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Factors Influencing Progressive Utilization of Palliative Care Services among Cancer Patients in Kenya: The Case of Nairobi Hospice

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  • Caroline Wambui Kimani

    (School of Economics, Population and Development Studies, University of Nairobi, Nairobi Campus, Nairobi, Kenya)

  • Urbanus Mutuku Kioko

    (School of Economics, Population and Development Studies, University of Nairobi, Nairobi Campus, Nairobi, Kenya)

  • Catherine Ndinda

    (Human Sciences Research Council, Pretoria 0001, South Africa
    Development Studies, University of South Africa, Pretoria 0002, South Africa)

  • Pauline Wambui Adebayo

    (School of Built Environment & Development Studies, University of Kwazulu-Natal, Durban 4041, South Africa)

Abstract

The rising cases of non-communicable diseases, specifically cancer, have led to the integration of palliative care in their management. However, only 10% of cancer patients have access to palliative care. Healthcare utilization is an important step in disease management as it aids individuals in accessing opportunities for the prevention and treatment of diseases. The study applied the binary probit model to estimate the progressive utilization of palliative care services by cancer patients. The aim of the study was to determine factors influencing the progressive utilization of palliative care by cancer patients. A cross-sectional data survey was conducted for 169 cancer patients seeking palliative care at the Nairobi Hospice in 2013. For each patient, the predisposing, enabling, and need (PEN) factors were analyzed as key criteria for applying progressive utilization of palliative care at the Nairobi Hospice as compared to those residing in other counties in the study. Descriptive statistics showed that 27% of patients studied resided in Nairobi County, where 61% were female, 62% were married, 35% had primary education, 44% were self-employed, and 59% had medical insurance. Probit regression and marginal effects showed that employment and religion were significant in determining the progressive utilization of palliative care. Employment status and religion are consequently the main factors that both governments and health-focused non-governmental organizations need to consider increasing the probability of progressively utilizing palliative care to improve the quality of life of cancer patients.

Suggested Citation

  • Caroline Wambui Kimani & Urbanus Mutuku Kioko & Catherine Ndinda & Pauline Wambui Adebayo, 2023. "Factors Influencing Progressive Utilization of Palliative Care Services among Cancer Patients in Kenya: The Case of Nairobi Hospice," IJERPH, MDPI, vol. 20(19), pages 1-10, October.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:19:p:6871-:d:1252447
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    References listed on IDEAS

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    1. Erna Rochmawati & Rick Wiechula & Kate Cameron, 2018. "Centrality of spirituality/religion in the culture of palliative care service in Indonesia: An ethnographic study," Nursing & Health Sciences, John Wiley & Sons, vol. 20(2), pages 231-237, June.
    2. Iwashyna, Theodore J. & Christakis, Nicholas A., 2003. "Marriage, widowhood, and health-care use," Social Science & Medicine, Elsevier, vol. 57(11), pages 2137-2147, December.
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