Factors associated with the utilization of health services among patients with hypertension during the Covid-19 pandemic: a cross-sectional study in West Lombok Regency, Indonesia

Abstract

The Covid-19 pandemic has had a wide impact on all areas of life, especially health. One of the serious impacts that need to be addressed is the utilization of health services among people with a history of co-morbidities, the most common of which is hypertension. The purpose of this study was to determine the factors associated with the utilization of health services among patients with hypertension during the Covid-19 pandemic in West Lombok Regency, Indonesia. This study used a cross-sectional study design involving 435 hypertensive patients, selected using cluster sampling. The research instrument was a questionnaire, and the data was analyzed using univariate (frequency and proportion), bivariate (Chi-square and Fisher’s exact test), and multivariate analysis (multiple logistic regression). The majority of respondents (72.4%) utilized health services, and from the results of the multivariate analysis, the significant factors associated with the utilization were health status (Adj.OR: 0.25; p<0.001); availability (Adj.OR: 6.79; p<0.001); and acceptability (Adj.OR: 0.06; p<0.001). Improving the utilization of health services among patients with hypertension is necessary, as is expanding access to hypertension health services through strengthening health centers, mobile health center services, community integrated services for non-communicable diseases, and home visits.

Utilization of Primary Health Care Under National Health Insurance in Samarinda Municipality, East Kalimantan Province, Indonesia

“…This outcome is consistent with a similar study conducted in West Lombok Regency, Indonesia, which demonstrated that individuals who received information regarding health services were more likely to utilize them. 30 , 31 …”

“…This outcome is consistent with a similar study conducted in West Lombok Regency, Indonesia, which demonstrated that individuals who received information regarding health services were more likely to utilize them. 30,31 An examination of the consultation process was undertaken by reference to the gatekeeper concept. It focused on the promotion and prevention services that participants could access.…”

Structural equation modeling for explaining preventive health practices of rural adults in the new normal context of COVID-19 pandemic

“…[39][40] The importance of background issues in promoting a positive attitude and healthy practices during the COVID-19 crisis has been described in so many studies across the world. 38,[40][41] The current study included background issues along with individual, family, and social factors predicting preventive behaviors among the rural adults during the pandemic crisis. However, multi-stage sampling from two rural areas might not be sufficient for providing representative samples and avoiding regional variations.…”