Will Greater Competition Improve the Markets for Health Care Services and the Health Outcomes for Black Americans?

Author(s):  
Wilhelmina A. Leigh
2018 ◽  
Vol 24 (7) ◽  
pp. 1011-1019 ◽  
Author(s):  
Se Jin Park ◽  
Hyesue Jang ◽  
Yeeun Lee ◽  
Chul Eung Kim ◽  
Subin Park

Objective: To compare health behaviors, physical health outcomes, and health care utilization between children with and without ADHD. Method: In this cross-sectional study, we obtained data for children with and without ADHD from the Korean National Health and Nutrition Examination Survey. To investigate the association between ADHD and health outcomes, we estimated the adjusted prevalence ratios (APRs) in these groups. Results: Among 10,838 children aged 7 to 18 years with and without ADHD, those with ADHD had significantly higher APRs for overall health problems, physical illness, and injuries than those without ADHD. Despite having health care needs, children with ADHD were less likely than those without ADHD to use health care services. However, there were no significant associations between most health behaviors and ADHD. Conclusion: Increased efforts are needed to provide quality health care services to address the medical conditions of children with ADHD and to enhance their health care utilization when needed.


2017 ◽  
Vol 14 (03) ◽  
pp. 337-354 ◽  
Author(s):  
Katarzyna Kolasa ◽  
Marta Kowalczyk

AbstractThe existence of different forms of out-of-pocket payments (OOPs) for pharmaceuticals across the globe provokes the question whether they can achieve more negative or positive consequences. A systematic literature review was conducted to assess the association between drug cost sharing and health care services utilization, health care costs as well as health outcomes. Studies published in The Cochrane Library, PubMed, Embase were searched with such keywords as: drug, pharmaceutical, cost sharing, out of pocket, co-payments paired with the following: impact, health outcomes, health care costs and utilization. The final review included 18 articles. A total of 11 publications reported the association between drug cost sharing and health care utilization patterns, of which nine found a statistically significant direct relationship. In all 10 publications concerned the association between drug copayments and health care costs. Majority were limited to the impact on the drug budget. Seven studies looked into the link between drug cost sharing and health outcomes, of which five reported statistically significant inverse relationship. There is some evidence for the association between drug copayments, health outcomes and health care services consumption. The optimal system of OOPs’ payments for pharmaceuticals needs to prevent drugs’ overconsumption and mitigate the risks of excessive cost sharing’s burden.


2021 ◽  
pp. 183933492110307
Author(s):  
Janet Davey ◽  
Jayne Krisjanous

This conceptual article integrates value co-creation concepts with dimensions of integrated care demonstrating how a marketing framework and a framework originated in health can achieve a beneficial fusion to enhance health outcomes. Using midwifery health care services as the context, we contend that integrated care models focus only on co-production overlooking the complex, value co-creation potential of value-in-use for improved health outcomes. We add four new dimensions of value-in-use: client–provider shared principles, client agency, empowerment, and relationship equality. Adopting an interdisciplinary approach, a value co-creation perspective advances our understanding of the activities and processes of integrated care at the various levels in the patient’s lifeworld beyond the patient–carer interface. We argue that adding value-in-use dimensions to health care’s integrated care model adds conceptual clarity and will improve service delivery and patient health care outcomes.


Author(s):  
Janie Brown ◽  
Jennifer Gardner

The role of the pastoral practitioner is embedded in many health care services and organizations. Despite this, there is little evidence to describe the impact of this role on patient outcomes, in particular how visits by a pastoral practitioner influence patient healing and recovery. This paper describes a small study that explored the patient experience of pastoral practitioner visits in an acute care facility.


2020 ◽  
Vol 9 (2) ◽  
pp. 59-66
Author(s):  
Cassandra Herman ◽  
Teneasha Washington ◽  
Allison Tubbs ◽  
Penny Edwards ◽  
Rebecca Cline ◽  
...  

ABSTRACT People with disabilities (PWDs) are an underrecognized population who tend to experience poorer health outcomes than those without disabilities. Many of these disparate health outcomes are preventable and can be addressed through various lifestyle interventions, such as physical activity and access to appropriate health care services. However, PWDs face significant barriers to health care and health-promoting activities within their communities that can positively affect these health outcomes and improve quality of life. In order to ensure access to these beneficial programs, inclusive practices must be incorporated into all aspects of the physical and social environment, including the built environment, equipment, service delivery, policy and decision making, programming, and staff training. The purpose of this article is to discuss barriers often experienced by PWDs in accessing health promotion programs and address practical considerations that can ensure inclusion of PWDs' health care and health promotion programming. Additionally, this article will provide clinical exercise physiologists with resources, tools, and examples of inclusive approaches that will provide a foundation to offer inclusive programs and practices to all Americans, including those with disabilities.


2014 ◽  
Author(s):  
Susana J. Ferradas ◽  
G. Nicole Rider ◽  
Johanna D. Williams ◽  
Brittany J. Dancy ◽  
Lauren R. Mcghee

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