scholarly journals Patient Payment and Unhealthy Behavior: A Comparison across European Countries

2017 ◽  
Vol 2017 ◽  
pp. 1-13 ◽  
Author(s):  
Reza Rezayatmand ◽  
Milena Pavlova ◽  
Wim Groot
Keyword(s):  
Health Care ◽  
Alcohol Consumption ◽  
Health Care Cost ◽  
Care Service ◽  
Health Care Service ◽  
The Elderly ◽  
Health Care Use ◽  
European Countries ◽  
Out Of Pocket Payments ◽  
Lower Health

Introduction. Prior research has documented that unhealthy behaviors result in greater health care use and greater health care costs. However, there are few studies on out-of-pocket expenditure paid by those engaging in unhealthy behaviors. We provide cross-country evidence on the association of smoking, alcohol consumption, and obesity with health care use and health care cost as well as out-of-pocket payments among the elderly in Europe. Method. Using SHARE dataset for 13 European countries, the study uses a sequential logit model to analyze use and payments for outpatient and inpatient health care service in addition to a two-part model for the analysis of use and payments for prescribed drugs. Results. Former smoking is associated with a higher rate of health care use. However, current smoking is associated with lower health care use. Former smoking is also associated with paying higher amount of out-of-pocket payments. Alcohol consumption is associated with lower health care use. Conclusion. We do not find systematic evidence that unhealthy behaviors among elderly (50+) are associated with more utilization of health care and more out-of-pocket payments. The results can be of interest for policies that aim to make people more responsible toward their health behaviors.

Financial Affordability, Health Insurance, and Use of Health Care Services by the Elderly: Findings From the China Health and Retirement Longitudinal Study

2019 ◽  
Vol 31 (6) ◽  
pp. 510-521 ◽  
Author(s):  
Jiaojiao Ren ◽  
Ding Ding ◽  
Qunhong Wu ◽  
Chaojie Liu ◽  
Yanhua Hao ◽  
...  
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Longitudinal Study ◽  
Health Care Services ◽  
Care Service ◽  
Health Care Service ◽  
The Elderly ◽  
Cluster Sampling ◽  
Service Usage ◽  
Care Services

The rapidly growing aging population has attracted global attention. This study explores the associations between 3 basic health insurances, and it identifies factors associated with health care services among the elderly populations. This study is based on multistage stratified cluster sampling method from the 2013 China Health and Retirement Longitudinal Study (CHARLS) resulting in 7589 participants. Medical Insurance for Urban Employees (MIUE) members were more likely to use inpatient health care services. Health insurance programs were associated with inpatient services usage but not outpatient services usage. There are significant disparities in medical costs and health care service usage among the 3 insurance programs. Health insurance program is only associated with inpatient care. These findings may provide some suggestions to support improvements to the Chinese health care system.

Health Care Service Designs with ICT

2011 ◽  
Vol 135-136 ◽  
pp. 565-572
Author(s):  
Chuang Chun Chiou
Keyword(s):  
Health Care ◽  
Care Service ◽  
Health Care Service ◽  
Service Design ◽  
The Elderly ◽  
Diagnostic Tools ◽  
Service Levels ◽  
Interactive Tools ◽  
Critical Issues ◽  
Information And Communication

The applications of Information and Communication Technology (ICT) on new health care service design have drawn vast interests from both academics and industry. In this study we systematically analyzed the needs of different levels for the elderly. From home care service to acute medical treatment at hospital, the selection of appropriate service mainly depends on the level of medication. We address some critical issues and new trends for designing new care service via ICT. The study finds that the availability of enhanced Internet access, innovative interactive tools and devices, integrated health information systems, as well as gene-based screening and diagnostic tools will be the main areas for new health service design which can be tailored for the needs of different service levels.

scholarly journals Women’s alcohol consumption in a Primary Health Care service

2021 ◽  
Vol 55 ◽  
Author(s):  
Talita Dutra Ponce ◽  
Andressa Pelissoli Picciano ◽  
Divane de Vargas
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Alcohol Consumption ◽  
Care Service ◽  
Health Care Service ◽  
Univariate Analysis ◽  
Primary Health Care Service ◽  
Younger Women ◽  
Primary Health ◽  
Sample Method

ABSTRACT Objective: To identify alcohol consumption patterns in people cared by a Primary Health Care service and verify the association between the patterns and the variables of the sample. Method: Our observational study used both the Alcohol Use Disorders Identification Test instrument and a questionnaire with socio-demographic, clinical, and behavioral questions for data collection. We carried out the descriptive and univariate analysis with Kendall and Kruskal-Wallis correlation tests. We introduced variables with p ≤ 0.2 values in the multiple logistic regression – Mann-Whitney test. Results: The sample of the study was constituted by 561 women. The analysis results indicated relevant influence for higher patterns of consumption: not having a partner, not having a religion, smoking and drug habits, and having arterial hypertension. Besides that, within each additional year in women’s age, the alcohol consumption decreases. Conclusion: We endorsed data that female alcohol consumption is presenting a tendency to increase especially among younger women, this information is essential for the promotion of Primary Health Care.

scholarly journals Elderly caring for the elderly: spirituality as tensions relief

2018 ◽  
Vol 71 (5) ◽  
pp. 2461-2468
Author(s):  
Monalisa Claudia Maria da Silva ◽  
Alexander Moreira-Almeida ◽  
Edna Aparecida Barbosa de Castro
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Care Service ◽  
Health Care Service ◽  
Elderly Person ◽  
The Elderly ◽  
Primary Health Care Service ◽  
Primary Health ◽  
Elderly Caregivers ◽  
At Home

ABSTRACT Objective: To investigate the forms of coping used to relieve tensions by elderly caregivers of elderly relatives and to know the type of support they receive from the Primary Health Care service at home. Method: A qualitative study with a theoretical-methodological contribution of Grounded Theory, carried out with 10 elderly caregivers interviewed between August 2014 and January 2015. Results: Participants use primarily religious coping to deal with adverse situations that arise in their lives; they attribute to the sacred the strength to continue to age and care for another elderly person at home. Religiousness was the main coping strategy used by the participants, but little recognized by the health service. Final considerations: It is recommended that the Primary Health Care service provide greater support to these caregivers and be attentive to the spiritual dimension as an auxiliary element in the process of comprehensive and inclusive health care of these elderly caregivers.

scholarly journals Factors Associated to Health Care Service Use among Latino Day Laborers

2017 ◽  
Vol 11 (4) ◽  
pp. 1028-1038 ◽  
Author(s):  
Javier Francisco Boyas ◽  
Nalini Junko Negi ◽  
Pamela Valera
Keyword(s):  
Health Care ◽  
Chronic Conditions ◽  
Service Use ◽  
Care Service ◽  
Health Care Service ◽  
Health Care Use ◽  
Multiple Chronic Conditions ◽  
Day Laborers ◽  
Health Care Usage ◽  
Latino Day Laborers

Latino day laborers (LDLs) are at elevated risks for disease and injury because of the environments in which they work. Despite this recognition, a comprehensive examination of factors related to LDLs’ health service use remains unexamined. Using the Andersen model, the current exploratory study examined predisposing (age, education level, location of educational training, legal status, and marital status), enabling (income, trust in medical personnel, whether the respondent has someone they consider their personal doctor, and whether their doctor speaks the same language, perceived barriers to care), and need (self-rated health, number of chronic conditions) variables to predict use of health services among a purposive sample of LDLs ( N = 150). Cross-sectional data were collected in 2012 from 4 day laborer sites in Dallas and Arlington, Texas. Regression results suggest that the strongest predictor of health care use was trust in medical providers (β = .41). LDLs who were U.S legal residents (β = .21), reported multiple chronic conditions (β = .16), and had a doctor who spoke their language (β = .15) reported significantly higher levels of health care usage. In terms of barriers, not being able to pay for services (β = −.23), lacking health care insurance coverage (β = −.22), and being embarrassed or having a family member not approve of utilizing services (β = −.18) were significantly associated with lower health care usage among LDLs. These findings suggest that LDLs are faced with a number of predisposing, enabling, and need factors that comprise health care use.

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