Use of a controlled trial to evaluate the impact of self-care on health services utilization

1986 ◽  
Vol 9 (4) ◽  
pp. 16-22 ◽  
Author(s):  
Andy Stergachis
Keyword(s):  
Health Services ◽  
Health Services Utilization ◽  
Controlled Trial ◽  
Self Care ◽  
Services Utilization ◽  
The Impact

The impact of health insurance on health services utilization and health outcomes in Vietnam

2014 ◽  
Vol 9 (4) ◽  
pp. 359-382 ◽  
Author(s):  
G. Emmanuel Guindon
Keyword(s):  
Health Insurance ◽  
Health Services ◽  
Health Outcomes ◽  
Health Services Utilization ◽  
Living Standard ◽  
Outpatient Services ◽  
Services Utilization ◽  
The Poor ◽  
Inpatient Services ◽  
The Impact

AbstractIn recent years, a number of low- and middle-income country governments have introduced health insurance schemes. Yet not a great deal is known about the impact of such policy shifts. Vietnam’s recent health insurance experience including a health insurance scheme for the poor in 2003 and a compulsory scheme that provides health insurance to all children under six years of age combined with Vietnam’s commitment to universal coverage calls for research that examines the impact of health insurance. Taking advantage of Vietnam’s unique policy environment, data from the 2002, 2004 and 2006 waves of the Vietnam Household Living Standard Survey and single-difference and difference-in-differences approaches are used to assess whether access to health insurance – for the poor, for children and for students – impacts on health services utilization and health outcomes in Vietnam. For the poor and for students, results suggest health insurance increased the use of inpatient services but not of outpatient services or health outcomes. For young children, results suggest health insurance increased the use of outpatient services (including the use of preventive health services such as vaccination and check-up) but not of inpatient services.

Dementia in Ontario: Prevalence and Health Services Utilization

2003 ◽  
Vol 22 (4) ◽  
pp. 369-379 ◽  
Author(s):  
J.E. Tranmer ◽  
R. Croxford ◽  
P.C. Coyte
Keyword(s):  
Health Services ◽  
Health Services Utilization ◽  
Elderly Women ◽  
Home Care Services ◽  
Dementia Care ◽  
Administrative Databases ◽  
Services Research ◽  
Services Utilization ◽  
Study Results ◽  
The Impact

ABSTRACTTo understand the impact of ongoing reform of mental health and dementia care in Ontario, an examination of prevalence and health services utilization rates is needed. However, there exists a gap in current prevalence and health services research specific to dementia care in Ontario. The objective of this study was to address these concerns using linked administrative databases to determine the incremental use of health services by elderly Ontarians with dementia. Overall, study results demonstrated that individuals with dementia used services in a pattern similar to non-demented persons, albeit at a higher level. Exceptions were women's use of hospital and home care services, where the most elderly women received significantly fewer services. Thus, the study provided important insight regarding the relative levels of health services used by demented Ontarians. Research in this area will become increasingly important as the population ages and the settings integral to dementia care and management shift and evolve.

Medical and Mental Health Services Utilization among Requalified and Former Drug Addiction and Alcoholism Recipients of SSI

2003 ◽  
Vol 30 (1-2) ◽  
pp. 365-390 ◽  
Author(s):  
Deborah Podus ◽  
Nancy Barron ◽  
Eunice Chang ◽  
Katherine Watkins ◽  
Joseph Guydish ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Drug Addiction ◽  
Health Care Disparities ◽  
Health Services Utilization ◽  
Panel Study ◽  
Services Utilization ◽  
Mental Health Services Utilization ◽  
The Impact

This article examines the impact of the elimination of the Supplemental Security Income (SSI) drug addiction and alcoholism (DA&A) disability category–-and the consequent loss of Medicaid benefits by most of those terminated from SSI–-on the medical and mental health services utilization of affected individuals. Data are from a two-year, five-wave panel study of a random sample of 1,764 former DA&A recipients in nine sites. Respondents were grouped into three categories: those who requalified for SSI on other grounds: those who lost SSI but obtained alternative health coverage: and those who lost SSI and were uninsured. We found, after controlling for covariates, that the uninsured were significantly less likely than those who requalified for SSI to receive any medical or mental health care. Disparities in care were less pronounced between those who requalified for SSI and those who lost SSI but obtained other coverage. Lack of insurance was associated with greater difficulty in accessing care in four sites, but it was not associated with higher emergency room use.

Geographic access and maternal health services utilization in Sélingué Health District, Mali.

2020 ◽  
Author(s):  
Moctar TOUNKARA ◽  
Oumar Sangho ◽  
Madeleine Beebe ◽  
Lillian Joyce Whiting-Collins ◽  
Rebecca R. Goins ◽  
...  
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Maternal Mortality ◽  
Health Facility ◽  
Health Services Utilization ◽  
Maternal Health Services ◽  
Health District ◽  
Geographic Access ◽  
Services Utilization ◽  
The Impact

Abstract Introduction. Maternal mortality is one of the main causes of death for women of childbearing age in Mali, and improving this outcome is slow, even in high geographic-access regions. Disparities in maternal health services utilization can constitute a major obstacle in the reduction of maternal mortality and denotes a lack of equity in the Malian health system.Literature on maternal health inequity has explored structural and individual factors influencing outcomes but has not examined inequities in health facility distribution within moderate geographic access districts in Mali. The purpose of this article is to examine disparities in education and geographic distance and how they affect utilization of maternal care within the Sélingué health district, a district with moderate geographic access to care, near Bamako, Mali.Methods. We conducted a cross sectional survey with cluster sampling in the Sélingué health district. Maternal health services characteristics and indicators were described. Association between dependent and independent variables was verified using Kendall’s tau-b correlation, Chi square, logistic regression with odds ratio and 95% confidence interval. Gini index and concentration curve were used to measure inequity.Results. The majority of the participants were 20 to 24 years old. Over 68% of our sample had some education, 65% completed at least four ANC visits, and 60.8% delivered at a health facility. Despite this evidence of healthcare access in Sélingué, disparities within the health district impede the other roughly 40% of our sample from utilizing maternal healthcare. The concentration index demonstrated the impact of inequity in geographic access comparing women residing near and far from the referral care facility.Conclusion. Maternal health services underutilization, within a district with moderate geographic access, indicates that deliberate attention should be paid to addressing geographic access even in such a district.

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