Health Care Access and Health Behavior Quality of Life among Hispanic/Latino-American Cancer Survivors

AbstractObjective:Food insecurity (FI) is defined as uncertain access to healthy food in quantity and quality. We hypothesize that FI may be associated with greater health-care use and absenteeism because it may amplify the effect of diseases; also, FI may be associated with reduced health-care access because it reflects economic vulnerability. The present study estimates the association between FI and health-care use and access, and absenteeism.Design:Cross-sectional data collected in 2015–2016. Health-care use was measured as the number of consultations, taking any drug and having been hospitalized in the past year. Health-care access was measured by the suspension of medication and having fewer consultations due to financial constraints. Absenteeism was measured by the weeks of sickness leave. Binary variables were modelled as a function of FI using logistic regressions; continuous variables were modelled as a function of FI using negative binomial and zero-inflated negative binomial regressions. Covariates were included sequentially.Setting:Portugal.Participants:Non-institutionalized adults from the EpiDoc3 cohort (n 5648).Results:FI was significantly associated with health-care use before controlling for socio-economic conditions and quality of life. Moderate/severe FI was positively related to the suspension of medicines (adjusted OR = 4·68; 95 % CI 3·11, 6·82) and to having fewer consultations (adjusted OR = 3·98; 95 % CI 2·42, 6·37). FI and absenteeism were not significantly associated.Conclusions:Our results support the hypothesis that FI reflects precariousness, which hinders access to health care. The greater use of health care among food-insecure people is explained by their worse quality of life and lower socio-economic condition, so that the specific role of poor nutrition is unclear.

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CHALLENGES AND BARRIERS TO AGING IN ALASKA: DISPARITIES IN HEALTH OUTCOMES, QUALITY OF LIFE, AND HEALTH CARE ACCESS

Innovation in Aging ◽

10.1093/geroni/igy023.3185 ◽

2018 ◽

Vol 2 (suppl_1) ◽

pp. 855-855

Author(s):

S Cohen ◽

A Talamas

Keyword(s):

Quality Of Life ◽

Health Care ◽

Health Outcomes ◽

Health Care Access ◽

Care Access

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Health Behavior and Quality of Life Outcome in Breast Cancer Survivors: Prevalence Rates and Predictors

Clinical Breast Cancer ◽

10.1016/j.clbc.2017.09.008 ◽

2018 ◽

Vol 18 (1) ◽

pp. 38-44 ◽

Cited By ~ 6

Author(s):

Anne Oberguggenberger ◽

Verena Meraner ◽

Monika Sztankay ◽

Anja Hilbert ◽

Michael Hubalek ◽

...

Keyword(s):

Breast Cancer ◽

Quality Of Life ◽

Health Behavior ◽

Cancer Survivors ◽

Breast Cancer Survivors ◽

Prevalence Rates

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The Philippine Health Care Delivery System and Health Expenditure

Public Health and Welfare ◽

10.4018/978-1-5225-1674-3.ch022 ◽

2016 ◽

pp. 457-470

Author(s):

Abdulkadir Işık ◽

Abdulhamid Mauyag Gunda ◽

Birol Topçu

Keyword(s):

Health Care ◽

Health Care Access ◽

Human Resources For Health ◽

Care Delivery ◽

Health Care Delivery System ◽

The Philippines ◽

Human Right ◽

Care Access ◽

Out Of Pocket Payments

Health is recognized by the Philippine constitution as a basic human right. The Philippines, compared to most Asian countries, produces more and better human resources for health. However, the Philippines are challenged by attracting and retaining staff in the under-served areas of the country. Philippine allotted 4.2-4.4% of its GDP to health from 2009 to 2011. Furthermore, considerable inequities in health care access and outcomes between Socio-economic groups remain. The Phil Health's limited breadth and depth of coverage has resulted in high levels of out of pocket payments. The implementation of the reforms in financing, service delivery and regulation which are aimed to tackle the inefficiencies and inequalities in the health system has been challenged by the decentralized environment and the presence of private sector, often creating fragmentation and variation in the quality of health services across the country.

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Telehealth in the COVID-19 Era: A Balancing Act to Avoid Harm (Preprint)

10.2196/preprints.24785 ◽

2020 ◽

Author(s):

J. Jeffery Reeves ◽

John W. Ayers ◽

Christopher A. Longhurst

Keyword(s):

Health Care ◽

Health Care Access ◽

Care Delivery ◽

Healthcare Delivery ◽

Patient Characteristics ◽

Virtual Patient ◽

Unintended Consequences ◽

Disease States ◽

Care Access

UNSTRUCTURED The telehealth revolution has been heralded for its potential to improve health care access and improve the efficiency of health care delivery. However, virtual patient care can bring unintended consequences that eclipse the benefits including potentially limiting the patient-provider relationship, the quality of the examination, the efficiency of healthcare delivery, and the overall quality of care. Facing the most rapidly adopted medical trend in modern history, clinicians are beginning to grasp its possibilities, but we also need to understand its boundaries. As outcomes are studied and federal regulations reconsidered, it is important to be precise in the approach to the virtual patient encounter. We offer some simple guidelines to assist providers in determining the appropriateness of a telehealth visit, considering visit types, chief complaint or disease states, and patient characteristics.

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