Differentials in private and public healthcare service utilization in later life: do gender and marital status have any association?

2021 ◽  
pp. 1-11
Author(s):  
Babul Hossain ◽  
K.S. James ◽  
Varsha P. Nagargoje ◽  
Papai Barman
2021 ◽  
Vol 8 (2) ◽  
pp. 205510292110291
Author(s):  
Drexler James

This study ( N = 780) examines the indirect effects of hardiness—health locus of control (HLOC), health competence (HC), health value (HV)—on past-year healthcare provider visit via attitudes toward seeking and receiving professional healthcare services (ATSRPHS). Across four health domains (dental, general health, mental, vision), ATSRPHS mediated the indirect effect of (1) HV and (2) internal HLoC on past-year healthcare provider visit. ATSRPHS also mediated the indirect effect of external HLoC on past-year visit to healthcare provider visit for general medical, mental, and vision health. ATSRPHS did not mediate any indirect effect of HC on past-year healthcare provider visit. This research contributes to understanding determinants of healthcare service utilization among Black American adults.


2010 ◽  
pp. 1913-1929 ◽  
Author(s):  
Vincenzo Gulla

The present chapter focuses on some aspects of the state of the art of telemedicine systems and their use over broadband. It starts with a brief summary of the most popular telecommunication technologies to give the reader an overview of today’s broadband technology and methods. Some important deployment data are included showing the global growth and use in many countries. Results of very significant pilot projects using videocommunication implemented in Italy and in Europe are taken into consideration, demonstrating the benefits of the patient’s psychological status in conjunction with health care assistance. The chapter proposition is to show a business model, based on an Italian reality exploiting the Marche region population development and healthcare statistics. The simulation example is the adaptation of telemedicine solution for early hospital discharge applied to a public healthcare structure, typically a hospital. The model takes into account the possible adaptation of an “early discharge solution” implemented with portable telemonitoring light videocommunication terminals, which, thanks to broadband availability, may be installed at the patient’s home for a predefined period (typically 7 to 10 days). The simulation aims to highlight and dimension cost reduction or, in a more appropriate view, give the percentage of resource that can be relocated to provide a better service and how a national healthcare service may take advantage of these scenarios.


Author(s):  
Segufta Dilshad ◽  
Afsana Akhtar ◽  
S. S. M. Sadrul Huda ◽  
Nandeeta Samad

The service quality measurement of healthcare services is always a big concern for the hospitals, patient rights activists, regulators, and general patients. This study deals with quality assessment of healthcare facilities concerning the private and public health facilities of Dhaka, Bangladesh. This study follows the survey research approach. Using the purposive sampling method, the individuals have been selected from households who have received healthcare services from public or private hospitals of Dhaka city in last year. The study collected data among 410 respondents. Standard statistical software (i.e., SPSS and STATA) have been used to analyze the data. This study confirms existing evidence that Bangladeshi patients have a growing concern with lower level of satisfaction in public healthcare services. The respondents faced multi-dimensional problems, characterized by a low level of overall service quality, interpersonal service quality, and technical or treatment-related quality at public hospitals. Further research is recommended to analyze the issues further.


2020 ◽  
Vol 10 (1) ◽  
pp. 67
Author(s):  
Wael Omran Aly

For many decades, the Egyptian people have suffered from deplorable public healthcare service featured by indolence, malfunction and traditionalism. Although, healthcare is a distinctive service industry concerning various complicated responsibilities; but the consecutive government of Egypt had badly handled such issue. Then, the apathetic performance of the public healthcare service becomes a dilemma for the people of Egypt; especially the poor among them. Therefore, the foundation of an adequate public healthcare service system, that respect the dignity of the people and respond to their arising health care needs; was frequently on the agenda priorities of the Egyptian governments after the 2011 and 2013 uprisings. Hence recently, the government -after reaching political and economic stability- seeks to build an ambitious newly public health care system to meet the expectation of the people to acquire high standard inexpensive and hasty public healthcare services. Consequently, in order to realize such aim; the Egyptian government had established the public agency for accreditation and quality control according to law no.2 of comprehensive healthcare insurance system issued at 2018. Then, it urges a national campaign to reform the public healthcare sector and to develop the efficacy and quality of its services. Hence, this paper aims to propose how the public healthcare organizations in Egypt can tackle various challenges and enhance adequately its capabilities; in order to be able to adopt the proposed Lean Six Sigma (LSS) methodology effectively; which can then provide an adequate framework for creating organized improvement exertions in healthcare; necessary to bestow guidelines on how to manage a quality service system to patient satisfaction by decreasing waste, variation and work disparity in the service processes.


2019 ◽  
Vol 40 (10) ◽  
pp. 2106-2127
Author(s):  
Yelda Özen

AbstractThe ageing population of Turkey has brought later-life care into question. Family care remains most prevalent, but institutional, paid and professional care are increasing. Literature in Turkey has focused on the medical or social policy aspects but not care-givers’ experiences, nor how the care is performed. This study aims to illuminate care-givers’ experiences using qualitative methods, through in-depth interviews in Ankara with 19 care-givers providing home care for people aged 65 and over. Commonalities and differences were revealed among unpaid family care-givers, paid care-givers and professional care-givers. First, whether paid or unpaid, the bodily and emotional aspects of care work are intertwined. To cope with the ‘negativities’ involved in the work, nurses usually medicalised bodily tasks, unpaid care-givers cited traditional responsibilities and employed infantilisation, while paid care-givers mostly informalised the relationship, infantilised the person cared for and underlined their asexuality. Secondly, care work is gendered; silenced, invisible and ambivalent; related to intimacy with older bodies; and performed in the home space, which blurs the distinction between the private and public field for paid care. Finally, it involves emotional work regarding managing the bodily aspects and navigating the relationships surrounding the older person; and it is labour-intensive with an exploitative character.


2019 ◽  
Vol 41 (8) ◽  
pp. 1282-1306
Author(s):  
Jinyu Liu ◽  
Lydia Li ◽  
Zhenmei Zhang ◽  
Hongwei Xu

Objectives: This study aimed to examine whether gender and marital status of coresiding adult children are associated with depressive symptoms of Chinese older adults. Methods: Using data from the China Health and Retirement Longitudinal Study, linear regression analysis was conducted to identify longitudinal associations of intergenerational coresidence with depressive symptoms in rural and urban older Chinese. Results: Both rural and urban older adults living with unmarried sons had significantly higher depressive symptoms at four-year follow-up than those who did not live with children. Living with married sons was significantly associated with higher levels of depressive symptoms at four-year follow-up among rural elders only. Discussion: This study sheds light on the heterogeneity in the relationship between intergenerational coresidence and Chinese older adults’ psychological well-being by the gender and marital status of coresiding children. Further research is needed to understand the complex and dynamic household structures and health outcomes in later life.


2019 ◽  
Vol 99 (4) ◽  
pp. 370-374 ◽  
Author(s):  
G Shalom ◽  
M Babaev ◽  
K Kridin ◽  
Y Schonmann ◽  
A Horev ◽  
...  

2014 ◽  
Vol 11 (10) ◽  
pp. 10559-10586 ◽  
Author(s):  
Marie-Josée Fleury ◽  
André Ngui ◽  
Jean-Marie Bamvita ◽  
Guy Grenier ◽  
Jean Caron

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