Variability in Use of Health Services and Its Association with Self-Management Skills: A Population-Based Exploratory Analysis

2016 ◽  
Vol 19 (1) ◽  
pp. 31-38 ◽  
Author(s):  
Sanjoti Parekh ◽  
Elizabeth Kendall ◽  
Carolyn Ehrlich
Keyword(s):  
Health Services ◽  
Population Based ◽  
Exploratory Analysis ◽  
Self Management ◽  
Management Skills ◽  
Use Of Health Services

scholarly journals Characteristics of self-management among patients with complex health needs: a thematic analysis review

BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e028344 ◽  
Author(s):  
Annie-Pier Gobeil-Lavoie ◽  
Maud-Christine Chouinard ◽  
Alya Danish ◽  
Catherine Hudon
Keyword(s):  
Chronic Diseases ◽  
Thematic Analysis ◽  
Healthcare Providers ◽  
Self Management ◽  
Management Support ◽  
Management Skills ◽  
Healthcare Needs ◽  
Frequent Use ◽  
Dominant Condition ◽  
Use Of Health Services

ObjectiveThere is a gap of knowledge among healthcare providers on characteristics of self-management among patients with chronic diseases and complex healthcare needs. Consequently, the objective of this paper was to identify characteristics of self-management among patients with chronic diseases and complex healthcare needs.DesignThematic analysis review of the literature.MethodsWe developed search strategies for the MEDLINE and CINAHL databases, covering the January 2000–October 2018 period. All articles in English or French addressing self-management among an adult clientele (18 years and older) with complex healthcare needs (multimorbidity, vulnerability, complexity and frequent use of health services) were included. Studies that addressed self-management of a single disease or that did not have any notion of complexity or vulnerability were excluded. A mixed thematic analysis, deductive and inductive, was performed by three evaluators as described by Mileset al.ResultsTwenty-one articles were included. Patients with complex healthcare needs present specific features related to self-management that can be exacerbated by deprived socioeconomic conditions. These patients must often prioritise care based on one dominant condition. They are at risk for depression, psychological distress and low self-efficacy, as well as for receiving contradictory information from healthcare providers. However, the knowledge and experiences acquired in the past in relation to their condition may help them improve their self-management skills.ConclusionsThis review identifies challenges to self-management for patients with complex healthcare needs, which are exacerbated in contexts of socioeconomic insecurity and proposes strategies to help healthcare providers better adapt their self-management support interventions to meet the specific needs of this vulnerable clientele.

scholarly journals Social inequalities in health among the elderly

2011 ◽  
Vol 27 (suppl 2) ◽  
pp. s198-s208 ◽  
Author(s):  
Marilisa Berti de Azevedo Barros ◽  
Priscila Maria Stolses Bergamo Francisco ◽  
Margareth Guimarães Lima ◽  
Chester Luiz Galvão César
Keyword(s):  
Health Services ◽  
Social Inequalities ◽  
Health Indicators ◽  
The Elderly ◽  
Population Based ◽  
Cross Sectional Study ◽  
Social Inequalities In Health ◽  
Cross Sectional ◽  
Inequalities In Health ◽  
Use Of Health Services

The aim of the present study was to assess social inequalities in health status, health behavior and the use of health services based on education level. A population-based cross-sectional study was carried out involving 1,518 elderly residents of Campinas, São Paulo State, Brazil. Significant demographic and social differences were found between schooling strata. Elderly individuals with a higher degree of schooling are in greater proportion alcohol drinkers, physically active, have healthier diets and a lower prevalence of hypertension, diabetes, dizziness, headaches, back pain, visual impairment and denture use, and better self-rated health. But, there were no differences in the use of health services in the previous two weeks, in hospitalizations or surgeries in the previous year, nor in medicine intake over the previous three days. Among elderly people with hypertension and diabetes, there were no differences in the regular use of health services and medication. The results demonstrate social inequalities in different health indicators, along with equity in access to some health service components.

Use of health services by Finnish employees in regard to health-related factors: the population-based Health 2000 study

2012 ◽  
Vol 86 (4) ◽  
pp. 451-462 ◽  
Author(s):  
Annukka Ikonen ◽  
Kimmo Räsänen ◽  
Pirjo Manninen ◽  
Maria Rautio ◽  
Päivi Husman ◽  
...  
Keyword(s):  
Health Services ◽  
Population Based ◽  
Related Factors ◽  
Health Related ◽  
Use Of Health Services

scholarly journals Survey on the use of health services by adult men: prevalence rates and associated factors

2016 ◽  
Vol 24 (0) ◽  
Author(s):  
Guilherme Oliveira de Arruda ◽  
Sonia Silva Marcon
Keyword(s):  
Health Service ◽  
Health Services ◽  
Associated Factors ◽  
Service Use ◽  
Population Based ◽  
Health Service Use ◽  
Cross Sectional ◽  
Adult Men ◽  
Curative Care ◽  
Use Of Health Services

Objective estimate the prevalence and identify factors associated with the use of health services by men between 20 and 59 years of age. Method population-based, cross-sectional domestic survey undertaken with 421 adult men, selected through systematic random sampling. The data were collected through a structured instrument and analyzed using descriptive and inferential statistics with multiple logistic regression. Results the prevalence rate of health service use during the three months before the interviews was 42.8%, being higher among unemployed men with a religious creed who used private hospitals more frequently, had been hospitalized in the previous 12 months and referred some disease. Conclusion the prevalence of health service use by adult men does not differ from other studies and was considered high. It shows to be related with the need for curative care, based on the associated factors found.

scholarly journals P2-234 Self-reported hearing loss and use of health services for elderly: a population based study in Sao Paulo city, Brazil

2011 ◽  
Vol 65 (Suppl 1) ◽  
pp. A286-A286
Author(s):  
K. M. Paiva ◽  
N. Farias ◽  
C. L. G. Cesar ◽  
M. B. de Azevedo Barros ◽  
L. Carandina ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Health Services ◽  
Population Based ◽  
Sao Paulo ◽  
São Paulo ◽  
Population Based Study ◽  
Use Of Health Services

scholarly journals Hearing loss and use of health services: a population-based cross-sectional study among Finnish older adults

2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Tuija M. Mikkola ◽  
Hannele Polku ◽  
Päivi Sainio ◽  
Päivikki Koponen ◽  
Seppo Koskinen ◽  
...  
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Health Services ◽  
Population Based ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Use Of Health Services

scholarly journals Access and use of health services by quilombolas (inhabitants of black communities) with arterial hypertension

2021 ◽  
Vol 2 (1) ◽  
pp. e12313
Author(s):  
Rosilene das Neves Pereira ◽  
Ricardo Franklin de Freitas Mussi ◽  
Claudio Bispo de Almeida ◽  
Roseanne Montargil Rocha
Keyword(s):  
Health Services ◽  
Clinical Status ◽  
The Elderly ◽  
Population Based ◽  
Black Communities ◽  
Public Health Services ◽  
Barriers To Access ◽  
Validated Questionnaire ◽  
Underutilization Of Services ◽  
Use Of Health Services

The present study aimed to describe the access and use of health services by hypertensive individuals living in quilombola communities in Bahia. This is a population-based descriptive investigation, with data obtained through the application of a validated questionnaire for the quilombola population,> 18 years old, of both sexes. Hypertension was determined by self-referral medical diagnosis. And, questions regarding access and use of the system and health were obtained. Blood pressure was measured by 72.7% of participants in the last six months. Hypertension was prevalent in 28.0% of the population, higher in the elderly and in women. The diagnoses occurred at 55.3+14.7 years on average. Among the sick, 55.5% cited consultations to monitor their clinical status, while 49.7% purchased all medicines from public health services. There is a discontinuity of assistance or use of health services, so it seems a misconception the indication of underutilization of services by quilombolas, the problem is the absence and / or barriers to access and accessibility for appropriate use to demand.

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