Does health plan type influence receipt of an annual influenza vaccination?

2019 ◽  
Vol 74 (1) ◽  
pp. 57-63 ◽  
Author(s):  
Ian W Watson ◽  
Sanda Cristina Oancea
Keyword(s):  
Health Plan ◽  
Health Care Access ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Behavioral Risk ◽  
Logistic Regression Models ◽  
Vaccination Rates ◽  
Care Access ◽  
Flu Vaccination ◽  
The Usa

BackgroundThe influenza virus caused 48.8 million people to fall ill and 79 400 deaths during the 2017–2018 influenza season, yet less than 50% of US adults receive an annual flu vaccination (AFV). Having health insurance coverage influences whether individuals receive an AFV. The current study aims to determine if an association exists between an individual’s health plan type (HPT) and their receipt of an AFV.MethodsData from the 2017 Behavioral Risk Factor Surveillance System and the optional ‘Health Care Access’ module were used for this study. The final study sample size was 35 684. Multivariable weighted and adjusted logistic regression models were conducted to investigate the association between HPT and AFV.ResultsMedicare coverage was significantly associated with an increase in AFV for both men (adjusted OR (AOR) 1.62 (95% CI 1.28 to 2.06)) and women (AOR 1.28 (95% CI 1.00 to 1.53)). For men, other sources of coverage were also significantly positively associated with AFV (AOR 1.67 (95% CI 1.27 to 2.19)), while for women obtaining coverage on their own was significantly negatively associated with AFV (AOR 0.75 (95% CI 0.59 to 0.97)).ConclusionThese findings are of interest to health policy makers as these show there are HPTs which are effective at improving vaccination rates. Adopting methods used by these HPTs could help the USA reach its Healthy People 2020 AFV coverage goal of 70%.

scholarly journals Effects of the Affordable Care Act on Health Care Access and Self-Assessed Health After 3 Years

2018 ◽  
Vol 55 ◽  
pp. 004695801879636 ◽  
Author(s):  
Charles Courtemanche ◽  
James Marton ◽  
Benjamin Ukert ◽  
Aaron Yelowitz ◽  
Daniela Zapata
Keyword(s):  
Affordable Care Act ◽  
Health Care Access ◽  
Insurance Coverage ◽  
Local Area ◽  
Health Insurance Coverage ◽  
Behavioral Risk ◽  
The Third ◽  
Care Access ◽  
The Affordable Care Act ◽  
Using Data

Using data from the Behavioral Risk Factor Surveillance System, we examine the causal impact of the Affordable Care Act on health-related outcomes after 3 years. We estimate difference-in-difference-in-differences models that exploit variation in treatment intensity from 2 sources: (1) local area prereform uninsured rates from 2013 and (2) state participation in the Medicaid expansion. Including the third postreform year leads to 2 important insights. First, gains in health insurance coverage and access to care from the policy continued to increase in the third year. Second, an improvement in the probability of reporting excellent health emerged in the third year, with the effect being largely driven by the non-Medicaid expansions components of the policy.

scholarly journals Correlates of health care access problems among reproductive age women in Ethiopia: In-depth analysis of 2016 Ethiopia demographic Health Survey

2019 ◽  
Author(s):  
koku Tamirat ◽  
Zemenu Tadesse Tessema ◽  
Fentahun Bikale Kebede
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Health Care Access ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Reproductive Age ◽  
Rural Residence ◽  
Factors Associated ◽  
Care Access ◽  
Reproductive Age Women

Abstract Background Health care access is timely use of personal health services to achieve best health outcomes. Difficulties to access health care among reproductive age women may led to different negative health outcomes to death and disability. Therefore, this study aimed to assess factors associated with problems of accessing health care among reproductive age women in Ethiopia.Method This study was based on 2016 Ethiopia Demography and Health Survey. Individual women record (IR) file was used to extract the dataset and 15, 683 women were included in the final analysis. A composite variable of problem of accessing health care were created from four questions used to rate problem of accessing health care among reproductive age women. Generalized estimating equation (GEE) model was fitted to identify factors associated with problem of accessing health care. Crude and Adjusted odds ratio with a 95%CI computed to assess the strength of association between independent and outcome variables.Result In this study the magnitude of problem in accessing health care among reproductive age women was 69.9% of with 95%CI (69.3 to 70.7). Rural residence (AOR= 2.13, 95%CI: 1.79 to 2.53), women age 35-49 years (AOR= 1.24, 95%CI: 1.09 to 1.40), married/live together (AOR= 0.72, 95%CI: 0.64 to 0.81), had health insurance coverage (AOR=0.83, 95%CI: 0.70 to 0.95), wealth index [middle (AOR=0.75,95%CI: 0.66 to 0.85) and rich (AOR=0.47,95%CI:0.42 to 0.53)], primary education(AOR= 0.80, 95%CI: 0.73 to 0.88), secondary education (AOR= 0.57, 95%CI:0.50 to 0.64) and diploma and higher education (AOR= 0.43, 95%CI: 0.37 to 0.50) were factors associated with problem of health care access among reproductive age women.Conclusion Despite better coverage of health system, problems of health care access among reproductive age women were considerably high. Health insurance coverage, middle and rich wealth, primary and above educational level were negatively associated with problems health care access. In contrast, older age and rural residence were positively associated with problems of health care access among reproductive age women. This suggests that further interventions are necessary to increase universal reproductive health care access for the achievement of sustainable development goals.

scholarly journals Health insurance coverage and health care access in Moldova

2011 ◽  
Vol 27 (3) ◽  
pp. 204-212 ◽  
Author(s):  
E. Richardson ◽  
B. Roberts ◽  
V. Sava ◽  
R. Menon ◽  
M. McKee
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Health Care Access ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Care Access

scholarly journals Contribution of socioeconomic factors and health care access to the awarenesss and treatment of diabetes and hypertension among older Mexican adults

2015 ◽  
Vol 57 ◽  
pp. 6 ◽  
Author(s):  
Hiram Beltrán-Sánchez ◽  
Flávia Cristina Drumond-Andrade ◽  
Fernando Riosmena
Keyword(s):  
Health Insurance ◽  
Health Care Access ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Self Report ◽  
Care Access ◽  
Education And Health ◽  
Aging Study ◽  
Treatment Of Diabetes ◽  
Over Time

Objective. To estimate changes in self-report and treatment of diabetes and hypertension between 2001 and 2012 among Mexican aged 50-80, assessing the contribution of education and health insurance coverage. Materials and methods. The Mexican Health and Aging Study was used to estimate associations of education and insurance on prevalence and treatment of diabetes and hypertension in 2001 and 2012. Multivariate decomposition was used to assess the contribution of changes in the composition of covariates vs. their “effects” on changes in prevalence and treatment over time. Results. Increases in the revalence/diagnosis and treatment during the period are largely attributable to the expansion of health insurance. Its effects on iagnosis/prevalence and treatment have also increased over time. Conclusions. The expansion of Seguro Popular likely improved screening and treatment. More research is needed to assess if these have translated into better control and a lower burden of disease.

scholarly journals Factors associated with perceived barriers of health care access among reproductive-age women in Ethiopia: a Secondary data analysis of 2016 Ethiopian Demographic and Health Survey

2020 ◽  
Author(s):  
koku Tamirat ◽  
Zemenu Tadesse Tessema ◽  
Fentahun Bikale Kebede
Keyword(s):  
Health Care ◽  
Health Care Access ◽  
Economic Status ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Perceived Barriers ◽  
Reproductive Age ◽  
Factors Associated ◽  
Care Access ◽  
Reproductive Age Women

Abstract Background: Health care access is the timely use of personal health services to achieve the best health outcomes. Difficulties to access health care among reproductive-age women may lead to different negative health outcomes like death and disability. Therefore, this study aimed to assess factors associated with perceived barriers of health care access among reproductive-age women in Ethiopia. Method: This study was based on the 2016 Ethiopia Demography and Health Survey. Individual women record (IR) file was used to extract the dataset and 15, 683 women were included in the final analysis. A composite variable of health care perceived barriers were created from four questions used to rate health care access perceived barriers among reproductive-age women. The Generalized Estimating Equation (GEE) model was fitted to identify factors associated with health care perceived barriers. Crude and Adjusted odds ratio with a 95% CI computed to assess the strength of association between independent and outcome variables. Result: This study revealed that the perceived barrier of health care access among reproductive age women found to be 69.9% with 95%CI (69.3 to 70.7) to at least one or more of the four reasons. Rural residence (AOR= 2.13, 95%CI: 1.79 to 2.53), age 35-49 years (AOR= 1.24, 95%CI: 1.09 to 1.40), divorced/separated (AOR= 1.34, 95%CI: 1.17 to 1.54), had no health insurance coverage (AOR=1.19, 95%CI: 1.01 to 1.45), poor (AOR=2.09,95%CI: 1.86 to 2.35) and middle wealth (AOR=1.57,95%CI:1.38 to 1.79), no education (AOR=2.30, 95%CI:1.95 to 2.72), primary education (AOR= 1.84, 95%CI :1.58 to 2.15) and secondary education (AOR= 1.31, 95%CI: 1.13 to 1.51) were factors associated with perceived barriers of health care access. Conclusion: Significant proportion of reproductive-age women faced barriers of health care access, of which, money and distance were the common perceived barriers. Divorced/separated marital status, old age, rural dwelling, no health insurance coverage, low economic status and level of education were factors associated with perceived barriers of health care access. This findings suggests that further strengthening and improvement of health care access to those with low socio-economic status for the realization of universal health coverage and equity of service provision.

Health Care Access Among Mexican Americans With Different Health Insurance Coverage

1996 ◽  
Vol 7 (2) ◽  
pp. 112-121 ◽  
Author(s):  
Robert P. Treviño ◽  
Fernando M. Treviño ◽  
Rolando Medina ◽  
Gilbert Ramirez ◽  
Robert R. Ramirez
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Health Care Access ◽  
Mexican Americans ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Care Access
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