Age, sex and primary care setting differences in patients’ perception of community healthcare seeking behaviour towards health services.
Open accessAbstract
INTRODUCTION: Understanding the potential determinants of community healthcare seeking behaviour helps in improving healthcare utilisation and health outcomes within different populations. This in turn will aid the development of healthcare policies and planning for prevention, early diagnosis and management of health conditions. OBJECTIVE: To evaluate patients' perception of community healthcare seeking behaviour towards both acute and preventive physical and psychosocial health concerns by sex, age and type of primary care setting (as a proxy for affordability of healthcare). METHODS: A total of 3979 patients from 221 public and 239 private clinics in Malaysia were interviewed between June 2015 and February 2016 using a patient experience survey questionnaire from the Quality and Cost of Primary Care cross-sectional study. Multivariable logistic regression analysis adjusted for the complex survey design was used. RESULTS: After adjusting for covariates, more women than men perceived that most people would see their general practitioners for commonly consulted acute and preventive physical and some psychosocial health concerns such as stomach pain (adjusted odds ratio (AOR), 1.64; 95% confidence interval (CI), 1.22-2.21), sprained ankle (AOR, 1.29; 95% CI, 1.06-1.56), anxiety (AOR, 1.32; 95% CI, 1.12-1.55), domestic violence (AOR, 1.35; 95% CI, 1.13-1.62) and relationship problems (AOR, 1.24; 95% CI, 1.02-1.51). There were no significant differences in perceived healthcare seeking behaviour by age groups except for the removal of a wart (AOR, 1.41; 95% CI, 1.12-1.76). Patients who visited the public clinics had generally higher perception of community healthcare seeking behaviour for both acute and preventive physical and psychosocial health concerns compared to those who went to private clinics. CONCLUSIONS: Our findings showed that sex and healthcare affordability differences were present in perceived community healthcare seeking behaviour towards primary care services. Also perceived healthcare seeking behaviour were consistently lower for psychosocial health concerns compared to physical health concerns.
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There is no difference in healthcare-seeking rate between individuals aged below and above 50 years for psychological help.
“In case of psychological help-seeking Lim et al. (2019) found no difference in the healthcare-seeking rate between individuals aged below and above 50 years.”
From Combining the unequal variance signal detection model with the health belief model to optimize shared decision making in tinnitus patients: part 2—patient profiling (2025) · cites this paper as Lim et al., 2019
The Conclusions report no difference between people below 50 and those 50 or older in perceived healthcare-seeking tendencies, including for psychosocial or mental health concerns. The paper measures patients’ perceptions of community help-seeking, not actual healthcare-seeking rates, so the claim overstates what it found. (LLM, conf=0.88)
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- Authors
- Lim, M. T., Lim, Y. M. F., Tong, S. F., & Sivasampu, S.
- Affiliations
- Ministry of Health (MY)
- National University of Malaysia (MY)
- Corresponding author
- Lim, Ming Tsuey
- Venue
- PLoS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2019-10-21
- Volume
- 14
- Issue
- 10
- Pages
- e0224260
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC6802842
- OpenAlex
- W2981826286
- Cited by
- 69
- References
- 36
- Citations by year
- 2026: 6 · 2025: 15 · 2024: 14 · 2023: 8 · 2022: 7 · 2021: 13 · 2020: 6
- FWCI
- 8.85
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Greater South Information System
- Funders
- Ministry of Health, Malaysia (NMRR-15-607-25769)
- Topics
- Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Health Professions › General Health Professions › Patient Satisfaction in Healthcare
- Keywords
- health-seeking behavior, primary care, sex differences, age differences, public vs private clinics, health care affordability, preventive medicine, general practitioners, patient perspectives, Malaysia
- MeSH terms
- Adult, Age Factors, Community Health Services, Female, Humans, Male, Middle Aged, Patient Acceptance of Health Care, Perception, Primary Health Care, Surveys and Questionnaires, Sex Factors
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