scholarly journals Social Capital and Health Care Access

2009 ◽  
Vol 66 (3) ◽  
pp. 272-306 ◽  
Author(s):  
Kathryn Pitkin Derose ◽  
Danielle M. Varda
Keyword(s):  
Health Care ◽  
Social Capital ◽  
Health Care Access ◽  
Care Access

Social capital and health care access among the older adults in Bangladesh

2019 ◽  
Vol 23 (1) ◽  
pp. 54-63
Author(s):  
Md. Shahidul Islam
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Social Capital ◽  
Logistic Regression ◽  
Older People ◽  
Health Care Access ◽  
Economic Hardship ◽  
Content Type ◽  
Care Access ◽  
Access Problem

Purpose The purpose of this paper is to investigate the association between social capital (SC) and health care access problem among the older people in Bangladesh. Design/methodology/approach This study applied a random sampling method to select 310 older adults (all aged 60 years) in Bangladesh. Exploratory factor analysis was employed to extract SC dimensions. Logistic regression was applied to measure the association of SC dimensions and access. Findings The logistic regression result shows that with a one-unit increase in social network, norms of reciprocity, and civic participation, health care access problem will be decreased by OR= 0.732 (95% CI =0.529–1.014); OR=0.641 (95% CI = 0.447–0.919); and OR=0.748 (95% CI = 0.556–1.006) units. Respondents who have economic hardship were 3.211 (OR=3.211, CI = 0.84–5.59) times more likely to say that they had health care access problem compared with who had no economic hardship. Research limitations/implications The study showed that the lower level of SC and presence of economic hardship increased the probability to health care access problem among the older people. Improving SC may be helpful in reducing health care access problem. However, economic hardship reductions are also important to reduce the health care access problem. Improving SC and reducing economic hardship thus should be implemented at the same time. Practical implications The study showed that low SC and economic hardship increased the probability to health care access problem. Improving SC may be helpful in reducing health inequity. However, economic hardship reductions also important to health care access. Therefore, improving SC and reducing economic hardship should be implemented at the same time. Originality/value This study has a great policy importance in regard to reducing health care access problem among the older adult in Bangladesh as SC has a potential to bring about a concomitant improvement in the condition of the health care access.

“Healing Alone?”: Social Capital, Racial Diversity and Health Care Inequality in the American States

2017 ◽  
Vol 45 (6) ◽  
pp. 1059-1087 ◽  
Author(s):  
Ling Zhu
Keyword(s):  
Health Care ◽  
Social Capital ◽  
Health Care Access ◽  
Racial Diversity ◽  
Care Access ◽  
American States ◽  
The Social ◽  
High Level ◽  
Domain I ◽  
The Impact

There is an influential tradition in political science that social capital, defined as mutual trust and civic engagement, is linked to better substantive outcomes for citizens in democracies. Recently, scholars who link social capital to race and inequality have challenged this favorable picture of social capital. This study draws from the scholarly discussion on how social capital affects inequality in diverse societies. Focusing on the health care domain, I use a new dynamic measure of social capital to evaluate the “social capital thesis” and “racial diversity thesis” of inequality. Moreover, I explore how these two political forces are intertwined with each other in shaping the unequal health care access across American states. Key empirical findings confirm that social capital and racial diversity are counterbalancing forces shaping health care inequality. Despite it reduces health care inequality, the impact of social capital is tempered with high level of racial diversity.

Balancing safety against obstruction to health care access: An examination of behavioral flags in the VA health care system.

2018 ◽  
Vol 5 (1) ◽  
pp. 35-41
Author(s):  
Linda E. Weinberger ◽  
Shoba Sreenivasan ◽  
Daniel E. Smee ◽  
James McGuire ◽  
Thomas Garrick
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Health Care Access ◽  
Care Access ◽  
Va Health Care System ◽  
Care System

Measurement Issues in Dissemination and Implementation Research

2017 ◽  
Author(s):  
Cara C. Lewis ◽  
Enola K. Proctor ◽  
Ross C. Brownson
Keyword(s):  
Health Care ◽  
Implementation Research ◽  
Health Care Access ◽  
Healthcare Research ◽  
Dissemination And Implementation ◽  
Measurement Issues ◽  
Care Access ◽  
Dissemination And Implementation Science ◽  
Dissemination And Implementation Research ◽  
Access And Quality

The National Institutes of Health, the Agency for Healthcare Research and Quality, the CDC, and a number of private foundations have expressed the need for advancing the science of dissemination and implementation. Interest in dissemination and implementation research is present in many countries. Improving health care requires not only effective programs and interventions, but also effective strategies to move them into community based settings of care. But before discrete strategies can be tested for effectiveness, comparative effectiveness, or cost effectiveness, context and outcome constructs must be identified and defined in such a way that enables their manipulation and measurement. Measurement is underdeveloped, with few psychometrically strong measures and very little attention paid to their pragmatic nature. A variety of tools are needed to capture health care access and quality, and no measurement issues are more pressing than those for dissemination and implementation science.

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