ANALYSIS OF HEALTH SERVICES USE FOR RESPIRATORY ILLNESS IN INDONESIAN CHILDREN: IMPLICATIONS FOR POLICY

2004 ◽  
Vol 37 (2) ◽  
pp. 129-142 ◽  
Author(s):  
AMARDEEP THIND
Keyword(s):  
Managed Care ◽  
Health Services ◽  
Maternal Education ◽  
Multinomial Logistic Regression ◽  
Respiratory Illness ◽  
Health Services Use ◽  
Logistic Regression Models ◽  
Services Utilization ◽  
Indonesian Government ◽  
Care Plans

Respiratory illness continues to be a leading cause of paediatric morbidity and mortality in Indonesia. The Indonesian government is moving towards a more managed care-based approach as it reforms its health care system following the 1997 financial crisis. In order to better design contractual relationships between the payor and different providers, there needs to be a better understanding of the patterns and predictors of health services utilization for respiratory illness. This study uses the Indonesia Demographic and Health Survey to study the determinants of private, public and non-formal provider utilization for respiratory illness. Multinomial logistic regression models for predicting use were constructed using the Andersen Behavioural Model as the conceptual framework. The findings indicate that age, household size, maternal education, religion, the asset index, location and illness severity play a role in determining use of private, public or non-formal providers. The results indicate that from a policy perspective, the Indonesian government needs be inclusive rather than exclusive in the choice of providers that are contracted by the managed care plans, in order to safeguard the health of the under-five population.

scholarly journals Psychosocial factors and health services utilization in Fibromyalgia: a review

2011 ◽  
Vol 4 (2) ◽  
pp. 80-91
Author(s):  
Ana Lledó Boyer ◽  
Mª Ángeles Pastor Mira ◽  
Sofía López-Roig ◽  
Maximiliano Nieto Ferrandéz
Keyword(s):  
Health Care ◽  
Health Services ◽  
Emotional State ◽  
Cost Effective ◽  
Good Health ◽  
Health Care Use ◽  
Health Services Use ◽  
Services Utilization ◽  
Use Behavior ◽  
Relevant Factors

Studies on the socioeconomic impact of fibromyalgia (FM) have shown the high health services use done by these patients. These data indicate the challenge of dealing with these people, their treatment and rehabilitation, as well as the need of changes in actions and implementation of cost-effective approaches. In this study we reviewed the literature on the health care use behavior in FM. The data shows that the emotional state and catastrophizing are relevant factors in the onset of seeking health care, and within the system, higher self-efficacy, attributions of symptoms to external factors, the perception of good health and lower comorbidity is associated with less use.

scholarly journals Determinants of Childhood Anemia in India

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Nkechi G. Onyeneho ◽  
Benjamin C. Ozumba ◽  
S. V. Subramanian
Keyword(s):  
Vitamin A ◽  
Maternal Education ◽  
Multinomial Logistic Regression ◽  
Linear Regression Analysis ◽  
Daily Intake ◽  
Wealth Index ◽  
Nutritional Intake ◽  
Logistic Regression Models ◽  
Iron Deficient ◽  
Childhood Anemia

Abstract We analyzed a sample of 112714 children from the 2015–2016 Indian National Fertility and Health Survey with available data on hemoglobin. Multinomial logistic regression models were used to establish associations between parent anemia, household characteristics and nutritional intake of children. Linear regression analysis was also conducted to see the link between the household characteristic and childhood nutritional intake on one hand and hemoglobin levels on the other hand. A number of socio-demographic factors, namely maternal age, type of residence and maternal education, as well as wealth index, among others correlate with incidence of childhood anemia. For instance, whereas 52.9% of children in the richest households were anemic, 63.2% of children in the poorest household were anemic (p < 0.001). Mean Vitamin A intake in the last six months was 0.63 (0.626–0.634) which was 0.18% of the recommended intake. Mean iron intake, from sources other than breast milk, in the last 24 hours was 0.29 (0.286–0.294) and 2.42% of the recommended daily intake. Fifty-nine percent (58.5%) of the children surveyed were anemic (Hb level: 9.75 g/dL [9.59–9.91]). Children with anemia were more prone to being iron deficient (odds ratio [OR]: 0.981 (0.961–1.001), Vitamin A deficient (OR: 0.813 (0.794–0.833)), and have lower maternal hemoglobin level (OR: 1.992 (1.957–2.027)). Combining nutritional supplementation and food-fortification programmes with reduction in maternal anemia and family poverty may yield optimal improvement of childhood anemia in India.

Cost Sharing for Substance Abuse and Mental Health Services in Managed Care Plans

2003 ◽  
Vol 60 (1) ◽  
pp. 101-116 ◽  
Author(s):  
Dominic Hodgkin ◽  
Constance M. Horgan ◽  
Deborah W. Garnick ◽  
Elizabeth L. Merrick
Keyword(s):  
Mental Health ◽  
Substance Abuse ◽  
Mental Health Services ◽  
Managed Care ◽  
Health Services ◽  
Cost Sharing ◽  
Care Plans

scholarly journals Health services utilization and its determinants in the context of recession: evidence from Greece

2020 ◽  
Author(s):  
Chrysoula Beletsioti ◽  
Dimitris Niakas
Keyword(s):  
Health Services ◽  
Healthcare Utilization ◽  
Linear Models ◽  
Health Sector ◽  
Economic Recession ◽  
Health Services Use ◽  
Chi Square ◽  
Services Utilization ◽  
Before And After ◽  
Improve Access

Abstract Background In 2009, Greece entered a prolonged economic recession and adopted austerity reforms, which have profoundly affected many aspects of health sector, including health services use. The objective of this study was to investigate healthcare utilization in the Greek population in the context of austerity and its determinants. Methods Two National Health Surveys of the population aged 15 and over, conducted in 2009 and 2014—before and after the adoption of austerity measures—, were used to analyse possible changes in healthcare utilization and its determinants applying chi-square tests, Mann–Whitney U-tests and generalized linear models. Results Between 2009 and 2014, the share of those who had visited a specialist decreased, whereas that of those who had visited a general practitioner or had been hospitalized did not change significantly. The number of outpatient consultations decreased and the number of nights spent in hospital did not change significantly. The strongest predictors were self-rated health, presence of chronic diseases and experiencing pain. Conclusions Identifying the procyclical or counter-cyclical nature of healthcare utilization and the association between utilization and its determinants in different settings is an important priority in order to improve access and promote health equity.

scholarly journals Living conditions, health services use and neighborhood perception at a survey of Brasília´s suburb

2020 ◽  
Vol 31 (02) ◽  
pp. 43-54
Author(s):  
Sergio Eduardo Soares Fernandes ◽  
Margarita Urdaneta ◽  
Elza Ferreira Noronha ◽  
Edgar Merchan-Hamann
Keyword(s):  
Health Services ◽  
Population Based ◽  
Public Health Facility ◽  
Living Conditions ◽  
Sexual Assaults ◽  
Health Services Use ◽  
Food Stores ◽  
Services Utilization ◽  
Piped Water ◽  
Neighborhood Perception

Method: Probabilistic population based survey describing living conditions, health services utilization and neighborhood perception in north suburb of Brasilia. Results: 1619 dwellers were available predominantly young low schooled, mostly unemployed (60%), living in brick house with piped water and electricity (>98%); 29% had sewage system; 85% of dwellers always use the same public health facility. Sexual assaults (7%); armed fights (32%); robbery (41%) and gang fights (25%) were perceived in neighborhoods that were seen as noisy (32%), dirty (40%), with few healthy food stores (34%) and sports/leisure areas (66%).  Conclusion: public policies in the capital´s suburb must be strengthened.

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