"Sustainable Healthcare: A Comprehensive Regression Analysis of 4 A’s Access, Affordability, Assurance, and Awareness in Driving Patient Motivation"
Abstract
Patient motivation is an individual's intrinsic desire, willingness, or initiative to actively participate in their healthcare, make healthy choices, and engage in well-being-promoting actions. Motivated patients follow treatments, adopt better lives, participate in preventive measures, and collaborate with healthcare practitioners in shared decision-making. Accessibility, affordability, awareness, and assurance affect patient motivation, which greatly affects health-related behaviour. These four pillars shape patients' healthcare experiences and motivate them to take responsibility for their health. These factors combined can make healthcare more sustainable. Patient motivation greatly impacts sustainable healthcare. Motivated people cure diseases, use resources efficiently, engage in health-promoting habits, and improve healthcare outcomes, ensuring the long-term sustainability of healthcare services. The objective of the paper is to develop a multiple regression model to study the impact of Access, Affordability, Assurance, and Awareness on patient motivation is used to examine healthcare sustainability. The primary data for the study was collected from the patients of Madurai district. The results of the study based on multiple linear regression model reveals that correlation in impact of affordability and assurance on patient motivation. The analysis also determined investing more on creating awareness about healthcare, making healthcare affordable will boost Patient motivation also giving assurance to patients is impact patient motivation. This study provides policymakers, healthcare providers, and other stakeholders about areas that need change to sustain healthcare systems. This research contributes to the discussion on resilient, patient-centric healthcare models that promote accessibility, affordability, assurance, and awareness for long-term well-being.
Downloads
References
Aliman, N.K., & Mohamad, W.N. (2016). Linking Service Quality, Patients’ Satisfaction and Behavioral Intentions: An Investigation on Private Healthcare in Malaysia. Procedia - Social and Behavioral Sciences, 224, 141-148.
Asher, G. (1997). Improving patient access. Medical group management journal, 44 2, 66-8, 70, 72 .
Atella, V., Noyce, P.R., Schafheutle, E.I., & Hassell, K. (2005). Affordability of Medicines and Patients' Cost Reduction Behaviors: Empirical Evidence Based on Sur Estimates from Italy and the United Kingdom. European Public Law: National eJournal.
Bhojak, N. p, K.K Patel, & Rathod, H. S. (2024). Willingness to Pay for Health insurance: A Review. AIMS JOURNAL OF MANAGEMENT, 9(2).
Cole, S., Zhang, Y., Wang, W., & Hu, C. (2018). The influence of accessibility and motivation on leisure travel participation of people with disabilities. Journal of Travel & Tourism Marketing, 36, 119 - 130.
del Castillo, M.Á., Tamborero, G., Raneo, R., Coll, J., Aguilo, Á., & Casamartina, R. (1990). [The waiting times in a health center]. Atencion primaria, 7 1, 30-6 .
Deep, D. M., Yadav, A. A., & Yadav, V. N. (2024). Health Care Seeking Behaviour among women in Delhi-NCR Region: An Exploratory Study. SOUTH INDIA JOURNAL OF SOCIAL SCIENCES, 22(2 June), 128-136.
Fineberg, H. V. (2012). A successful and sustainable health system—how to get there from here. New England Journal of Medicine, 366(11), 1020-1027.
Harris, P.R., & Epton, T. (2010). The Impact of Self‐Affirmation on Health‐Related Cognition and Health Behaviour: Issues and Prospects. Social and Personality Psychology Compass, 4, 439-454.
Hoskins, K., Ulrich, C.M., Shinnick, J.E., & Buttenheim, A.M. (2019). Acceptability of financial incentives for health-related behavior change: An updated systematic review. Preventive medicine, 105762 .
Kruk, M. E., Gage, A. D., Arsenault, C., Jordan, K., Leslie, H. H., Roder-DeWan, S., ... & Pate, M. (2018). High-quality health systems in the Sustainable Development Goals era: time for a revolution. The Lancet global health, 6(11), e1196-e1252.
Maclean, N., & Pound, P. (2000). A critical review of the concept of patient motivation in the literature on physical rehabilitation. Social science & medicine, 50 4, 495-506 .
Magadzire, B.P. (2016). Understanding the dynamics of accessing chronic medicines in the public sector: Implications for policy in South Africa.
McArtor, R.E., Iverson, D.C., Benken, D.E., Gilchrist, V.J., Dennis, L.K., & Broome, R.A. (1992). Physician assessment of patient motivation: influence on disposition for follow-up care. American journal of preventive medicine, 8 3, 147-9 .
McCarron, T.L., Noseworthy, T., Moffat, K., Wilkinson, G., Zelinsky, S., White, D.E., Hassay, D.N., Lorenzetti, D.L., & Marlett, N.J. (2019). Understanding the motivations of patients: A co‐designed project to understand the factors behind patient engagement. Health Expectations : An International Journal of Public Participation in Health Care and Health Policy, 22, 709 - 720.
Mclaughlin, C., & Wyszewianski, L. (2002). Access to care: remembering old lessons. Health services research, 37 6, 1441-3 .
Molina, M.F., & Briggs-Malonson, M. (2017). The Patient Perspective: Receiving Care in the Post-ACA Era. Journal of health disparities research and practice, 10, 14.
Nagle, J.P., McMahon, K., Barbour, M.D., Sayed‐Farshi, Z., & Allen, D. (1991). Patient Satisfaction with the Accessibility of a Group Practice. Journal of Management in Medicine, 5, 18-26.
Peat, M. (1997). Attitudes and access: advancing the rights of people with disabilities. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 156 5, 657-9 .
Saultz, J.W., Heineman, J.L., Seltzer, R., Bunce, A.E., Spires, L., & DeVoe, J.E. (2011). Uninsured Patient Opinions about a Reduced-Fee Retainer Program at Academic Health Center Clinics. The Journal of the American Board of Family Medicine, 24, 304 - 312.
Shaw, C.R. (2014). Reducing the burden of medication costs to improve medication adherence. The Nurse practitioner, 39 7, 43-7 .
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 J. Benila Pearl, M.Palanivel Rajan
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
Terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
