Abstract

Background: Patients often have their focus on looking for the high-quality healthcare services while minimizing costs in order to choose the healthcare facilities appropriate to their needs. Moreover, a double burden disease has led to changes in healthcare delivery model and health seeking behavior of patients. However, the relationship between such illness and the utilization of health care services has rarely been empirically assessed. Objective: To clarify how health status and symptoms associated with the healthcare facility choice. Methods: We conducted this survey in 3 provinces (Thua Thien Hue, Quang Tri, and Khanh Hoa), with 6,898 residents in 1,478 households. The International Classification of Primary Care (ICPC-2) was used to classify the symptoms. Results: There were 1,816 people having illness/injury during the last 3 months (26.3) and the majority of them went to CHCs when they got sick. Patients with digestive, neurological and respiratory symptoms were more likely to use CHCs as the first contact point. In contrast, people with musculoskeletal, female genital, and urological diseases were more likely to visit the higher level facilities such as provincial and central hospitals than CHCs. Key words: Healthcare sevices

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