{"id":"https://openalex.org/W4409435452","doi":"https://doi.org/10.1080/16549716.2025.2480413","title":"Determinants of outpatient healthcare-seeking behaviors among the rural poor affected by chronic conditions in India: a population-based cross-sectional study in seven states","display_name":"Determinants of outpatient healthcare-seeking behaviors among the rural poor affected by chronic conditions in India: a population-based cross-sectional study in seven states","publication_year":2025,"publication_date":"2025-04-14","ids":{"openalex":"https://openalex.org/W4409435452","doi":"https://doi.org/10.1080/16549716.2025.2480413","pmid":"https://pubmed.ncbi.nlm.nih.gov/40223762"},"language":"en","primary_location":{"id":"doi:10.1080/16549716.2025.2480413","doi":"https://doi.org/10.1080/16549716.2025.2480413","is_oa":true,"landing_page_url":"https://doi.org/10.1080/16549716.2025.2480413","pdf_url":"https://www.tandfonline.com/doi/pdf/10.1080/16549716.2025.2480413?needAccess=true","source":{"id":"https://openalex.org/S105066276","display_name":"Global Health Action","issn_l":"1654-9716","issn":["1654-9716","1654-9880"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320547","host_organization_name":"Taylor & Francis","host_organization_lineage":["https://openalex.org/P4310320547","https://openalex.org/P4310320449"],"host_organization_lineage_names":["Taylor & Francis","Informa"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Global Health Action","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.tandfonline.com/doi/pdf/10.1080/16549716.2025.2480413?needAccess=true","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":null,"display_name":"David Grossmann","orcid":"https://orcid.org/0009-0006-8542-8381","observed_orcids":["https://orcid.org/0009-0006-8542-8381"]},"institutions":[{"id":"https://openalex.org/I2802164966","display_name":"University Hospital Heidelberg","ror":"https://ror.org/013czdx64","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I2802164966"]}],"countries":["DE"],"is_corresponding":true,"raw_author_name":"David Grossmann","raw_affiliation_strings":["Heidelberg University Hospital and Medical Faculty"],"raw_orcid":"https://orcid.org/0009-0006-8542-8381","affiliations":[{"raw_affiliation_string":"Heidelberg University Hospital and Medical Faculty","institution_ids":["https://openalex.org/I2802164966"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103052873","display_name":"Swati Srivastava","orcid":"https://orcid.org/0000-0003-1864-9783","observed_orcids":["https://orcid.org/0000-0003-1864-9783"]},"institutions":[{"id":"https://openalex.org/I2802164966","display_name":"University Hospital Heidelberg","ror":"https://ror.org/013czdx64","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I2802164966"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Swati Srivastava","raw_affiliation_strings":["Heidelberg University Hospital and Medical Faculty"],"raw_orcid":"https://orcid.org/0000-0003-1864-9783","affiliations":[{"raw_affiliation_string":"Heidelberg University Hospital and Medical Faculty","institution_ids":["https://openalex.org/I2802164966"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5025019381","display_name":"Volker Franz Winkler","orcid":"https://orcid.org/0000-0002-9974-1145","observed_orcids":["https://orcid.org/0000-0002-9974-1145"]},"institutions":[{"id":"https://openalex.org/I2802164966","display_name":"University Hospital Heidelberg","ror":"https://ror.org/013czdx64","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I2802164966"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Volker Winkler","raw_affiliation_strings":["Heidelberg University Hospital and Medical Faculty"],"raw_orcid":"https://orcid.org/0000-0002-9974-1145","affiliations":[{"raw_affiliation_string":"Heidelberg University Hospital and Medical Faculty","institution_ids":["https://openalex.org/I2802164966"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5069723691","display_name":"Stephan Brenner","orcid":"https://orcid.org/0000-0001-5397-7008","observed_orcids":["https://orcid.org/0000-0001-5397-7008"]},"institutions":[{"id":"https://openalex.org/I2802164966","display_name":"University Hospital Heidelberg","ror":"https://ror.org/013czdx64","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I2802164966"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Stephan Brenner","raw_affiliation_strings":["Heidelberg University Hospital and Medical Faculty"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Heidelberg University Hospital and Medical Faculty","institution_ids":["https://openalex.org/I2802164966"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Keerti Jain Gupta","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I193207422","display_name":"Deutsche Gesellschaft f\u00fcr Internationale Zusammenarbeit","ror":"https://ror.org/00m42s140","country_code":"PH","type":"other","lineage":["https://openalex.org/I193207422","https://openalex.org/I4210095035"]},{"id":"https://openalex.org/I4210095035","display_name":"Deutsche Gesellschaft f\u00fcr Internationale Zusammenarbeit","ror":"https://ror.org/00q08t645","country_code":"DE","type":"other","lineage":["https://openalex.org/I4210095035"]}],"countries":["DE","PH"],"is_corresponding":false,"raw_author_name":"Keerti Jain Gupta","raw_affiliation_strings":["Deutsche Gesellschaft f\u00fcr Internationale Zusammenarbeit (GIZ) GmbH"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Deutsche Gesellschaft f\u00fcr Internationale Zusammenarbeit (GIZ) GmbH","institution_ids":["https://openalex.org/I193207422","https://openalex.org/I4210095035"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5003990039","display_name":"Amit Paliwal","orcid":"https://orcid.org/0000-0001-6917-9086","observed_orcids":["https://orcid.org/0000-0001-6917-9086"]},"institutions":[{"id":"https://openalex.org/I193207422","display_name":"Deutsche Gesellschaft f\u00fcr Internationale Zusammenarbeit","ror":"https://ror.org/00m42s140","country_code":"PH","type":"other","lineage":["https://openalex.org/I193207422","https://openalex.org/I4210095035"]},{"id":"https://openalex.org/I4210095035","display_name":"Deutsche Gesellschaft f\u00fcr Internationale Zusammenarbeit","ror":"https://ror.org/00q08t645","country_code":"DE","type":"other","lineage":["https://openalex.org/I4210095035"]}],"countries":["DE","PH"],"is_corresponding":false,"raw_author_name":"Amit Paliwal","raw_affiliation_strings":["Deutsche Gesellschaft f\u00fcr Internationale Zusammenarbeit (GIZ) GmbH"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Deutsche Gesellschaft f\u00fcr Internationale Zusammenarbeit (GIZ) GmbH","institution_ids":["https://openalex.org/I193207422","https://openalex.org/I4210095035"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5045397336","display_name":"Kavita Singh","orcid":"https://orcid.org/0000-0003-4330-666X","observed_orcids":["https://orcid.org/0000-0003-4330-666X"]},"institutions":[{"id":"https://openalex.org/I2802164966","display_name":"University Hospital Heidelberg","ror":"https://ror.org/013czdx64","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I2802164966"]},{"id":"https://openalex.org/I74653059","display_name":"Public Health Foundation of India","ror":"https://ror.org/058s20p71","country_code":"IN","type":"nonprofit","lineage":["https://openalex.org/I74653059"]}],"countries":["DE","IN"],"is_corresponding":false,"raw_author_name":"Kavita Singh","raw_affiliation_strings":["Heidelberg University Hospital and Medical Faculty","Public Health Foundations of India"],"raw_orcid":"https://orcid.org/0000-0003-4330-666X","affiliations":[{"raw_affiliation_string":"Heidelberg University Hospital and Medical Faculty","institution_ids":["https://openalex.org/I2802164966"]},{"raw_affiliation_string":"Public Health Foundations of India","institution_ids":["https://openalex.org/I74653059"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5003911982","display_name":"Manuela De Allegri","orcid":"https://orcid.org/0000-0002-8677-1337","observed_orcids":["https://orcid.org/0000-0002-8677-1337"]},"institutions":[{"id":"https://openalex.org/I2802164966","display_name":"University Hospital Heidelberg","ror":"https://ror.org/013czdx64","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I2802164966"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Manuela De Allegri","raw_affiliation_strings":["Heidelberg University Hospital and Medical Faculty"],"raw_orcid":"https://orcid.org/0000-0002-8677-1337","affiliations":[{"raw_affiliation_string":"Heidelberg University Hospital and Medical Faculty","institution_ids":["https://openalex.org/I2802164966"]}]}],"institutions":[],"countries_distinct_count":3,"institutions_distinct_count":4,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I2802164966"],"apc_list":{"value":1400,"currency":"EUR","value_usd":1509},"apc_paid":{"value":1400,"currency":"EUR","value_usd":1509},"fwci":3.756,"has_fulltext":true,"cited_by_count":4,"citation_normalized_percentile":{"value":0.92397746,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":94,"max":97},"biblio":{"volume":"18","issue":"1","first_page":"2480413","last_page":"2480413"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.9696999788284302,"subfield":{"id":"https://openalex.org/subfields/2003","display_name":"Finance"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.9696999788284302,"subfield":{"id":"https://openalex.org/subfields/2003","display_name":"Finance"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13633","display_name":"Public Health and Social Inequalities","score":0.019600000232458115,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10272","display_name":"Mental Health Treatment and Access","score":0.0027000000700354576,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/non-communicable-diseases","display_name":"non-communicable diseases","score":0.9670000076293945},{"id":"https://openalex.org/keywords/rural-poor","display_name":"rural poor","score":0.7670000195503235},{"id":"https://openalex.org/keywords/health-insurance-coverage","display_name":"health insurance coverage","score":0.8109999895095825},{"id":"https://openalex.org/keywords/informal-care","display_name":"informal care","score":0.7400000095367432},{"id":"https://openalex.org/keywords/traditional-healers","display_name":"traditional healers","score":0.8029999732971191},{"id":"https://openalex.org/keywords/socioeconomic-status","display_name":"socioeconomic status","score":0.6150000095367432},{"id":"https://openalex.org/keywords/functional-limitations","display_name":"functional limitations","score":0.5709999799728394},{"id":"https://openalex.org/keywords/health-disparities","display_name":"health disparities","score":0.7549999952316284},{"id":"https://openalex.org/keywords/india","display_name":"India","score":0.7870000004768372}],"concepts":[{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.7404902577400208},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5653615593910217},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.48816949129104614},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.4718725085258484},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.45760297775268555},{"id":"https://openalex.org/C129047720","wikidata":"https://www.wikidata.org/wiki/Q175185","display_name":"Rural area","level":2,"score":0.4189069867134094},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.3430687189102173},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.3250780701637268},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.1386619210243225},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000553","descriptor_name":"Ambulatory Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D000553","descriptor_name":"Ambulatory Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D000553","descriptor_name":"Ambulatory Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D000553","descriptor_name":"Ambulatory Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D000553","descriptor_name":"Ambulatory Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D002908","descriptor_name":"Chronic Disease","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D002908","descriptor_name":"Chronic Disease","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D002908","descriptor_name":"Chronic Disease","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D002908","descriptor_name":"Chronic Disease","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D002908","descriptor_name":"Chronic Disease","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D002908","descriptor_name":"Chronic Disease","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":false},{"descriptor_ui":"D002908","descriptor_name":"Chronic Disease","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":false},{"descriptor_ui":"D002908","descriptor_name":"Chronic Disease","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":false},{"descriptor_ui":"D002908","descriptor_name":"Chronic Disease","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":false},{"descriptor_ui":"D002908","descriptor_name":"Chronic Disease","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":false},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006297","descriptor_name":"Health Services Accessibility","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006297","descriptor_name":"Health Services Accessibility","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006297","descriptor_name":"Health Services Accessibility","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006297","descriptor_name":"Health Services Accessibility","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006297","descriptor_name":"Health Services Accessibility","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007194","descriptor_name":"India","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D007194","descriptor_name":"India","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D007194","descriptor_name":"India","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D007194","descriptor_name":"India","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D007194","descriptor_name":"India","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D007348","descriptor_name":"Insurance, Health","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007348","descriptor_name":"Insurance, Health","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007348","descriptor_name":"Insurance, Health","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007348","descriptor_name":"Insurance, Health","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007348","descriptor_name":"Insurance, Health","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010342","descriptor_name":"Patient Acceptance of Health Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D010342","descriptor_name":"Patient Acceptance of Health Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D010342","descriptor_name":"Patient Acceptance of Health Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D010342","descriptor_name":"Patient Acceptance of Health Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D010342","descriptor_name":"Patient Acceptance of Health Care","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D011203","descriptor_name":"Poverty","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011203","descriptor_name":"Poverty","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011203","descriptor_name":"Poverty","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011203","descriptor_name":"Poverty","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011203","descriptor_name":"Poverty","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012424","descriptor_name":"Rural Population","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D012424","descriptor_name":"Rural Population","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D012424","descriptor_name":"Rural Population","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D012424","descriptor_name":"Rural Population","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D012424","descriptor_name":"Rural Population","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D055815","descriptor_name":"Young Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D055815","descriptor_name":"Young Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D055815","descriptor_name":"Young Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D055815","descriptor_name":"Young Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D055815","descriptor_name":"Young Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":5,"locations":[{"id":"doi:10.1080/16549716.2025.2480413","doi":"https://doi.org/10.1080/16549716.2025.2480413","is_oa":true,"landing_page_url":"https://doi.org/10.1080/16549716.2025.2480413","pdf_url":"https://www.tandfonline.com/doi/pdf/10.1080/16549716.2025.2480413?needAccess=true","source":{"id":"https://openalex.org/S105066276","display_name":"Global Health Action","issn_l":"1654-9716","issn":["1654-9716","1654-9880"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320547","host_organization_name":"Taylor & Francis","host_organization_lineage":["https://openalex.org/P4310320547","https://openalex.org/P4310320449"],"host_organization_lineage_names":["Taylor & Francis","Informa"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Global Health Action","raw_type":"journal-article"},{"id":"pmid:40223762","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40223762","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Global health action","raw_type":"Journal Article"},{"id":"pmh:oai:europepmc.org:10809955","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/11998304","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":null,"raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:11998304","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/11998304","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":"Glob Health Action","raw_type":"Text"},{"id":"pmh:oai:doaj.org/article:068919cce99d41558b71aff9503ef2bb","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/068919cce99d41558b71aff9503ef2bb","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Global Health Action, Vol 18, Iss 1 (2025)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1080/16549716.2025.2480413","doi":"https://doi.org/10.1080/16549716.2025.2480413","is_oa":true,"landing_page_url":"https://doi.org/10.1080/16549716.2025.2480413","pdf_url":"https://www.tandfonline.com/doi/pdf/10.1080/16549716.2025.2480413?needAccess=true","source":{"id":"https://openalex.org/S105066276","display_name":"Global Health Action","issn_l":"1654-9716","issn":["1654-9716","1654-9880"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320547","host_organization_name":"Taylor & Francis","host_organization_lineage":["https://openalex.org/P4310320547","https://openalex.org/P4310320449"],"host_organization_lineage_names":["Taylor & Francis","Informa"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Global Health Action","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"sustainable_development_goals_aurora":[{"id":"https://metadata.un.org/sdg/1","score":0.7099999785423279,"display_name":"No poverty"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320306137","display_name":"Bill and Melinda Gates Foundation","ror":"https://ror.org/0456r8d26"},{"id":"https://openalex.org/F4320320875","display_name":"Deutscher Akademischer Austauschdienst","ror":"https://ror.org/039djdh30"},{"id":"https://openalex.org/F4320323883","display_name":"Bundesministerium f\u00fcr Wirtschaftliche Zusammenarbeit und Entwicklung","ror":"https://ror.org/00e0ttj68"},{"id":"https://openalex.org/F4320326821","display_name":"Deutsche Gesellschaft f\u00fcr Internationale Zusammenarbeit","ror":"https://ror.org/00q08t645"},{"id":"https://openalex.org/F4320338362","display_name":"FP7 International Cooperation","ror":null}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4409435452.pdf","grobid_xml":"https://content.openalex.org/works/W4409435452.grobid-xml"},"referenced_works_count":57,"referenced_works":["https://openalex.org/W1521305908","https://openalex.org/W1599550596","https://openalex.org/W1975398584","https://openalex.org/W1977234765","https://openalex.org/W1986556976","https://openalex.org/W2000897621","https://openalex.org/W2023522513","https://openalex.org/W2041952738","https://openalex.org/W2055134396","https://openalex.org/W2055588333","https://openalex.org/W2060877821","https://openalex.org/W2068155640","https://openalex.org/W2096307308","https://openalex.org/W2099699279","https://openalex.org/W2119217392","https://openalex.org/W2151768324","https://openalex.org/W2341520732","https://openalex.org/W2407130864","https://openalex.org/W2556838780","https://openalex.org/W2770210747","https://openalex.org/W2770287703","https://openalex.org/W2776633371","https://openalex.org/W2781953581","https://openalex.org/W2795529945","https://openalex.org/W2795609817","https://openalex.org/W2802972465","https://openalex.org/W2804207405","https://openalex.org/W2889654052","https://openalex.org/W2906390464","https://openalex.org/W2947532378","https://openalex.org/W2962471769","https://openalex.org/W2997221478","https://openalex.org/W3011123572","https://openalex.org/W3089101794","https://openalex.org/W3089511757","https://openalex.org/W3092849554","https://openalex.org/W3093820912","https://openalex.org/W3122196827","https://openalex.org/W3159262411","https://openalex.org/W3176710000","https://openalex.org/W4200611194","https://openalex.org/W4214484173","https://openalex.org/W4221066908","https://openalex.org/W4224950661","https://openalex.org/W4225324736","https://openalex.org/W4289209382","https://openalex.org/W4297458619","https://openalex.org/W4304184964","https://openalex.org/W4311676708","https://openalex.org/W4313208461","https://openalex.org/W4366769167","https://openalex.org/W4382344969","https://openalex.org/W4383293709","https://openalex.org/W4389148811","https://openalex.org/W4391136032","https://openalex.org/W4394894573","https://openalex.org/W6967793574"],"related_works":["https://openalex.org/W2378502579","https://openalex.org/W2377889937","https://openalex.org/W2362359465","https://openalex.org/W2369433317","https://openalex.org/W2087863410","https://openalex.org/W2375884684","https://openalex.org/W1573708909","https://openalex.org/W2358956489","https://openalex.org/W2385251173","https://openalex.org/W2363715171"],"abstract_inverted_index":{"BACKGROUND:":[0],"A":[1],"rising":[2],"burden":[3],"of":[4,30,44,57,111,154,181,215,230],"chronic":[5,122,231],"non-communicable":[6],"diseases":[7],"(CNCDs)":[8],"increases":[9],"demand":[10],"for":[11,23,228,236,248],"outpatient":[12,45,133,249],"healthcare.":[13],"Yet,":[14],"evidence":[15],"on":[16],"preferences":[17],"and":[18,72,147,169,185,233,245,254],"barriers":[19],"to":[20,81,190,240],"healthcare":[21,217,243],"services":[22],"India's":[24,31],"most":[25],"disadvantaged":[26],"population,":[27],"the":[28,109,213,226,234],"target":[29],"largest":[32],"public":[33,193,242],"health":[34,170,256],"insurance":[35,171,247],"scheme":[36],"(PM-JAY),":[37],"is":[38],"lacking.":[39],"OBJECTIVE:":[40],"We":[41],"explore":[42,225],"determinants":[43],"healthcare-seeking":[46],"behavior":[47],"among":[48],"PM-JAY":[49],"eligible":[50],"individuals":[51,137],"with":[52,85,102],"CNCDs":[53,205],"in":[54,209],"rural":[55],"areas":[56],"seven":[58],"states.":[59],"METHODS:":[60],"Using":[61],"cross-sectional":[62],"data":[63],"from":[64,88,203],"a":[65,121],"household":[66],"survey":[67],"(conducted":[68],"between":[69],"November":[70],"2019":[71],"March":[73],"2020),":[74],"we":[75],"employed":[76],"multilevel":[77],"multinomial":[78],"logistic":[79],"regression":[80],"identify":[82],"factors":[83],"associated":[84],"seeking":[86],"care":[87,157,194,232,250],"informal":[89,151],"(home":[90],"treatment,":[91],"pharmacies,":[92],"traditional":[93],"healers),":[94],"formal":[95,98,140,145,155,192],"public,":[96,146],"or":[97,206],"private":[99,156,237],"providers,":[100],"compared":[101],"no":[103],"care.":[104,134,152],"Anderson's":[105],"behavioral":[106],"model":[107],"informed":[108],"selection":[110],"independent":[112],"variables.":[113],"RESULTS:":[114],"Of":[115],"51,820":[116],"individuals,":[117],"5,061":[118],"(9.8%)":[119],"reported":[120,129],"condition.":[123],"Despite":[124],"their":[125],"disease,":[126],"1,168":[127],"(23.1%)":[128],"not":[130],"using":[131,216],"regular":[132],"Another":[135],"2,421":[136],"(48.0%)":[138],"used":[139,144,150],"private,":[141],"922":[142],"(18.3%)":[143],"535":[148],"(10.6%)":[149],"Predictors":[153],"were":[158,187],"higher":[159],"socioeconomic":[160],"status":[161],"(RRR":[162,173,195],"=":[163,174,196],"2.441,":[164],"95%":[165,176,198],"CI":[166,177,199],"[1.61,":[167],"3.70])":[168],"coverage":[172],"1.478,":[175],"[1.12,":[178],"1.95]).":[179],"Residents":[180],"Tamil":[182],"Nadu,":[183],"Kerala,":[184],"Gujarat":[186],"more":[188],"likely":[189],"use":[191],"23.915,":[197],"[9.01,":[200],"63.44]).":[201],"Suffering":[202],"Major":[204],"experiencing":[207],"limitations":[208],"daily":[210],"activities":[211],"increased":[212],"probability":[214],"across":[218],"all":[219],"options.":[220],"CONCLUSION:":[221],"Future":[222],"research":[223],"should":[224],"reasons":[227],"non-utilization":[229],"preference":[235],"providers.":[238],"Policies":[239],"enhance":[241],"utilization":[244],"expand":[246],"could":[251],"improve":[252],"access":[253],"reduce":[255],"inequities.":[257]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":2}],"updated_date":"2026-10-14T16:39:01.820549","created_date":"2025-10-10T00:00:00"}
