Associated factors to non-use of formal health services in the peruvian population: analysis of the national household survey (ENAHO) 2015

Authors

  • Vicente A. Benites-Zapata Centro de Investigación en Epidemiologia Clínica y Medicina Basada en Evidencias, Instituto de Investigación, Facultad de Medicina Humana, Universidad de San Martin de Porres. Lima, Perú. Médico cirujano, magister en Ciencias en Investigación Epidemiológica
  • Michelle Lozada-Urbano Facultad de Salud Pública y Administración, Universidad Peruana Cayetano Heredia. Lima, Perú. licenciada en nutrición, magíster en Salud Pública.
  • Diego Urrunaga-Pastor Sociedad Científica de Estudiantes de Medicina, Facultad de Medicina Humana, Universidad de San Martin de Porres. Lima, Perú. estudiante de Medicina
  • Edith Márquez-Bobadilla Facultad de Ciencias Matemáticas, Universidad Nacional Mayor de San Marcos. Lima, Perú. Dirección General de Focalización, Ministerio de Inclusión Social. Lima, Perú. licenciada en Estadística
  • Enrique Moncada-Mapelli Sociedad Científica de Estudiantes de Medicina, Facultad de Medicina Humana, Universidad de San Martin de Porres. Lima, Perú. estudiante de Medicina
  • Edward Mezones-Holguin Facultad de Ciencias de la Salud, Universidad Peruana de Ciencias Aplicadas. Lima, Perú. Instituto Videnza. Lima, Perú. médico cirujano, magister en Ciencias en Epidemiología Clínica.

DOI:

https://doi.org/10.17843/rpmesp.2017.343.2864

Keywords:

Health Services Accessibility, Health Systems, Outpatient Clinics, Hospital, Health Services Administration, Insurance, Peru

Abstract

The aim of the study was to estimate the prevalence of non-use of health services (NUHS) and its associated factors using the National Household Survey (ENAHO 2015). The participants were defined as NUHS if they have presented any symptoms, discomfort, illness, relapse of chronic illness or accident during the last month and did not go to the health services. 35036 participants were analyzed; the prevalence of NUHS was 53,9%. NUHS was higher in the coastal region (adjusted Prevalence Ratio [aPR]=1.24;95%CI:1.17-1.31), highlands (aPR=1.38;95%CI:1.31-1.46) and jungle (aPR=1.25,95%CI:1.18-1.33) compared to Lima. Likewise, there were a higher prevalence of NUHS in participants without health insurance (aPR=1.59;95%CI:1.52-1.66) and those affiliated to Ministry of Health insurance (aPR=1.16;95%CI:1.11-1.22) compared to those affiliated to Social Security. More than half of the participants suffered from NUHS, which was associated with geographical and health system conditions. It is required evidenced-informed public policies to improve this situation.

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Published

2017-09-29

Issue

Section

Brief Report

How to Cite

1.
Benites-Zapata VA, Lozada-Urbano M, Urrunaga-Pastor D, Márquez-Bobadilla E, Moncada-Mapelli E, Mezones-Holguin E. Associated factors to non-use of formal health services in the peruvian population: analysis of the national household survey (ENAHO) 2015. Rev Peru Med Exp Salud Publica [Internet]. 2017 Sep. 29 [cited 2024 Apr. 24];34(3):478-84. Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/2864

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