scholarly journals A CASE STUDY OF THE HEALTH STATUS OF THE THREE DISTRICTS OF ANDAMAN AND NICOBAR ISLANDS A UNION TERRITORY OF INDIA

2019 ◽  
Vol 7 (6) ◽  
pp. 911-920
Author(s):  
Salma Begum
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Status ◽  
Multiple Regression ◽  
Public Health Care ◽  
Annual Income ◽  
Tribal Population ◽  
Andaman And Nicobar Islands ◽  
Nicobar Islands

The objective of the study: To assess the burden of disease on the tribal and non-tribal population of Andaman and Nicobar Islands. Methodology: The study focuses on the health status of the tribal and non-tribal population of the Islands and measures theirs out of pocket expenditure on health for 12 months in the year 2016. Primary data has been collected to conduct the study from all three districts of the islands using a random sampling method, and the same has been analyzed using a descriptive-analytical technique and multiple regression models.  Results: Standard multiple regression analysis provides a significant result. The result shows as Annual income increase, the out of pocket expenditure will increase by 0.727 rupees. When the age of the people increases, out of pocket expenditure will increase at a rate of 0.782, and as the quality of public health care services improves out of pocket expenditure will increase to 0.533, which is lower than the other two variables. The annual income age and quality of public health care all have a statistically significant impact on the outcome variable or out of pocket expenditure as the p-value is less than 0.05; therefore, the model is a good fit. Conclusion: Most households in all three districts do not have proper toilet facility and latrine, which lead them to suffer communicable disease such as diarrhea. Also, the majority of them do not treat drinking water, which again causes their illness. The scattered and isolated location of the Andaman and Nicobar Islands and non-availability of the specialist doctors, surgeons, and well equipped curative health centers or hospitals are the crucial reasons for the huge out of pocket expenditure incurred by the islanders while taking treatment at the mainland. Implication: This study provides insights on the health status of the tribal and non-tribal population of Andaman and Nicobar Islands. It will be helpful to develop better policies for improving the current healthcare scenario. Originality and Novelty of the study: There was no earlier study done on the tribal of Andaman and Nicobar Islands.

scholarly journals Policy Effects on the Quality of Public Health Care: Evaluating Portuguese Public Hospitals’ Quality through Customers’ Views

2015 ◽  
Vol 9 (2) ◽  
pp. 122-131
Author(s):  
Jaime R. S. Fonseca ◽  
Rosária M. P. Ramos ◽  
Ana M. P. Santos ◽  
Ana P. S. S. Fonseca
Keyword(s):  
Public Health ◽  
Health Care ◽  
Customer Satisfaction ◽  
Customer Service ◽  
Latent Variable ◽  
Public Hospitals ◽  
Public Health Care ◽  
Aged Patients ◽  
Hospital Patients

AbstractIn this paper, public health care administration issues are reviewed and public hospital patients’ views on quality of health care are empirically tested. The purpose is to support the recommendation of new public policies that lead to better performance, if necessary. Hospital patients’ views on service quality were assessed through a questionnaire to estimate a global customer satisfaction measure. We argue that customer satisfaction should be measured through multiple indicators, as a latent variable. Thus, we considered the latent segment models (LSM) approach to assess customer service satisfaction. We found a twosegment latent structure: segment 1, the satisfied, with 48 percent of patients, mostly male and middle-aged patients; and segment 2, the unsatisfied, with 52 percent of patients, mostly female and youngest/oldest patients.

Interstate Level Comparison of People’s Health Status and the State of Public Health Care Services in India

2014 ◽  
Vol 16 (4) ◽  
pp. 489-507 ◽  
Author(s):  
Rajkishor Meher ◽  
Rajendra Prasad Patro
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Status ◽  
Tamil Nadu ◽  
Health Care Services ◽  
Health Indicators ◽  
Well Being ◽  
Sub Saharan Africa ◽  
Public Health Care ◽  
Care Services

Health is an essential component of economic development and there is a strong correlation between health of human population and societal well-being. We cannot just think of the development of the human capital without the development of health and education of the people. However, it is found that although India has made large gains on the health front of its population, there exist wide variations between and within states. While states such as Kerala, Punjab and Tamil Nadu have a very developed health sector and the health indicators of these states are comparable to those of developed middle-income countries, states such as Bihar, Jharkhand, Madhya Pradesh, Chhattisgarh, Uttar Pradesh, Odisha, etc., are almost at the level of Sub-Saharan Africa. By using a few of the key health indicators the present article makes a critical analysis of the health status of people in the 17 major states of India, the ongoing health development programmes and the present state of public health care services in different parts of the country. The article further delves into an arena of specific policy intervention measures that are required to be undertaken in order to increase the health status of people.

scholarly journals Charity vs. government health care

2018 ◽  
Vol 6 (26) ◽  
pp. 51-57
Author(s):  
Gilbert Berdine
Keyword(s):  
Public Health ◽  
Health Care ◽  
Lower Cost ◽  
Marginal Utility ◽  
Public Health Care ◽  
Government Health ◽  
Relief Of Suffering ◽  
Sustainable Health ◽  
Over Time

Part 3 of this series on sustainable health care discusses charity as a market phenomenon. Charity is explained as a result of the Law of Marginal Utility and the limitation of scare resources. Charity is contrasted with government health care or public health care. Charity and government health care are driven by different incentives. Charities compete for limited donations leading to improved relief of suffering at lower cost over time. Government health care acts like all monopolies and delivers a declining quality of output at ever increasing cost.

scholarly journals Willingness to pay for improved public health care services in Saudi Arabia: a contingent valuation study among heads of Saudi households

2018 ◽  
Vol 15 (1) ◽  
pp. 72-93 ◽  
Author(s):  
Mohammed K. Al-Hanawi ◽  
Omar Alsharqi ◽  
Kirit Vaidya
Keyword(s):  
Public Health ◽  
Health Care ◽  
Saudi Arabia ◽  
Contingent Valuation ◽  
Health Care Services ◽  
Public Health Care ◽  
Quality Improvements ◽  
The Public ◽  
Care Services

AbstractThe bulk of health care service provision in Saudi Arabia is undertaken by the public health care sector through the Ministry of Health, which is funded annually by the total government budget, which, in turn, is derived primarily from oil revenue. Public health care services in Saudi Arabia are characterised by an overload, overuse, and shortage of medical personnel, which can result in dissatisfaction with the quality of the current public health care services. This study uses a contingent valuation method to investigate the willingness of Saudi people to pay for improvements to the quality of public health care services. This study also determines the association between the willingness to pay for quality improvements and respondents’ demographic and socioeconomic characteristics. A pre-tested interviewer-administered questionnaire was used to collect data from 1187 heads of household in Jeddah Province over a five-month period. Multi-stage sampling was employed to recruit participants. Partial Tobit regression and corresponding marginal effects analyses were used to analyse the data. These empirical analyses show that the majority of the sample was willing to pay for quality improvements in the public health care services. The results of this study might be of use to policymakers to help with both priority setting and fund allocation.

scholarly journals An Econometric Analysis Of Health Care Utilization In Kenya

2016 ◽  
Vol 12 (16) ◽  
pp. 443 ◽  
Author(s):  
Diana N. Kimani ◽  
Mercy G. Mugo ◽  
Urbanus M. Kioko
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Utilization ◽  
Healthcare Utilization ◽  
Household Head ◽  
Econometric Analysis ◽  
Health Facilities ◽  
Public Health Care ◽  
Care Utilization

Background: Increasing access to health care has been a policy concern for many governments, Kenya included. The Kenyan government introduced and implemented a number of initiatives in a bid to address the healthcare utilization challenge. These initiatives include 10/20 policy, exemptions for user fees for some specific health services (treatment of children less than five years, maternity services in dispensaries and health centers, Tuberculosis treatment in public health facilities), and increase in the number of health facilities and health workforce. These initiatives notwithstanding, healthcare utilization in Kenya remains a challenge. The Kenya Household Health Expenditure and Utilization Survey of 2007 found that 17 percent of those who needed health care services could not access the services from both government and private health facilities largely due to financial constraints. This paper employed econometric analysis to examine what could be constraining health care utilization in Kenya despite all the efforts employed. Methods: Using the 2007 Kenya Household Health Expenditures and Utilization Survey (KHHEUS) data (n = 8414), this paper investigates the factors that affect health care utilization in Kenya by estimating a count data negative binomial model. The model was also applied to public and private health facilities to better understand the specificities of poverty in these two facility types. Common estimation problems of endogeneity, heterogeneity, multicollinearity and heteroskedasticity are addressed. Findings: The econometric analysis reveals that out-of-pocket expenditures, waiting time, distance, household size, income, chronic illness area of residence and working status of the household head are significant factors affecting health care utilization in Kenya. While income and distance are significant factors affecting public health care utilization they are not significant in explaining healthcare utilization in private facilities. In addition, working status of the household head, insurance cover and education are significant in explaining private and not public health care utilization. A striking finding is the positive relationship between distance and health care utilization implying that people will travel long distances to obtain treatment. This is perhaps associated with expectations of higher quality of care at far away higher level facilities, especially in rural areas. Conclusion: The paper confirms the existing evidence of the negative effects of Out-of-Pocket (OOP) expenditures and other determinants of health care utilization. With a better understanding of why people use or do not use health services, health care organizations can seek to improve the quality of human life. The bypassing of health facilities for higher level far away facilities implies that it is not so much about availing health facilities, but the quality of the services offered in those facilities. The government should therefore assure quality to increase utilization of the lower level facilities, especially in the rural areas.

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