaluate the performance of health system. In disadvantaged areas, however, little is known about the access and outcomes of health care services. This study aimed to assess health-related quality of life (HRQOL), health status and healthcare access and utilization of residents in mountainous and remote areas in Vietnam.MethodsA cross-sectional study was conducted in a convenient sample of residents in two provinces of Vietnam. Information about socio-economic, health status, HRQOL, healthcare seeking and services utilization were interviewed. EuroQol – 5 Dimensions – 5 Levels (EQ-5D-5 L) was used to measure HRQOL.ResultsOf 200 respondents, mean age was 44.9 (SD = 13.9), 38.0 % were male. One third reported having any problem in Mobility, Usual activities, Pain or Discomfort, Anxiety or Depression. Women tended to suffer more problems in Pain/Discomfort and Anxiety/Depression and lower overall HRQOL than men. Over 90 % of respondents reported at least one health problem. Flu, cold and headache were the most commonly reported symptoms (41.5 %). Most of people preferred community health center when they had illness (96.0 %). Only 18.5 % people used traditional healers with the average of 5.8 times per year. Ethnicity, households’ expenditure, illness and morbidity status, difficulty in accessing health care services were related to HRQOL.; Meanwhile, socioeconomic status, health problems, quality of services, and distances were associated with access to healthcare and traditional medicine services.ConclusionsResidents in difficult-to-reach areas had high prevalence of health problems and experienced social and structural barriers of healthcare services access. It is necessary to improve the availability and quality of healthcare and traditional medicine services to improve the health status of disadvantaged people.
Highlights
Self-rated health status and healthcare services utilization are important indicators to evaluate the performance of health system
Self-reported health status and healthcare services utilization of population are indispensable indicators to assess the performance of health system in the context of limited health administration data [1, 2], in developing countries [2, 3]
Regarding the VAS score, we found that difficulty in accessing health care services and health care spending were two significant predictors of poorer healthrelated quality of life among respondents
Summary
Self-rated health status and healthcare services utilization are important indicators to evaluate the performance of health system. This study aimed to assess health-related quality of life (HRQOL), health status and healthcare access and utilization of residents in mountainous and remote areas in Vietnam. Self-reported health status and healthcare services utilization of population are indispensable indicators to assess the performance of health system in the context of limited health administration data [1, 2], in developing countries [2, 3]. They contribute evidences to estimate the future demand of healthcare [4], and to evaluate the health disparities among different groups of people, especially vulnerable subjects. People living in the rural and remote areas often perceive poorer HRQOL than those in more advantaged regions [9, 15, 20,21,22,23,24]
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