Timeliness and extent of health service use by Victorian (Australian) children within first year after entry to out-of-home care: retrospective data linkage cohort study

2022 ◽  
pp. 106359
Author(s):  
Karen McLean ◽  
Harriet Hiscock ◽  
Sharon Goldfeld
Keyword(s):  
Cohort Study ◽  
Health Service ◽  
Home Care ◽  
Service Use ◽  
Data Linkage ◽  
Health Service Use ◽  
First Year ◽  
Retrospective Data ◽  
Out Of Home Care

Exits From Out-of-Home Care and Continuity of Mental Health Service Use

2009 ◽  
pp. 330-350
Author(s):  
John Landsverk ◽  
Michael S. Hurlburt ◽  
Laurel Leslie ◽  
Jennifer Rolls ◽  
Jinjin Zhang
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Home Care ◽  
Service Use ◽  
Mental Health Service Use ◽  
Health Service Use ◽  
Out Of Home Care

scholarly journals What is the timeliness and extent of health service use of Victorian (Australia) children in the year after entry to out-of-home care? Protocol for a retrospective cohort study using linked administrative data

2019 ◽  
Vol 3 (1) ◽  
pp. e000400
Author(s):  
Karen McLean ◽  
Harriet Hiscock ◽  
Dorothy Scott ◽  
Sharon Goldfeld
Keyword(s):  
Health Service ◽  
Health Services ◽  
Home Care ◽  
Child Protection ◽  
Retrospective Cohort ◽  
Service Use ◽  
Hospital Admissions ◽  
Health Service Use ◽  
Out Of Home Care ◽  
Care Protocol

IntroductionChildren entering out-of-home care have high rates of health needs across all domains of health. To identify these needs early and optimise long-term outcomes, routine health assessment on entry to care is recommended by child health experts and included in policy in many jurisdictions. If effective, this ought to lead to high rates of health service use as needs are addressed. Victoria (Australia) has no state-wide approach to deliver routine health assessments and no data to describe the timing and use of health service visits for children in out-of-home care. This retrospective cohort data linkage study aims to describe the extent and timeliness of health service use by Victorian children (aged 0–12 years) who entered out-of-home care for the first time between 1 April 2010 and 31 December 2015, in the first 12 months of care.Methods and analysisThe sample will be identified in the Victorian Child Protection database. Child and placement variables will be extracted. Linked health databases will provide additional data: six state databases that collate data about hospital admissions, emergency department presentations and attendances at dental, mental and community health services and public hospital outpatients. The federal Medicare Benefits Schedule claims dataset will provide information on visits to general practitioners, specialist physicians (including paediatricians), optometrists, audiologists and dentists. The number, type and timing of visits to different health services will be determined and benchmarked to national standards. Multivariable logistic regression will examine the effects of child and system variables on the odds of timely health visits, and proportional-hazards regression will explore the effects on time to first health visits.Ethics and disseminationEthical and data custodian approval has been obtained for this study. Dissemination will include presentation of findings to policy and service stakeholders in addition to scientific papers.

scholarly journals A qualitative study of home care client and caregiver experiences with a complex cardio-respiratory management model

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Connie Schumacher ◽  
Darly Dash ◽  
Fabrice Mowbray ◽  
Lindsay Klea ◽  
Andrew Costa
Keyword(s):  
Health Service ◽  
Qualitative Study ◽  
Home Care ◽  
Therapeutic Relationship ◽  
Service Use ◽  
Management Model ◽  
Health Service Use ◽  
Self Management ◽  
Home Based ◽  
Respiratory Management

Abstract Background Home care clients are typically older and have some degree of medical, physical, cognitive or social conditions that require formal or informal support to promote healthy aging in the community. Home care clients contribute a significant proportion of health service use, including emergency department visits. The DIVERT-CARE trial introduced a cardio-respiratory management model to improve client motivation, symptoms and rates of unwarranted health service use. Our objective was to explore the perceptions and experiences of individuals who participated in the DIVERT-CARE self-management support and education intervention. Methods A qualitative study was nested within a pragmatic randomized control trial and conducted following a 15-week multi-component cardio-respiratory intervention. A phenomenological descriptive design was employed using thematic analysis. Post-intervention, clients and their caregivers were invited to participate in a semi-structured telephone interview. Interview questions were designed to elicit the experience with the intervention components. Results A total of 29 interviews were completed from June 2018 to March 2020 from participants in Ontario, Newfoundland, and British Columbia. Three themes were identified; self-care trajectory and burden of responsibility, learning and behaviour change, and feeling connected pre-emptively to care providers, the information and medical advice, and connection through the therapeutic relationship. Conclusions Home care clients experience unique challenges in managing cardio-respiratory related chronic disease. Home-based interventions fostered a therapeutic relationship of connectedness while equipping clients with necessary knowledge and skills. These results inform recommendations for community nursing, and home-based self-management supports for older community-residing individuals.

scholarly journals Age, mode of conception, health service use and pregnancy health: a prospective cohort study of Australian women

2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Jane Fisher ◽  
Karen Wynter ◽  
Karin Hammarberg ◽  
John McBain ◽  
Frances Gibson ◽  
...  
Keyword(s):  
Cohort Study ◽  
Health Service ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Service Use ◽  
Health Service Use

Infant Feeding Mode Predicts the Costs of Healthcare Services in One Region of Canada: a Data Linkage Study

2019 ◽  
Author(s):  
Alicia Kimberlyn Taylor ◽  
Sharmeen Chowdhury ◽  
Zhiwei Gao ◽  
Hai Van Nguyen ◽  
William Midodzi ◽  
...  
Keyword(s):  
Cohort Study ◽  
Infant Feeding ◽  
Healthcare Service ◽  
Service Use ◽  
Data Linkage ◽  
First Year ◽  
Mixed Feeding ◽  
Feeding Mode ◽  
Healthcare Service Use ◽  
First Year Of Life

Abstract Background Few studies have examined the association between infant feeding mode (IFM) and costs related to healthcare service use (HSU) in Canada. The aim of this study is to evaluate differences in HSU and its associated costs by IFM, in an infant’s first year of life in one region of Newfoundland and Labrador, Canada.Methods Data from a prospective cohort study were linked to administrative databases to examine HSU during an infant’s first year of life. The cohort study collected information on peri- and postnatal variables, including IFM during three stages that covered pregnancy through the first year postnatally. Consenting mothers provided their infants health insurance number for a data linkage to examine HSU by the infant. Outcomes included: hospital admissions, emergency room, family doctor and specialist visits. IFM was categorized as exclusively breastfed, mixed fed and exclusively formula fed. Descriptive statistics and multivariate analysis were performed to examine the relationship between IFM, maternal and child characteristics and costs associated with HSU.Results The sample included 160 mother infant dyads who consented to the data linkage. Mothers were Caucasian (95.6%), 26 years or older (95%), partnered (97.5%), living in a household with income greater than $30,000 CAN (98.1%) with a post-secondary education (97.5%). At one month 67% were exclusively breastfeeding, 20% were mixed feeding, and 13% were exclusively formula feeding. Overall $315,235 was spent on healthcare service use for the sample of healthy full-term infants during their first year of life. Generalized linear modelling was performed to assess the effect of IFM on costs associated with HSU adjusting for confounders. When compared to exclusive breastfeeding, exclusive formula and mixed feeding were found to be significant predictors of the total costs associated with HSU during the first year of life (p <0.05), driven by costs of hospital admissions.Conclusions Due to the human and economic burden associated with not breastfeeding, policies and programs that support and encourage breastfeeding should be a priority for governments and regional health authorities.

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