scholarly journals Postpartum Visit Attendance Increases the Use of Modern Contraceptives

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Saba W. Masho ◽  
Susan Cha ◽  
RaShel Charles ◽  
Elizabeth McGee ◽  
Nicole Karjane ◽  
...  
Keyword(s):  
Health Care ◽  
Managed Care ◽  
Health Care Providers ◽  
Contraceptive Use ◽  
Care Organization ◽  
Modern Contraceptive ◽  
Care Providers ◽  
Good Opportunity ◽  
Modern Contraceptive Use ◽  
Managed Care Organization

Background. Delays in postpartum contraceptive use may increase risk for unintended or rapid repeat pregnancies. The postpartum care visit (PPCV) is a good opportunity for women to discuss family planning options with their health care providers. This study examined the association between PPCV attendance and modern contraceptive use using data from a managed care organization. Methods. Claims and demographic and administrative data came from a nonprofit managed care organization in Virginia (2008–2012). Information on the most recent delivery for mothers with singleton births was analyzed (N = 24,619). Routine PPCV (yes, no) and modern contraceptive use were both dichotomized. Descriptive analyses provided percentages, frequencies, and means. Multiple logistic regression was conducted and ORs and 95% CIs were calculated. Results. More than half of the women did not attend their PPCV (50.8%) and 86.9% had no modern contraceptive use. After controlling for the effects of confounders, women with PPCV were 50% more likely to use modern contraceptive methods than women with no PPCV (OR = 1.50, 95% CI = 1.31, 1.72). Conclusions. These findings highlight the importance of PPCV in improving modern contraceptive use and guide health care policy in the effort of reducing unintended pregnancy rates.

scholarly journals Health Care Network Formation and Policyholders' Welfare

2011 ◽  
Vol 11 (2) ◽  
Author(s):  
David Bardey ◽  
Jean-Marc Bourgeon
Keyword(s):  
Health Care ◽  
Managed Care ◽  
Health Care Providers ◽  
Network Formation ◽  
Care Quality ◽  
Care Organization ◽  
Care Providers ◽  
Horizontal Differentiation ◽  
Care Network ◽  
Health Care Network

Abstract We develop a model in which two insurers and two health care providers compete for a fixed mass of policyholders. Insurers compete in premium and offer coverage against financial consequences of health risk. They have the possibility to sign agreements with providers to establish a health care network. Providers, partially altruistic, are horizontally differentiated with respect to their physical address. They choose the health care quality and compete in price. First, we show that policyholders are better off under a competition between conventional insurance rather than under a competition between integrated insurers (Managed Care Organizations). Second, we reveal that the competition between a conventional insurer and a Managed Care Organization (MCO) leads to a similar equilibrium than the competition between two MCOs characterized by a different objective, i.e. private versus mutual. Third, we point out that the ex ante providers' horizontal differentiation leads to an exclusionary equilibrium in which both insurers select one distinct provider. This result is in sharp contrast with frameworks that introduce the concept of option value to model the (ex post) horizontal differentiation between providers.

scholarly journals Barriers to Contraceptive Use Among Urban Adolescents and Youth in Conakry, in 2019, Guinea

2021 ◽  
Vol 2 ◽  
Author(s):  
Nafissatou Dioubaté ◽  
Hawa Manet ◽  
Charlotte Bangoura ◽  
Sidikiba Sidibé ◽  
Mariama Kouyaté ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Health Care Providers ◽  
Urban Adolescents ◽  
Contraceptive Use ◽  
Modern Contraceptive ◽  
Care Providers ◽  
Contraceptive Methods ◽  
Care System

Background: Despite efforts to improve access to family planning, contraceptive prevalence remains relatively low among adolescents and youth in Guinea. The objective of this study was to understand the barriers to the use of modern contraceptive methods among urban adolescents and youth (15–24 years) in Conakry, Guinea.Methods: This was a qualitative study using an exploratory design. It was conducted in the capital city of Guinea, Conakry in 2019. Respondents included adolescents and youth aged 15–24 years, health care providers, and parents of adolescents and youth. In-depth individual interviews (IDIs) and focus group discussions (FGDs) were used to collect the data. Sixty IDIs and ten FGDs were planned in Conakry. These data were recorded and transcribed, when applicable, from the local languages into French in an anonymous manner. The data were analyzed using a mixed (inductive and deductive) thematic approach following the elements of the socio-ecological model.Results: Overall, 56 IDIs and 10 FGDs were conducted with 136 participants and included in this analysis. Respondents were adolescents (16%), youth (30%), and key informants (54%) who were health care providers (public and private), decision-makers, parents of adolescents and youth, and neighbors. Among adolescent respondents, 75% were female, and of the youth, 61% were female. Our analysis indicates various and interrelated barriers that limit the access and use of contraceptives by adolescents and youth. These included the individual (fear of side effects, cost, and rumor-related misinformation), interpersonal or family (spouse perception and sexuality taboo and perception of sexual activity before marriage), sociocultural (religious prohibitions and ethnicity), and health care system (breakdown of contraceptive methods in public health facilities, perception of service delivery, provider attitudes, visiting hours, geographic proximity of services, and quality of training received by health care providers) barriers.Conclusion: In our context, the use of modern contraceptive methods by adolescents and youth is influenced by an interaction of various barriers, including individual, interpersonal, sociocultural, and health care system factors. Strengthening contraceptive uptake interventions by involving different stakeholders, including adolescents, parents, religious, and community leaders, and improving the quality of sexual and reproductive health services would help in reducing barriers to contraceptive use among adolescents and youth.

Implementing E-Health

2016 ◽  
Author(s):  
Bill Doolin
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Point Of Care ◽  
Health Care Organization ◽  
Technical Problem ◽  
Local Health ◽  
Care Organization ◽  
Care Providers ◽  
Health Care Information ◽  
Local Health Care

The application of information and communication technology to support health care organization, management, and delivery is high on the health policy agenda in many countries, and its implementation has become a significant issue. Despite optimistic expectations and increasing investment in e-health, the anticipated benefits are often elusive. This chapter reviews the factors driving the development of e-health before introducing a conceptualization of e-health focused on the management and use of health care information at the point of care, between health care providers and, ultimately, by health care consumers. The chapter then explores a range of issues that render e-health implementation problematic. In particular, implementing e-health is both a complex and emergent process that requires consideration of local health care contexts, and a socio-technical problem involving changes in work processes, interactions, and behaviors.

scholarly journals Health Care Providers’ Knowledge and Practice Gap towards Joint Zoonotic Disease Surveillance System: Challenges and Opportunities, Gomma District, Southwest Ethiopia

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Desta Hiko Gemeda ◽  
Abiot Girma Sime ◽  
Kifle Woldemichael Hajito ◽  
Benti Deresa Gelalacha ◽  
Wubit Tafese ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Animal Health ◽  
Zoonotic Diseases ◽  
Care Providers ◽  
Cross Sectional Survey ◽  
Good Opportunity ◽  
Southwest Ethiopia ◽  
Practice Gap ◽  
Knowledge And Practice

Background.Health care providers play a crucial role for realization of joint zoonotic diseases surveillance by human and animal health sectors, yet there is limited evidence. Hence, this study aimed to determine knowledge and practice gap of health care providers towards the approach for Rabies and Anthrax in Southwest Ethiopia.Methods.A cross-sectional survey was conducted from December 16, 2014, to January 14, 2015. Eligible health care providers were considered for the study. Data were entered in to Epi-data version 3.1 and analyzed using SPSS version 20.Results.A total of 323 (92.02%) health care providers participated in the study. Three hundred sixteen (97.8%) of participants reported that both human and animal health sectors can work together for zoonotic diseases while 96.9% of them replied that both sectors can jointly conduct surveillance. One hundred seventeen (36.2%) of them reported that their respective sectors had conducted joint surveillance for zoonotic diseases. Their involvement was, however, limited to joint outbreak response.Conclusion.There is good opportunity in health care providers’ knowledge even though the practice was unacceptably low and did not address all surveillance components. Therefore, formal joint surveillance structure should be in place for optimal implementation of surveillance.

Family planning clinic patients: their usual health care providers, insurance status, and implications for managed care

2000 ◽  
Vol 27 (1) ◽  
pp. 25-33 ◽  
Author(s):  
Susan Sugerman ◽  
Neal Halfon ◽  
Arleen Fink ◽  
Martin Anderson ◽  
Laurie Valle ◽  
...  
Keyword(s):  
Health Care ◽  
Family Planning ◽  
Managed Care ◽  
Health Care Providers ◽  
Insurance Status ◽  
Care Providers ◽  
Family Planning Clinic

A Survey of Mental Health Care Provider’s and Managed Care Organization Attitudes Toward, Familiarity with, and Use of Group Interventions

2001 ◽  
Vol 51 (2) ◽  
pp. 243-263 ◽  
Author(s):  
Nicolas T. Taylor ◽  
Gary M. Burlingame ◽  
Kristoffer B. Kristensen ◽  
Addie Fuhriman ◽  
Justin Johansen ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Managed Care ◽  
Mental Health Care ◽  
Care Organization ◽  
Group Interventions ◽  
Managed Care Organization

Challenges for developing health-care knowledge in the digital age

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Dana Abdullah Alrahbi ◽  
Mehmood Khan ◽  
Shivam Gupta ◽  
Sachin Modgil ◽  
Charbel Jose Chiappetta Jabbour
Keyword(s):  
Health Care ◽  
Big Data ◽  
United Arab Emirates ◽  
Health Care Providers ◽  
Health Care Sector ◽  
Primary Data ◽  
Care Organization ◽  
Strongly Correlated ◽  
Care Providers ◽  
Content Type

Purpose Health-care knowledge is dispersed among different departments in a health care organization, which makes it difficult at times to provide quality care services to patients. Therefore, this study aims to identify the main challenges in adopting health information technology (HIT). Design/methodology/approach This study surveyed 148 stakeholders in 4 key categories [patients, health-care providers, United Arab Emirates (UAE) citizens and foresight experts] to identify the challenges they face in adopting health care technologies. Responses were analyzed using exploratory (EFA) and confirmatory factor analysis (CFA). Findings EFA revealed four key latent factors predicting resistance to HIT adoption, namely, organizational strategy (ORGS); technical barriers; readiness for big data and the internet of things (IoT); and orientation (ORI). ORGS accounted for the greatest amount of variance. CFA indicated that readiness for big data and the IoT was only moderately correlated with HIT adoption, but the other three factors were strongly correlated. Specific items relating to cost, the effectiveness and usability of the technology and the organization were strongly correlated with HIT adoption. These results indicate that, in addition to financial considerations, effective HIT adoption requires ensuring that technologies will be easy to implement to ensure their long-term use. Research limitations/implications The results indicate that readiness for big data and the IoT-related infrastructure poses a challenge to HIT adoption in the UAE context. Respondents believed that the infrastructure of big data can be helpful in more efficiently storing and sharing health-care information. On the technological side, respondents felt that they may experience a steep learning curve. Regarding ORI, stakeholders expected many more such initiatives from health-care providers to make it more knowledge-specific and proactive. Practical implications This study has implications for knowledge management in the health -care sector for information technologies. The HIT can help firms in creating a knowledge eco-system, which is not possible in a dispersed knowledge environment. The utilization of the knowledge base that emerged from the practices and data can help the health care sector to set new standards of information flow and other clinical services such as monitoring the self-health condition. The HIT can further influence the actions of the pharmaceutical and medical device industry. Originality/value This paper highlights the challenges in HIT adoption and the most prominent factors. The conceptual model was empirically tested after the collection of primary data from the UAE using stakeholder theory.

DOCTORS' INCOMES FALL AS MANAGED CARE GROWS

PEDIATRICS ◽  
1996 ◽  
Vol 97 (1) ◽  
pp. A28-A28
Author(s):  
J. F. L.
Keyword(s):  
Health Care ◽  
American Medical Association ◽  
Managed Care ◽  
Federal Government ◽  
Health Care Providers ◽  
Care Providers ◽  
Front Line ◽  
Annual Survey ◽  
First Time ◽  
Managed Care Organizations

For the first time in the 14 years that the American Medical Association (AMA) has been keeping track, doctors' incomes are falling as managed care organizations tighten their grip on the nation's health care system. The median earnings of all physicians, from front-line general practitioners to highly-paid specialists like brain surgeons, dropped 3.8% last year to $150,000, from $156,000 in 1993, according to preliminary results from the AMA's latest annual survey. The pressure on pay comes mostly from outside the profession: employers are demanding lower insurance premiums, and insurers are leaning on health care providers to cut costs. But another factor is at work from within: an explosion in America's doctor population over the last 30 years. The number of physicians has soared to 660,582 today, or 252 for each 100,000 Americans—not counting federal government doctors—compared with 266,045, or 139 for each 100,000 in 1965.

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