Factors influencing individuals’ take-up of tax-subsidized private health insurance: a cross-sectional study in China

ObjectivesTo determine if children attend the family physician (FP) or the FP/paediatrician for their surveillance medical appointments, as well as analyse the variables associated with the parents’ choice between the two physicians.DesignCross-sectional study.SettingPublic, semiprivate and private kindergartens in the city of Vila Nova de Famalicão (Portugal).ParticipantsParents of children aged 6 years or less without chronic diseases, enrolled in the selected kindergartens.Main outcome measuresProportion of children attending the FP or FP/paediatrician for their surveillance appointments; association between the chosen physician and sociodemographic and household variables (parents’ age, educational level, professional situation and marital status; household net income; number of children; the child’s age; presence of private health insurance), assessment of the parents’ perception of clinical knowledge and accessibility regarding the FP and the paediatrician.ResultsA total of 697 children were included in the analysis: 30.6% attended only the FP and 69.4% attended both the FP and the paediatrician. Using a Poisson regression, the mother’s age (PR=1.02, 95% CI 1.00 to 1.03), higher educational level (prevalence ratio (PR=1.15, 95% CI 1.00 to 1.33), private health insurance (PR=1.30, 95% CI 1.15 to 1.46), number of children (PR=0.86, 95% CI 0.78 to 0.94) and the child’s age (PR=0.95, 95% CI 0.91 to 0.98) were statistically associated with attending both the FP and the paediatrician; parents of children who attended only FP rated the FP with a higher accessibility and knowledge mean score than those who consulted both physicians (2.91vs2.38, P<0.001, and 4.11vs3.85, P<0.001).ConclusionsOur data show that 70% of our sample simultaneously attended an FP and a paediatrician. FPs are equally qualified to provide medical care to healthy children but this information is not properly transmitted to the general population.

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Awareness of Heart Disease Among Female College Students

American Journal of Health Studies ◽

10.47779/ajhs.2014.227 ◽

2020 ◽

Vol 29 (4) ◽

Author(s):

Ghadah Alshuwaiyer ◽

E. Laurette Taylor

Keyword(s):

Heart Disease ◽

Health Insurance ◽

Private Health Insurance ◽

Cross Sectional Study ◽

Female Students ◽

Educational Opportunities ◽

Female College Students ◽

Sectional Study ◽

Cross Sectional ◽

Preventive Methods

This cross-sectional study assessed the knowledge of female students about heart disease (HD). A sample of 334 students (age=18-64 years) completed a 43-item survey. Students (32%) considered themselves “not informed” about HD. Yet, HD was identified as a main health problem (30.5%) and a leading cause of death (60%; p < .05). Students with private health insurance (54%) visited the doctor regularly versus those without private or known type of insurance (6.4% and 2.1%, respectively; p < .05). Students identified exercise (73.8%) and aromatherapy (14.1%) as preventive methods for HD. To increase HD awareness among female students, educational opportunities should be incorporated into coursework.

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Subscription of various health insurance schemes and factors influencing them in rural area of central Karnataka: a cross sectional study

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20200937 ◽

2020 ◽

Vol 7 (3) ◽

pp. 898

Author(s):

Netra G. ◽

B. A. Varadaraja Rao

Keyword(s):

Health Insurance ◽

Cross Sectional Study ◽

Insurance Fund ◽

Sectional Study ◽

Cross Sectional ◽

Systematic Random Sampling ◽

Factors Influencing ◽

Concept Of Health ◽

The Family ◽

Field Practice

Background: In a health insurance program, people who have the risk of a certain event contribute a small amount (premium) toward a health insurance fund. This fund is then used to treat patients who experience that particular event (e.g., hospitalization). It is a form of risk management which is used primarily to hedge against the risk of a contingent, uncertain loss. Health is wealth. Therefore, the concept of health insurance (HI) has evolved which finances health care. Objectives of the study was to assess subscription of various health insurance schemes and factors influencing them in the rural field practice area of SSIMS and RC, Davanagere.Methods: The cross sectional study was conducted in the rural field practice area of SSIMS and RC, Davangere from May to July 2016. A sample of 600 families were visited by systematic random sampling and data was collected from the head of the family with informed consent using a predesigned, pretested questionnaire by house to house interview. Analysis was done by using SPSS v10 and were results presented as percentages and proportions.Results: The total subscription in the study was 69.3%, Yeshasvini co-operative farmers’ health scheme coverage was 84% followed by others. The factors determining the subscription were the amount of premium, lack of funds, lack of awareness, lack of comprehensive coverage, etc.Conclusions: The premium has to be customized so that all the patients are benefited irrespective of the type of HI.

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Factors influencing depression in primary caregivers of patients with dementia in China: A cross-sectional study

Geriatric Nursing ◽

10.1016/j.gerinurse.2021.03.017 ◽

2021 ◽

Vol 42 (3) ◽

pp. 734-739

Author(s):

Yanhong H. Zhang ◽

Yin Cheng ◽

Zhaoqin Wang ◽

Tianting Yang ◽

Wenjun Lv ◽

...

Keyword(s):

Primary Caregivers ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Factors Influencing

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Individual and organizational factors influencing workplace cyberbullying of nurses: A cross‐sectional study

Nursing and Health Sciences ◽

10.1111/nhs.12858 ◽

2021 ◽

Author(s):

Young Ji Kim ◽

Jeong Sil Choi

Keyword(s):

Organizational Factors ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Factors Influencing

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Perspectives of Healthcare Professionals Regarding Factors Associated with Antimicrobial Resistance (AMR) and Their Consequences: A Cross Sectional Study in Eastern Province of Saudi Arabia

Antibiotics ◽

10.3390/antibiotics10070878 ◽

2021 ◽

Vol 10 (7) ◽

pp. 878

Author(s):

Mohamed A. Baraka ◽

Amany Alboghdadly ◽

Samar Alshawwa ◽

Asim Ahmed Elnour ◽

Hassan Alsultan ◽

...

Keyword(s):

Antimicrobial Resistance ◽

Inappropriate Prescribing ◽

Healthcare Providers ◽

Cross Sectional Study ◽

Sectional Study ◽

Key Factors ◽

Eastern Province ◽

Cross Sectional ◽

Factors Associated ◽

Factors Influencing

Factors reported in the literature associated with inappropriate prescribing of antimicrobials include physicians with less experience, uncertain diagnosis, and patient caregiver influences on physicians’ decisions. Monitoring antimicrobial resistance is critical for identifying emerging resistance patterns, developing, and assessing the effectiveness of mitigation strategies. Improvement in prescribing antimicrobials would minimize the risk of resistance and, consequently, improve patients’ clinical and health outcomes. The purpose of the study is to delineate factors associated with antimicrobial resistance, describe the factors influencing prescriber’s choice during prescribing of antimicrobial, and examine factors related to consequences of inappropriate prescribing of antimicrobial. A cross-sectional study was conducted among healthcare providers (190) in six tertiary hospitals in the Eastern province of Saudi Arabia. The research panel has developed, validated, and piloted survey specific with closed-ended questions. A value of p < 0.05 was considered to be statistically significant. All data analysis was performed using the Statistical Package for Social Sciences (IBM SPSS version 23.0). 72.7% of the respondents have agreed that poor skills and knowledge are key factors that contribute to the inappropriate prescribing of antimicrobials. All of the respondents acknowledged effectiveness, previous experience with the antimicrobial, and reading scientific materials (such as books, articles, and the internet) as being key factors influencing physicians’ choice during antimicrobial prescribing. The current study has identified comprehensive education and training needs for healthcare providers about antimicrobial resistance. Using antimicrobials unnecessarily, insufficient duration of antimicrobial use, and using broad spectrum antimicrobials were reported to be common practices. Furthermore, poor skills and knowledge were a key factor that contributed to the inappropriate use and overuse of antimicrobials, and the use of antimicrobials without a physician’s prescription (i.e., self-medication) represent key factors which contribute to AMR from participants’ perspectives. Furthermore, internal policy and guidelines are needed to ensure that the antimicrobials are prescribed in accordance with standard protocols and clinical guidelines.

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