Assessment of Healthcare Utilization in a Community-Centric Model of Primary Healthcare for Rural Populations Prabhune Akash1,, Manoharan Aparna2 1Research Associate, IKP Centre for Technologies in Public Health, Thanjavur, Tamil Nadu 2Head of Research & Advocacy, IKP Centre for Technologies in Public Health, Thanjavur, Tamil Nadu Online published on 29 December, 2017. Abstract This study is an effort to assess the health service utilization of one such community-based clinic facility, as measure of its ability to meet community health needs. The study was based on retrospective analysis of administrative data relating to patient encounters, including data on chief complaints, clinical diagnosis. We analyzed the data of 16487 clinical visits from the year 2011 till 2016. The visits were classified based on clinical diagnosis into eight system organ classes (cardiovascular disorders, respiratory disorders, gastrointestinal disorders, urinary disorders, metabolic disorders, Skin disorders, musculoskeletal disorders and trauma or injury). The service utilization trends for cardiovascular disorders and metabolic disorders exhibited a liner increase utilization with the odds of 10.18(P Value-0.001) and 8.80 (P Value-0.001) respectively. While the service utilization trend for Gastro Intestinal disorders, Respiratory disorders, Skin disorders, Musculoskeletal disorders, Kidney disorders, Trauma or Injury were 0.54 (P Value-0.012), 0.12(P Value-0.001), 0.5 (P Value-0.15), 1.26 (P Value-0.001), 0.22 (P Value-0.001), 0.38 (P Value-0.003). When looked for service penetration, the cumulative service penetration till 2016 was 72%. This study has demonstrated the successful uptake of chronic care management program of our model and also pointed out the need to reinforce the primary care model with better interlinking to the community needs. Top Keywords Healthcare assessment, Community-centric model, Primary healthcare, Rural population. Top |