Document Type

Article (Restricted)

Publication Date

1-1-2008

Abstract

Aim: This study aimed to determine which factors could influence (i) parents' decision to seek medical consultatin and (ii) their preference for either public or private medical service in children with upper respiratory tract infection. Methods: This cross-sectional study was conducted at the Gombak district, which is an urban area in Malaysia. We randomly selected parents of kindergarten children aged 4-5 years to participate in this questionnaire survey. The main outcome measures were predictors of early medical consultation and type of service utilisation (public versus private). Results: We achieved a response rate of 84.5 (n = 1033/1223). 64.1 sought early medical consultation and 70.9 preferred to consult a private doctor. Early consultation was predicated by the parent gender being male (OR 1.50; 95 CI 1.09, 2.05), non-Chinese (OR 1.75; 95 CI 1.10, 2.79), and those who preferred child specialists (OR 2.02; 95 CI 1.27, 3.23). Lower income group (OR 4.28; 95 CI 2.30, 7.95) and not having a regular doctor (OR 4.99; 95 CI 3.19, 7.80) were predictors of using the public health services. Conclusions: Parent's gender, ethnicity and income influenced their decision to seek early medical consultation for their children's respiratory illness while income and having a regular doctor could predict their choice of healthcare services.

Keywords

Health service pre-school child respiratory tract infection young-children care-seeking health-care community services behavior illness

Divisions

fac_med

Publication Title

Journal of Paediatrics and Child Health

Volume

44

Issue

4

Publisher

Wiley

Additional Information

ISI Document Delivery No.: 281MG Times Cited: 0 Cited Reference Count: 14 Ng, Chirk-Jenn Chia, Yook-Chin Teng, Cheong-Lieng Nik-Sherina, Hanafi Wiley-blackwell Malden

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