A recent systematic review conducted by Siva, N., Samantaray, K.K., and Krishnapriya, K. has shed light on the critical aspects of health-seeking behavior and healthcare utilization among patients with non-communicable diseases (NCDs) in India. The study meticulously delves into the complex interplay of factors influencing how individuals access healthcare services, particularly in a nation grappling with a rising burden of chronic health conditions. As non-communicable diseases, which include conditions like diabetes, cardiovascular disorders, and chronic respiratory diseases, become increasingly prevalent, understanding patient behavior is essential for effective public health response.
Non-communicable diseases present unique challenges not only to individual health but also to the healthcare system at large. With NCDs now accounting for a significant proportion of morbidity and mortality in India, the findings from this review are pivotal in shaping future health strategies. The researchers analyzed a vast array of studies that examined the nuances of healthcare utilization. They identified key determinants, including socioeconomic status, education level, and geographical location, which play a crucial role in influencing an individual’s willingness and ability to seek care.
One striking finding from the review is the marked variability in health-seeking behaviors across different demographics. For instance, low-income groups often encounter barriers that hinder timely access to medical facilities. These barriers may range from financial constraints to a lack of awareness about available healthcare services. As a result, many patients delay seeking help until their conditions escalate, ultimately compromising their health outcomes and increasing the strain on healthcare resources.
The systematic review also highlighted the role of cultural factors in shaping healthcare utilization patterns. In many regions of India, traditional healthcare practices coexist alongside modern medical frameworks. This leads some patients to initially seek treatment from traditional healers rather than qualified medical professionals. Understanding these cultural dynamics is vital for healthcare providers aiming to tailor interventions that resonate with patients’ beliefs and practices, thus facilitating better utilization of healthcare services.
Additionally, the research examined the influence of health literacy on patients’ behaviors. Individuals with higher levels of health literacy are often more proactive in seeking care, managing their conditions, and complying with treatment regimens. Conversely, those with limited health literacy may struggle to navigate the healthcare system, leading to suboptimal health outcomes. Promoting health literacy among patients with NCDs could therefore serve as an effective strategy to enhance healthcare utilization and overall public health.
Another crucial aspect unearthed by the study is the impact of government health policies on patient behavior. Initiatives such as the Ayushman Bharat scheme, which aims to provide health insurance to low-income families, have transformed access to healthcare services. However, the review suggested that mere availability of services is not enough; there must be active efforts to ensure patients are aware of these policies and feel encouraged to utilize them. This calls for further integration of communication strategies within health services to raise awareness and facilitate access.
Moreover, the systemic issues within the healthcare infrastructure, such as the availability of healthcare facilities and the accessibility of services, were addressed. In many rural areas, patients face logistical challenges in reaching healthcare centers, which often leads to lower rates of utilization. This geographic disparity underscores the need for targeted efforts to enhance healthcare access, particularly in underserved regions of the country.
The review also touched upon the implications of mental health on the healthcare-seeking behavior of individuals with NCDs. There is substantial evidence linking chronic physical health conditions with mental health issues, such as depression and anxiety. Patients grappling with these dual burdens may experience additional barriers in seeking care, as mental health challenges can inhibit one’s motivation or capacity to pursue healthcare. Comprehensive care approaches that address both physical and mental health are thus essential in promoting overall wellness.
With digital health technologies emerging as a potential game changer in healthcare delivery, the research highlighted the growing role of telemedicine and mobile health applications. These innovations can provide unprecedented levels of access to healthcare services, especially for individuals in remote areas. However, the adoption of these technologies must be accompanied by efforts to ensure that all demographic groups, particularly the elderly and those with low digital literacy, can benefit from these advancements.
The integration of patient feedback in healthcare planning was another notable emphasis of the review. Understanding patients’ experiences and perspectives can guide the development of more patient-centered care models. When individuals feel their voices are heard and valued in the healthcare process, they are more likely to engage with services and adhere to treatment protocols, ultimately improving health outcomes.
Furthermore, the review underscored the importance of community engagement in healthcare initiatives. Local organizations and community health workers play a vital role in bridging the gap between healthcare systems and patients. By fostering trust and understanding within communities, these entities can encourage individuals to seek necessary care and maintain regular health check-ups.
Overall, the insights gained from this systematic review are invaluable for informing public health strategies and improving healthcare practices for patients with non-communicable diseases in India. It highlights the multifaceted nature of health-seeking behavior and underscores the need for comprehensive, inclusive, and culturally sensitive approaches to healthcare delivery. Understanding patients’ needs and barriers will ultimately lead to a more effective response to the growing challenge posed by non-communicable diseases in the country.
As India continues to navigate its healthcare landscape amidst rising NCD rates, ensuring equitable access to healthcare services remains paramount. By implementing the findings of this review, public health officials and healthcare providers can better serve the needs of the population, ultimately leading to improved health outcomes and quality of life for countless individuals affected by non-communicable diseases.
Subject of Research: Health-seeking behavior and healthcare utilization among patients with non-communicable diseases in India
Article Title: Health-seeking behavior and healthcare utilization among patients with non-communicable diseases in India: insights from a systematic review.
Article References:
Siva, N., Samantaray, K.K., Krishnapriya, K. et al. Health-seeking behavior and healthcare utilization among patients with non-communicable diseases in India: insights from a systematic review.
BMC Health Serv Res 25, 1548 (2025). https://doi.org/10.1186/s12913-025-13441-x
Image Credits: AI Generated
DOI: https://doi.org/10.1186/s12913-025-13441-x
Keywords: Health-seeking behavior, healthcare utilization, non-communicable diseases, India, public health, health literacy, digital health technologies, community engagement.
Tags: barriers to healthcare for low-income groupschronic disease management strategieseducation and healthcare utilizationfactors influencing healthcare accessgeographic disparities in health accesshealth-seeking behavior in Indiahealthcare utilization for non-communicable diseasesnon-communicable diseases prevalence in Indiapatient behavior in chronic illnesspublic health implications of NCDssocioeconomic determinants of healthsystematic review of healthcare studies in India
