SynthesisBMC health services research2025
Health-seeking behavior and healthcare utilization among patients with non-communicable diseases in India: insights from a systematic review.
Synthesis in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
4 citing papers in PubMed.
- Exploring Health-Seeking Behavior Among Women Diagnosed With Gestational Diabetes Mellitus: A Qualitative Study.Cureus · 2026Article
- Knowledge and Attitude Related to Stroke and Factors Associated with them Among Adults Aged 18 Years and Above in Kerala, India: A Community-Based Cross-Sectional Study.Annals of Indian Academy of Neurology · 2026Article
- Cardiovascular Risk Awareness Among Adults in the Northern Border Region of Saudi Arabia: A Cross-Sectional Study with Emphasis on Hypertension and Type 2 Diabetes.Diseases (Basel, Switzerland) · 2026Article
- A KAP assessment of awareness, attitudes and practices towards Government-sponsored health insurance schemes in India.Bioinformation · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveNon-communicable diseases (NCDs) remain the leading cause of mortality in India, imposing a significant healthcare and economic burden. This study evaluates the health-seeking behaviour, healthcare utilization, and financial impact of major NCDs hypertension, diabetes, ischemic heart disease, and chronic kidney disease (CKD).
methodsA systematic search was conducted across global health databases, including PubMed, EMBASE, CINAHL, Scopus, Web of Science, ProQuest, and J-Gate. Simultaneously, searches were performed on Indian databases, journal websites, and Google Scholar for studies published between January 2014 and December 2024. A total of 1,462 studies were identified and exported to Rayyan software for screening. Two independent reviewers screened the studies based on predefined eligibility criteria. The quality of included studies was assessed using the Joanna Briggs Institute checklist, while data extraction was performed using Cochrane data collection forms. Meta-analysis was not conducted due to heterogeneity in the included studies. This review adheres to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.
resultsA total of 44 observational survey-based studies were included in this review. Financial constraints, geographical barriers, and awareness gaps influenced healthcare utilization for NCDs. While 60.5% relied on government services for affordability, 39.4% preferred private care for faster access. Out-of-pocket expenses, particularly for hemodialysis and cardiac interventions, posed a major financial burden. Treatment adherence varied by 70.1% among diabetic patients but only 32.4% among hypertensive women. Stockouts of essential medications in public hospitals and high costs of branded drugs in private facilities further restricted access. Emergency care utilisation was high for ischemic heart disease, while CKD patients faced long-term financial strain due to dialysis and frequent hospitalisations. Despite an increase in telemedicine use during COVID-19, accessibility challenges persisted. Systemic inefficiencies, cultural beliefs, and transportation issues further delayed timely care.
conclusionThis review highlights critical gaps in NCD care in India, particularly in treatment adherence, financial accessibility, and healthcare infrastructure. Strengthening public healthcare services, expanding insurance coverage for long-term NCD management, and integrating community-based interventions are key policy directions. Additionally, targeted strategies to improve health literacy and promote early disease detection are essential to improving health outcomes and reducing inequities in NCD care in India.
trial registrationPROSPERO registration number CRD42024576994.
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What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.