The Santa Barbara County Health Care Services Program: Birth Weight Change Concomitant with Screening for and Treatment of Glucose-Intolerance of Pregnancy: A Potential Cost-Effective Intervention?

This study examines the status and trends of foreign investment inflow in Indian hospital sector and highlights emerging issues. During the liberalized foreign investment regime between 2000 and 2014, a large number of foreign players have been focusing on Indian hospital sector and have enlarged their presence through partnership and investment in joint venture projects. Though foreign investment inflow in hospitals has increased to almost hundred times, it constitutes a small share within total financing of health care. It is the long-term domestic borrowing that predominates. The overall growth in foreign investment has largely been for providing super-speciality and tertiary care services particularly in the metropolitan cities, while investment for primary and secondary cares, clinical research, drugs development, diagnostic services and rural area remained negligible. The study argues that the private investment can play a complementary role in providing tertiary and speciality care services particularly in the untapped hospital market and it should not be considered as the substitute of public provisioning of health care services. The role of the government is warranted to provide cost-effective cares to general population across remotest area of the country.

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PTSD in Active Combat Soldiers: To Treat or Not to Treat

The Journal of Law Medicine & Ethics ◽

10.1111/jlme.12132 ◽

2014 ◽

Vol 42 (2) ◽

pp. 161-170 ◽

Cited By ~ 7

Author(s):

Bethany C. Wangelin ◽

Peter W. Tuerk

Keyword(s):

Public Health ◽

Mental Health ◽

Health Care ◽

Health Care Services ◽

Treatment Strategies ◽

Cost Effective ◽

Public Health Care ◽

Care Utilization ◽

Care Services ◽

Cost Effective Treatment

Treatment of military-related posttraumatic stress disorder (PTSD) is a major public health care concern. Since 2001 over 2.5 million troops have been deployed to Iraq or Afghanistan, many of whom have experienced direct combat and sustained threat. Estimates of PTSD rates related to these wars range from 8% to over 20%, or 192,000 to 480,000 individuals. Already, nearly 250,000 service members of Operations Enduring Freedom, Iraqi Freedom, and New Dawn (OEF/OIF/OND) have sought VA health care services for PTSD. This recent increased need for mental health services comes in addition to the ongoing needs of Vietnam-era and other veterans who continue to suffer from PTSD. PTSD is related to high co-morbidities of other mental health difficulties, poorer physical health status, and increased medical care utilization. Such high demand for services is an important contributor to the large cost associated with combat-related PTSD. Accordingly, promoting successful, cost-effective treatment strategies for PTSD is a chief public health care priority.

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Nurse Practitioners and Physician Assistants: Do They Have a Role in Your Practice?

PEDIATRICS ◽

10.1542/peds.96.4.844 ◽

1995 ◽

Vol 96 (4) ◽

pp. 844-850

Author(s):

Elsa L. Stone

Keyword(s):

Health Care ◽

Nurse Practitioners ◽

Health Care Services ◽

Current Trend ◽

Work Force ◽

Cost Effective ◽

Physician Assistants ◽

Quality Health Care ◽

Care Services ◽

Quality Health

During the next decade, pediatricians will confront the difficult challenge of providing quality health care services to more children with more diverse and difficult problems, and they will have little or no additional funding to accomplish this task. Despite earlier predictions of surpluses in the pediatric work force, there are now shortages that will worsen if the current trend persists. Pediatric nurse practitioners (PNPs) and some physician assistants are being trained to perform health supervision care and to diagnose and treat the common illnesses of children. Substantial evidence suggests that PNPs provide quality health care services, and that collaborative teams of pediatricians and PNPs can provide high-quality, cost-effective care to a broader spectrum of children than can be served by either professional alone.

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Reducing health care costs by rationalizing staffing in primary care settings

Eastern Mediterranean Health Journal ◽

10.26719/2004.10.3.382 ◽

2004 ◽

Vol 10 (3) ◽

pp. 382-388

Author(s):

S. Mawajdeh ◽

S. A. Khoury ◽

M. Qtaishat ◽

R. Yoder

Keyword(s):

Primary Care ◽

Health Care ◽

Health Care Services ◽

Cost Effective ◽

Personnel Costs ◽

Care Services ◽

Care Facilities ◽

Staffing Patterns ◽

Nationally Representative ◽

Effective Use

Jordan spends around 9% of its GDP on health care services, a high figure compared with similar developing countries. This study assessed staffing patterns in relation to Ministry of Health expenditures in a nationally representative sample of 97 primary care facilities. The economic costs of primary care facilities amounted to Jordanian dinar [JD] 42.3 million. Personnel costs consumed 53.8% of recurrent costs and in monetary terms the amount of down time [time not being used effectively] amounted to JD 9.7 million [about US$ 13.7 million]. The Ministry should consider changing the functioning of its primary care facilities to obtain a more cost-effective use of staff time

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Utilization of antenatal health care services and its impact on birth weight of newborn in rural area of Western Rajasthan, India

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20170739 ◽

2017 ◽

Vol 4 (3) ◽

pp. 680 ◽

Cited By ~ 2

Author(s):

Sandeep Kumar Uppadhaya ◽

Neha Agrawal ◽

Suman Bhansali ◽

Kapil Garg ◽

Mahendra Singh

Keyword(s):

Health Care ◽

Birth Weight ◽

Antenatal Care ◽

Rural Area ◽

Health Care Providers ◽

Health Care Services ◽

Nuclear Family ◽

Care Providers ◽

Care Services ◽

Antenatal Visits

Background: Antenatal care is an important component of reproductive and child health but has not been utilized to the full extent in India. The study is aimed to assess the utilization of antenatal health care services by mothers and its impact on birth weight of their newborn.Methods: A community based cross sectional study was conducted in a rural area of Jodhpur, Rajasthan. A total of 198 women of study area who have delivered between 1st July 2013 to 30thJune 2014 (12 months period) were interviewed by pre-designed and semi-structured questionnaire by door to door approach.Results: Present study showed that 100% of mothers registered their pregnancy in any health facility and 56.6% were registered in 2nd trimester. Only 32.8% mothers had received four or more antenatal visits. Only 26.26% mothers had utilized full antenatal care (minimum four antenatal visits, minimum one TT and minimum 100 IFA tablet taken) during pregnancy. The prevalence of low birth weight was 12.6%. Proportion of LBW babies was more (15.9%) in mothers who had not availed of full antenatal care. This difference was statistically significantly (P<0.05).Conclusions: The important factors related to low utilization of Antenatal services were lower socioeconomic status, lower literacy of mothers, working mothers, parity and nuclear family. The findings of this study may be utilized by the health managers and health care providers to address the problem of low ANC coverage.

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Simulation of the Body Shape after Weight Change for Health-Care Services

Advances in Human Factors and Ergonomics Series - Advances in Applied Digital Human Modeling ◽

10.1201/ebk1439835111-c24 ◽

2010 ◽

pp. 217-222 ◽

Cited By ~ 1

Author(s):

Makiko Kouchi ◽

Masaaki Mochimaru

Keyword(s):

Health Care ◽

Weight Change ◽

Health Care Services ◽

Body Shape ◽

The Body ◽

Care Services

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Do depressive symptoms among pregnant women assisted in Primary Health Care services increase the risk of prematurity and low birth weight?

Revista Latino-Americana de Enfermagem ◽

10.1590/1518-8345.4932.3480 ◽

2021 ◽

Vol 29 ◽

Author(s):

Anelise de Toledo Bonatti ◽

Ana Paula dos Santos Costa Roberto ◽

Thais de Oliveira ◽

Milena Temer Jamas ◽

Maria Antonieta de Barros Leite Carvalhaes ◽

...

Keyword(s):

Health Care ◽

Primary Health Care ◽

Depressive Symptoms ◽

Birth Weight ◽

Low Birth Weight ◽

Gestational Age ◽

Health Care Services ◽

Care Services ◽

Primary Health ◽

Primary Health Care Services

Objective: to investigate associations between depressive symptoms during pregnancy, low birth weight, and prematurity among women with low-risk pregnancies assisted in public Primary Health Care services. Method: prospective cohort with 193 pregnant women, using the Edinburgh Postnatal Depression Scale, telephone interviews, and medical records available in the health services. Associations of interest were obtained using the Cox regression model. Results: the participants were aged 24.9 years old (median) and had 11 years of schooling (median); 82.4% lived with their partners, and gestational age at the birth was 39 weeks (median). Twenty-five percent of the participants scored ≥13 on the Edinburgh scale. Depressive symptoms did not appear associated with low birth weight (RR=2.06; CI95%=0.56-7.61) or prematurity (RR=0.86; CI95%=0.24-3.09) in the adjusted analysis. However, premature labor increased the risk of low birth weight (RR=4.81; CI95%=1.01-23.0) and prematurity (RR=7.70; CI95%=2.50-23.7). Additionally, each week added to gestational age decreased the risk of low birth weight (RR=0.76; CI95%=0.61-0.95). Conclusion: the presence of depressive symptoms among women with low-risk pregnancies was not associated with low birth weight or prematurity.

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