Effects of health literacy on health status and health service utilization amongst the elderly

2008 ◽  
Vol 66 (8) ◽  
pp. 1809-1816 ◽  
Author(s):  
Young Ik Cho ◽  
Shoou-Yih D. Lee ◽  
Ahsan M. Arozullah ◽  
Kathleen S. Crittenden
Keyword(s):  
Health Status ◽  
Health Literacy ◽  
Health Service ◽  
Service Utilization ◽  
Health Service Utilization ◽  
The Elderly

scholarly journals Quality of life, health status, and health service utilization related to a new measure of health literacy: FLIGHT/VIDAS

2014 ◽  
Vol 96 (3) ◽  
pp. 404-410 ◽  
Author(s):  
Raymond L. Ownby ◽  
Amarilis Acevedo ◽  
Robin J. Jacobs ◽  
Joshua Caballero ◽  
Drenna Waldrop-Valverde
Keyword(s):  
Quality Of Life ◽  
Health Status ◽  
Health Literacy ◽  
Health Service ◽  
Service Utilization ◽  
Health Service Utilization

scholarly journals Study on the Health Status and Health Service Utilization for the Rural Elderly in the Metropolitan Suburb During the Urbanization Process: A Case for Mingxing Village, Guangzhou

2020 ◽  
Vol 12 (9) ◽  
pp. 3560
Author(s):  
Zhiping Zhong ◽  
Lin Lin ◽  
Ying Yang
Keyword(s):  
Health Status ◽  
Health Service ◽  
Service Utilization ◽  
Health Service Utilization ◽  
The Elderly ◽  
Rural Elderly ◽  
Living Environment ◽  
National Average ◽  
Depression Symptoms ◽  
Rapid Urbanization

Rapid urbanization development significantly accelerates residents’ income in China, but there still exists a series of problems in rural areas, especially the health status of the rural elderly in the metropolitan suburb, a crucial matter worthy of attention. Regarding the rural elderly in a suburb of Guangzhou as a research object, this paper focuses on comparison of the health status and health service utilization differences between the national and local rural area, and qualitatively analyze and explain it by the cumulative disadvantage theory during the life course. By random sampling in the study group, 122 seniors from Mingxing village in Guangzhou are selected for structured face-to-face interviews. Data analysis of questionnaires (collected by trained investigators) shows that, except for self-care ability, the elderly in the village exhibit more serious hearing, vision, movement disorder, daily activity, and pain problems than the national average. Regarding mental health, the proportion of anxiety and depression symptoms in Mingxing village is 21%, both over the national countryside average. The two-week prevalence, chronic disease prevalence, and inpatient out of hospital are 78%, 85%, and 53%, respectively, which are still higher than the 2013 national rural average. Research demonstrates that the elderly mainly choose village clinics for outpatient treatment, county hospitals for inpatient treatment. The two-week visiting rate is 33%, lower than that in 2013, and the hospitalization rate is 15%, close to 2013 level. In conclusion, the health status and health service utilization of the elderly in Mingxing village in Guangzhou is generally lower than the national average level. Daily living habits, traditional notions and willingness for medical treatment are indispensable factors in affecting the elderly health. Economic status, living environment and education level continue to be the main factors in influencing the health service utilization for the elderly in Mingxing village.

scholarly journals Health literacy and health outcomes in China’s floating population: mediating effects of health service

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hai-YanYu ◽  
Wei-Ling Wu ◽  
Lin-Wei Yu ◽  
Lei Wu
Keyword(s):  
Health Literacy ◽  
Health Service ◽  
Health Services ◽  
Health Outcomes ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Mediating Effect ◽  
Floating Population ◽  
Equation Modeling ◽  
Mediating Effects

Abstract Background The floating population in China consists primarily of internal immigrants and represents a typical health vulnerable group. Poor health literacy has recently become an obstacle in the accessibility and utilization of health services for the vulnerable population, leading to adverse health outcomes. This study aimed to examine whether health literacy affected health outcomes in China’s floating population and whether health service utilization had a mediating effect between health literacy and health outcomes. Method The current study utilized a cross-sectional stratified, multistage, proportional to scale (PPS) study in Zhejiang Province, China, in November and December 2019. In total, 657 valid self-reported questionnaires were recovered and used for data collection. Questionnaires included questions regarding sociodemographic characteristics, health literacy, health outcomes, and health service utilization. Confirmatory factor analysis was used to test questionnaire validity; descriptive statistics were used to understand the demographic characteristics of the floating population; and structural equation modeling was used to determine whether health service utilization mediated health literacy and health outcomes. Results We report positive correlations between health literacy, health service utilization, and health outcomes. Mediation analysis demonstrated that health service utilization had partial mediating effects between health literacy and health outcomes. In the relationship between health literacy and health outcomes, the indirect effects of health service utilization accounted for 6.6–8.7% of the total effects. Conclusion Complete health literacy, through health care literacy and health promotion literacy, affects the mobile population’s initiative to use health services, which, in turn, affects health outcomes. Thus, improving the health literacy of the floating population will help to improve health outcomes. Furthermore, health service providers should enhance the diversity of health service supply to ensure that the floating population has the external resources to improve personal health literacy.

scholarly journals Effects of Health literacy on Health Service Utilization. Findings from Germany

2017 ◽  
Vol 27 (suppl_3) ◽  
Author(s):  
K Ganahl ◽  
H Weishaar ◽  
D Vogt ◽  
J Pelikan ◽  
D Schaeffer ◽  
...  
Keyword(s):  
Health Literacy ◽  
Health Service ◽  
Service Utilization ◽  
Health Service Utilization

scholarly journals Pattern of Outpatient Health Service Utilization by Older People in Iran

Salmand ◽  
2021 ◽  
Vol 15 (4) ◽  
pp. 410-427
Author(s):  
Maryam Tajvar ◽  
◽  
Mehdi Yaseri ◽  
Badriye Karami ◽  
Mariya Mohammadi ◽  
...  
Keyword(s):  
Health Service ◽  
Health Services ◽  
Older People ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Health Planning ◽  
The Elderly ◽  
National Study ◽  
Outpatient Services ◽  
To Receive

Objectives: Considering the rapid growth of Iran’s elderly population with consequent increase in the costs of health services, it is necessary to be aware of the pattern of outpatient health service utilization, in the elderly for resource allocation and health planning. This study aims to determine the pattern of outpatient service utilization for the elderly in Iran and explore determinant factors. Methods & Materials: This is a cross-sectional study using secondary analysis method and the data from 2015 National Study of Health Service Utilization. Study population consists of older people aged ≥60 years. Of these, 8205 were selected as study samples. The data were collected using personal and household questionnaires collecting information on subjects’ need for, referral to, utilization from, and satisfaction with outpatient services. Logistic regression analysis was used to identify factors related to the need, referral, benefit, and satisfaction with the received outpatient services. Results: Out of 8205 participants, 3172 (39%) reported the need for outpatient services, of which 66% referred for services; of these, 98% (N=2060) benefited outpatient services. Females, older subjects, villagers, unmarried and illiterate subjects were more in need of outpatient services, but their referrals to receive the services were not more than those of other groups. Lack of basic insurance, supplementary insurance, and a personal care had a significant impact on reducing the number of subjects referred to receive outpatient services. Inability to pay treatment costs (30%), self-treatment (28%) and lack of proper insurance coverage (13%) were the most important reasons for not referring to receive outpatient services. The highest satisfaction was related to the behavior of physicians and medical staff and the lowest satisfaction was related to the cost of outpatient services. Conclusion: Although the use of outpatient health services should be based on the need for these services, the present study showed that the older people with higher socio-economic status had higher utilization from the services in Iran. Therefore, there is an inequality in access to outpatient services in the elderly. The reasons for not using outpatient services and dissatisfaction with these services should be seriously considered by health policy makers.

Sign in / Sign up

Export Citation Format

Share Document