Utilization patterns and satisfaction levels among beneficiaries attending Ayushman Bharat health and wellness centres in a coastal district of Tamil Nadu, India

Abinav Sivakumar; Abhijit V. Boratne; Lalithambigai Chellamuthu; Surendran Venkataraman

doi:10.18203/2394-6040.ijcmph20242888

Authors

Abinav Sivakumar Department of Community Medicine, Dhanalakshmi Srinivasan Institute of Medical Sciences and Hospital, Perambalur, Tamil Nadu, India
Abhijit V. Boratne Department of Community and Family Medicine, All India Institute of Medical Sciences, Bilaspur, Chhattisgarh, India
Lalithambigai Chellamuthu Department of Community Medicine, Mahatma Gandhi Medical College and Research Institute, Puducherry, India
Surendran Venkataraman Department of Community Medicine, Indira Gandhi Medical College and Research Institute, Puducherry, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20242888

Keywords:

HWCs, Ayushman Bharat, Patient satisfaction, Health care services

Abstract

Background: “Ayushman Bharat” has its twin pillars of health and wellness centers (HWCs) and “Pradhan Mantri Jan Arogya Yojana” which looks at health holistically and lays significant milestone towards India’s path to universal health coverage. To ensure delivery of comprehensive primary health care, existing sub health centres and certain primary health centres were transformed to HWCs. Objectives were to assess the utilization patterns and measure the satisfaction levels among beneficiaries attending Health and Wellness Centres in rural and urban areas of Cuddalore district, Tamil Nadu, India.

Methods: A cross-sectional study was undertaken over a period of six months among 808 beneficiaries from eight of the newly upgraded HWCs of Cuddalore. A multi-stage stratified cluster sampling was employed. Data was collected by exit interviews using semi-structured questionnaire. Data entry and analysis was done by Epidata 3.1 and SPSS 21.

Results: Majority, 790 (97.7%) felt that healthcare providers were having a positive attitude towards them. In addition, 772 (95.5%) felt that doctors showed interest in them as a whole. About 320 (79.3%) beneficiaries attending rural HWCs were satisfied with the overall treatment received in comparison with 254 (62.8%) beneficiaries attending urban HWCs. The satisfaction level on the overall treatment received was low among urban HWCs beneficiaries.

Conclusions: Majority of the patients were satisfied with the health care services offered at HWCs and healthcare providers at HWCs.

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References

Jungo KT, Anker D, Wildisen L. Astana declaration: a new pathway for primary health care. Int J Public Health. 2020;65(5):511-2.

Garg S. Universal health coverage in India: Newer innovations and the role of public health. Indian J Public Health. 2018;62(3):167.

World Health Organisation. Primary Health Care on the Road to Universal Health Coverage 2019: Global Monitoring Report-Executive Summary. World Health Organisation, Geneva. 2019. Available at: https://www.who.int/docs/default-source/documents/ 2019-uhc-report-executive-summary. Accessed on 12 June 2024.

Duggal R. Bhore Committee (1946) and its relevance today. Indian J Pediatr. 1991;58(4):395-406.

Yadav J, Menon GR, John D. Disease-Specific Out-of-Pocket Payments, Catastrophic Health Expenditure and Impoverishment Effects in India: An Analysis of National Health Survey Data. Appl Health Econ Health Policy. 2021;5(19):769-82.

Pareek Phd M. Ayushman Bharat-National Health Protection Mission a way towards Universal Health Cover by reaching the bottom of the pyramid to be a game changer or non-starter. Int J Adv Innov. 2018;7(7):1-10.

Ministry of Labour and Employment. Ayushman Bharat-National Health Protection Mission. Government of India, New Delhi. 2020;43.

Chellaiyan V. Pradhan Mantri Jan Arogya Yojana-Ayushman Bharat. Indian J Community Health. 2020;32:337-40.

Ambekar S, Quazi Syed Z, Gaidhane A, Patil M. Steps towards Universal Health Coverage through Health and Wellness Center under Ayushman Bharat Programme Delivering Comprehensive Primary Health Care in Bhandara District. J Pharm Res Int. 2021;34-8.

Garg S, Tripathi N, Ranjan A, Bebarta KK. Comparing the average cost of outpatient care of public and for-profit private providers in India. BMC Health Serv Res. 2021;21(1):838.

Ministry of Health and Family Welfare. India has crossed a Key Milestone in Universal Primary Healthcare. Government of India, New Delhi. 2021. Available at: https://pib.gov.in/pib.gov.in/ Pressreleaseshare.aspx?PRID=1706381. Accessed on 12 June 2024.

Lachenbruch PA, Lwanga SK, Lemeshow S. Sample Size Determination in Health Studies: A Practical Manual. J Am Stat Assoc. 1991;86(416):1149.

Ganguly E, Sharma PK. Client Satisfaction with Quality of Health Care in a Rural area in Southern India. J Public Health Epidemiol. 2014;6(8):239-45.

Chauhan RC, Kandan M, Purty AJ, Samuel A, Singh Z. Determinants of health care seeking behavior among rural population of a coastal area in South India. Int J Sci Rep. 2015;1(2):118-22.

Galhotra A, Sarpal SS, Gupta S, Goel NK. A cross-sectional study on patient satisfaction toward services received at rural health center, Chandigarh, North India. Ann Trop Med Public Health. 2013;6(2):240.

Gopalakrishnan S, Ganeshkumar P, Katta A. Study of Morbidity Profile of a Rural Population in Tamil Nadu. J Clin Diagn Res. 2015;9(2):LC05-9.

Gabrani J, Schindler C, Wyss K. Factors associated with the utilisation of primary care services: a cross-sectional study in public and private facilities in Albania. BMJ Open. 2020;10(12):e040398.

Ramakrishnan S, Devanathan D. Patient Satisfaction and Perceptions about Quality of Health care at a Primary Health care Centre of Thanjavur district, Tamilnadu. Int J Curr Res Sci Technol.2019;9:14-29.

Nimesh V, Halder A, Mitra A, Kumar S, Joshi A, Joshi R, et al. Patterns of healthcare seeking behavior among persons with diabetes in Central India: A mixed method study. J Fam Med Prim Care. 2019;8(2):677-83.

Chellaiyan V. Health Coverage Across the Globe: A Contemporary Scenario. Indian J Public Health Res Dev. 2020;11:70-5.

Gupta S, Virk A, Mittal A, Agarwal BK. Patterns and determinants of healthcare-seeking behavior among hypertensive patients in a rural population of north India: A mixed-method study. J Fam Med Prim Care. 2020;9(6):2830-6.

Patil A. Patient Satisfaction Regarding Quality of Primary Health Care Services in an Urban Community: A Medical Outcome Survey. Sch J App Med Sci. 2015;3(3A):1051-9.

Quyen BT, Ha NT, Van Minh H. Outpatient satisfaction with primary health care services in Vietnam: Multilevel analysis results from The Vietnam Health Facilities Assessment 2015. Health Psychol. Open. 2021;8(1):20551029211015117.

Myburgh NG, Solanki GC, Smith MJ, Lalloo R. Patient satisfaction with health care providers in South Africa: the influences of race and socioeconomic status. Int J Qual Health Care. 2005;17(6):473-7.

Aldosari MA, Tavares MA, Matta-Machado ATG, Abreu MHNG. Factors associated with patients’ satisfaction in Brazilian dental primary health care. PloS One. 2017;12(11):e0187993.

Xesfingi S, Vozikis A. Patient satisfaction with the healthcare system: Assessing the impact of socio-economic and healthcare provision factors. BMC Health Serv Res. 2016;16(1):94.