Use of Health Services in the Months Prior to Suicide in a Country With Low Suicide Rates and Public Universal Access to Healthcare

Author(s):  
Andrea Gabilondo ◽  
David del Valle ◽  
Imanol Montoya ◽  
Alvaro Iruin
1998 ◽  
Vol 28 (4) ◽  
pp. 777-791 ◽  
Author(s):  
Luis Rajmil ◽  
Barbara Starfield ◽  
Antoni Plasència ◽  
Andreu Segura

The purpose of this study was to assess the role of needs and social factors in the use of health services among children under age 15 in Catalonia, Spain, where health care reform was explicitly designed to facilitate universal access to primary care according to health needs. Data from the Catalan Health Interview Survey of 1994, a multistage probability sample (2,433 children under 15 years old), were analyzed. Multiple regression examined the relationship between health needs and number of visits in the last year, controlling for the effect of sociodemographic characteristics. Two logistic regression equations were selected to predict heavy (more than seven visits per year) and light (less than two visits) utilization of services. The multiple regression model explained 14.3 percent of the variance in number of visits, with health status perception, disability, reported chronic condition, restriction of activities, and having had a recent accident by far the most important determinants. No familial socioeconomic characteristics, including social class, education, or family size, influenced the extent of use. In contrast to health systems not designed to achieve either universal access according to need or strong primary care, universal access to health services in Catalonia appears to enhance the use of services among children with health needs, regardless of socioeconomic characteristics.


Author(s):  
André den Exter ◽  
Keith Syrett

This chapter describes the main features of European healthcare systems. The chapter identifies key characteristics of these systems: the organisation, financing, and delivery of health services, and the main actors. It then questions what the systems cover, who are eligible to receive healthcare, when patients receive healthcare, and the physician’s duty to provide care. In addition to highlighting the applicable regulatory framework, this chapter also describes some general trends.


Author(s):  
Andrés Gómez Del Barrio ◽  
Francisco Ruiz Guerrero ◽  
Pilar Benito Gonzalez ◽  
Marta Perez Fernandez ◽  
Lucía Sanchez Blanco ◽  
...  

Author(s):  
Chengxu Long ◽  
Ruoxi Wang ◽  
Da Feng ◽  
Lu Ji ◽  
Zhanchun Feng ◽  
...  

Background: Due to the household registration system, Chinese elderly migrants have insufficient access to health services and social support. Thus, this study examined the use of health services, the access to social support, and the interaction among the elderly migrating within China. Methods: Data were obtained from the China Migrant Dynamic Monitoring Survey in 2015, adopting probability proportionate to size as the sampling strategy. Structural equation modeling and mediating effect tests were employed to explore the associations. Results: Approximately 45.9% of elderly migrants did not seek health services when needed. The use of outpatient and inpatient services was more common than free essential public health services. The use of health services was negatively associated with migrating duration and migrating for offspring, while it was positively associated with outer social support. The mediating effects of outer social support were discovered on the relationships between the use of health services and independent variables such as migrating duration and migrating for offspring, respectively. Conclusion: Elderly migrants with a longer migrating duration or migrated for offspring seem to obtain less outer social support, resulting in a decreased use of health services. Outer social support was suggested as a key effort to improve the equalization of health services in Chinese elderly migrants.


1998 ◽  
Vol 88 (6) ◽  
pp. 897-902 ◽  
Author(s):  
C M McBride ◽  
P Lozano ◽  
S J Curry ◽  
D Rosner ◽  
L C Grothaus

2017 ◽  
Vol 51 (suppl 1) ◽  
Author(s):  
Deborah Carvalho Malta ◽  
Regina Tomie Ivata Bernal ◽  
Margareth Guimarães Lima ◽  
Silvânia Suely Caribé de Araújo ◽  
Marta Maria Alves da Silva ◽  
...  

ABSTRACT OBJECTIVE To assess whether sex, education level, and health insurance affect the use of health services among the adult Brazilian population with chronic noncommunicable diseases (NCD). METHODS Data from a cross-sectional survey were analyzed, the National Health Survey (PNS). Frequency of use of services in the population that referred at least one NCD were compared with the frequency from a population that did not report NCD, according to sex, education level, health insurance, and NCD number (1, 2, 3, 4, or more). The prevalence and prevalence ratios were calculated crude and adjusted for sex, age, region, and 95% confidence intervals. RESULTS The presence of a noncommunicable disease was associated with increase in hospitalizations in the last 12 months, in 1.7 times (95%CI 1.53–1.9). Failing to perform usual activities in the last two weeks for health reasons was 3.1 times higher in NCD carriers (95%CI 2.78–3.46); while the prevalence of medical consultation in the last 12 months was 1.26 times higher (95%CI 1.24–1.28). NCD carriers make more use of health services, as well as women, people with higher number of comorbidities, with health insurance, and higher education level. CONCLUSIONS NCD carriers make more use of health services, as well as women, people with higher number of comorbidities, with health insurance, and higher education level.


1998 ◽  
Vol 17 (1) ◽  
pp. 105-115 ◽  
Author(s):  
Stephen H. Long ◽  
M.Susan Marquis ◽  
Jack Rodgers

1999 ◽  
Vol 29 (4) ◽  
pp. 743-764 ◽  
Author(s):  
Carme Borrell ◽  
Izabella Rohlfs ◽  
Josep Ferrando ◽  
M. Isabel Pasarín ◽  
Felicitas Domínguez-Berjón ◽  
...  

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