Consumer expenditure inequality in India: a source decomposition analysis

2018 ◽  
Vol 17 (2) ◽  
pp. 157-167 ◽  
Author(s):  
Jayanta Sen ◽  
Debarati Das
Keyword(s):  
Health Care ◽  
Gini Index ◽  
Durable Goods ◽  
Decomposition Analysis ◽  
Well Being ◽  
Consumer Expenditure ◽  
Content Type ◽  
Education And Health ◽  
Rural And Urban ◽  
Consumer Services

Purpose This paper aims to deal with a closer look into the nature and extent of consumer expenditure inequality in India to identify the major contributions those are embedded, particularly after the economic reforms. Relative contributions of major consumption items/sources to the overall expenditure inequality are quantitatively examined in terms of a decomposition exercise. Eventually, the paper investigates the relative marginal effects of expenditure components/sources on overall inequality. Design/methodology/approach Gini index is used to measure the degree of inequality in consumer expenditure. Contribution of each expenditure sources to overall inequality is estimated by using source decomposition technique of Gini index contributed by Lerman and Yitzhaki. Findings The study observes that the inequality in consumer expenditure has increased in both the rural and the urban parts of India during the post-reform period. Non-food expenditure is more unevenly distributed, and it has been found to be more pro-rich in nature. Expenditure on cereals and pulses still exhibits higher inequality-reducing effect in rural and urban India. Education and health-care expenses have been inequality-increasing in the country. Contribution of expenditure on miscellaneous consumer services, durable goods, education and health care to the overall expenditure inequality is significantly higher. Originality/value The study identifies the capacity of different expenditure sources towards increasing or decreasing the overall inequality which is crucial for better redistributive policies to be adopted to enhance the well-being of the economy in real sense.

A self-determination theory perspective on customer participation in service development

2015 ◽  
Vol 29 (6/7) ◽  
pp. 511-521 ◽  
Author(s):  
Jon Engström ◽  
Mattias Elg
Keyword(s):  
Lung Cancer ◽  
Health Care ◽  
Cancer Patients ◽  
Well Being ◽  
Self Determination Theory ◽  
Self Determination ◽  
Customer Participation ◽  
Service Development ◽  
Content Type ◽  
Lung Cancer Patients

Purpose – The purpose of this paper is to explore what motivates patients to participate in service development and how participation may influence their well-being. Health-care providers are increasingly adopting practices of customer participation in such activities to improve their services. Design/methodology/approach – This paper builds on an analysis of data from a service development project in which lung cancer patients contributed by sharing their ideas and experiences through diaries. Out of the 86 lung cancer patients who were invited to participate, 20 agreed to participate and 14 fully completed the task. The study builds on participants’ contributions, in-depth interviews with six participants and the reasons patients gave for not participating. Findings – This paper identifies a number of motives: non-interest in participating, restitution after poor treatment, desire for contact with others, volunteerism, desire to make a contribution and the enjoyment of having a task to complete. A self-determination theory perspective was adopted to show how the need to satisfy basic human needs for autonomy, competence and relatedness determines if and how patients participate. Participation may have important benefits for patients, especially an improved sense of relatedness. Practical implications – Service providers must be prepared to meet different patient needs in service development, ranging from the need to express strong distress to expressing creativity. By understanding the dynamics of motivation and well-being, organizers may achieve better results in terms of improved services and in patient well-being. Originality/value – This study makes a significant contribution to the study of customer participation in service development, especially in relation to health care, by offering a self-determination-based typology for describing different styles of patient participation.

scholarly journals Older people’s involvement in healthcare education: views and experiences of older experts by experience

2020 ◽  
Vol 24 (2) ◽  
pp. 125-135
Author(s):  
Juliana Thompson ◽  
Sue Tiplady ◽  
Glenda Cook
Keyword(s):  
Health Care ◽  
Older People ◽  
Lived Experience ◽  
Professional Education ◽  
Teaching Strategy ◽  
Well Being ◽  
Health Care Education ◽  
Content Type ◽  
Care Education ◽  
Professional Health

Purpose “Experts by experience' (EBE) involvement in professional health-care education programmes contributes to developing students” caring skills by supporting students’ understanding of the lived experience and reality of service-users’ situations. Also, involvement in health-care education is a beneficial experience for EBEs themselves. This study aims to explore specifically older people’s experiences and perceptions of their involvement of EBE in gerontological education to generate insight into their understanding of this experience. Design/methodology/approach In this qualitative study, EBEs contributing to delivery of health-care professional education programmes at a UK university took part in focus groups (n = 14) to discuss their views and experiences of involvement in EBE teaching. Data were analysed using open coding. Findings Four themes emerged from the data, suggesting that older EBEs’ involvement in education may be beneficial for their well-being. The four themes were “contributing to improved care”, “having a purpose”, “being included” and “feeling appreciated”. Practical implications Findings support the requirement for nurse educators to develop EBE programmes that involve older people as not only a teaching strategy for students but also a method of promoting the health and well-being of the older EBEs. Originality/value There is limited research regarding specifically older EBEs’ experiences of involvement in gerontological education. This is an important area of study because involvement in education may constitute a means of engaging in social, community and voluntary activities for older people, which recent UK health policies advocate as methods of promoting and facilitating healthy ageing.

scholarly journals Senior healt-hcare fraud under investigation

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Nicole F. Stowell ◽  
Carl Pacini ◽  
Martina K. Schmidt ◽  
Nathan Wadlinger
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Well Being ◽  
Care Providers ◽  
Prevention Strategies ◽  
Effective Prevention ◽  
Content Type ◽  
Health Care Fraud ◽  
Increased Risk ◽  
The Usa

Purpose This study aims to increase awareness and educate the reader about health-care fraud targeting seniors in the USA to help stakeholders better understand, recognize and prevent this type of fraud. Design/methodology/approach This paper collects statistics on the current state of health care frauds committed against seniors, and examines related cases and laws. Findings The authors find this type of fraud is highly prevalent and expected to increase. Current laws preventing this fraud from occurring are multifold and complex. While prevention strategies through law enforcement have been somewhat successful, a reduction in resources may put seniors at an increased risk in the years to come. Research limitations/implications Without additional prevention strategies, the problem will likely escalate with a growing population of older adults. This study encourages further research into effective prevention strategies and methods to fight health-care fraud against seniors. Practical implications Health-care fraud and its associated costs pose a significant threat to the society and economy of the USA. Reducing this fraud will not only reduce the costs to the US economy but also improve the physical and mental well-being of senior victims, reduce their mortality and hospitalization rates and improve the public trust placed to health-care providers. Originality/value This study highlights how health-care fraud is committed against seniors. With the projected trend of an aging US population, educating stakeholders, increasing awareness and applying tools to protect seniors will be important to reduce the absolute scope of this problem in the future.

Setting limits in uneasy times – healthy diets in underprivileged families

2016 ◽  
Vol 12 (4) ◽  
pp. 225-237 ◽  
Author(s):  
Kia Ditlevsen ◽  
Annemette Nielsen
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Weight Control ◽  
Qualitative Interviews ◽  
Well Being ◽  
Small Sample ◽  
Preventive Action ◽  
Content Type ◽  
Parental Feeding ◽  
Migrant Families

Purpose The purpose of this paper is to provide knowledge on barriers to preventive action on early childhood overweight in non-western migrant families. It investigates the underlying understandings of the parental role in relation to weight control present in health-care professionals and in families. Design/methodology/approach The study is based on qualitative interviews with parents who are engaged in interventions aimed at helping them and their children to adopt a healthier life style, and on interviews with health-care professionals. Findings This study shows that the participating parents, all low SES and living under different forms of insecurity, perceived their parental task for the present as creating well-being for their children, and they were, therefore, reluctant to enforce dietary changes. The health-care professionals, in contrast, considered the need for change through a perspective on future risks. Research limitations/implications The results are based on a rather small sample and the link between insecurity, family dynamics and health practice needs further research. Originality/value The participating parents represented a group that is rarely included in scientific research and the study, therefore, contributes valuable knowledge on health behavior in ethnic minority families. The empirical analysis provides new insights for health professionals regarding the suitability of the universal model of parental feeding styles. It illuminates the implications of implicitly applying this model in health interventions which involve vulnerable categories of parents such as refugees to western societies.

Health-seeking cultural patterns in the use of available healthcare services among refugee groups in south-central Kentucky

2020 ◽  
Vol 16 (1) ◽  
pp. 12-21
Author(s):  
Chika Ejike ◽  
Grace Lartey ◽  
Randy Capps ◽  
David Ciochetty
Keyword(s):  
Health Care ◽  
Health Services ◽  
Care Facility ◽  
Well Being ◽  
Healthcare Services ◽  
Health Seeking ◽  
Content Type ◽  
Refugee Population ◽  
South Central ◽  
Use Of Health Services

Purpose Refugees resettle in the USA every year to escape genocide, famine, civil wars and crises in their countries. The diverse cultural identities of the refugee population in south-central Kentucky make it essential to research into their health-care usage patterns. The purpose of this study is to examine the health-seeking patterns of refugees in relation to their culture and the usage of available health services. Design/methodology/approach This is a descriptive correlational study that culled 110 refugees who completed self-administered or interviewer-administered semi-structured questionnaires. Questionnaires were translated into four different languages. T-tests and ANOVA assessed differences between variables. Findings Findings indicate that a demographic factor such as refugees’ nationality plays a role in both the access and use of health services [F (5, 98) = 4.29, p < 0.001]. Refugees’ beliefs and social factors such as acculturation (t = −2.03, p < 0.04) and having health insurance (t = −3.35, p <0.001) also affect the use of health services. The level of cultural competency of the health-care facility or provider as depicted by the presence of interpreters (t = 1.92, p < 0.05) was associated with increased use of the health services provided. Research limitations/implications The sample of refugees is only representative of the general refugee population in south-central Kentucky; hence, there is inadequate generalization. Originality/value Cultural diversity should be included in the health and policymaking debates that surround the refugee population of south-central Kentucky to ensure their well-being.

Inequalities in healthcare utilisation: a decomposition analysis based on financial protection against health risks in Senegal

2020 ◽  
Author(s):  
Mouhamed Samba ◽  
Ibrahima Thiam ◽  
Fabienne Fecher ◽  
Elisabeth Paul
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Social Inequalities ◽  
Decomposition Analysis ◽  
Healthcare Utilisation ◽  
Well Being ◽  
Horizontal Equity ◽  
Financial Protection ◽  
Oaxaca Decomposition ◽  
Economic Well Being

Abstract Background: Developing countries are characterised by lack of financial protection against health hazards that can lead to health inequity. Improving horizontal equity in the utilisation of health care requires a better understanding of the factors that influence it. This study used Senegal as a case to examine healthcare utilisation disparities and their determinants. Methods: The study used the most recent Demographic and Health Survey (2017) from Senegal. Frequencies, a logit model and an extension of Blinder-Oaxaca decomposition (proposed by Fairlie) were employed to examine healthcare utilisation gap between covered and uncovered people as well as factors explaining this gap.Results: The results of the logistic regression show that healthcare utilisation increases with quintiles of economic well-being; people covered by an insurance or fee exemption scheme use more health care services than those not covered. Women, urban people, children aged under five years and elderly (60 and +). Results from Blinder-Oaxaca decomposition suggests a difference in healthcare utilisation between covered and uncovered people. 39% of these disparities are explained by the distribution of observed characteristics (age, area of residence, economic well-being, education) while 61% of these disparities are explained by differences in coefficients. This component may be related to discriminatory practices in favour of the persons covered.Conclusion: The results also raise the issue of the fragmentation of coverage schemes that can lead to differences in the care packages offered. Public authorities need to make efforts to reduce social inequalities and have an important stewardship role across all branches of society to ensure that policies and actions in other sectors improve health equity.

When co-creation pays off: the effect of co-creation on well-being, work performance and team resilience

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Judith Partouche-Sebban ◽  
Saeedeh Rezaee Vessal ◽  
Fabian Bernhard
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Work Performance ◽  
Service Sector ◽  
Care Service ◽  
Health Care Service ◽  
Mail Survey ◽  
Well Being ◽  
Content Type ◽  
Team Resilience

Purpose This study aims to explore the effect of value co-creation among health-care professionals and in a business-to-business (B2B) context on the involved individuals and the organization. More precisely, the effect of co-creation behaviors on the well-being of individuals, their work performance and team resilience are investigated. Design/methodology/approach A quantitative research design was adopted. The data collection was performed through a mail survey of a sample of 96 professionals at a cancer health-care institution in France in which several medical and paramedical providers work together to maximize service options. Linear regressions were conducted using SPSS to analyze the data. Findings The results highlight the positive outcomes of an active co-creation process on individual well-being, work performance and team resilience and emphasize its limits. Originality/value The originality of this study lies in studying co-creation in the context of the health-care service sector, among health-care professionals and from a B2B perspective. Adopting an inter-organizational frame, this study clarifies the positive and negative effects of co-creation from both personal and organizational aspects.

scholarly journals “A prison with extra flavours”: experiences of immigrants in Swedish immigration detention centres

2015 ◽  
Vol 11 (2) ◽  
pp. 73-85 ◽  
Author(s):  
Soorej Jose Puthoopparambil ◽  
Beth Maina Ahlberg ◽  
Magdalena Bjerneld
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Health Care Services ◽  
Well Being ◽  
Structured Interviews ◽  
Immigration Detention ◽  
Content Type ◽  
Care Services ◽  
Lack Of Control ◽  
Health And Well Being

Purpose – The immigration detention environment largely influences the health and well-being of detainees by either aggravating medical conditions or contributing to new illness. There is limited research on how detainees experience and try to cope with this environment. The purpose of this paper is to describe experiences of detainees in Swedish immigration detention centres. Design/methodology/approach – Semi-structured interviews were conducted in three detention centres with a total of 21 detainees who had been detained for at least two weeks. Interview transcripts were analysed using thematic analysis. Findings – The detainees likened immigration detention to imprisonment. They experienced lack of control over their life situation mainly through arbitrary restrictions and lack of proper response from authorities making it appear futile to seek help. This perceived lack of control forced them into passivity. Differences in amenities provided in the centres were observed and some of these were reported to assist in making detention more bearable. Research limitations/implications – This study provides only one stakeholder perspective. The perspectives of other stakeholders, such as detention staff, health care professionals and volunteers must be explored to improve understanding and mitigate the effects of detention. Originality/value – Irrespective of the better standards of detention in Sweden, the detainees considered detention as imprisonment affecting their health and well-being. If states deem detention to be necessary, improved staff-detainee interaction should be ensured through proper staff training, arbitrary restrictions within detention should be avoided and health care services should be improved.

The men’s wellbeing project: promoting the well-being and mental health of men

2020 ◽  
Vol 19 (2) ◽  
pp. 179-189
Author(s):  
Gabriel Abotsie ◽  
Roger Kingerlee ◽  
Andrew Fisk ◽  
Sam Watts ◽  
Rachel Cooke ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Well Being ◽  
Health Needs ◽  
Physical And Mental Health ◽  
Mental Health Needs ◽  
Content Type ◽  
Public Events ◽  
Mental Health Support ◽  
Health Support

Purpose Comparatively, men have poorer physical and mental health outcomes than women, with a significantly higher suicide rate. Contributory factors are thought to be social and biological, leading to reduced access to health-care services. The study aims to develop and implement community-based support to increase awareness of and access to men’s mental health support networks and groups. Design/methodology/approach The project involved three key work-packages discussed in this paper: raising awareness of men’s mental health needs in health care, educational and community settings; collaboration between National Health Services (NHS) and non-NHS health-care support organisations to build multi-sector partnership working; and developing a supported sports-based community intervention aimed at men living with mental health conditions. The acceptability and feasibility of these work-packages were pragmatically evaluated through mixed-methods surveys and qualitative content analysis. Findings Overall, both community events and sports groups successfully engaged men living with mental health problems. Organisations interested in men’s mental health are continuing to engage in a partnership initiative. Community events were well-attended and received positive feedback, particularly regarding the educative and real-life experiences approach promoted in the events. The sports intervention is feasible and well-accepted by participants, who described feeling supported with their physical and mental health needs, with increased mental well-being reported. Research limitations/implications The main limitations of this project are that the authors only evaluated a football group rather than all work areas. The project collected outcomes relating to participants’ demographics and qualitative reflections of participating in the football group along with a retrospective survey of perceived benefits, but the project did not undertake a pre- and post-comparison of well-being outcomes owing to low completion of these measures. Future work could focus on collecting more pre- and post-measures related to well-being, recovery and inclusion and compare these with men not involved in the football groups or public events. Practical implications This paper discusses the development and feasibility of setting up community-based men’s mental health support networks, involving public events, partnership working and targeted-sports interventions. All initiatives were well-received and successfully attended by men living with mental health conditions. Evaluation of the programme revealed the value placed on education about mental health and the role that community sports interventions may play in men’s mental health care. Social implications This project has demonstrated three different ways of supporting men’s mental health needs in the community. Community public events were held to raise awareness of men’s mental health needs and issues were well-attended and highlighted the need for health promotion and education in this area across all the communities. The men’s football group demonstrated the feasibility of moving mental health support out into a non-clinical and more community arena in a way that men engaged effectively. Finally, the creation of MensNet has bought together disparate multi-sector organisations successfully to lead public health mechanisms to support men’s mental health needs. Originality/value This paper describes a new multi-disciplined approach to supporting health-seeking challenges among men, in particular, how partnership working across NHS and non-NHS sectors can successfully support an identified public health need pragmatically using existing services and organisations.

The COVID-19 pandemic and the role of responsible leadership in health care: thinking beyond employee well-being and organisational sustainability

2021 ◽  
Vol 34 (1) ◽  
pp. 52-68
Author(s):  
Amlan Haque
Keyword(s):  
Health Care ◽  
Conceptual Model ◽  
Well Being ◽  
Responsible Leadership ◽  
Content Type ◽  
Health Care Employees ◽  
Proposed Model ◽  
Multi Level ◽  
The Impact

Purpose The unprecedented crisis of the COVID-19 pandemic has posed an enormous challenge ever for health-care organisations to find strategies to deal with their survival. The health-care employees are the frontline soldiers to fight against COVID-19 pandemic. Currently, there is a lack of research regarding the conceptualisation of COVID-19 and its impact on health-care employees’ well-being and their organisational sustainability. Extending the role of responsible leadership (RL), the purpose of this paper is to develop a multi-level conceptual model to overcome the crisis of COVID-19 pandemic and promote employee (e.g. workers, nurses and professionals) well-being and organisational sustainability. Design/methodology/approach With a comprehensive literature review, this paper presents five testable propositions and highlights the impact of COVID-19 pandemic on employee well-being and organisational sustainability. Findings The proposed model counsels that organisations need to go beyond the simple application of strategic climate and should enable RL to protect and maintain employee well-being and organisational sustainability. Research limitations/implications The proposed conceptual model is a step forward to not only explore future empirical research but also it will help the health-care policymakers to take responsible initiatives to increase employee well-being and uphold organisational sustainability. Originality/value There is a lack of research regarding the conceptualisation of the COVID 19 pandemic and its impact on health-care employees’ well-being and organisational sustainability. The proposed conceptual model opens and guides a novel research avenue for the alignment of strategic management (as a moderator) and RL on the relationships among the COVID-19 pandemic, employee well-being and organisational sustainability.

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