Access and utilization of public and private Primary Health Care among adults and elderly people with chronic condition(s) in Albania

Gabrani, Jonila. Access and utilization of public and private Primary Health Care among adults and elderly people with chronic condition(s) in Albania. 2022, Doctoral Thesis, University of Basel, Associated Institution, Faculty of Medicine.

Available under License CC BY (Attribution).


Official URL: https://edoc.unibas.ch/91823/

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The burden of disease due to Non-Communicable Diseases (NCDs) is globally on the rise. Primary Health Care (PHC) services can contribute to NCD control and hold an important role. This dissertation provides insights into patient access and the perceived quality of care among 23 public and five private providers in two regions of Albania. Additionally, healthcare-seeking behaviors and Out-of-Pocket payment of the population suffering from NCDs were investigated through a household survey among nearly 1000 chronically ill. The findings show that users of public and private providers have similar views on the quality of non-clinical care. However, prompt attention and coordination of care need additional improvement. While most elderly people visited a PHC to initiate treatment (and follow-up) of their chronic conditions, adults (aged 18–59) initiated and sought regular NCD care at a hospital level through self-referral, bypassing PHC services. Out-of-pocket payments by NCD patients remain important and relate principally to purchasing prescribed drugs. Fostering the health literacy of patients and caregivers in NCD prevention, management, and control through the PHC level is essential, along with establishing well-structured referral mechanisms. Active engagement of local decision-makers is needed.
Advisors:Wyss, Kaspar
Committee Members:Tediosi, Fabrizio and Wijngaarden , Jeroen van
Faculties and Departments:03 Faculty of Medicine
09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Department of Epidemiology and Public Health (EPH) > Household Economics and Health Systems Research > Health Systems and Policy (Tediosi)
UniBasel Contributors:Gabrani, Jonila and Wyss, Kaspar and Tediosi, Fabrizio
Item Type:Thesis
Thesis Subtype:Doctoral Thesis
Thesis no:14981
Thesis status:Complete
Number of Pages:221
Identification Number:
  • urn: urn:nbn:ch:bel-bau-diss149817
edoc DOI:
Last Modified:28 Apr 2023 04:30
Deposited On:27 Apr 2023 10:14

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