Factors affecting health care utilization of immigrants living in North of Turkey

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Mehmet Korkmaz ◽  
Ilknur Aydın Avci
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care Utilization ◽  
Young Female ◽  
Care Utilization ◽  
Content Type ◽  
Factors Affecting ◽  
Descriptive Research ◽  
Female Immigrants ◽  
Use Of Health Services

Purpose This paper aims to determine factors affecting health-care utilization of immigrants living in North of Turkey and make a case assessment about this factors and general health status of immigrants. Design/methodology/approach This study was conducted in accordance with the principles of descriptive research. The data of the study were collected by using questionnaire consisting of 33 questions that include socio-demographic specifications, use of health services and health perception level. Findings This study was conducted with 360 immigrants. Participants, of which 61.9% were female. Immigrants who are young, female, married, have low education, have chronic illnesses, and have been in hospital before, have a better use of health services. Originality/value Immigration experiences of immigrants and their lack of equal opportunities to access health services in the community lead them to use health services at a low level.

scholarly journals Analysis of the Effect of Health Insurance on Health Care Utilization in Rwanda

2021 ◽  
Author(s):  
Roger Muremyi ◽  
Dominique Haughton ◽  
François Niragire ◽  
Ignace Kabano
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Health Services ◽  
Health Care Utilization ◽  
Health Care Services ◽  
Insurance Coverage ◽  
Secondary Data ◽  
Living Condition ◽  
Care Utilization ◽  
Health Coverage

In Rwanda, more than 90% of the population is insured for health care. Despite the comprehensiveness of health insurance coverage in Rwanda, some health services at partner institutions are not available, causing insured patients to pay unintended cost. We aimed to analyze the effect of health insurance on health care utilization and factors associated with the use of health care services in Rwanda. This is an analysis of secondary data from the Rwanda integrated living condition survey 2016-2017. The survey gathered data from 14580 households, and decision tree and multilevel logistic regression models were applied. Among 14580 households only (20%) used health services. Heads of households aged between [56-65] years (AOR=1.28, 95% CI:1.02-1.61), aged between [66-75] years (AOR=1.52, 95% CI: 1.193-1.947), aged over 76 years (AOR=1.48, 95% CI:1.137-1.947), households with health insurance (AOR=4.57, 95% CI: 3.97-5.27) displayed a significant increase in the use of health services. This study shows evidence of the effect of health insurance on health care utilization in Rwanda: a significant increase of 4.57 times greater adjusted odds of using health services compared to those not insured. The findings from our research will guide policymakers and provide useful insights within the Rwanda context as well as for other countries that are considering moving towards universal health coverage through similar models.

Factors Affecting Health Care Utilization for Children in Japan

PEDIATRICS ◽  
2011 ◽  
Vol 129 (1) ◽  
pp. e113-e119 ◽  
Author(s):  
Y. Ishida ◽  
S. Ohde ◽  
O. Takahashi ◽  
G. A. Deshpande ◽  
T. Shimbo ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Care Utilization ◽  
Factors Affecting

scholarly journals Access to Home and Community Health Services for Older Adults With Serious, Life-Limiting Illness: A Study Protocol

2020 ◽  
Vol 38 (1) ◽  
pp. 12-18
Author(s):  
Jacob D. Hill ◽  
Allison M. Cuthel ◽  
Corita R. Grudzen
Keyword(s):  
Health Care ◽  
Emergency Medicine ◽  
Health Services ◽  
Health Care Utilization ◽  
Qualitative Interviews ◽  
Community Health Services ◽  
Community Services ◽  
Care Utilization ◽  
Service Availability ◽  
Access To Services

Objectives: The objective of this study is to identify contextual access factors to home and community health services for end-of-life support for older adults with serious life-limiting illness, as well as determine if access to home and community services is associated with health-care utilization. Design: This study includes an environmental scan, grey literature review, qualitative interviews, and health-care utilization analysis. This study is a subproject of the Grudzen et al. Primary Palliative Care for Emergency Medicine (PRIM-ER) study. Settings/Location: Analysis will include data collection from 17 health systems implementing the PRIM-ER intervention. Participants: For the qualitative interviews, one emergency medicine (EM) physician and one EM nurse will be interviewed from each of the 17 participating health systems. For the health-care utilization analysis, we will use the Senior Care Services Scale (SCSS), American Hospital Association Annual Survey of Hospitals (AHA-ASH), and Medicare claims for all emergency department (ED) visits for serious illness who present at each participating health system. Outcome Measures: The contextual analysis will obtain data on home and community services, such as hospice, home health services, assisted living, integrative medicine services, etc., available around each health system’s highest volume ED, federal and state regulations influencing access to services, as well as EM provider perspectives on access to services. The health-care utilization analysis will determine if SCSS scores, which measure service availability, are associated with health-care usage. High or low SCSS scores are determined by comparing health system service availability on the AHA-ASH to the national median SCSS value.

Community health services and health care utilization in rural Bangladesh

1989 ◽  
Vol 29 (12) ◽  
pp. 1343-1349 ◽  
Author(s):  
Ruhul Amin ◽  
Shifiq A. Chowdhury ◽  
G.M. Kamal ◽  
J. Chowdhury
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care Utilization ◽  
Community Health ◽  
Community Health Services ◽  
Care Utilization ◽  
Rural Bangladesh

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.

scholarly journals Health Status and Health Care Utilization of US Adults Under Probation: 2015–2018

2020 ◽  
Vol 110 (9) ◽  
pp. 1411-1417
Author(s):  
Laura Hawks ◽  
Emily A. Wang ◽  
Benjamin Howell ◽  
Steffie Woolhandler ◽  
David U. Himmelstein ◽  
...  
Keyword(s):  
Health Care ◽  
Substance Use ◽  
Health Care Utilization ◽  
Regression Models ◽  
Outpatient Visit ◽  
Population Based ◽  
Care Utilization ◽  
Logistic Regression Models ◽  
Race Ethnicity ◽  
Use Of Health Services

Objectives. To compare the health and health care utilization of persons on and not on probation nationally. Methods. Using the National Survey of Drug Use and Health, a population-based sample of US adults, we compared physical, mental, and substance use disorders and the use of health services of persons (aged 18–49 years) on and not on probation using logistic regression models controlling for age, race/ethnicity, gender, poverty, and insurance status. Results. Those on probation were more likely to have a physical condition (adjusted odds ratio [AOR] = 1.3; 95% confidence interval [CI] = 1.2, 1.4), mental illness (AOR = 2.4; 95% CI = 2.1, 2.8), or substance use disorder (AOR = 4.2; 95% CI = 3.8, 4.5). They were less likely to attend an outpatient visit (AOR = 0.8; 95% CI = 0.7, 0.9) but more likely to have an emergency department visit (AOR = 1.8; 95% CI = 1.6, 2.0) or hospitalization (AOR = 1.7; 95% CI = 1.5, 1.9). Conclusions. Persons on probation have an increased burden of disease and receive less outpatient care but more acute services than persons not on probation. Public Health Implications. Efforts to address the health needs of those with criminal justice involvement should include those on probation.

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