Factors contributing to utilization of health care services in Malaysia: a population-based study.
OBJECTIVE
This paper examines the factors contributing to the under utilisation of health care services in the Malaysian population.


METHODS
Using data derived from Malaysian Mental Health Survey (MMHS) information on utilisation of four basic health services in the previous three months, namely contact with health care professionals, ward admissions, having diagnostic or laboratory tests done and being on any medications were obtained.


RESULTS
A total of 2202 out of 3666 or 60% of the MMHS participants were included in this study. Thirty percent of the subjects (n = 664) had contacts with health care professionals. Those with health complications, disabilities and those aged 50 years and above utilised health services more significantly as compared to those who lacked health facilities near their homes, had little family support during illnesses and were from the Chinese ethnic group.


CONCLUSIONS
Factors leading to the under utilisation of health care services need to be further studied and needs in certain groups in the population should be addressed. Healthcare providers must be prepared to fulfil these needs.
Department of Psychiatry, Penang Medical College, Penang, Malaysia.
Saroja
S
Krishnaswamy
Kavitha
K
Subramaniam
Wah Yun
WY
Low
Jemain Abdul
JA
Aziz
Tishya
T
Indran
Padma
P
Ramachandran
Abdul Rahman Abdul
AR
Hamid
Vikram
V
Patel
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D002908:Chronic Disease; D016000:Cluster Analysis; D005006:Ethnicity / Q000706:statistics & numerical data; D005260:Female; D019538:Health Care Surveys; D006296:Health Services / Q000706:statistics & numerical data*; D006297:Health Services Accessibility; D006304:Health Status; D006801:Humans; D016015:Logistic Models; D008296:Malaysia; D008297:Male; D008875:Middle Aged; D012944:Social Support; D012959:Socioeconomic Factors; D055815:Young Adult