Determinants of Healthcare Utilisation Patterns among People with Type 2 Diabetes in the North West Region of Cameroon

Bereynuy Jude Cholong (), Elisaberth Ankiambom Chiatii () and Njong Mom Aloysius ()

European Journal of Health Sciences, 2025, vol. 11, issue 1, 52-64

Abstract: Purpose: Healthcare utilization patterns and behavior of individuals, including diabetic patients, play a crucial role in determining the use of healthcare services. This research examines the determinants of health utilisation patterns among Type 2 diabetes mellitus (T2DM) in the Northwest region of Cameroon. Materials and Methods: A cross-sectional study was conducted over 4 months in 13 healthcare facilities in the NWR. Data was collected using a questionnaire administered by trained nurses and analyzed using Stata 15 software. Regression analyses were conducted to explore factors influencing the choice of health facility type use as a proxy for healthcare utilisation pattern, while descriptive statistics summarized socio-demographic characteristics and healthcare utilization patterns. Findings: The study found that a majority of diabetes patients (52.85%) in the Northwest region of Cameroon prefer private health facilities over public health facilities, despite the higher cost associated with private care. Regression analyses revealed that factors such as income level and educational status influenced the choice of health facility. Most patients opt for private facilities for perceived comfort and faster services, although all healthcare providers adhere to the same code of conduct. Unique Contribution to Theory Practice and Policy: To improve healthcare outcomes and reduce the cost burden, enhancing the quality of care provided in public health facilities is crucial, ensuring greater comfort and minimizing waiting times for patients. Further research and interventions are needed to address the determinants and implications of health utilization patterns in diabetes care in Cameroon.

Date: 2025
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