Determinants of Healthcare Facilities and Services Utilisation among the Aged: Evidence from Yamoransa in Ghana

Authors

  • Isaac Addo Yeboah
  • Irene Ampomah Gyamfuah

Keywords:

Determinants, Health care Facilities, Socio-Economic and Demographic Variables, Utilisation of Healthcare Services, Yamoransa, Ghana

Abstract

The aged are usually infected with chronic diseases and other health problems, but healthcare services/facilities for them are limited particularly in developing countries. Invariably, they encounter many challenges in their search for treatments, but few gerontological studies about healthcare facilities/services utilisation have been conducted in Ghana. This article assesses the socio-economic and demographic variables associated with the use of healthcare facilities/services among the aged, using Yamoransa in Ghana as the study setting. Andersen’s Behaviour Model of Health Services Use was applied as theoretical guide. Cross-sectional survey involving interview schedules was conducted for all the aged. The findings show significant preference for government healthcare facilities among the aged, because of their perception that services rendered in such health centres are more effective. Slight variations by sex and age were recorded in the use of healthcare services while ethnicity, formal education, and marriage were the main predisposing factors affecting utilisation of healthcare services. Maltreatment of patients by health service providers and ample time spent in healthcare centres discouraged subsequent use of healthcare services while availability of income based on type of occupation and subscription to health insurance also influenced the use of healthcare services among the aged.

References

[1] Aboderin, I. “Understanding and advancing the health of older populations in Sub-Saharan Africa: policy perspective and evidence needs”. Publish Health Reviews, 32 (2), 351-376. 2010
[2] Addai, I. “Determinants of use of maternal-child health services in rural Ghana”. Journal of Biosocial Science, 2(1), 73-80. 2000
[3] Andersen, G. “Model of Health Care Services Utilisation”. 2007
[4] Retrieved from http//:www.ncbi.nim.nih.gov/pubmed/17855463 on 21st September, 2013.
[5] Bashiru, I.I.S., Oduro, S.D., Atta Mills, F. E. E., Zhao, X. “Determinants of Healthcare Utilization among the Ageing Population in Ghana”, International Journal of Business and Social Science, 3 (24), 66-77. 2012
[6] Biswas, P., Kabir, Z.N., Nilsson, J., & Zaman, S. “Dynamics of health care seeking behaviour of elderly people in rural Bangladesh”. International Journal of ageing and later life, 1, 69-89. 2006
[7] Blanchet, N. J., Fink, K. G., & Osei-Akoto, I. “The effect of Ghana’s National Health Insurance Scheme on health care utilisation”. Ghana Medical Journal, 46 (2) 76-84. 2012
[8] Buor, D. “Analysing the primacy of distance in the utilization of health services in the Ahafo-Ano South district, Ghana”. International Journal of Health Planning and Management, 18, 293-311. 2003.
[9] Department of Population and Health. “Yamoransa Demographic Data”. Cape Coast, Ghana: Department of Population and Health, University of Cape Coast. 2013
[10] Gaines, A. D. Ethnopsychiatry: The cultural construction of psychiatries. Albany, United States: State University of New York Press. 1992
[11] Goldman, D., & Smith, J.P. “Can Patient Self-Management Help Explain the SES Health Gradient?” Proceedings of the National Academy of Sciences of the United States of America, 99, 109-129. 2002
[12] Gyamfuah, I.A., Kumi-Kyereme, A., Darteh, E.K.M., & Addo, I.Y. “Perceptions of the Aged About Traditional and Modern Medicines in Yamoransa, Ghana”. Journal of Community Health, 39(4), 1-4. 2014
[13] Ikels, C. “Constructing and Deconstructing the Self: Dementia in China”. Journal of Cross-Cultural Gerontology, 17, 233-251. 2002
[14] Kogan, M.D, Martin, J.A., Alexander, G.R, Kotelchuck, M., Ventura, S.J., & Frigoletta, F.D. “The changing pattern of pre¬natal care utilization in the United States 1981-1995: Using different prenatal care indices”. The Journal of the Medi¬cal Association of Women’s Health, 279, 1623-1628. 1998
[15] Mba, C.J. “Population ageing and poverty in Rural Ghana”. Legon, Ghana: Regional Institute for Population Studies, University of Ghana. 2004
[16] McNamara, A., Normand, C., & Whelan, B. “Patterns and determinants of Health Care Utilisation in Ireland”. Dublin, Ireland: Trinity College. 2013
[17] Mfantseman District Assembly. “Medium Term Development Plan (20062009)”. Saltpond, Ghana: Mfantseman District Assembly. 2013
[18] Moore, P. J., Sickel, A. E., Malat, J., Williams, D., Jackson, J., & Adler, N. E. “Psychosocial factors in medical and psychological treatment avoidance: the role of the doctor-patient relationship”. Journal of Health Psychology, 9, 421-433. 2004
[19] Murithi, M. K. “The Determinants of Health-seeking Behaviour in a Nairobi slum, Kenya”. European Scientific Journal, 9 (8), 156-157. 2013
[20] Oluwabamide, A. J., & Eghafona, K. A. “Addressing the Challenges of Ageing in Africa”. Anthropologist, Kamla-Raj, 14 (1), 61-66. 2012
[21] Opoku, H. “Self-reported vision health status among older population in the Kassena-Nankana District, Ghana”. Umea, Sweden: Umea Universitet. 2011
[22] Owusu, A.P. “Chronic diseases among the aged reported at Cape Coast Metropolitan Hospital”. Cape Coast, Ghana: Department of Population and Health, UCC. 2011
[23] Punia, D., & Punia, S. Socio-emotional and psychological problems of retired elderly in Haryana: A comprehensive Review. 2002. Retrieved from http://www.krepublishers.com/02-Journals on 20th September, 2013.
[24] Taylor, S. “Approaches to Health, Illness, and Health Care”. Sociology of Health and Health Care, 3, 21-42. 2003
[25] Thom, D.H., & Campbell, B. “Patient-physician trust: An exploratory study. Journal of Family Practice”, 44(2), 169-176. 1997

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Published

2014-06-21

How to Cite

Yeboah, I. A., & Gyamfuah, I. A. (2014). Determinants of Healthcare Facilities and Services Utilisation among the Aged: Evidence from Yamoransa in Ghana. American Scientific Research Journal for Engineering, Technology, and Sciences, 8(1), 42–55. Retrieved from https://asrjetsjournal.org/index.php/American_Scientific_Journal/article/view/644