scholarly journals Factors Affecting the Choice of Medical Care Use by the Poor

2008 ◽  
Vol null (37) ◽  
pp. 5-33 ◽  
Author(s):  
Kim. Jin-Gu
Keyword(s):  
Medical Care ◽  
Factors Affecting ◽  
The Poor ◽  
Medical Care Use

Clinical trials — the personal perspective of the research physician?

2020 ◽  
Vol 75 (3) ◽  
pp. 256-263
Author(s):  
Maria Y. Egorova ◽  
Irina A. Shuvalova ◽  
Olga I. Zvonareva ◽  
Igor D. Pimenov ◽  
Olga S. Kobyakova ◽  
...  
Keyword(s):  
Clinical Trials ◽  
Medical Care ◽  
New Technologies ◽  
Healthcare Providers ◽  
Study Drug ◽  
Well Being ◽  
Personal Perspective ◽  
Public And Private ◽  
Factors Affecting ◽  
To Receive

Background. The organization of clinical trials (CTs) requires the participation and coordination of healthcare providers, patients, public and private parties. Obstacles to the participation of any of these groups pose a risk of lowering the potential for the implementation of CTs. Researchers are a key human resource in conducting of CT. Their motivation for participation can have a significant impact on the recruitment and retention of patients, on the quality of the data collected, which determines the overall outcome of the study. Aims to assess the factors affecting the inclusion of Russian physicians-researchers in CT, and to determine their role in relations with patients-participants. Materials and methods. The study was organized as a part of the Russian multicenter face-to-face study. A survey was conducted of researchers from 10 cities of Russia (20172018). The participation in the survey for doctors was anonymous and voluntary. Results. The study involved 78 respondents. Most research doctors highly value the importance of research for science (4,84 0,39), society (4,67 0,46) and slightly lower for participating patients (4,44 0,61). The expectations of medical researchers are related to improving their financial situation and attaining new experience (n = 14; 18,18%). However, the opportunity to work with new technologies of treatment and diagnosis (n = 41; 52,56%) acted as a motivating factor. According to the questionnaire, the vast majority of research doctors (n = 29; 37,18%) believe that the main reason for patients to participate in CT is to receive quality and free medical care. The most significant obstacle to the inclusion of participants in CT was the side effects of the study drug (n = 38; 48,71%). Conclusions. The potential of clinical researchers in Russia is very high. The patient-participant acts for the research doctor as the subject of the study, and not the object, so the well-being of the patient is not indifferent to the doctor. However, the features of the functioning of our health care system form the motivation of doctors-researchers (additional earnings, professional self-development) and the way they perceive the motivation of patients (CT as an opportunity to receive quality medical care).

The Paradox of Poverty: Socio-Economic Aspects of Population Growth.— By T. Scarlett Epstein and Darrell Jackson. The Macmillan of India Limited Delhi, 1975. pp.127.

1978 ◽  
Vol 17 (3) ◽  
pp. 380-382
Author(s):  
M. Javed Akbar Zaki
Keyword(s):  
Decision Making ◽  
Social Situation ◽  
Economic Security ◽  
Rural India ◽  
Factors Affecting ◽  
Number Of Children ◽  
Economic Progress ◽  
The Poor ◽  
Fertility Decision ◽  
The Social

To many social theoreticians, the population explosion, particularly in the developing nations presents a crippling threat to their developmental pro¬cesses. Their argument's validity rests mainly on the assumption that expected economic progress is swallowed up by unbalanced rise of numbers in the population. The book being reviewed deals mainly with this subject matter and is divided into two parts, each containing three articles contributed by various researchers. Part one, 'The Social context of Fertility Decision' is focused on analyzing the role of factors affecting fertility at the micro-level decision making process. The first article 'Fertility decision in rural India' by Vinod Jainath, examines the applicability to rural India of various models of the process of fertility decision making and finds most of these wanting with respect to the Indian social situation. While analyzing the fertility patterns of Rural India, he points out the positive need for larger families among the poor small farmers mainly due to labour supply considerations. The author argues that unemployment and under¬employment actually motivate the poor to have more children as it better ensures their economic security in their old age. As the chances of gaining employ¬ment for their offspring diminish, they are induced to increase the total number of children in order that atleast one will be able to support them. Thus a vicious circle of poverty arises in large families because of each of the parents wanting to increase their children's chances of employment by ultimately reducing the overall employment opportunities even further and exacerbating their poverty.

Evolution in Drug Access

2017 ◽  
Author(s):  
Joia S. Mukherjee
Keyword(s):  
Drug Development ◽  
Medical Care ◽  
Essential Medicines ◽  
Neglected Diseases ◽  
International Treaties ◽  
Drug Availability ◽  
For Profit ◽  
The Poor ◽  
Drug Access ◽  
Life Saving

Treatment and curative medical care often require medication. This chapter focuses on the provision of medications in impoverished settings and the challenges that inhibit access to life-saving drugs. It will review the failure of the for-profit market to increase drug access for the poor. The evolving concept of essential drugs will be explored by reviewing the history the WHO Essential Medicines List (EML) and the fight to expand the list to include new, and often patented medicines. The international treaties and policies that impact drug availability will be highlighted as will novel systems for drug development and distribution. Finally, the chapter will highlight the growing movement to decrease costs, increase supply, and advance development of drugs for neglected diseases affecting impoverished people.

Sicker and Poorer—The Consequences of Being Uninsured: A Review of the Research on the Relationship between Health Insurance, Medical Care Use, Health, Work, and Income

2003 ◽  
Vol 60 (2_suppl) ◽  
pp. 3S-75S ◽  
Author(s):  
Jack Hadley
Keyword(s):  
Health Insurance ◽  
Medical Care ◽  
Data Sets ◽  
Work Effort ◽  
Services Research ◽  
The Past ◽  
Medical Care Use ◽  
Process Studies ◽  
Annual Earnings ◽  
The Relationship

Health services research conducted over the past 25 years makes a compelling case that having health insurance or using more medical care would improve the health of the uninsured. The literature's broad range of conditions, populations, and methods makes it difficult to derive a precise quantitative estimate of the effect of having health insurance on the uninsured's health. Some mortality studies imply that a 4% to 5% reduction in the uninsured's mortality is a lower bound; other studies suggest that the reductions could be as high as 20% to 25%. Although all of the studies reviewed suffer from methodological flaws of varying degrees, there is substantial qualitative consistency across studies of different medical conditions conducted at different times and using different data sets and statistical methods. Corroborating process studies find that the uninsured receive fewer preventive and diagnostic services, tend to be more severely ill when diagnosed, and receive less therapeutic care. Other literature suggests that improving health status from fair or poor to very good or excellent would increase both work effort and annual earnings by approximately 15% to 20%.

Mobilizing Bodies and Body Parts, from Myanmar to Manipur: Medical connections through borderlands in ‘transition’

2021 ◽  
pp. 1-24
Author(s):  
DUNCAN MCDUIE-RA
Keyword(s):  
Medical Care ◽  
Body Parts ◽  
Political Dynamics ◽  
Cross Border ◽  
The Poor ◽  
Health Infrastructure ◽  
Ways Of Thinking ◽  
State Actors

Abstract This article focuses on cross-border medical connections between Myanmar and Manipur, India. Non-state actors have been instrumental in creating the networks to bring bodies and body parts back and forth, first bypassing, then enmeshing, state actors. I focus on the movement of patients and medical samples across the border—from western Myanmar to Imphal city and back again—and the health infrastructure that enables it. Analysing these connections makes several contributions to the study of border governance. First, movement from Myanmar to Manipur is primarily for treatment or diagnosis, and these connections project particular ways of thinking about each place—western Myanmar as poor and remote, Manipur as advanced and networked. Second, both Manipur and western Myanmar can be considered in ‘transition’—as territories being recalibrated by political dynamics emanating elsewhere yet becoming connected through shared needs. Third, patients and samples move through territories controlled by paramilitary forces, underground groups, and different tribal councils. Routes are sometimes blocked or passage treacherous, testing the limits of conventional notions of bilateral border governance. Finally, cross-border medical connections between Manipur and Myanmar draw attention to the risky cross-border medical mobility of the poor. Rather than seeking to minimize cost, patients utilize Manipur's health infrastructure out of necessity, providing insights into the contours of cross-border medical care in times of transition.

A Case for In-Kind Transfers

1986 ◽  
Vol 2 (1) ◽  
pp. 55-73 ◽  
Author(s):  
Steven Kelman
Keyword(s):  
Medical Care ◽  
Government Policy ◽  
Good Deal ◽  
Food Stamps ◽  
Policy Tool ◽  
The Poor ◽  
Do So ◽  
Common Policy

One of the most common policy-related messages that economists present to non-economists is the superiority of cash over in-kind transfers as a policy tool. A good deal of government policy on behalf of the poor consists, of course, of various forms of in-kind assistance, such as medical care or food stamps. However, if we wish to help the poor, the argument goes, in-kind transfers are an inferior way to do so.

The Effect of Alcoholism Treatment on Medical Care Use

Medical Care ◽  
2004 ◽  
Vol 42 (4) ◽  
pp. 395-402 ◽  
Author(s):  
Robert L. Kane ◽  
Melanie Wall ◽  
Sandra Potthoff ◽  
Kurt Stromberg ◽  
Yu Dai ◽  
...  
Keyword(s):  
Medical Care ◽  
Alcoholism Treatment ◽  
Medical Care Use

PROFIT LEVELS STAGNATING AT HOSPITALS

PEDIATRICS ◽  
1995 ◽  
Vol 95 (4) ◽  
pp. 597-597
Author(s):  
J. F. L.
Keyword(s):  
Health Care ◽  
Medical Care ◽  
The Elderly ◽  
Health Care Executives ◽  
Profit Margins ◽  
Care For The Elderly ◽  
The Poor

Profit margins at most hospitals across the country declined or stagnated last year, reflecting growing pressure on them to reduce costs. And health care executives said many hospitals would be under even greater pressure in 1995 if Congress enacted proposals that would slash spending for medical care for the elderly and the poor. At investor-owned hospitals, the outlook is brighter, because many of them have moved aggressively to merge and cut costs. Profit at these hospitals has risen in the 1990s.

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