scholarly journals Comparison of health care utilization among patients affiliated and not affiliated with healthcare professionals in China

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Yafei Si ◽  
Zhongliang Zhou ◽  
Min Su ◽  
Han Hu ◽  
Zesen Yang ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Healthcare Professionals ◽  
Outpatient Visit ◽  
Labour Force ◽  
Care Utilization ◽  
Exact Matching ◽  
Quality Health Care ◽  
Cross Sectional ◽  
Quality Health

Abstract Background Doing “more” in healthcare can be a major threat to the delivery of high-quality health care. It is important to identify the supplier-induced demand (SID) of health care. This study aims to test SID hypothesis by comparing health care utilization among patients affiliated with healthcare professionals and their counterpart patients not affiliated with healthcare professionals. Methods We used coarsened exact matching to compare the health care utilization and expenditure between patients affiliated and not affiliated with healthcare professionals. Using cross-sectional data of the China Labour-force Dynamics Survey (CLDS) in 2014, we identified 806 patients affiliated with healthcare professionals and 22,788 patients not affiliated with healthcare professionals. The main outcomes were outpatient proportion and expenditure as well as inpatient proportion and expenditure. Results The matched outpatient proportion of patients not affiliated with healthcare professionals was 0.6% higher (P = 0.754) than that of their counterparts, and the matched inpatient proportion was 1.1% lower (P = 0.167). Patients not affiliated with healthcare professionals paid significantly more (680 CNY or 111 USD, P < 0.001) than their counterparts did per outpatient visit (1126 CNY [95% CI 885–1368] vs. 446 CNY [95% CI 248–643]), while patients not affiliated with healthcare professionals paid insignificantly less (2061 CNY or 336 USD, P = 0.751) than their counterparts did per inpatient visit (15583 CNY [95% CI 12052–19115] vs. 17645 CNY [95% CI 4884–30406]). Conclusion Our results lend support to the SID hypothesis and highlight the need for policies to address the large outpatient care expenses among patients not affiliated with healthcare professionals. Our study also suggests that as the public becomes more informed, the demand of health care may persist while heath care expenditure per outpatient visit may decline sharply due to the weakened SID. To address misbehaviors and contain health care costs, it is important to realign provider incentives.

scholarly journals Comparison of Health Care Utilization Among Patients Affiliated and Not Affiliated with Healthcare Professionals in China

2020 ◽  
Author(s):  
Yafei Si ◽  
Zhongliang Zhou ◽  
Min Su ◽  
Han Hu ◽  
Zesen Yang ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Healthcare Professionals ◽  
Outpatient Visit ◽  
Labour Force ◽  
Care Utilization ◽  
Exact Matching ◽  
Quality Health Care ◽  
Cross Sectional ◽  
Quality Health

Abstract Background Doing “more” in healthcare can be a major threat to the delivery of high-quality health care. It is important to identify the supplier-induced demand (SID) of health care. This study aims to test SID hypothesis by comparing health care utilization among patients affiliated with healthcare professionals and their counterpart patients not affiliated with healthcare professionals.Methods We used coarsened exact matching to compare the health care utilization and expenditure between patients affiliated and not affiliated with healthcare professionals. Using cross-sectional data of the China Labour-force Dynamics Survey (CLDS) in 2014, we identified 806 patients affiliated with healthcare professionals and 22788 patients not affiliated with healthcare professionals. The main outcomes were outpatient proportion and expenditure as well as inpatient proportion and expenditure.Results The matched outpatient proportion of patients not affiliated with healthcare professionals was 0.6% higher (P=0.754) than that of their counterparts, and the matched inpatient proportion was 1.1% lower (P=0.167). Patients not affiliated with healthcare professionals paid significantly more (680 CNY or 111 USD, P<0.001) than their counterparts did per outpatient visit (1126 CNY [95% CI 885-1368] vs. 446 CNY [95% CI 248-643]), while patients not affiliated with healthcare professionals paid insignificantly less (2061 CNY or 336 USD, P=0.751) than their counterparts did per inpatient visit (15583 CNY [95% CI 12052-19115] vs. 17645 CNY [95% CI 4884-30406]).Conclusion Our results lend support to the SID hypothesis and highlight the need for policies to address the large outpatient care expenses among patients not affiliated with healthcare professionals. Our study also suggests that as the public becomes more informed, the demand of health care may persist while heath care expenditure per outpatient visit may decline sharply due to the weakened SID. To address misbehaviors and contain health care costs, it is important to realign provider incentives.

scholarly journals Comparison of Health Care Utilization Among Patients Affiliated and Not Affiliated with Healthcare Professionals in China

2020 ◽  
Author(s):  
Yafei Si ◽  
Zhongliang Zhou ◽  
Min Su ◽  
Han Hu ◽  
Zesen Yang ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Healthcare Professionals ◽  
Outpatient Visit ◽  
Labour Force ◽  
Care Utilization ◽  
Exact Matching ◽  
Quality Health Care ◽  
Cross Sectional ◽  
Induced Demand

Abstract Background Doing “more” in healthcare can be a major threat to the delivery of high-quality health care. It is important to identify the supplier-induced demand (SID) of health care. This study aims to test SID hypothesis by comparing health care utilization among patients affiliated with healthcare professionals and their counterpart patients not affiliated with healthcare professionals.Methods We used coarsened exact matching to compare the health care utilization and expenditure between patients affiliated and not affiliated with healthcare professionals. Using the cross-sectional data of the China Labour-force Dynamics Survey (CLDS) in 2014, we identified 806 patients affiliated with healthcare professionals and 22788 patients not affiliated with healthcare professionals. The main outcomes were outpatient proportion and expenditure as well as inpatient proportion and expenditure.Results The matched outpatient proportion of patients not affiliated with healthcare professionals was 0.6% higher (P=0.754) than that of their counterparts, and the matched inpatient proportion was 1.1% lower (P=0.167). Patients not affiliated with healthcare professionals paid significantly more (680 CNY or 111 USD, P<0.001) than their counterparts did per outpatient visit (1126 CNY [95% CI 885-1368] vs. 446 CNY [95% CI 248-643]), while patients not affiliated with healthcare professionals paid insignificantly less (2061 CNY or 336 USD, P=0.751) than their counterparts did per inpatient visit (15583 CNY [95% CI 12052-19115] vs. 17645 CNY [95% CI 4884-30406]).Conclusion Our results lend support on supplier-induced demand hypothesis and highlight the need for policies to address the large outpatient care expenses of patients not affiliated with healthcare professionals. Our study also suggests that as the public becomes more informed, the demand of health care may persist while heath care expenditure per outpatient visit may decrease sharply due to the decline in supplier-induced demand. As significant misbehaviors performed by providers, it’s important to create right incentives to offer less avoidable healthcare service during outpatient visits may work to reduce healthcare costs.

scholarly journals Comparison of Health Care Utilization Among Patients Affiliated and Not Affiliated with Healthcare Professionals in China

2020 ◽  
Author(s):  
Yafei Si ◽  
Zhongliang Zhou ◽  
Min Su ◽  
Han Hu ◽  
Zesen Yang ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Healthcare Professionals ◽  
Outpatient Visit ◽  
Labour Force ◽  
Care Utilization ◽  
Exact Matching ◽  
Quality Health Care ◽  
Cross Sectional ◽  
Induced Demand

Abstract Background Doing “more” in healthcare can be a major threat to the delivery of high-quality health care. It is important to identify the supplier-induced demand (SID) of health care. This study aims to test SID hypothesis by comparing health care utilization among patients affiliated with healthcare professionals and their counterpart patients not affiliated with healthcare professionals. Methods Using cross-sectional data of the China Labour-force Dynamics Survey (CLDS) implemented in 2014, we identified 806 patients affiliated with healthcare professionals and 22788 patients not affiliated with healthcare professionals. We used the coarsened exact matching method to control for confounding factors. The main outcomes were outpatient rate and expenditure as well as inpatient rate and expenditure. Results The matched outpatient rate of patients not affiliated with healthcare professionals was 0.6% higher (P=0.754) than that of their counterparts, and the matched inpatient rate was 1.1% lower (P=0.167). Patients not affiliated with healthcare professionals paid significantly more (680 CNY, P<0.001) than their counterparts did per outpatient visit (1126 CNY [95% CI 885-1368] vs. 446 CNY [95% CI 248-643]), while patients not affiliated with healthcare professionals paid insignificantly less (2061 CNY, P=0.751) than their counterparts did per inpatient visit (15583 CNY [95% CI 12052-19115] vs. 17645 CNY [95% CI 4884-30406]). Conclusion Our results lend support on supplier-induced demand hypothesis and highlight the need for policies to address the large outpatient care expenses of patients not affiliated with healthcare professionals. Our study also suggests that as the public becomes more informed, the demand of health care may persist while heath care expenditure per outpatient visit may decrease sharply due to the decline in supplier-induced demand. As significant misbehaviors performed by providers, it’s important to create right incentives to offer less avoidable healthcare service during outpatient visits may work to reduce healthcare costs.

scholarly journals Comparison of Health Care Utilization Among Patients Affiliated and Not Affiliated with Healthcare Professionals in China

2020 ◽  
Author(s):  
Yafei Si ◽  
Zhongliang Zhou ◽  
Min Su ◽  
Han Hu ◽  
Zesen Yang ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Healthcare Professionals ◽  
Outpatient Visit ◽  
Labour Force ◽  
Care Utilization ◽  
Exact Matching ◽  
Quality Health Care ◽  
Cross Sectional ◽  
Induced Demand

Abstract Background Doing “more” in healthcare can be a major threat to the delivery of high-quality health care. It is important to identify the supplier-induced demand (SID) of health care. This study aims to test SID hypothesis by comparing health care utilization among patients affiliated with healthcare professionals and their counterpart patients not affiliated with healthcare professionals.Methods We used coarsened exact matching to compare the health care utilization and expenditure between patients affiliated and not affiliated with healthcare professionals. Using the cross-sectional data of the China Labour-force Dynamics Survey (CLDS) in 2014, we identified 806 patients affiliated with healthcare professionals and 22788 patients not affiliated with healthcare professionals. The main outcomes were outpatient rate and expenditure as well as inpatient rate and expenditure.Results The matched outpatient rate of patients not affiliated with healthcare professionals was 0.6% higher (P=0.754) than that of their counterparts, and the matched inpatient rate was 1.1% lower (P=0.167). Patients not affiliated with healthcare professionals paid significantly more (680 CNY or 111 USD, P<0.001) than their counterparts did per outpatient visit (1126 CNY [95% CI 885-1368] vs. 446 CNY [95% CI 248-643]), while patients not affiliated with healthcare professionals paid insignificantly less (2061 CNY or 336 USD, P=0.751) than their counterparts did per inpatient visit (15583 CNY [95% CI 12052-19115] vs. 17645 CNY [95% CI 4884-30406]).Conclusion Our results lend support on supplier-induced demand hypothesis and highlight the need for policies to address the large outpatient care expenses of patients not affiliated with healthcare professionals. Our study also suggests that as the public becomes more informed, the demand of health care may persist while heath care expenditure per outpatient visit may decrease sharply due to the decline in supplier-induced demand. As significant misbehaviors performed by providers, it’s important to create right incentives to offer less avoidable healthcare service during outpatient visits may work to reduce healthcare costs.

scholarly journals Comparison of Health Care Utilization Among Patients Affiliated and Not Affiliated with Healthcare Professionals in China

2020 ◽  
Author(s):  
Yafei Si ◽  
Zhongliang Zhou ◽  
Min Su ◽  
Han Hu ◽  
Zesen Yang ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Healthcare Professionals ◽  
Labour Force ◽  
Care Utilization ◽  
Exact Matching ◽  
Quality Health Care ◽  
Cross Sectional ◽  
Induced Demand ◽  
P 75

Abstract Background: Doing “more” in healthcare can be a major threat to the delivery of high-quality health care. It is important to identify the supplier-induced demand of healthcare. This study aims to test supplier-induced demand theory by comparing health care utilization among patients affiliated with healthcare professionals and their counterpart patients not affiliated with healthcare professionals.Methods: Using cross-sectional data of the China Labour-force Dynamics Survey (CLDS) implemented in 2014, we identified 806 patients affiliated with healthcare professionals and 22788 patients not affiliated with healthcare professionals. We used the coarsened exact matching method to control for confounding factors. The main outcomes were outpatient rate and expenditure as well as inpatient rate and expenditure.Results: The matched outpatient rate of patients not affiliated with healthcare professionals was 0.6% higher (P = .75) than that of their counterparts, and the matched inpatient rate was 1.1% lower (P = .17). Patients not affiliated with healthcare professionals paid significantly more (680 CNY, P < .001) than their counterpart patients did per outpatient visit (1126 CNY [95% CI 885–1368] VS 446 CNY [95% CI 248–643]), while they paid 2,061 CNY insignificant less per inpatient visit (P = .75).Conclusion: Our results lend support on supplier-induced demand hypothesis and highlight the need for policies to address the large outpatient care expenses of patients not affiliated with healthcare professionals. Creating incentives for providers to offer less avoidable healthcare service during outpatient visits may work to reduce healthcare costs.

scholarly journals Health Care Utilization and Symptom Severity in Ghanaian Children – a Cross-Sectional Study

PLoS ONE ◽  
2013 ◽  
Vol 8 (11) ◽  
pp. e80598 ◽  
Author(s):  
Ralf Krumkamp ◽  
Nimako Sarpong ◽  
Benno Kreuels ◽  
Lutz Ehlkes ◽  
Wibke Loag ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Symptom Severity ◽  
Cross Sectional Study ◽  
Care Utilization ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Healthcare utilization among migrants to the UK: cross-sectional analysis of two national surveys

2020 ◽  
Vol 26 (1) ◽  
pp. 54-61 ◽  
Author(s):  
Catherine L Saunders ◽  
Adam Steventon ◽  
Barbara Janta ◽  
Mai Stafford ◽  
Carol Sinnott ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Health Care Utilization ◽  
Dental Care ◽  
Odds Ratio ◽  
Service Planning ◽  
Care Utilization ◽  
Cross Sectional ◽  
Objective Evidence ◽  
The Uk

Objective To contribute objective evidence on health care utilization among migrants to the UK to inform policy and service planning. Methods We analysed data from Understanding Society, a household survey with fieldwork from 2015 to 2017, and the European Health Interview Survey with data collected between 2013 and 2014. We explored health service utilization among migrants to the UK across primary care, inpatient admissions and maternity care, outpatient care, mental health, dental care and physiotherapy. We adjusted for age, sex, long-term health conditions and time since moving to the UK. Results Health care utilization among migrants to the UK was lower than utilization among the UK-born population for all health care dimensions except inpatient admissions for childbirth; odds ratio (95%CI) range 0.58 (0.50–0.68) for dental care to 0.88 (0.78–0.98) for primary care). After adjusting for differences in age and self-reported health, these differences were no longer observed, except for dental care (odds ratio 0.57, 95%CI 0.49–0.66, P < 0.001). Across primary care, outpatient and inpatient care, utilization was lower among those who had recently migrated, increasing to the levels of the nonmigrant population after 10 years or more since migrating to the UK. Conclusions This study finds that newly arrived migrants tend to utilize less health care than the UK population and that this pattern was at least partly explained by better health, and younger age. Our findings contribute nationally representative evidence to inform public debate and decision-making on migration and health.

scholarly journals Brand equity analysis to increase health care utilization

2020 ◽  
Author(s):  
Ernawaty ◽  
Kendra Wardhani K ◽  
Stefanus Supriyanto ◽  
Nuzulul Kusuma Putri ◽  
Yeni Rahmah Husniyawati
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Brand Equity ◽  
Health Care Services ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Care Utilization ◽  
Cross Sectional ◽  
Brand Association ◽  
Care Services

Background: Health care utilization is one of the key indicators in measuring performance of health care services. Strong brand equity suggests positive correlation with great attraction for consumers to use a product. Design and Methods: A cross-sectional study was conducted to identify the effects of brand equity to health care utilization. 381 students were selected by simple random sampling. Multiple logistic regression tests were used to analyze the influence between variables. Results: Findings showed that there was an influence between brand equity and health care utilization (P=0.001). In the three attributes, brand equity was known to have an influence to the utilization of health care. The highest influence of the three attributes was brand association (Exp (B) = 2.501). Conclusions: It can be concluded that brand equity affects patient visits to AHCC showing that the brand equity significantly influence patient visits. Promotion to create familiarity and good impression was required to enhance brand equity and increase health care utilization.

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