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

Author

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  • 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
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    References listed on IDEAS

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    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.
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