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Health Services Utilization

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https://www.readbyqxmd.com/read/29036885/fairness-and-eligibility-to-long-term-care-an-analysis-of-the-factors-driving-inequality-and-inequity-in-the-use-of-home-care-for-older-europeans
#1
Stefania Ilinca, Ricardo Rodrigues, Andrea E Schmidt
In contrast with the case of health care, distributional fairness of long-term care (LTC) services in Europe has received limited attention. Given the increased relevance of LTC in the social policy agenda it is timely to evaluate the evidence on inequality and horizontal inequity by socio-economic status (SES) in the use of LTC and to identify the socio-economic factors that drive them. We address both aspects and reflect on the sensitivity of inequity estimates to adopting different definitions of legitimate drivers of care need...
October 14, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29036530/what-does-quality-maternity-care-mean-in-a-context-of-medical-pluralism-perspectives-of-women-in-nigeria
#2
Chimaraoke O Izugbara, Frederick Wekesah
User priorities regarding quality care in contexts of medical pluralism are poorly documented. Drawing on group and individual interviews with women, we interrogate ideas of quality maternity care in the context of Nigeria's medical pluralism. We found complex utilization patterns for conventional, complementary and alternative maternity care services as well as ideas of quality maternity care that stress effective coordination and integration of different typologies of maternity health services; socially sensitive and truthful providers; and socioeconomic, physical and parochial forms of safety...
October 5, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29036378/the-effect-of-costs-on-kenyan-households-demand-for-medical-care-why-time-and-distance-matter
#3
Matt Kukla, Niccie McKay, Richard Rheingans, Jeff Harman, Jessica Schumacher, Karen L Kotloff, Myrone M Levine, Robert Breiman, Tamer Farag, Damian Walker, Dilruba Nasrin, Richard Omore, Ciara O'Reilly, Eric Mintz
In an environment of constrained resources, policymakers must identify solutions for financing and delivering health services that are efficient and sustainable. However, such solutions require that policymakers understand the complex interaction between household utilization patterns, factors influencing household medical decisions, and provider performance. This study examined whether and under what conditions out-of-pocket, transportation, and time costs influenced Kenyan households' choice of medical provider for childhood diarrhoeal illnesses...
October 5, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29035141/usual-care-for-maltreatment-related-pediatric-posttraumatic-stress-disorder-in-germany
#4
Annika Münzer, Rita Rosner, Helene Gertrud Ganser, Alexander Naumann, Paul Lukas Plener, Andreas Witt, Lutz Goldbeck
Child maltreatment represents a major risk factor for the development of emotional and behavioral problems, especially posttraumatic stress disorder (PTSD). While effective trauma-focused treatments are available, little is known about the usual mental healthcare for abused youths in Germany. The present study compared the utilization of mental healthcare in abused youths who had developed a PTSD (N = 95) with a group presenting other mental disorders (N = 146). Semistructured interviews were used to assess maltreatment histories, current mental health, and healthcare utilization...
October 16, 2017: Zeitschrift Für Kinder- und Jugendpsychiatrie und Psychotherapie
https://www.readbyqxmd.com/read/29034793/patient-s-utilization-of-primary-care-a-profile-of-clinical-and-administrative-reasons-for-visits-in-israel
#5
Tamar Adar, Inbar Levkovich, Orit Cohen Castel, Khaled Karkabi
BACKGROUND: Data on patients' utilization of health services in primary care is relevant to planning healthcare. Data may be collected by numerous methods, but obtaining a true picture of content of care has practical difficulties. OBJECTIVES: To describe patient's reasons for visits to primary care physicians (PCPs) as presented by the patient; and to examine the effect of patient-, doctor- and clinic-related variables on the reasons for the visit. METHODS: Visits to PCPs were observed by peer doctors during 2014, at primary care clinics in Israel...
October 1, 2017: Journal of Primary Care & Community Health
https://www.readbyqxmd.com/read/29034335/reliability-and-validity-of-the-lichtenberg-financial-decision-screening-scale
#6
Peter A Lichtenberg, Jeanne A Teresi, Katja Ocepek-Welikson, Joseph P Eimicke
The scarcity of empirically validated assessment instruments continues to impede the work of professionals in a number of fields, including medicine, finance, and estate planning; adult protective services; and criminal justice-and, more importantly, it impedes their ability to effectively assist and, in some case, protect their clients. Other professionals (e.g. legal, financial, medical, mental health services) are in a position to prevent financial exploitation and would benefit from access to new instruments...
March 1, 2017: Innov Aging
https://www.readbyqxmd.com/read/29032629/consumption-of-commercially-produced-snack-foods-and-sugar-sweetened-beverages-during-the-complementary-feeding-period-in-four-african-and-asian-urban-contexts
#7
Alissa M Pries, Sandra L Huffman, Mary Champeny, Indu Adhikary, Margaret Benjamin, Aminata Ndeye Coly, El Hadji Issakha Diop, Khin Mengkheang, Ndèye Yaga Sy, Shrid Dhungel, Alison Feeley, Bineti Vitta, Elizabeth Zehner
The availability and consumption of commercially produced foods and beverages have increased across low-income and middle-income countries. This cross-sectional survey assessed consumption of commercially produced foods and beverages among children 6-23 months of age, and mothers' exposure to promotions for these products. Health facility-based interviews were conducted among 218 randomly sampled mothers utilizing child health services in Dakar, Senegal; 229 in Dar es Salaam, Tanzania; 228 in Kathmandu Valley, Nepal; and 222 in Phnom Penh, Cambodia...
October 2017: Maternal & Child Nutrition
https://www.readbyqxmd.com/read/29032521/learning-from-ujambo-perspectives-on-gynecologic-care-in-african-immigrant-and-refugee-women-in-boston-massachusetts
#8
P K Mehta, K Saia, D Mody, S S Crosby, A Raj, S Maru, L Piwowarczyk
African-born immigrant women, and particularly refugees and asylum seekers, are at risk for reproductive health disparities but inadequately use relevant gynecologic services. We sought to elucidate perspectives on gynecologic care in a population of Congolese and Somali immigrants. We conducted a secondary qualitative analysis of focus group data using a grounded theory approach and the Integrated Behavioral Model as our theoretical framework. Thirty one women participated in six focus groups. Participant beliefs included the states of pregnancy and/or pain as triggers for care, preferences included having female providers and those with familiarity with female genital cutting...
October 14, 2017: Journal of Immigrant and Minority Health
https://www.readbyqxmd.com/read/29029685/using-structured-and-unstructured-data-to-identify-patients-need-for-services-that-address-the-social-determinants-of-health
#9
Joshua R Vest, Shaun J Grannis, Dawn P Haut, Paul K Halverson, Nir Menachemi
INTRODUCTION: Increasingly, health care providers are adopting population health management approaches that address the social determinants of health (SDH). However, effectively identifying patients needing services that address a SDH in primary care settings is challenging. The purpose of the current study is to explore how various data sources can identify adult primary care patients that are in need of services that address SDH. METHODS: A cross-sectional study described patients in need of SDH services offered by a safety-net hospital's federally qualified health center clinics...
November 2017: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29029553/systematic-review-of-costs-and-effects-of-self-management-interventions-for-chronic-musculoskeletal-pain-spotlight-on-analytic-perspective-and-outcomes-assessment
#10
Marian J Hernon, Amanda M Hall, James F O'Mahony, Charles Normand, Deirdre A Hurley
Background: Evidence for the cost-effectiveness of self-management interventions for chronic musculoskeletal pain (CMP) lacks consensus, which may be due to variability in the costing methods employed. Purpose: The purposes of the study were to identify how costs and effects have been assessed in economic analysis of self-management interventions for CMP and to identify the effect of the chosen analytical perspective on cost-effectiveness conclusions. Data Sources: Five databases were searched for all study designs using relevant terms...
October 1, 2017: Physical Therapy
https://www.readbyqxmd.com/read/29028567/accessibility-of-prison-healthcare-for-elderly-inmates-a-qualitative-assessment
#11
Raheleh Heidari, Tenzin Wangmo, Serena Galli, David M Shaw, Bernice S Elger
Aging in custody and the rising population of elderly prisoners are creating compelling challenges for criminal justice, prison and public healthcare systems. Geriatric syndrome and higher prevalence of co-morbidities amongst older inmates result in heightened vulnerability in prison environments. Empirical research addressing older adults' access to medical care in detention is scarce; therefore, this study assessed access to medical care in prison from the perspective of older prisoners in Switzerland. We interviewed a sample of 35 older inmates (average age 61 years) on their experience of healthcare accessibility in prison; data were qualitatively analysed and major themes regarding evaluation of their access to medical services were extracted...
October 4, 2017: Journal of Forensic and Legal Medicine
https://www.readbyqxmd.com/read/29028226/large-funding-inflows-limited-local-capacity-and-emerging-disease-control-priorities-a-situational-assessment-of-tuberculosis-control-in-myanmar
#12
Mishal S Khan, Sara Schwanke-Khilji, Joanne Yoong, Zaw Myo Tun, Samantha Watson, Richard James Coker
There are numerous challenges in planning and implementing effective disease control programmes in Myanmar, which is undergoing internal political and economic transformations whilst experiencing massive inflows of external funding. The objective of our study-involving key informant discussions, participant observations and linked literature reviews-was to analyse how tuberculosis (TB) control strategies in Myanmar are influenced by the broader political, economic, epidemiological and health systems context using the Systemic Rapid Assessment conceptual and analytical framework...
October 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29026452/leveraging-public-health-s-participation-in-a-health-information-exchange-to-improve-communicable-disease-reporting
#13
Ian Painter, Debra Revere, P Joseph Gibson, Janet Baseman
BACKGROUND: Infectious diseases can appear and spread rapidly. Timely information about disease patterns and trends allows public health agencies to quickly investigate and efficiently contain those diseases. But disease case reporting to public health has traditionally been paper-based, resulting in somewhat slow, burdensome processes. Fortunately, the expanding use of electronic health records and health information exchanges has created opportunities for more rapid, complete, and easily managed case reporting and investigation...
2017: Online Journal of Public Health Informatics
https://www.readbyqxmd.com/read/29026396/willingness-by-people-living-with-hiv-aids-to-utilize-hiv-services-provided-by-village-health-team-workers-in-kalungu-district-central-uganda
#14
Mutaawe Lubogo, Ronald Anguzu, Humphrey Wanzira, Irene Namugwanya, Oliver Namuddu, Denis Ssali, Sylivia Nanyonga, Josephine Ssentongo, Janet Seeley
BACKGROUND: Less than one quarter of people in need have access to HIV services in Uganda. This study assessed willingness of people living with HIV/AIDS (PLWHAs) to utilize HIV services provided by Village Health Teams (VHTs) in Kalungu district, central Uganda. METHODS: A cross-sectional study conducted in two health facilities providing anti-retroviral therapy enrolled 312 PLWHAs. Pre-tested semi-structured questionnaires were administered to participants at household level...
March 2017: African Health Sciences
https://www.readbyqxmd.com/read/29026338/utilization-of-healthcare-services-in-postpartum-women-in-the-philippines-who-delivered-at-home-and-the-effects-on-their-health-a-cross-sectional-analytical-study
#15
Tadashi Yamashita, Maria Teresa Reyes Tuliao, Magdalena Concel Meana, Sherri Ann Suplido, Cecilia L Llave, Yuko Tanaka, Hiroya Matsuo
BACKGROUND: A low ratio of utilization of healthcare services in postpartum women may contribute to maternal deaths during the postpartum period. The maternal mortality ratio is high in the Philippines. The aim of this study was to examine the current utilization of healthcare services and the effects on the health of women in the Philippines who delivered at home. METHODS: This was a cross-sectional analytical study, based on a self-administrated questionnaire, conducted from March 2015 to February 2016 in Muntinlupa, Philippines...
2017: International Journal of Women's Health
https://www.readbyqxmd.com/read/29025104/implementation-of-a-brief-abuse-and-basic-needs-tool-impact-on-utilization-of-social-services-in-ambulatory-medical-clinics
#16
Jay Michael Sherman, Kari Sand-Jecklin, Jessica Walters, Courtney Fox Dunithan, Teassa Eddy, Cynthia Harper
Domestic violence (DV) screening has become increasingly common in recent years; however, many organizations still do not practice universal screening, and there is considerable debate concerning the best screening tool for detecting DV. The current research suggests that a brief tool would be ideal and that existing brief tools are comparable to more extensive instruments. Per Joint Commission standards, the ambulatory clinics at West Virginia University Hospitals instituted the use of the Functional Health Screening (FHS), a three-item tool that screens for unexplained weight changes, DV, and basic needs deficits...
September 7, 2017: Health & Social Work
https://www.readbyqxmd.com/read/29024833/health-of-vlbw-infants-in-germany-at-five-years-of-age-what-do-parents-describe
#17
Juliane Spiegler, Guido Stichtenoth, Inke R König, Egbert Herting, Wolfgang Göpel
BACKGROUND: There are only few data on medical problems and utilization of health services of former very low birth weight (VLBW) children at preschool age. STUDY DESIGN: At five years of age parents of a cohort of VLBW children (N=862) received questionnaires, a medical interview and examination. The results were compared to the KIGGS cohort (Deutscher-Kinder-und Jugendgesundheitssurvey, N=777). RESULTS: Parents of the VLBW and KIGGS cohort reported a very good or good health in 95% in their children...
October 9, 2017: Early Human Development
https://www.readbyqxmd.com/read/29024381/an-integrated-community-based-outpatient-therapeutic-feeding-programme-for-severe-acute-malnutrition-in-rural-southern-ethiopia-recovery-fatality-and-nutritional-status-after-discharge
#18
Elazar Tadesse, Amare Worku, Yemane Berhane, Eva-Charlotte Ekström
A scaled up and integrated outpatient therapeutic feeding programme (OTP) brings the treatment of severely malnourished children closer to the community. This study assessed recovery from severe acute malnutrition (SAM), fatality, and acute malnutrition up to 14 weeks after admission to a programme integrated in the primary health care system. In this cohort study, 1,048 children admitted to 94 OTPs in Southern Ethiopia were followed for 14 weeks. Independent anthropometric measurements and information on treatment outcome were collected at four home visits...
October 10, 2017: Maternal & Child Nutrition
https://www.readbyqxmd.com/read/29023928/evaluation-of-medical-and-dental-visits-in-new-york-city-opportunities-to-identify-persons-with-and-at-risk-for-diabetes-mellitus-in-dental-settings
#19
Noreen Myers-Wright, Ira B Lamster, John P Jasek, Shadi Chamany
OBJECTIVE: The identification of persons with or at risk for chronic diseases is a new practice paradigm for oral healthcare. Diabetes mellitus (DM) is a chronic disease of particular importance to oral health providers. This study sought to understand healthcare utilization patterns that would support the introduction of this new practice paradigm. METHODS: The primary and oral healthcare utilization patterns of New York City (NYC) adults were assessed using data collected from the 2013 NYC Community Health Survey...
October 11, 2017: Community Dentistry and Oral Epidemiology
https://www.readbyqxmd.com/read/29023223/point-prevalence-and-patterns-of-mental-health-co-morbidity-among-people-accessing-australia-s-first-older-adult-specific-alcohol-and-other-drug-treatment-service
#20
Stephen Bright, Katherine Walsh, Cylie Williams
OBJECTIVE: There is good data regarding the prevalence and patterns of dual diagnosis among the general population; however, data regarding the older adult cohort is limited. We aimed to extend the knowledge of the point prevalence and patterns of dual diagnosis among older adults, and the impact of dual diagnosis on the utilization of Alcohol and Other Drug (AOD) treatment services. METHOD: A 12 month medical chart audit of clients discharged from an Australian older adult-specific AOD treatment service...
October 12, 2017: Journal of Dual Diagnosis
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