scholarly journals Inequality in early childhood chronic health conditions requiring hospitalisation: A data linkage study of health service utilisation and costs

2021 ◽  
Author(s):  
Emily J. Callander ◽  
Claudia Bull ◽  
Samantha Lain ◽  
Claire E. Wakefield ◽  
Raghu Lingam ◽  
...  
Keyword(s):  
Early Childhood ◽  
Health Service ◽  
Data Linkage ◽  
Linkage Study ◽  
Chronic Health Conditions ◽  
Health Service Utilisation ◽  
Health Conditions ◽  
Service Utilisation ◽  
Chronic Health

scholarly journals Identifying a retrospective cohort of adolescents with chronic health conditions from a paediatric hospital prior to transfer to adult care: the Calgary Transition Cohort

BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e027045 ◽  
Author(s):  
Kyleigh Schraeder ◽  
Alberto Nettel-Aguirre ◽  
Andrew Mackie ◽  
Olesya Barrett ◽  
David W Johnson ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Health Service ◽  
Chronic Health Conditions ◽  
Health Service Utilisation ◽  
Health Conditions ◽  
Service Utilisation ◽  
Adult Care ◽  
Chronic Health ◽  
Paediatric Hospital ◽  
Visit Frequency

PurposeThe Calgary Transition Cohort was created to examine health service utilisation by adolescents affected by chronic health conditions seen in a tertiary paediatric hospital in the province of Alberta, Canada. The cohort includes adolescents who received care before the implementation of a hospital-wide intervention to improve transitions to adult care.ParticipantsUsing hospital records, a stepwise methodology involving a series of algorithms based on adolescents’ visit frequency to a hospital ambulatory chronic care clinic (CCC) was used to identify the cohort. A visit frequency of ≥4 visits in any 24-month window, during the ages of 12–17 years old, was used to identify eligible adolescents, as agreed on by key stakeholders and chronic disease clinical providers, and reflects the usual practice at the hospital for routine care of children with chronic disease.Findings to dateAdolescents with ≥4 visits to the same CCC in any 2-year period (n=1344) with a median of 8.7 years of follow-up data collected (range 1.4–9.1). The median age at study entry was 14 years (range 12–17) and 22 years (range 14–24) at study exit. The cohort was linked (97% successful match proportion) to their population-level health records that allowed for examination of occurrence of chronic disease codes in health utilisation encounters (ie, physician claims, hospital admissions and emergency room visits). At least one encounter with a chronic disease code (International Classification of Diseases, 9th/10th Revisions) was observed during the entire study window in 87.9% of the cohort.Future plansThe Calgary Transition Cohort will be used to address existing knowledge gaps about health service utilisation by adolescents, seen at a tertiary care hospital, affected by a broad group of chronic health conditions. These adolescents will require transition to adult-oriented care. Longitudinal analysis of health service use patterns over a 9-year window (2008–2016) will be conducted.

scholarly journals 517Challenges in data linkage – experiences from an upper gastrointestinal cancer data linkage study

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Nadia Khan ◽  
Liane Ioannou ◽  
Charles Pilgrim ◽  
Arul Earnest ◽  
Ashika Maharaj ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Service ◽  
Data Linkage ◽  
Population Level ◽  
Data Access ◽  
Health Service Utilisation ◽  
Service Utilisation ◽  
Financial Barriers ◽  
Level Data ◽  
Upper Gastrointestinal

Abstract Background Linked, population-level data is valuable for mapping patterns of care and evaluating health service utilisation, particularly in difficult-to-reach populations. Upper gastrointestinal (UGI) cancers have a dismal prognosis, creating difficulties engaging patients in research. The utility of a linked dataset in this population is of high value. Methods Key objectives included identifying the operational and feasibility issues associated with linking Australian state-based administrative and registry data for understanding health service utilisation in UGI cancers. Datasets pertained to hospital admissions, radiotherapy, community health, primary care, palliative care, Medicare and Pharmaceutical Benefits Schedule’s and UGI cancers. Results From a logistical perspective, data access request approval processes varied, with some requiring consent to be sought from individual services contributing data. The availability of unique person-level identifying information varied widely. Additionally, the time period of data capture differed between and within datasets, limiting the quality of the linked data. Significant costs were associated with linking with primary care and Medicare and Pharmaceutical Benefits Schedule’s. Federal dataset linkage required at least a one-year waiting period. Conclusions Whilst in theory data linkage is a powerful mechanism for obtaining population-level data, in reality, there are many logistical and financial barriers to linking multiple datasets. Consequently, critical data, which has the potential to inform policy and improve patient outcomes, cannot be procured. Key messages Logistical and financial challenges are associated with linking administrative and registry datasets for research, limiting the potential of data linkage.

scholarly journals The Health and Retirement Study: Analysis of Associations Between Use of the Internet for Health Information and Use of Health Services at Multiple Time Points (Preprint)

2017 ◽  
Author(s):  
Hyunju Shim ◽  
Jennifer Ailshire ◽  
Elizabeth Zelinski ◽  
Eileen Crimmins
Keyword(s):  
Health Service ◽  
Health Information ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
The Internet ◽  
Web Based ◽  
Chronic Health ◽  
Time Points ◽  
Doctor Visits ◽  
Use Of The Internet

BACKGROUND The use of the internet for health information among older people is receiving increasing attention, but how it is associated with chronic health conditions and health service use at concurrent and subsequent time points using nationally representative data is less known. OBJECTIVE This study aimed to determine whether the use of the internet for health information is associated with health service utilization and whether the association is affected by specific health conditions. METHODS The study used data collected in a technology module from a nationally representative sample of community-dwelling older Americans aged 52 years and above from the 2012 Health and Retirement Study (HRS; N=991). Negative binomial regressions were used to examine the association between use of Web-based health information and the reported health service uses in 2012 and 2014. Analyses included additional covariates adjusting for predisposing, enabling, and need factors. Interactions between the use of the internet for health information and chronic health conditions were also tested. RESULTS A total of 48.0% (476/991) of Americans aged 52 years and above reported using Web-based health information. The use of Web-based health information was positively associated with the concurrent reports of doctor visits, but not over 2 years. However, an interaction of using Web-based health information with diabetes showed that users had significantly fewer doctor visits compared with nonusers with diabetes at both times. CONCLUSIONS The use of the internet for health information was associated with higher health service use at the concurrent time, but not at the subsequent time. The interaction between the use of the internet for health information and diabetes was significant at both time points, which suggests that health-related internet use may be associated with fewer doctor visits for certain chronic health conditions. Results provide some insight into how Web-based health information may provide an alternative health care resource for managing chronic conditions.

scholarly journals Including children with chronic health conditions in early childhood education and care settings

2019 ◽  
Vol 18 (2) ◽  
pp. 159-173
Author(s):  
Jackie Musgrave ◽  
Rachael Levy
Keyword(s):  
Early Childhood ◽  
Early Childhood Education ◽  
Postal Questionnaire ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Small Scale ◽  
Chronic Health ◽  
Childhood Education ◽  
Education And Care ◽  
The Impact

This article sheds light on how chronic health conditions impact upon concepts of inclusion in children’s early childhood education and care in England; it draws upon findings from a small-scale research project which highlights the need to consider health, in particular, the impact of chronic health conditions on early childhood education and care. The study was conducted in two stages: Stage 1 involved a postal questionnaire to 60 early childhood settings and Stage 2 included interviews with 6 practitioners in 4 settings, interviews with parents and observations of a child (called DJ) in his setting over the course of a year. The findings from this study indicate that in an attempt to be inclusive, practitioners may be unintentionally exclusive in their practice. The data suggest that this may be as a consequence of practitioners having different understandings and definitions of what is meant by the term inclusion, leading to confusion about the aims of inclusion. The findings indicate that there is a need to identify what effective pedagogy is for children with chronic health conditions, as well as a need to redefine inclusion in relation to their needs.

scholarly journals Health service provision for disease control among prisoners: a conceptual note

2020 ◽  
Vol 34 (4) ◽  
pp. 353-358
Author(s):  
Behnam Farhoudi ◽  
SeyedAhmad SeyedAlinaghi ◽  
Omid Dadras ◽  
Mehrzad Tashakoriyan ◽  
Mohammad Nazari Pouya ◽  
...  
Keyword(s):  
Health Service ◽  
Health Services ◽  
Service Provision ◽  
Healthcare Providers ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Noncommunicable Diseases ◽  
Health Service Provision ◽  
Chronic Health ◽  
Content Type

PurposeThe aim of present study was to integrate vital noncommunicable diseases (coronary artery disease, hypertension, diabetes mellitus and mental health disorders) into Prison-Based Active Health Services Provision (PAHSP).Design/methodology/approachOn Jan 1, 2018, there were 230,000 prisoners in Iran. Timely and systematic detection and diagnosis of chronic health conditions among this population are imperative. The collaboration between healthcare providers in prison and members of the multidisciplinary team of the healthcare community outside prison initiated an active health service provision approach for HIV and tuberculosis (TB). Guidelines for the control of HIV and TB in prison were piloted, and the finalized version was named “Prison-based Active Health Services Provision” (PAHSP), which has been scaled up in 16 of 260 Iranian prisons.FindingThe PAHSP approach emphasizes the importance of early identification of key symptoms and risk factors. This approach provides an opportunity for improved prevention and treatment, enabling prisoners identified at risk or those who have been diagnosed with a target disease to be followed up and receive the appropriate health care.Originality/valueInitiatives such as screening for chronic health conditions coupled with treatment will reduce the burden of chronic illness among prisoners and the broader community, thereby saving on healthcare costs and lives.

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