scholarly journals Older Adults’ Health Care Utilization a Year After Experiencing Fear or Distress from Hurricane Sandy

2018 ◽  
Vol 12 (5) ◽  
pp. 578-581
Author(s):  
Laura P. Sands ◽  
Yimeng Xie ◽  
Rachel Pruchno ◽  
Allison Heid ◽  
Yili Hong
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Psychological Distress ◽  
New Jersey ◽  
Health Care Utilization ◽  
Hospital Admissions ◽  
Hurricane Sandy ◽  
Care Utilization ◽  
Health Care Needs ◽  
Care Needs

AbstractObjectiveTo determine whether self-reports of disaster-related psychological distress predict older adults’ health care utilization during the year after Hurricane Sandy, which hit New Jersey on October 29, 2012.MethodsRespondents were from the ORANJ BOWL Study, a random-digit dialed sample from New Jersey recruited from 2006 to 2008. Medicare hospital, emergency department (ED) and outpatient claims data from 2012 and 2013 were matched to 1607 people age 65 and older in 2012 who responded to follow-up surveys conducted from July 2013 to July 2015 to determine their hurricane-related experiences.ResultsIn total, 7% (107) of respondents reported they experienced a lot versus 93% (1493) respondents reported they experienced little or no fear and distress from Hurricane Sandy. Those who experienced a lot versus little or no fear and distress had higher probability of all-cause hospital admissions and more ED visits through 3 months (hazard ratio [HR]: 2.19, 95% CI: 1.03-4.63; incidence ratio [IR]: 2.57, 95% CI: 1.21-5.35), and ED and outpatient visits (IR: 2.20, 95% CI: 1.44-3.37; IR: 1.37, 95% CI: 1.02-1.87) through the year after the hurricane.ConclusionsA self-reported assessment of disaster-related psychological distress is a strong predictor of older adults’ health care needs the year after the disaster. The results indicate that disaster preparedness should extend beyond acute health care needs to address longer-term health consequences of disasters. (Disaster Med Public Health Preparedness. 2018;12:578–581)

Health Care Needs and Care Utilization Among Lesbian, Gay, Bisexual, and Transgender Populations in New Jersey

2017 ◽  
Vol 65 (2) ◽  
pp. 167-180 ◽  
Author(s):  
Rubab I. Qureshi ◽  
Peijia Zha ◽  
Suzanne Kim ◽  
Patricia Hindin ◽  
Zoon Naqvi ◽  
...  
Keyword(s):  
Health Care ◽  
New Jersey ◽  
Care Utilization ◽  
Health Care Needs ◽  
Care Needs ◽  
Bisexual And Transgender

Social Support, Health Literacy, and Health Care Utilization Among Older Adults

2019 ◽  
Vol 31 (4) ◽  
pp. 359-366 ◽  
Author(s):  
Yong-Bing Liu ◽  
Ping Hou ◽  
Hui-Ping Xue ◽  
Xin-E Mao ◽  
Yong-Nan Li
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Health Care ◽  
Health Literacy ◽  
Nursing Homes ◽  
Health Care Utilization ◽  
Hospital Admissions ◽  
Effective Means ◽  
Care Utilization ◽  
Cross Sectional Survey

The purpose of this study was to explore the relationship between social support, health literacy, and health care utilization in older Chinese adults. A cross-sectional survey design was employed. Data were collected from 32 nursing homes from Urumqi in Xinjiang of China. A total of 1486 respondents completed a pack of questionnaires. The average health literacy level of older adults in nursing homes was relatively low, only 73.68 ± 29.42 points; the average social support level was also relatively low, only 31.42 ± 7.12 points (lower than domestic norm of Chinese residents, P < .001). Both values were below the midpoint for the overall population, indicating a sample with below-average levels of healthy literacy and social support. Low social support levels are associated with poor health literacy and greater likelihood of hospital admission ( P < .05). Social support was significantly associated with health literacy. Improving the quantity and quality of social support may be an effective means to obtain better health literacy and lower hospital admissions.

scholarly journals Health Care Utilization and Unmet Need Among Youth With Special Health Care Needs

2018 ◽  
Vol 63 (4) ◽  
pp. 435-444 ◽  
Author(s):  
Sarika Rane Parasuraman ◽  
Trina M. Anglin ◽  
Sarah E. McLellan ◽  
Catharine Riley ◽  
Marie Y. Mann
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Unmet Need ◽  
Special Health Care Needs ◽  
Care Utilization ◽  
Health Care Needs ◽  
Care Needs ◽  
Special Health Care ◽  
Special Health

Material Hardships and Health Care Utilization Among Low-Income Children with Special Health Care Needs

2019 ◽  
Vol 19 (7) ◽  
pp. 733-739 ◽  
Author(s):  
Anne E. Fuller ◽  
Nicole M. Brown ◽  
Lizbeth Grado ◽  
Suzette O. Oyeku ◽  
Rachel S. Gross
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Low Income ◽  
Special Health Care Needs ◽  
Care Utilization ◽  
Health Care Needs ◽  
Care Needs ◽  
Special Health Care ◽  
Low Income Children ◽  
Special Health

scholarly journals Health-Care Use and Expenditures for Children in Special Education with Special Health-Care Needs: Is Dual Classification a Marker for High Use?

2007 ◽  
Vol 122 (4) ◽  
pp. 531-540 ◽  
Author(s):  
Laura Sices ◽  
Jeffrey S. Harman ◽  
Kelly J. Kelleher
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Special Education ◽  
Health Care Utilization ◽  
Special Health Care Needs ◽  
Care Utilization ◽  
Health Care Needs ◽  
Care Needs ◽  
Special Health Care ◽  
Special Health

Objectives. Children with special health-care needs are an important group for policy and research planning. Special education engages a group of children with increased utilization of services related to education. While increased service utilization in education or health-care settings is often used to classify children as having special needs, considerable heterogeneity exists within each group. The extent to which being identified in two functionally defined systems—special education and health care—relates to health-care utilization is unknown. We sought to determine health-care and mental health utilization and expenditures for children dually classified as receiving special education and having special health-care needs (SHCN) compared with those who only have SHCN, only are in special education, or don't fall into either category. Methods. A nationally representative sample of children aged 5–17 years from the Medical Expenditure Panel Survey was used to compare mean health-care and mental health utilization and expenditures for the four groups. Results. Dually classified children had significantly higher mean utilization of health-care services than the other three groups ( p,0.05). Mean 12-month total health-care expenditures were highest for dually classified children ($3,891/year) ( p,0.05) and higher for children classified only as having SHCN ($1,426/year) than for children with neither classification ($644/year, p,0.05). Conclusions. Children dually classified as receiving special education and having SHCN represent a subgroup of children with SHCN with high levels of health-care utilization and expenditures. This information can assist policy makers in identifying characteristics that place children at risk for very high expenditures, and in allocating health-care resources.

Sign in / Sign up

Export Citation Format

Share Document