scholarly journals Health services use in eating disorders

2007 ◽  
Vol 38 (10) ◽  
pp. 1465-1474 ◽  
Author(s):  
R. H. Striegel-Moore ◽  
L. DeBar ◽  
G. T. Wilson ◽  
J. Dickerson ◽  
F. Rosselli ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Health Services ◽  
Health Plan ◽  
Service Use ◽  
Healthcare Services ◽  
Primary Care Visit ◽  
Health Services Use ◽  
Health Maintenance ◽  
Co Morbidity ◽  
Services Use

BackgroundThis study examined healthcare services used by adults diagnosed with an eating disorder (ED) in a large health maintenance organization in the Pacific Northwest.MethodElectronic medical records were used to collect information on all out-patient and in-patient visits and medication dispenses, from 2002 to 2004, for adults aged 18–55 years who received an ED diagnosis during 2003. Healthcare services received the year prior to, and following, the receipt of an ED diagnosis were examined. Cases were matched to five comparison health plan members who had a health plan visit close to the date of the matched case's ED diagnosis.ResultsIncidence of EDs (0.32% of the 104 130 females, and 0.02% of the 93 628 males) was consistent with prior research employing treatment-based databases, though less than community-based samples. Most cases (50%) were first identified during a primary-care visit and psychiatric co-morbidity was high. Health services use was significantly elevated in all service sectors among those with an ED when compared with matched controls both in the year preceding and that following the receipt of the incident ED diagnosis. Contrary to expectations, healthcare utilization was found to be similarly high across the spectrum of EDs (anorexia nervosa, bulimia nervosa, and eating disorders not otherwise specified).ConclusionsThe elevation in health service use among women both before and after diagnosis suggests that EDs merit identification and treatment efforts commensurate with other mental health disorders (e.g. depression) which have similar healthcare impact.

scholarly journals Health services use by children identified as heterozygous hemoglobinopathy mutation carriers via newborn screening

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sara D. Khangura ◽  
Beth K. Potter ◽  
Christine Davies ◽  
Robin Ducharme ◽  
A. Brianne Bota ◽  
...  
Keyword(s):  
Health Services ◽  
Newborn Screening ◽  
Service Use ◽  
Carrier Status ◽  
Health Services Use ◽  
Inpatient Hospitalization ◽  
Potential Health ◽  
Ed Visits ◽  
Rate Ratios ◽  
Services Use

Abstract Background Newborn screening (NBS) for sickle cell disease incidentally identifies heterozygous carriers of hemoglobinopathy mutations. In Ontario, Canada, these carrier results are not routinely disclosed, presenting an opportunity to investigate the potential health implications of carrier status. We aimed to compare rates of health services use among children identified as carriers of hemoglobinopathy mutations and those who received negative NBS results. Methods Eligible children underwent NBS in Ontario from October 2006 to March 2010 and were identified as carriers or as screen-negative controls, matched to carriers 5:1 based on neighbourhood and timing of birth. We used health care administrative data to determine frequencies of inpatient hospitalizations, emergency department (ED) visits, and physician encounters through March 2012, using multivariable negative binomial regression to compare rates of service use in the two cohorts. We analyzed data from 4987 carriers and 24,935 controls. Results Adjusted incidence rate ratios (95% CI) for service use in carriers versus controls among children < 1 year of age were: 1.11 (1.06–1.17) for ED visits; 0.97 (0.89–1.06) for inpatient hospitalization; and 1.02 (1.00–1.04) for physician encounters. Among children ≥1 year of age, adjusted rate ratios were: 1.03 (0.98–1.07) for ED visits; 1.14 (1.03–1.25) for inpatient hospitalization and 0.92 (0.90–0.94) for physician encounters. Conclusions While we identified statistically significant differences in health services use among carriers of hemoglobinopathy mutations relative to controls, effect sizes were small and directions of association inconsistent across age groups and health service types. Our findings are consistent with the assumption that carrier status is likely benign in early childhood.

scholarly journals Influence of established and subjectively perceived as well as evaluated individual characteristics on the utilization of mental health services among individuals with depressive disorders: protocol of a longitudinal study examining how to supplement the “behavioral model of health services use” and on need-congruent use of mental health services

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Anna Katharina Reinhold ◽  
Julia Louise Magaard ◽  
Anna Levke Brütt
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Service Use ◽  
Mental Health Service Use ◽  
Health Service Use ◽  
Health Services Use ◽  
Services Use

Abstract Background Approximately one out of every three people in Germany who meets the diagnostic criteria for major depression has contact with mental health services. Therefore, according to treatment guidelines, two thirds of all individuals with depression are insufficiently treated. In the past, the subjective perspective of people who (do not) make use of mental health services has been neglected. Factors related to the use of health services are described in Andersen’s Behavioral Model of Health Services Use (ABM). The aim of this study is to supplement operationalizations of subjectively perceived and evaluated individual characteristics in the ABM and to evaluate whether the supplemented model can better explain mental health services use in individuals with depression than established operationalizations. Methods A representative telephone study with two measurement points will be conducted. In an explanatory mixed-methods design, qualitative interviews will be added to further interpret the quantitative data. A nationwide sample scoring 5 or more on the Patient Health Questionnaire (PHQ-9) will be recruited and interviewed via telephone at T0 and 12 months later (T1). Data on established and subjective characteristics as well as mental health service use will be collected. At T1, conducting a diagnostic interview (Composite International Diagnostic Interview, DIA-X-12/M-CIDI) enables the recording of 12-month diagnoses according to DSM-IV-TR criteria. Ideally, n = 768 datasets will be available and analyzed descriptively by means of regression analysis. Up to n = 32 persons who use or do not use depression-specific health services incongruent with their objective or subjective needs will be interviewed (face-to-face) to better explain their behavior. In addition, theories of non-need-based mental health service use are developed within the framework of the grounded theory-based analysis of the qualitative interviews. Discussion The study intends to contribute to the theoretical foundation of health services research and to specify the characteristics described in the ABM. Thus, after completion of the study, a further sophisticated and empirically tested model will be available to explain mental health services. The identified modifiable influencing factors are relevant for the development of strategies to increase mental health service use in line with the objective and subjective needs of individuals with depression.

scholarly journals INEQUALITY IN COMMUNITY HEALTH SERVICES USE IN ISRAEL: A COMPARISON BETWEEN ELDER JEWS AND ARABS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S863-S863
Author(s):  
Ariela Lowenstein ◽  
Sigal Pearl Naim
Keyword(s):  
Quality Of Life ◽  
Health Services ◽  
Service Use ◽  
Population Aging ◽  
Economic Status ◽  
Public Health Issue ◽  
Health Services Use ◽  
Socio Economic Status ◽  
Services Use

Abstract Population aging is an important social and public health issue globally. However, increase in longevity causes physical frailty and disability for many elders, which might lead to independence loss and impact quality of life. This increases health services usage and leads to higher costs of medical treatments. Data show that higher socio-economic status and accessibility to health services might reduce inequality in service use and impact mortality rates and quality of life. Also, that improved socio-economic status and population accessibility to Health services may stem from inner health system factors, as well as those related to the patients. Among minorities lower usage of formal professional services, including health services, are often related to cultural differences and many times to lower technological level, which are not considered by service providing organizations. Thus, lack of attention to service using minorities’ needs may cause a gap between potential consumers to services use. Israel is a multi-cultural society with mixed population of Jews and Arabs. Currently, Arabs comprise 20.9% and Jews 74.3%. However, the rate of disabled Jews is 16% compared to 31% among older Arabs.

scholarly journals O uso seletivo do território na distribuição dos serviços de saúde: um estudo de Sobral – Ceará

2017 ◽  
Vol 11 (2) ◽  
pp. 95
Author(s):  
Maria Cássia de Sá ◽  
Virgínia Célia Cavalcante de Holanda
Keyword(s):  
Health Care ◽  
Health Services ◽  
Healthcare Services ◽  
The State ◽  
Private Health Care ◽  
Health Services Use ◽  
Public And Private ◽  
Urban Network ◽  
Palabras Clave ◽  
Services Use

ResumoNa perspectiva de captar as expressões que Sobral congrega na rede urbana cearense, nos debruçamos durante essa pesquisa no estudo do uso do território de Sobral pelos serviços de saúde. Enquanto cidade média, a referida cidade responde por uma das quatro macrorregiões de saúde no estado, reunindo estabelecimentos públicos e privados que oferecem assistência à saúde nos três níveis de complexidade que compõe a rede de ações e serviços de saúde no Brasil. Os serviços de saúde seguem a lógica de uso corporativo do território, e Sobral historicamente vem garantindo seu lugar nessa topologia.Palavras-chave: Cidade Média. Sobral. Serviços de Saúde. Uso do Território.  AbstractIn  the perspective of capturing the expressions that Sobral aggregates  in the Ceará's urban network, we worked  during this research in the study of the use of territory of Sobral by health services While average city, this city accounts for one of the four macro health regions in the state, bringing together public and private health care offers three levels of complexity that makes up the network of actions and healthcare services in Brazil. Health services, follow the logic of corporate use of the territory, and Sobral historically has guaranteed its place in this topology.Keywords: Medium City. Sobral. Health Services. Use of the territory.  ResumenEn la perspectiva de captar las expresiones que Sobral aduna en la rede urbana cearense, direccionamos esa investigación en el estudio del uso del territorio de Sobral por los servicios de salud. Mientras ciudad media, la referida ciudad revelase como una de las cuatro macro-regiones de salud en estado, reuniendo establecimientos públicos y privados que ofrecen asistencia a la salud en los tres niveles de complexidad que compone la rede de acciones y servicios de salud en Brasil. Los servicios de salud siguen a lógica de uso corporativo del territorio, y Sobral históricamente viene garantizando su sitio en esa topología. Palabras Clave:  Ciudad Media. Sobral. Servicios de salud. Uso del territorio. 

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