Determinants of Health Service Utilization Among Adults at High Risk of Developing Type 2 Diabetes in Kerala, India

2022 ◽  
pp. 101053952110724
Author(s):  
Phoebe Hone ◽  
Jim Black ◽  
Thirunavukkarasu Sathish ◽  
Nitin Kapoor ◽  
Yingting Cao ◽  
...  
Keyword(s):  
Health Status ◽  
Health Service ◽  
Service Utilization ◽  
General Health ◽  
Health Service Utilization ◽  
Service Use ◽  
Educational Status ◽  
Outpatient Services ◽  
General Health Status

The purpose of this study was to examine the determinants of health service utilization in a population at high risk of developing type 2 diabetes mellitus in India. Using Andersen’s behavioral model of healthcare utilization, multivariate logistic regression analysis was performed on baseline data of the Kerala Diabetes Prevention Program. We examined the association between predisposing, enabling, and need factors with outpatient health service use in the past four weeks and inpatient health service use in the past 12 months. More than a quarter (27.9%) and 12.9% of 1007 participants used outpatient services and inpatient services, respectively. Men were less likely to use outpatient services (odds ratio [OR] = 0.56; 95% confidence interval [CI] [0.39, 0.82]). Outpatient service utilization was positively associated with low social support (OR = 1.69; 95% CI [1.09, 2.62]), low general health status (OR = 5.71; 95% CI [2.42, 13.47]), and time off from work due to illness (OR = 8.01; 95% CI [5.32, 12.07]). Higher educational status (OR = 0.63; 95% CI [0.41, 0.95]), low general health status (OR = 3.59; 95% CI [1.54, 8.34]), and time off from work due to illness (OR = 1.21; 95% CI [0.76,1.93]) were associated with increased utilization of inpatient services. Although gender, educational status, and social support had important roles, health service utilization in this study population was largely dependent on general health status and presence of illness.

scholarly journals Health Status and Health Service Utilization among Vietnamese Farmers in a Mountainous Province

2019 ◽  
Vol 16 (23) ◽  
pp. 4768 ◽  
Author(s):  
Diep Ngoc Nguyen ◽  
Long Hoang Nguyen ◽  
Cuong Tat Nguyen ◽  
Hai Quang Pham ◽  
Jongnam Hwang ◽  
...  
Keyword(s):  
Health Care ◽  
Health Status ◽  
Health Service ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Service Use ◽  
Care Service ◽  
Health Care Service ◽  
The Self ◽  
Self Rated Health

Problems of poor health status and low health service use among farmers in mountainous areas have not been fully investigated. A cross-sectional study was conducted in Son La, a mountainous province in Vietnam, to assess the self-rated health and health care service utilization among farmers. Visual analogue scale (VAS) was used to measure the self-rated health. Multivariate Tobit, Poisson, and logistic regression were employed to identify related factors. Among 197 farmers, the mean VAS score was 67.8 (SD = 15.5). Approximately 40% of participants reported health problems, and the most popular morbidity was hypertension—56.4%. There were 28.9% and 50.3% of farmers using inpatient and outpatient treatments in the last 12 months, respectively. Age, educational level, family income, marital status, alcohol use, and source of information have been identified as associated factors with self-rated health status and morbidities, while age, gender, education, and morbidities were related to health service utilization. Data indicated a high proportion of health issues and a high rate of health care service use among farmers in a mountainous area of Vietnam. Adaptable health policies and prevention programs or preventive health services should be implemented regularly in mountainous regions to protect farmers from the onset of morbidities and to enhance their health.

Health Status, Health Problems and Practices among Refugees from the Middle East, Eastern Europe and Southeast Asia

1987 ◽  
Vol 21 (3) ◽  
pp. 760-782 ◽  
Author(s):  
Rosalie F. Young ◽  
Allen Bukoff ◽  
John B. Waller ◽  
Stephen B. Blount
Keyword(s):  
Mental Health ◽  
Health Service ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Service Use ◽  
Dental Health ◽  
Health Problems ◽  
Health Service Use ◽  
Care Utilization ◽  
Barriers To Health

Recent refugees from Poland, Romania, Iraq, and Vietnam were extensively interviewed to assess their health, health care utilization and health service use barriers. Two hundred seventy-seven recent arrivals from these countries and sixty-three previously arrived Laotians comprised the sample. Results from a 195 item bilingual questionnaire indicated good overall health and little evidence of serious physical health symptoms. Dental health was the area of greatest reported need. Prenatal care and mental health services were additional areas of need noted by researchers. Barriers to health service utilization were primarily language related. There were major differences in both health problems and health service utilization among the four groups surveyed.

scholarly journals Quality of life, health status, and health service utilization related to a new measure of health literacy: FLIGHT/VIDAS

2014 ◽  
Vol 96 (3) ◽  
pp. 404-410 ◽  
Author(s):  
Raymond L. Ownby ◽  
Amarilis Acevedo ◽  
Robin J. Jacobs ◽  
Joshua Caballero ◽  
Drenna Waldrop-Valverde
Keyword(s):  
Quality Of Life ◽  
Health Status ◽  
Health Literacy ◽  
Health Service ◽  
Service Utilization ◽  
Health Service Utilization

scholarly journals Pattern of Outpatient Health Service Utilization by Older People in Iran

Salmand ◽  
2021 ◽  
Vol 15 (4) ◽  
pp. 410-427
Author(s):  
Maryam Tajvar ◽  
◽  
Mehdi Yaseri ◽  
Badriye Karami ◽  
Mariya Mohammadi ◽  
...  
Keyword(s):  
Health Service ◽  
Health Services ◽  
Older People ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Health Planning ◽  
The Elderly ◽  
National Study ◽  
Outpatient Services ◽  
To Receive

Objectives: Considering the rapid growth of Iran’s elderly population with consequent increase in the costs of health services, it is necessary to be aware of the pattern of outpatient health service utilization, in the elderly for resource allocation and health planning. This study aims to determine the pattern of outpatient service utilization for the elderly in Iran and explore determinant factors. Methods & Materials: This is a cross-sectional study using secondary analysis method and the data from 2015 National Study of Health Service Utilization. Study population consists of older people aged ≥60 years. Of these, 8205 were selected as study samples. The data were collected using personal and household questionnaires collecting information on subjects’ need for, referral to, utilization from, and satisfaction with outpatient services. Logistic regression analysis was used to identify factors related to the need, referral, benefit, and satisfaction with the received outpatient services. Results: Out of 8205 participants, 3172 (39%) reported the need for outpatient services, of which 66% referred for services; of these, 98% (N=2060) benefited outpatient services. Females, older subjects, villagers, unmarried and illiterate subjects were more in need of outpatient services, but their referrals to receive the services were not more than those of other groups. Lack of basic insurance, supplementary insurance, and a personal care had a significant impact on reducing the number of subjects referred to receive outpatient services. Inability to pay treatment costs (30%), self-treatment (28%) and lack of proper insurance coverage (13%) were the most important reasons for not referring to receive outpatient services. The highest satisfaction was related to the behavior of physicians and medical staff and the lowest satisfaction was related to the cost of outpatient services. Conclusion: Although the use of outpatient health services should be based on the need for these services, the present study showed that the older people with higher socio-economic status had higher utilization from the services in Iran. Therefore, there is an inequality in access to outpatient services in the elderly. The reasons for not using outpatient services and dissatisfaction with these services should be seriously considered by health policy makers.

scholarly journals Patterns of Child Mental Health Service Utilization Within a Multiple EBP System of Care

2021 ◽  
Author(s):  
Joyce H. L. Lui ◽  
Lauren Brookman-Frazee ◽  
Alejandro L. Vázquez ◽  
Julia R. Cox ◽  
Debbie Innes-Gomberg ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Service Utilization ◽  
Asian American ◽  
Health Service Utilization ◽  
Service Use ◽  
Mental Health Service Utilization ◽  
Administrative Claims ◽  
Evidence Based

AbstractThe current study (1) characterizes patterns of mental health service utilization over 8 years among youth who received psychotherapy in the context of a community implementation of multiple evidence-based practices (EBPs), and (2) examined youth-, provider- and service-level predictors of service use patterns. Latent profile analyses were performed on 5,663,930 administrative claims data furnished by the county department of mental health. Multinomial logistic regression with Vermunt’s method was used to examine predictors of care patterns. Based on frequency, course, cost, and type of services, three distinct patterns of care were identified: (1) Standard EBP Care (86.3%), (2) Less EBP Care (8.5%), and (3) Repeated/Chronic Care (5.2%). Youth age, ethnicity, primary language, primary diagnosis and secondary diagnosis, provider language and provider type, and caregiver involvement and service setting were significant predictors of utilization patterns. Although the majority of youth received care aligned with common child EBP protocols, a significant portion of youth (13.7%) received no evidence-based care or repeated, costly episodes of care. Findings highlight opportunities to improve and optimize services, particularly for youth who are adolescents or transition-aged, Asian-American/Pacific Islander, Spanish-speaking, or presenting with comorbidities.

Predictors of Mental Health Service Utilization in the 12 Months before Imprisonment: Analysis of Results from a National Prisons Survey

2006 ◽  
Vol 40 (6-7) ◽  
pp. 548-553 ◽  
Author(s):  
Michael Farrell ◽  
Annabel Boys ◽  
Nicola Singleton ◽  
Howard Meltzer ◽  
Traolach Brugha ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Service ◽  
Service Utilization ◽  
Health Service Utilization ◽  
Opioid Dependence ◽  
Service Use ◽  
Face To Face ◽  
History Of ◽  
Analysis Of Results ◽  
Drug Dependent

Objective: To describe the self-reported history of health service utilization and helpseeking to those who are drug-dependent in the period of time prior to imprisonment. Method: A cross-section survey of 3142 sentenced or remand prisoners in English prisons completed private, face-to-face interviews with trained Office for National Statistics staff covering a full structured psychiatric assessment interview. Specific questions about service utilization prior to imprisonment were included, as were questions on patterns of drug use and dependence prior to imprisonment. Results: Receipt of any form of help was demographically most strongly associated with being older, white and female. Women were about twice as likely as men to report having received help for mental or emotional problems. Older age was also consistently associated with greater levels of reporting having received help, for both genders but only for use of general practitioners. Being black was strongly associated with reduced likelihood of receiving help and this was maintained after adjusting for other sociodemographic variables. Opioid dependence alone or opioid dependence with stimulant dependence, psychiatric disorder alone and probable psychosis were all most predictive of service use in the 12 months prior to imprisonment. Conclusions: In the year prior to imprisonment, the majority of mental health needs of these individual prisoners were not able to access help prior to imprisonment. Future strategies should aim for better health access beofre, during and after imprisonment.

Sign in / Sign up

Export Citation Format

Share Document