The Contemporary Organization of Health Care: Health Care Services and Utilization

Objective. To determine the excess cost of health care services for three illnesses in formula-fed infants in the first year of life, after adjusting for potential confounders. Methods. Frequency of health service utilization for three illnesses (lower respiratory tract illnesses, otitis media, and gastrointestinal illness) in the first year of life was assessed in relation to duration of exclusive breastfeeding in the Tucson Children's Respiratory Study (n = 944) and the Dundee Community Study (Scottish study, n = 644). Infants in both studies were healthy at birth and represented nonselected, population-based samples. Children were classified as never breastfed, partially breastfed, or exclusively breastfed, based on their feeding status during the first 3 months of life. Frequency of office visits and hospitalizations for the three illnesses was adjusted for maternal education and maternal smoking, using analysis of variance. Cost estimates, from the perspective of the health care provider/payer, were based on the direct medical costs during 1995 within a large managed care health care system. Results. In the first year of life, after adjusting for confounders, there were 2033 excess office visits, 212 excess days of hospitalization, and 609 excess prescriptions for these three illnesses per 1000 never-breastfed infants compared with 1000 infants exclusively breastfed for at least 3 months. These additional health care services cost the managed care health system between $331 and $475 per never-breastfed infant during the first year of life. Conclusions. In addition to having more illnesses, formula-fed infants cost the health care system money. Health care plans will likely realize substantial savings, as well as providing improved care, by supporting and promoting exclusive breastfeeding.

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Older Adults’ Expectations and Experiences With Health care Professionals in Ghana

SAGE Open ◽

10.1177/21582440211040125 ◽

2021 ◽

Vol 11 (3) ◽

pp. 215824402110401

Author(s):

Paul Alhassan Issahaku ◽

Alhassan Sulemana

Keyword(s):

Older Adults ◽

Health Care ◽

Health Care Professionals ◽

Health Care Services ◽

Health Care Policy ◽

Policy Makers ◽

Care Services ◽

The North ◽

Care Health ◽

Make Health Care

By the year 2050, over 6 million of Ghana’s population will be people aged 60 years and above. Because of increased health challenges that accompany aging, older Ghanaians have health needs to address communicable and chronic non-communicable diseases. This suggests that now into the future, older adults in Ghana will have increased contact with health care professionals. The aim of this qualitative study was to explore older adults’ expectations and experiences with health care professionals to generate information that will shape health care policy and service delivery. Interviews were conducted with a purposive sample of 23 persons aged 60 years and above from the North and South of Ghana. The transcribed data were imported to NVivo software to aid with analysis of the data. An inductive approach ta data analysis was used, drawing from thematic analyses procedures. Three key findings emerged from the study. These include (a) noncompassionate care—health professionals were neglectful, inattentive, discriminatory, and stigmatizing toward participants; (b) disrespectful attitude—professionals showed disrespect by shouting or yelling, making participants feel invisible, or not distinguishing participants from younger patients; and (c) a better way to treat us—participants called for compassion, patience, respect, honesty, and priority attention from health care professionals. The study contributes to literature on older adults’ experiences with health care professionals and suggests to health policy makers and health care professionals to consider older adults’ care expectations to make health care services elder-friendly.

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A Survey of Colorado's Migrant Farmworkers: Access to Health Care

International Migration Review ◽

10.1177/019791838702100313 ◽

1987 ◽

Vol 21 (3) ◽

pp. 688-708 ◽

Cited By ~ 4

Author(s):

Carla Littlefield ◽

Charles L. Stout

Keyword(s):

Health Care ◽

Access To Health Care ◽

Health Care Services ◽

Health Needs ◽

Sample Survey ◽

Services Utilization ◽

Migrant Farmworker ◽

Care Services ◽

Access To Health ◽

Care Health

This report utilizes data collected in a sample survey of Colorado's adult migrant farmworker population to determine their health needs, health services utilization, and overall access to care. Health needs include selected indices of medical, dental, nutrition and reproductive health. The conclusions and recommendations of the report address pertinent issues in the funding and delivery of health care services to the migrant farmworker population.

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The visionary who transformed private health care in India

Indian Journal of Medical Sciences ◽

10.25259/ijms_403_2021 ◽

2021 ◽

Vol 0 ◽

pp. 1-5

Author(s):

Raju Vaishya

Keyword(s):

Health Care ◽

Health Care Services ◽

Tertiary Care ◽

Private Health Care ◽

Care Services ◽

Care Health ◽

World Class ◽

The Government ◽

To Come ◽

Reverse Brain Drain

Dr. Prathap Chandra Reddy is the Founder-Chairman of the Apollo Hospitals Group (AHG) and is considered a living legend and architect of modern private health care in India. In 1983, Dr. Reddy started the first professionally run private hospital – Apollo Hospitals in Madras (now Chennai). Since then, the AHG has expanded to over 73 hospitals across the country. The state-of-the-art facilities have made advanced health-care services accessible and affordable to all in need. AHG has a presence in primary care, secondary care, tertiary care, quarterly care, health IT, tele-health (tele-consults, tele-pathology, tele-cardiology, and tele-radiology), eICU pharmacy retailing, project consultancy, research, and academics. He catalyzed a “reverse brain drain” by inspiring hundreds of Non-Resident Indian Doctors to come back to India, by creating opportunities and providing them with a world class medical ecosystem. Dr. Reddy’s contributions are widely recognized by patients, doctors, the health-care fraternity across the world, the community at large, and by the Government of India.

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