scholarly journals Chronic conditions and use of health care service among German centenarians

2017 ◽  
Vol 46 (6) ◽  
pp. 939-945 ◽  
Author(s):  
Petra von Berenberg ◽  
Dagmar Dräger ◽  
Thomas Zahn ◽  
Julia Neuwirth ◽  
Adelheid Kuhlmey ◽  
...  
2007 ◽  
Vol 31 (4) ◽  
pp. 628 ◽  
Author(s):  
Belinda J Gabbe ◽  
Ann M Sutherland ◽  
Owen D Williamson ◽  
Peter A Cameron

To establish the use of health care services 6 months following major trauma, 243 blunt major trauma patients were recruited during their acute hospital stay and followed up by telephone interview at 6 months post-injury. Data collected at 6 months included health care service usage and their level of disability according to the Glasgow Outcome Scale ? Extended (GOSE). Ninety-four percent of patients were living in the community at 6 months, and most (69%) reported continued use of health care services. Of those with ongoing disability, non-compensable patients were significantly more likely (OR 3.7; 95% CI, 1.6?8.6) to have ceased health care service use than compensable patients, independent of injury severity.


2017 ◽  
Vol 11 (4) ◽  
pp. 1028-1038 ◽  
Author(s):  
Javier Francisco Boyas ◽  
Nalini Junko Negi ◽  
Pamela Valera

Latino day laborers (LDLs) are at elevated risks for disease and injury because of the environments in which they work. Despite this recognition, a comprehensive examination of factors related to LDLs’ health service use remains unexamined. Using the Andersen model, the current exploratory study examined predisposing (age, education level, location of educational training, legal status, and marital status), enabling (income, trust in medical personnel, whether the respondent has someone they consider their personal doctor, and whether their doctor speaks the same language, perceived barriers to care), and need (self-rated health, number of chronic conditions) variables to predict use of health services among a purposive sample of LDLs ( N = 150). Cross-sectional data were collected in 2012 from 4 day laborer sites in Dallas and Arlington, Texas. Regression results suggest that the strongest predictor of health care use was trust in medical providers (β = .41). LDLs who were U.S legal residents (β = .21), reported multiple chronic conditions (β = .16), and had a doctor who spoke their language (β = .15) reported significantly higher levels of health care usage. In terms of barriers, not being able to pay for services (β = −.23), lacking health care insurance coverage (β = −.22), and being embarrassed or having a family member not approve of utilizing services (β = −.18) were significantly associated with lower health care usage among LDLs. These findings suggest that LDLs are faced with a number of predisposing, enabling, and need factors that comprise health care use.


2019 ◽  
Author(s):  
Myung Ja Kim ◽  
Eunhee Lee

Abstract Background Community based case management for medical aid beneficiaries was implemented in Korea to induce rational use of medical care among the beneficiaries and stabilize the financial system. This study investigated the economic impact of community based case management on health care utilization and cost. Methods This study is a quantitative policy evaluation study to evaluate the impact of case management on excessive use of health care service in medical aid beneficiaries using national database. Results Total 1,741 medical aid beneficiaries with case management included in this study. Case management was provided to three target group, high-risk, long-term inpatient, and intensive care group. An increase in health-related quality of life (QOL) and the ability to use appropriate health care and a reduction in health care utilization and cost were observed for case management. There was no significant difference in the reduction in the total number of visiting days and the cost between the groups. Conclusions An increase in the health care utilization among medical aid beneficiaries has been observed due to the aging population and increase in the number of recipients. To reduce health care costs while maintaining the health status of the beneficiaries, it is necessitated to expand the targeted management.


2020 ◽  
Vol 11 (SPL1) ◽  
pp. 380-384
Author(s):  
Priyanka Paul Madhu ◽  
Yojana Patil ◽  
Aishwarya Rajesh Shinde ◽  
Sangeeta Kumar ◽  
Pratik Phansopkar

disease in 2019, also called COVID-19, which has been widely spread worldwide had given rise to a pandemic situation. The public health emergency of international concern declared the agent as the (SARS-CoV-2) the severe acute respiratory syndrome and the World Health Organization had activated significant surveillance to prevent the spread of this infection across the world. Taking into the account about the rigorousness of COVID-19, and in the spark of the enormous dedication of several dental associations, it is essential to be enlightened with the recommendations to supervise dental patients and prevent any of education to the dental graduates due to institutional closure. One of the approaching expertise that combines technology, communications and health care facilities are to refine patient care, it’s at the cutting edge of the present technological switch in medicine and applied sciences. Dentistry has been improved by cloud technology which has refined and implemented various methods to upgrade electronic health record system, educational projects, social network and patient communication. Technology has immensely saved the world. Economically and has created an institutional task force to uplift the health care service during the COVID 19 pandemic crisis. Hence, the pandemic has struck an awakening of the practice of informatics in a health care facility which should be implemented and updated at the highest priority.


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