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Health Services Utilization

Collins Chansa, Jesper Sundewall, Numi Östlund
Development assistance for health (DAH) remains a significant and important source of health financing in many low and lower middle-income countries. However, this assistance has not been fully effective. This study explores the effect of currency exchange rate fluctuations on volatility of DAH in Zambia using a mixed methods approach. Data covering the period 1997-2008 were collected from various financial and programmatic reports, while six key informant interviews were conducted to validate and translate findings from the quantitative analysis...
June 22, 2018: Health Policy and Planning
Wen-Chen Tsai, Pei-Tseng Kung, Yueh-Hsin Wang, Wei-Yin Kuo, Ya-Hsin Li
OBJECTIVES: Liver cancer is the fifth most common cancer in men and the ninth most common cancer in women, and the WHO expects that there will be 1,341,344 cases in 2034 worldwide. Liver cancer also has the second-highest cancer death rate, accounting for 7% of all cancers. The study is going to explore the relationship between time interval from diagnosis to treatment and survival status of early-stage liver cancer patients. MATERIALS AND METHODS: This is a retrospective cohort study using the national database from Taiwan...
2018: PloS One
Shenshen Li, James A Blumenthal, Chuan Shi, Danielle Millican, Xian Li, Xin Du, Anushka Patel, Pei Gao, Elizabeth Delong, Pallab K Maulik, Runlin Gao, Xin Yu, Yangfeng Wu
Depression and acute coronary syndromes (ACS) are both common public health challenges. Patients with ACS often develop depression, which in turn adversely affects prognosis. Low-cost, sustainable, and effective service models that integrate depression care into the management of ACS patients to reduce depression and improve ACS outcomes are critically needed. Integrating Depression Care in ACS patients in Low Resource Hospitals in China (I-CARE) is a multicenter, randomized controlled trial to evaluate the efficacy of an 11-month integrated care (IC) intervention compared to usual care (UC) in management of ACS patients...
May 21, 2018: American Heart Journal
Larider Ruffin
Diabetes is a complex, chronic illness requiring continuous medical care with multifactorial risk-reduction strategies for appropriate glycemic control. Type 2 diabetes remains a global epidemic secondary to increases in physical inactivity and obesity. While many populations are at risk, African-Americans bear a disproportionate burden from diabetes and its complications. Diabetes self-management education (DSME) is essential to successful diabetes treatment and complication prevention. However, diabetes management requires daily patient involvement and skills...
July 2017: Journal of National Black Nurses' Association: JNBNA
Clinton Burnside, Tamaro Hudson, Carla Williams, William Lawson, Adeyinka O Laiyemo
OBJECTIVE: Cancer imposes higher burden on men. Sex differences in healthcare utilization may contribute to this problem. We compared healthcare utilization among adults with and without a history of cancer as measured by having at least one physician visit within the previous 12 months. MATERIAL AND METHODS: We analyzed data from 7,229 responders (weighted population size=211,722,892) enrolled in the 2007 Health Information and National Trends Survey (HINTS), a nationally representative sample of non-institutionalized adults in the United States...
July 2018: Turkish Journal of Urology
Agnus M Kim, Seongcheol Cho, Hyun Joo Kim, Min-Woo Jo, Sang Jun Eun, Jin Yong Lee
Korea has experienced an overall expansion of access to care in the past few decades, which necessitated the reconsideration of the role of the public health clinics (PHC) as a primary care provider. The recent controversy about the outpatient copayment waiver for the elderly in the PHC is in the same vein. This study compared the outpatient utilization of the PHC and private clinics, and investigated its factors. Data were acquired from the National Patient Sample in 2013. Compared with private clinics, the patients in the PHC were more elderly and had less severe conditions...
June 22, 2018: International Journal of Environmental Research and Public Health
Benjamin D Diplock, Kaitlin M C McGarragle, Willem A Mueller, Sana Haddad, Rachel Ehrlich, Dong-Hyun A Yoon, Xingshan Cao, Yaseen Al-Allaq, Paul Karanicolas, Margaret I Fitch, Jeff Myers, Alex J Mitchell, Janet W M Ellis
PURPOSE: We aimed to assess the impact of implementing Edmonton Symptom Assessment System (ESAS) screening on health-related quality of life (HRQoL) and patient satisfaction with care (PSC) in ambulatory oncology patients. ESAS is now a standard of care in Ontario cancer centers, with the goal of improving symptom management in cancer patients, yet few studies examine impact of ESAS on patient outcomes. METHODS: We compared ambulatory oncology patients who were not screened prior to ESAS site implementation (2011-2012), to a similar group who were screened using ESAS after site implementation (2012-2013), to examine between-group differences in patient HRQoL, PSC outcomes, and supportive care needs (Supportive Care Service Survey)...
June 21, 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
Samuel I Watson, Harvir Sahota, Celia A Taylor, Yen-Fu Chen, Richard J Lilford
Background: Low and middle income countries (LMICs) face severe resource limitations but the highest burden of disease. There is a growing evidence base on effective and cost-effective interventions for these diseases. However, questions remain about the most cost-effective method of delivery for these interventions. We aimed to review the scope, quality, and findings of economic evaluations of service delivery interventions in LMICs. Methods: We searched PUBMED, MEDLINE, EconLit, and NHS EED for studies published between 1st January 2000 and 30th October 2016 with no language restrictions...
2018: Global Health Research and Policy
Y X Zhang, W Feng
OBJECTIVE: To explore the influencing factors of elderly outpatient visits and to provide evidence for poverty reduction in health in the poor rural areas. METHODS: Through stratified sampling, a total of 1 271 aged people in four poverty Qi/County of Ulanqabcity were surveyed, including Qahar Right Wing Front Banner, Qahar Right Wing Middle Banner, Qahar Right Wing Rear Banner and Liangcheng County. Their socioeconomic and demographic characteristics, daily consumption, EuroQol five dimensions questionnaire(EQ-5D) and visual analogue scale (VAS),social support, health service needs and utilization were collected through cross-sectional household questionnaires...
June 18, 2018: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
Cristiana Montemagni, Tiziana Frieri, Vincenzo Villari, Paola Rocca
BACKGROUND: The purpose of the study was to identify homogenous subgroups, based upon achievement of two functional milestones (marriage and employment) and Global Assessment of Functioning (GAF) score in a sample of 848 acute patients admitted to the Psychiatric Emergency Service (PES) of the Città della Salute e della Scienza di Torino, during a 24-months period. SUBJECTS AND METHODS: A two-step cluster-analysis, using GAF total score and the achievements in the two milestones as input data was performed...
June 2018: Psychiatria Danubina
Francesc Lopez Segui, Carme Pratdepadua Bufill, Nuria Abdon Gimenez, Jordi Martinez Roldan, Francesc Garcia Cuyas
BACKGROUND: In Catalonia, the Fundació TIC Salut Social's mHealth Office created the AppSalut Site to showcase to mobile apps in the field of health and social services. Its primary objective was to encourage the public to look after their health. The catalogue allows primary health care doctors to prescribe certified, connected apps, which guarantees a safe and reliable environment for their use. The generated data can be consulted by health care professionals and included in the patient's clinical history...
June 21, 2018: JMIR MHealth and UHealth
James F Phillips, John Koku Awoonor-Williams, Ayaga A Bawah, Belinda Afriyie Nimako, Nicholas S Kanlisi, Mallory C Sheff, Patrick O Asuming, Pearl E Kyei, Adriana Biney, Elizabeth F Jackson
BACKGROUND: The completion of an implementation research project typically signals the end of research. In contrast, the Ghana Health Service has embraced a continuous process of evidence-based programming, wherein each research episode is followed by action and a new program of research that monitors and guides the utilization of lessons learned. This paper reviews the objectives and design of the most recent phase in this process, known as a National Program for Strengthening the Implementation of the Community-based Health Planning and Services (CHPS) Initiative in Ghana (CHPS+)...
June 22, 2018: BMC Health Services Research
Susan Young, Rafael A González, Moshe Fridman, Paul Hodgkins, Keira Kim, Gisli H Gudjonsson
BACKGROUND: Attention-deficit hyperactivity disorder (ADHD) and head injury (including traumatic brain injury (TBI)) manifest in high levels across prison samples and guidance from the National Institute for Health and Care Excellence notes that people with acquired brain injury may have increased prevalence of ADHD. We aimed to examine the association of ADHD with TBI and the impact of the association upon health-related quality of life (HRQoL) and service use among imprisoned adults...
June 22, 2018: BMC Psychiatry
Liwen Cui, Xiaolei Xie, Zuojun Shen
There have been rapidly growing applications using machine learning models for predictive analytics in Electronic Health Records (EHR) to improve the quality of hospital services and the efficiency of healthcare resource utilization. A fundamental and crucial step in developing such models is to convert medical codes in EHR to feature vectors. These medical codes are used to represent diagnoses or procedures. Their vector representations have a tremendous impact on the performance of machine learning models...
June 18, 2018: Journal of Biomedical Informatics
Galileu Barbosa Costa, Amy Gilbert, Benjamin Monroe, Jesse Blanton, Sali Ngam Ngam, Sergio Recuenco, Ryan Wallace
BACKGROUND: Rabies is a fatal encephalitis caused by lyssaviruses, with most human cases worldwide resulting from rabid dog bites. Although effective animal and human vaccines have been available for over 100 years, control efforts have not been adequately implemented on the global scale and rabies remains one of the greatest global zoonotic threats to human health. We conducted a knowledge, attitudes and practices survey in Northern Cameroon to describe dog ownership characteristics, rates of dog bites, and post-bite healthcare seeking behaviors...
2018: PloS One
Neha P Limaye, Magaly M Blas, Isaac E Alva, Cesar P Carcamo, Patricia J García
The Loreto region of the Peruvian Amazon faces many obstacles to health care delivery. The majority of the population is river-bound and lives below the poverty line, with some of the worst health indicators in Peru. To overcome these barriers and fill a gap in health services, an NGO-based provider known as the Vine Trust has been providing care since 2001 via a mobile ship clinic called the Amazon Hope. This study presents an assessment of the Amazon Hope, first reporting health indicators of the program´s catchment area, services provided, and program utilization...
2018: PloS One
Gary McAuliffe, Marian Smith, Mike Brokenshire, Rose Forster, Murray Reid, Sally Roberts
AIMS: Neisseria gonorrhoeae (NG) has developed resistance to a wide range of antimicrobials. Population level data is essential to determine empiric treatment regimes. We sought to identify antimicrobial resistance patterns for NG in the Auckland region from 2008-2016, and review the utility of current methods of antimicrobial resistance testing. METHODS: Antimicrobial susceptibilities and demographic data from NG isolates derived from patients attending the Auckland Regional Sexual Health Service and Auckland City Hospital were analysed to determine resistance rates and trends over time...
June 22, 2018: New Zealand Medical Journal
Eduardo J Mortani Barbosa, Sean Novak
PURPOSE: We have established an integrated thoracic radiology reading room within a multidisciplinary lung center clinic (LC). While our subjective experience has been positive, we sought to quantify how this model affects radiology workflow and whether the referring practitioners perceive value in having real-time access to a radiologist consultant. MATERIALS AND METHODS: Two diagnostic radiology workstations staffed by rotating thoracic radiologists and trainees were integrated within the LC...
July 2018: Journal of Thoracic Imaging
Clare Liddy, Isabella Moroz, Ariana Mihan, Nikhat Nawar, Erin Keely
BACKGROUND: Electronic consultation (eConsult) is an asynchronous electronic communication tool allowing primary care providers to obtain a specialist consultant's expert opinion in a timely manner, thereby offering a potential solution to excessive wait times for specialist care, which remain a serious concern in many countries. INTRODUCTION: Our 2014 review of eConsult services demonstrated feasibility and high acceptability among patients and providers. However, gaps remain in knowledge regarding eConsult's impact on system costs and patient outcomes...
June 21, 2018: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Anna D Gage, Hannah H Leslie, Asaf Bitton, J Gregory Jerome, Jean Paul Joseph, Roody Thermidor, Margaret E Kruk
BACKGROUND: Expanding coverage of primary healthcare services such as antenatal care and vaccinations is a global health priority; however, many Haitians do not utilize these services. One reason may be that the population avoids low quality health facilities. We examined how facility infrastructure and the quality of primary health care service delivery were associated with community utilization of primary health care services in Haiti. METHODS: We constructed two composite measures of quality for all Haitian facilities using the 2013 Service Provision Assessment survey...
June 20, 2018: Globalization and Health
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