Evaluation of utilization of health care services under employees state insurance scheme in district Rohtak, Haryana

Pages: 688-691
Ramesh Verma (Medical Officer I/C Rural Health Training Centre CHC CHIRI)
Neelam Kumar (Department of Community Medicine, PGIMS, Rohtak)
Raj Kumar (Department of IMSAR, Maharishi Dayanand University, Rohtak)
Varun Arora (Department of Community Medicine, PGIMS, Rohtak)
Meenakshi Kharb (BAMS, MBA, Rohtak)
Sat Pal (Department of Physiology, PGIMS, Rohtak)

To evaluate the utilization of health care services provided under ESI scheme. Cross-sectional, descriptive. ESI dispensary, Shivaji colony Rohtak. Percentage, simple proportion, chi square test, linear regression model. 500 Insured Persons. Out of total 500 participants, 418(83.6%) subjects were utilizing and rest 82(16.4%) were not utilizing ESI health care services. Among utilizing 418 (83.5%) participants, 391 (93.5%) insured persons were males and 27(6.5%) were females while among non-utilizing, 82 (6.5%), 78 (95.1%) insured were males and 4(4.9%) were females. The R value is 0.804 and adjusted R square is 0.630 meaning thereby 63% utilization of health care services at ESI dispensary is due to variables age, caste, literacy status, income, marital status, family members of study participants, knowledge about location of ESI, duration of insurance under ESI scheme, contribution deducted under ESI scheme, OPD timings, health care facility at ESI, distance of ESI-HCF from their residence, behavior of doctor, waiting time for registration and getting treatment, average time spent in ESI dispensary during treatment, satisfied with doctor’s treatment and overall satisfaction with ESI services. The value of Durbin-Watson test is <2 which proves that there is no co-linearity among independent variables. Utilization of health care services is determined to a large extent by their availability and accessibility. Distance from the health care facility plays significant role in service utilization. Patients' satisfaction is not necessarily the main criterion by which primary care services should be judged, but the attitudes of the consumers of health care play important role which must be considered in evaluating services.