scholarly journals The effects of the Norwegian Coordination Reform on the use of rehabilitation services: panel data analyses of service use, 2010 to 2013

2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Lars C. Monkerud ◽  
Trond Tjerbo
BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e041870
Author(s):  
Tiara Marthias ◽  
Kanya Anindya ◽  
Nawi Ng ◽  
Barbara McPake ◽  
Rifat Atun ◽  
...  

ObjectivesTo examine non-communicable diseases (NCDs) multimorbidity level and its relation to households’ socioeconomic characteristics, health service use, catastrophic health expenditures and productivity loss.DesignThis study used panel data of the Indonesian Family Life Survey conducted in 2007 (Wave 4) and 2014 (Wave 5).SettingThe original sampling frame was based on 13 out of 27 provinces in 1993, representing 83% of the Indonesian population.ParticipantsWe included respondents aged 50 years and above in 2007, excluding those who did not participate in both Waves 4 and 5. The total number of participants in this study are 3678 respondents.Primary outcome measuresWe examined three main outcomes; health service use (outpatient and inpatient care), financial burden (catastrophic health expenditure) and productivity loss (labour participation, days primary activity missed, days confined in bed). We applied multilevel mixed-effects regression models to assess the associations between NCD multimorbidity and outcome variables,ResultsWomen were more likely to have NCD multimorbidity than men and the prevalence of NCD multimorbidity increased with higher socioeconomic status. NCD multimorbidity was associated with a higher number of outpatient visits (compared with those without NCD, incidence rate ratio (IRR) 4.25, 95% CI 3.33 to 5.42 for individuals with >3 NCDs) and inpatient visits (IRR 3.68, 95% CI 2.21 to 6.12 for individuals with >3 NCDs). NCD multimorbidity was also associated with a greater likelihood of experiencing catastrophic health expenditure (for >3 NCDs, adjusted OR (aOR) 1.69, 95% CI 1.02 to 2.81) and lower participation in the labour force (aOR 0.23, 95% CI 0.16 to 0.33) compared with no NCD.ConclusionsNCD multimorbidity is associated with substantial direct and indirect costs to individuals, households and the wider society. Our study highlights the importance of preparing health systems for addressing the burden of multimorbidity in low-income and middle-income countries.


2018 ◽  
Vol 09 (01) ◽  
pp. 036-041 ◽  
Author(s):  
Kriti Mishra ◽  
V. Siddharth

ABSTRACT Context: A limited number of caregivers of children with developmental delay access rehabilitation facilities in India. The study explored utilization of rehabilitation services at a tertiary care setup in southwestern Rajasthan and various factors influencing it. Aims: The aim of this study is to explore rehabilitation service utilization among children with developmental delay at a tertiary care setup and to ascertain factors that influence this pattern. Settings: This study was conducted at the department of physical medicine and rehabilitation at tertiary care setup. Design: This was an observational study. Subjects and Methods: Children with developmental delay who were advised institutional-based rehabilitation were identified over span of 1 year. Those who failed to return for rehabilitation after the first visit were interviewed telephonically. The interview had semi-structured open-ended questions about their reasons for inability to avail services. Statistical Analysis: SPSS statistics 22 was used for descriptive analysis and correlation of variables. Results: Of 230 children with developmental delay visiting department in 1-year duration, 48 took regular rehabilitation. Parents of 129 children with complete records were asked regarding discontinuation. Factors cited by majority were long distance from institute and service at hospital. Other reasons for discontinuation were related to belief system, family issues, time issues, socioeconomic factors, etc. Socioeconomic status was significantly associated with parental education (C = 0.488, P = 0.000) and financial issues. Location of family had significant association with long distance (C = 0.315, P = 0.000), parental education (C = 0.251, P = 0.003), and belief system (C = 0.265, P = 0.002). Conclusions: Distance from institute and quality of hospital service determined rehabilitation service use at a tertiary institute. Other factors such as socioeconomic status, family support, and social belief system must also be addressed while delivering institutional rehabilitation to children.


2013 ◽  
Vol 2013 ◽  
pp. 1-12 ◽  
Author(s):  
David R. Lilley

Although a substantial number of studies have reported that drug courts reduced the recidivism of graduates (Wilson et al., 2006), a series of recent analyses suggested that drug courts and similar programs were associated with unintended crime outcomes in cities and counties across the nation (Lilley and Boba, 2008; Miethe et al., 2000; Peters et al., 2002; Worrall et al., 2009). Given that over 220,000 offenders participated in this alternative to incarceration and most did not successfully complete the drug court program, jurisdictional crime may have been impacted. A series of panel data analyses were conducted among more than 5,000 jurisdictions nationwide from 1995 to 2002 to assess the impact of drug court implementation grants on UCR Part I felony offenses. Consistent with prior findings, drug court implementation grants were associated with net increases in vehicle theft, burglary, larceny, and some violent offenses. Possible explanations for these unintended outcomes are discussed along with recommendations for adjustments to current drug court programs across the nation.


2021 ◽  
Vol 11 ◽  
Author(s):  
Christian Dalton-Locke ◽  
Louise Marston ◽  
Peter McPherson ◽  
Helen Killaspy

Introduction: Mental health rehabilitation services provide essential support to people with complex and longer term mental health problems. They include inpatient services and community teams providing clinical input to people living in supported accommodation services. This systematic review included international studies evaluating the effectiveness of inpatient and community rehabilitation services.Methods: We searched six online databases for quantitative studies evaluating mental health rehabilitation services that reported on one or both of two outcomes: move-on to a more independent setting (i.e. discharge from an inpatient unit to the community or from a higher to lower level of supported accommodation); inpatient service use. The search was further expanded by screening references and citations of included studies. Heterogeneity between studies was too great to allow meta-analysis and therefore a narrative synthesis was carried out.Results: We included a total of 65 studies, grouped as: contemporary mental health rehabilitation services (n = 34); services for homeless people with severe mental health problems (n = 13); deinstitutionalization programmes (n = 18). The strongest evidence was for services for homeless people. Access to inpatient rehabilitation services was associated with a reduction in acute inpatient service use post discharge. Fewer than one half of people moved on from higher to lower levels of supported accommodation within expected timeframes.Conclusions: Inpatient and community rehabilitation services may reduce the need for inpatient service use over the long term but more high quality research of contemporary rehabilitation services with comparison groups is required.Review registration: This review was prospectively registered on PROSPERO (ID: CRD42019133579).


Author(s):  
Emanuele Felice ◽  
Iacopo Odoardi ◽  
Dario D’Ingiullo

AbstractWe investigate the role of human capital (HC) in the Chinese inland-coastal inequality and, related to this, how the consequences of the 2007–2008 crisis may induce China to re-focus its development path on HC. We compare panel data analyses for two periods (1998–2008 and 2009–2017) for two diverging groups of provinces (the richer/coastal and the relatively poor/inland areas). In the first period, the economic strengths that influenced the Chinese take-off and the dualism are confirmed. However, the results show that an evolution in local economic endowments is taking place: first, HC has a more evident economic effect after the crisis only in the inland provinces; second, the development path of the inland area is changing, with an evolution towards more productive sectors which can favor higher returns to HC.


2015 ◽  
Vol 4 (1) ◽  
pp. 63
Author(s):  
Putri Anik D ◽  
Ali Anis ◽  
Muhammad Irfan

The purpose of this study was to analyze: (1) education imbalance, (2) the effect of education expansion on education imbalance, and (3) the correlate of education imbalance on economic growth in West Sumatera Province. This research is descriptive and asosiative, it’s describe the variable and found whether there is influence between independent variable with dependent variable. This study used Survey Sosial Ekonomi Nasional years 2005, 209 and 2013. The data examied totaled 57 observations. The analyses technique are descripyive and inductive. Inductive analyses include panel data analyses, determinant coefficient, hypothesis test and coreelation test.The result showed that: education imbalance in West Sumatera Province came to low imbalance, with the lowest imbalance on Padang City with education gini index as 0,2149. The result also showed that education imbalance on city has lower gini index than regency, (2) education expansion has a negative significantly impact on education imbalance in West Sumatera Province with regression coeffecient as 0,02557, (3) education imbalance has a negative correlation with economic growth with correlation coefficient as 0,001712.    Keywords : educatio imbalance, education expansion, economic growth


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