IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i20p13195-d941350.html
   My bibliography  Save this article

Strategies for Improving the Utilization of Preventive Care Services: Application of Importance–Performance Gap Analysis Method

Author

Listed:
  • Ming-Jye Wang

    (Department of Secretariat, National Taiwan University Hospital Hsin-Chu Branch, No. 25, Lane 442, Sec. 1, Jingguo Rd., Hsinchu City 300, Taiwan)

  • Yi-Ting Lo

    (Department of Development and Planning, National Taiwan University Hospital Hsin-Chu Branch, Hsinchu City 300, Taiwan)

Abstract

The utilization of preventive care services is limited. Previous studies based on communities have looked at many types of barriers to preventive care (i.e., why not do). This study aimed to gain an insight into the key factors and performance gaps (i.e., why do and how to do) of people who attended a regional teaching hospital to undergo health check-ups using a purposive sampling method to recruit people to complete a self-administered questionnaire. Paired sample t -tests and importance–performance gap and regression analyses were performed. The results indicated that the participants’ wish to understand their health status, the quality of medical devices and the completeness of items, and process layout planning were the key factors that affect people’s health check-up behavior. Promoting the effectiveness of hospital performance may improve the positive cycle of people’s health check-up behavior from the community to the hospital. Continuing to promote the knowledge of preventive care services is necessary, and it is very important for people to have a good experience of undergoing health check-ups in the hospital. Important strategies for improving the utilization of preventive care services may include: meeting the person’s personalization needs, improving the quality of medical devices and the completeness of items, and having appropriate process layout planning, a detailed interpretation of the results, and further follow-ups in the hospital.

Suggested Citation

  • Ming-Jye Wang & Yi-Ting Lo, 2022. "Strategies for Improving the Utilization of Preventive Care Services: Application of Importance–Performance Gap Analysis Method," IJERPH, MDPI, vol. 19(20), pages 1-11, October.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:20:p:13195-:d:941350
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/20/13195/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/19/20/13195/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Cropper, M L, 1977. "Health, Investment in Health, and Occupational Choice," Journal of Political Economy, University of Chicago Press, vol. 85(6), pages 1273-1294, December.
    2. Shih-Ying Chien & Ming-Chuen Chuang & I-Ping Chen, 2020. "Why People Do Not Attend Health Screenings: Factors That Influence Willingness to Participate in Health Screenings for Chronic Diseases," IJERPH, MDPI, vol. 17(10), pages 1-13, May.
    3. Shih-Ying Chien & Ming-Chuen Chuang & I-Ping Chen & Peter H. Yu, 2019. "Primary Drivers of Willingness to Continue to Participate in Community-Based Health Screening for Chronic Diseases," IJERPH, MDPI, vol. 16(9), pages 1-10, May.
    4. Tian, Wei-Hua & Chen, Chin-Shyan & Liu, Tsai-Ching, 2010. "The demand for preventive care services and its relationship with inpatient services," Health Policy, Elsevier, vol. 94(2), pages 164-174, February.
    5. Walsh, Brendan & Silles, Mary & O'Neill, Ciarán, 2011. "The importance of socio-economic variables in cancer screening participation: A comparison between population-based and opportunistic screening in the EU-15," Health Policy, Elsevier, vol. 101(3), pages 269-276, August.
    6. Slavka Mitričević & Janko Janković & Željka Stamenković & Vesna Bjegović-Mikanović & Marko Savić & Dejana Stanisavljević & Stefan Mandić-Rajčević, 2021. "Factors Influencing Utilization of Preventive Health Services in Primary Health Care in the Republic of Serbia," IJERPH, MDPI, vol. 18(6), pages 1-12, March.
    7. Musa, D. & Schulz, R. & Harris, R. & Silverman, M. & Thomas, S.B., 2009. "Trust in the health care system and the use of preventive health services by older black and white adults," American Journal of Public Health, American Public Health Association, vol. 99(7), pages 1293-1299.
    8. Teutsch, Friedrich & Gugglberger, Lisa & Dür, Wolfgang, 2015. "School health promotion providers’ roles in practice and theory: Results from a case study," Health Policy, Elsevier, vol. 119(1), pages 82-87.
    9. McMorrow, S. & Kenney, G.M. & Goin, D., 2014. "Determinants of receipt of recommended preventive services: implications for the affordable care act," American Journal of Public Health, American Public Health Association, vol. 104(12), pages 2392-2399.
    10. Teo, Chin Hai & Ng, Chirk Jenn & Booth, Andrew & White, Alan, 2016. "Barriers and facilitators to health screening in men: A systematic review," Social Science & Medicine, Elsevier, vol. 165(C), pages 168-176.
    11. Hulscher, M.E.J.L. & Wensing, M. & Grol, R.P.T.M. & Van Der Weijden, T. & Van Weel, C., 1999. "Interventions to improve the delivery of preventive services in primary care," American Journal of Public Health, American Public Health Association, vol. 89(5), pages 737-746.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Chiao-Lee Chu & Nozuko Lawana, 2021. "Decomposition of income-related inequality in health check-ups services participation among elderly individuals across the 2008 financial crisis in Taiwan," PLOS ONE, Public Library of Science, vol. 16(6), pages 1-14, June.
    2. Chun-Chih Chen & Yen-Ju Lin & Ying-Tzu Lin, 2013. "Awareness and utilization of preventive care services among the elderly under National Health Insurance," International Journal of Health Economics and Management, Springer, vol. 13(3), pages 247-260, December.
    3. Dugord, Clara & Franc, Carine, 2022. "Trajectories and individual determinants of regular cancer screening use over a long period based on data from the French E3N cohort," Social Science & Medicine, Elsevier, vol. 294(C).
    4. Chen, Chin-Shyan & Peng, Yu-I & Lee, Ping-Chang & Liu, Tsai-Ching, 2015. "The effectiveness of preventive care at reducing curative care risk for the Taiwanese elderly under National Health Insurance," Health Policy, Elsevier, vol. 119(6), pages 787-793.
    5. Lurås, Hilde, 2009. "A healthy lifestyle: The product of opportunities and preferences," HERO Online Working Paper Series 2001:11, University of Oslo, Health Economics Research Programme.
    6. Galama, Titus & Kapteyn, Arie, 2011. "Grossman’s missing health threshold," Journal of Health Economics, Elsevier, vol. 30(5), pages 1044-1056.
    7. Cinzia Di Novi, 2007. "An Economic Evaluation of Life-Style and Air-pollution-related Damages: Results from the BRFSS," JEPS Working Papers 07-001, JEPS.
    8. Okeke, Edward N. & Adepiti, Clement A. & Ajenifuja, Kayode O., 2013. "What is the price of prevention? New evidence from a field experiment," Journal of Health Economics, Elsevier, vol. 32(1), pages 207-218.
    9. Eibich, Peter & Goldzahl, Léontine, 2021. "Does retirement affect secondary preventive care use? Evidence from breast cancer screening," Economics & Human Biology, Elsevier, vol. 43(C).
    10. Liljas, Bengt, 1998. "The demand for health with uncertainty and insurance," Journal of Health Economics, Elsevier, vol. 17(2), pages 153-170, April.
    11. Strulik, Holger, 2022. "A health economic theory of occupational choice, aging, and longevity," Journal of Health Economics, Elsevier, vol. 82(C).
    12. Adhvaryu, Achyuta & Nyshadham, Anant, 2011. "Healthcare Choices, Information and Health Outcomes," Center Discussion Papers 107257, Yale University, Economic Growth Center.
    13. Folkert Groot & Stefano Capri & Jean-Claude Castanier & David Cunningham & Bruno Flamion & Mathias Flume & Harald Herholz & Lars-Åke Levin & Oriol Solà-Morales & Christoph J. Rupprecht & Natalie Shale, 2017. "Ethical Hurdles in the Prioritization of Oncology Care," Applied Health Economics and Health Policy, Springer, vol. 15(2), pages 119-126, April.
    14. Anuli Njoku & Marcelin Joseph & Rochelle Felix, 2021. "Changing the Narrative: Structural Barriers and Racial and Ethnic Inequities in COVID-19 Vaccination," IJERPH, MDPI, vol. 18(18), pages 1-14, September.
    15. Nong, Paige & Raj, Minakshi & Trinidad, Marie Grace & Rowe, Zachary & Platt, Jodyn, 2021. "Understanding racial differences in attitudes about public health efforts during COVID-19 using an explanatory mixed methods design," Social Science & Medicine, Elsevier, vol. 287(C).
    16. Gallo, Federica & Caprioglio, Adele & Castagno, Roberta & Ronco, Guglielmo & Segnan, Nereo & Giordano, Livia, 2017. "Inequalities in cervical cancer screening utilisation and results: A comparison between Italian natives and immigrants from disadvantaged countries," Health Policy, Elsevier, vol. 121(10), pages 1072-1078.
    17. Bolin, Kristian & Caputo, Michael R., 2020. "Consumption and investment demand when health evolves stochastically," Journal of Economic Dynamics and Control, Elsevier, vol. 114(C).
    18. Thomas C. Buchmueller & Léontine Goldzahl, 2018. "The Effect of Organized Breast Cancer Screening on Mammography Use: Evidence from France," NBER Working Papers 24316, National Bureau of Economic Research, Inc.
    19. Cuong Viet Nguyen & Manh‐Hung Nguyen & Toan Truong Nguyen, 2023. "The impact of cold waves and heat waves on mortality: Evidence from a lower middle‐income country," Health Economics, John Wiley & Sons, Ltd., vol. 32(6), pages 1220-1243, June.
    20. Kyriopoulos, Ilias & Vandoros, Sotiris & Kawachi, Ichiro, 2022. "Police killings and suicide among Black Americans," Social Science & Medicine, Elsevier, vol. 305(C).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:20:p:13195-:d:941350. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.