Community health services and health care utilization in rural Bangladesh

1989 ◽  
Vol 29 (12) ◽  
pp. 1343-1349 ◽  
Author(s):  
Ruhul Amin ◽  
Shifiq A. Chowdhury ◽  
G.M. Kamal ◽  
J. Chowdhury
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care Utilization ◽  
Community Health ◽  
Community Health Services ◽  
Care Utilization ◽  
Rural Bangladesh

scholarly journals HEALTH LITERACY AND HEALTH CARE UTILIZATION PATTERNS IN MIDDLE AGE ADULTS IN PAKISTAN

1969 ◽  
Vol 6 (2) ◽  
pp. 821-826
Author(s):  
UMAR ALEEM ◽  
NOOR KHAN ◽  
ZAKRIA ZAKAR ◽  
ROBEENA ZAKAR ◽  
SHAMAILA
Keyword(s):  
Health Care ◽  
Health Literacy ◽  
Health Care Utilization ◽  
Community Health ◽  
Health Center ◽  
Middle Age ◽  
Community Health Center ◽  
Functional Health ◽  
Care Utilization ◽  
Inadequate Health Literacy

OBJECTIVES: No practical and theoretical pattern for identifying health literacy and its utilizationpatterns exist. Health literacy is referring to the ability to read and perform numerical tasks'. Thisstudy’s objective was to recognize useful clinically questions that might be effective for theidentification of marginal and inadequate health literacy in adults.MATERIAL AND METHODS: In person interviews from a sample of n=332 middle age adults (28-40years) completed. A 5 point likert scale questionnaire include 16 literacy screening questionsadministered, followed by a validated health measure, the Short Test of Functional Health Literacy inAdults (STOHFLA). Grounded on the STOHFLA men were categorized as having inadequate,marginal, and adequate health literacy. Health care utilization pattern were identified in a separatequestionnaire through 10 close ended questions.RESULTS: Inadequate health literacy accounts for 42%, marginal health literacy 14% and adequatehealth literacy for 44% of the participants. 23% of the participants do not go to visit the hospital anddoctor in minor health related issues. 29% of the participants use over the counter drugs, and only 48%of the participants visit health facilities (Community Health Center, BHU, RHCs, THQ, DHQ) for theirhealth related issues.CONCLUSION:Health literacy and health care utilization are not so common in middle age adults inPakistan. The need of health literacy must be addressed in middle age adults, and it is possible when thehealth care facilities are fully utilized.KEYWORDS:Heallh Literacy, Healthcare Utilization, Community Health Center, Basic health Unit,Rural Health Center

scholarly journals Impact of Community Health Workers on Elderly Patients’ Advance Care Planning and Health Care Utilization

Medical Care ◽  
2017 ◽  
Vol 55 (4) ◽  
pp. 319-326 ◽  
Author(s):  
Debra K. Litzelman ◽  
Thomas S. Inui ◽  
Wilma J. Griffin ◽  
Anthony Perkins ◽  
Ann H. Cottingham ◽  
...  
Keyword(s):  
Health Care ◽  
Elderly Patients ◽  
Health Care Utilization ◽  
Community Health ◽  
Community Health Workers ◽  
Advance Care Planning ◽  
Health Workers ◽  
Care Utilization ◽  
Care Planning ◽  
Advance Care

scholarly journals Association Between Health Care Utilization and Immigration Enforcement Events in San Francisco

2020 ◽  
Vol 3 (11) ◽  
pp. e2025065
Author(s):  
Vasil I. Yasenov ◽  
Jens Hainmueller ◽  
Michael Hotard ◽  
Duncan Lawrence ◽  
Laura M. Gottlieb ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
San Francisco ◽  
Care Utilization ◽  
Immigration Enforcement

Comparison of health care utilization among users of public and private community health centres in urban China

2020 ◽  
Vol 37 (6) ◽  
pp. 738-743
Author(s):  
Menghan Shen ◽  
Wen He ◽  
Linyan Li ◽  
Yushan Wu
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Community Health ◽  
Incidence Rate ◽  
Lower Incidence ◽  
Care Utilization ◽  
Community Health Centres ◽  
Outpatient Visits ◽  
Health Centres ◽  
Lower Incidence Rate

Abstract Background In China, the government has encouraged the participation of private sector facilities in primary care to improve health care quality. Objective We compare health care utilization patterns among patients who select private versus public community health centres (CHCs) for reimbursed outpatient services. Methods This paper uses data from the Urban Employee Basic Medical Insurance scheme from 2013 to 2016 in one of the largest cities in China. We used a Poisson model and a logistic model to examine outcomes on monthly outpatient visits and the probability of hospitalization, respectively. Results Compared with being a user of a public CHC, being a user of a private CHC is associated with a 26.2% lower incidence rate of outpatient visits to hospitals [95% confidence interval (CI): 30.1–21.8%] and no difference in rates of visits to CHCs or hospitalization. Among patients with diabetes or hypertension, being a user of a private CHC is associated with a 12.9% lower incidence rate of outpatient visits to CHCs (95% CI: 19.8–5.4%), a 25.6% lower incidence rate of outpatient visits to hospitals (95% CI: 21.4–19.5%) and 22.3% higher odds of hospitalization (95% CI: 3.5–44.7%). Conclusion Being a user of a private CHC is associated with a reduction in outpatient visits to hospitals, which aligns with the goal of reducing hospital congestion at the outpatient level. For patients with chronic diseases, being a user of a private CHC is associated with a higher probability of hospitalization. More research is needed to understand the reason for this difference.

Sign in / Sign up

Export Citation Format

Share Document