Health care needs and the health care system in Costa Rica

2017 ◽  
pp. 39-64
Author(s):  
Keyword(s):  
Health Care ◽  
Costa Rica ◽  
Health Care System ◽  
Health Care Needs ◽  
Care Needs ◽  
Care System

Emerging Parallels in the American Health Care and Legal-Judicial Systems

1992 ◽  
Vol 18 (1-2) ◽  
pp. 73-96 ◽  
Author(s):  
David C. Hadorn
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Due Process ◽  
Health Care Rationing ◽  
Health Care Needs ◽  
Care Needs ◽  
American Health Care System ◽  
American Health Care ◽  
Principal Decision Making ◽  
Care System

The structure and principal decision-making processes of the American health care system have, in recent years, evolved to closely resemble those of the legal-judicial system. This transformation reflects important common values that underlie both systems, including the values of life and liberty. This Article analyzes quasi-legal features of the health care system and draws conclusions about how those features might be used to address the problem of health care rationing. It concludes that coverage rules, if properly developed, can provide the sort of objective framework necessary to evaluate claims of health care needs. This Article also demonstrates that by defining legitimate health care needs, society can thereby potentially eliminate or forestall the need to ration necessary care. This can be achieved by using carefully developed coverage rules, rather than the informal rules currently in place, in conjunction with already existing due process methods for interpreting and implementing those rules.

Modeling the Social Determinants of Caregiver Burden Among Families of Children With Developmental Disabilities

2011 ◽  
Vol 116 (3) ◽  
pp. 246-260 ◽  
Author(s):  
Beth M. McManus ◽  
Adam Carle ◽  
Dolores Acevedo-Garcia ◽  
Michael Ganz ◽  
Penny Hauser-Cram ◽  
...  
Keyword(s):  
Health Care ◽  
Developmental Disabilities ◽  
Health Care System ◽  
Caregiver Burden ◽  
Equation Modeling ◽  
Health Care Needs ◽  
Care Needs ◽  
Unmet Health Care Needs ◽  
Care System ◽  
Children With Developmental Disabilities

Abstract This study described predictors of caregiver burden among parents of children with developmental disabilities. The sample, obtained from the 2005–2006 National Survey of Children With Special Health Care Needs, included 12,225 children, aged 5 to 17 years, with a developmental disability. Structural equation modeling assessed the relationships between the factors of Caregiver Burden, Ease of Accessing and Navigating the Health Care System, and Unmet Health Care Needs. Caregiver burden was inversely associated with ease of accessing and navigating the health care system (β  =  −0.094, SE (β)  =  0.045) and positively associated with unmet health care needs (β  =  0.428, SE (β)  =  0.036). Parents of poor, minority, and uninsured children experienced significantly greater caregiver burden. Bolstering services, particularly for vulnerable families, may ameliorate caregiver burden.

Evolution of the determinants of unmet health care needs in a universal health care system: Canada, 2001–2014

2020 ◽  
pp. 1-24
Author(s):  
Ian Allan ◽  
Mehdi Ammi
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Access To Health Care ◽  
Universal Health Care ◽  
Health Care Needs ◽  
Care Needs ◽  
Unmet Health Care Needs ◽  
Universal Health ◽  
Over Time ◽  
Care System

Abstract While ensuring adequate access to care is a central concern in countries with universal health care coverage, unmet health care needs remain prevalent. However, subjective unmet health care needs (SUN) can arise from features of a health care system (system reasons) or from health care users' choices or constraints (personal reasons). Furthermore, investigating the evolution of SUN within a health care system has rarely been carried out. We investigate whether health needs, predisposing factors and enabling factors differentially affect SUN for system reasons and SUN for personal reasons, and whether these influences are stable over time, using representative data from the Canadian Community Health Surveys from 2001 to 2014. While SUN slightly decreased overall during our period of observation, the share of SUN for system reasons increased. Some key determinants appear to consistently increase SUN reporting over all our observation periods, in particular being a woman, younger, in poorer health or not having a regular doctor. The distinction between personal and system reasons is important to better understand individual experiences. Notably, women report more SUN for system reasons and less for personal reasons, and reporting system reasons increases with age. Given this stability over time, our results may inform health policymakers on which subpopulations to target to ensure access to health care is universal.

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