scholarly journals Timely Postpartum Visits for Low-Income Women: A Health System and Medicaid Payer Partnership

2020 ◽  
Vol 110 (S2) ◽  
pp. S215-S218 ◽  
Author(s):  
Elizabeth A. Howell ◽  
Amy Balbierz ◽  
Susan Beane ◽  
Rashi Kumar ◽  
Tom Wang ◽  
...  
Keyword(s):  
Health Care ◽  
New York ◽  
High Risk ◽  
Health Care System ◽  
Low Income ◽  
Access To Health Care ◽  
Health Care Services ◽  
Control Group ◽  
Postpartum Visit ◽  
Care System

A health care system and a Medicaid payer partnered to develop an educational intervention and payment redesign program to improve timely postpartum visits for low-income, high-risk mothers in New York City between April 2015 and October 2016. The timely postpartum visit rate was higher for 363 mothers continuously enrolled in the program than for a control group matched by propensity score (67% [243/363] and 56% [407/726], respectively; P < .001). An innovative partnership between a health care system and Medicaid payer improved access to health care services and community resources for high-risk mothers.

scholarly journals Satisfaction with health care system: A comparative study between market-based insurance model of the United States and “out-of-pocket” model in developing and low-income countries

2020 ◽  
Vol 6 (1) ◽  
pp. 41
Author(s):  
Ram Lakhan ◽  
Sean Y. Gillette ◽  
Sean Lee ◽  
Manoj Sharma
Keyword(s):  
United States ◽  
Health Care ◽  
Health Care System ◽  
Undergraduate Students ◽  
Low Income ◽  
Access To Health Care ◽  
The United States ◽  
Low Income Countries ◽  
Healthcare Needs ◽  
Care System

Background and purpose: Access to healthcare services is an essential component for ensuring the quality of life. Globally, there is inequity and disparities regarding access to health care. To meet the global healthcare needs, different models of healthcare have been adopted around the world. However, all healthcare models have some strengths and weaknesses. The purpose of this study was to examine the satisfaction among a group of undergraduate students from different countries with their health care models namely, insurance-based model in the United States and “out-of-pocket” model prevalent in low-income countries.Methods and materials: The study utilized a cross-sectional research design. Undergraduate students, representing different nationalities from a private Southeastern College, were administered a researcher-designed 14-item self-reported electronic questionnaire. Independent t-test and χ2 statistics were used to examine the differences between two health care systems and the qualitative responses were analyzed thematically.Results: Satisfaction towards health care system between the United States and low-income countries was found significantly different (p < .05). However, students in both settings experienced an inability toward affording quality healthcare due to economic factors and disparities.Conclusions: There is dissatisfaction with health care both in the United States and low-income developing countries among a sample of undergraduate students representing these countries. Efforts to ensure low-cost affordable health care should be a global goal.

scholarly journals Latvian health care competitiveness in relation to its infrastructure and available resources

2018 ◽  
Vol 40 ◽  
pp. 02003
Author(s):  
A. Kokarevica ◽  
A. Villerusa ◽  
D. Behmane ◽  
U. Berkis ◽  
V. Cauce
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Access To Health Care ◽  
Health Care Services ◽  
New Technologies ◽  
International Health ◽  
Service Market ◽  
Term Care ◽  
Out Of Pocket Payments ◽  
Care System

Resources are one of the essential indicators for the functioning of the health care system. Better health care provision is an essential prerequisite for the export of services. Traditionally a competitive health care system is linked to a number of factors (price, quality, reliability, products and services) largely determined by the new technologies, innovations and implementation the new methods. The authors of this article analyzed and collected data from the European Commission Eurostat and OECD data. Current situation in health care in Latvia is characterized by populations’ restricted access to health care services, high out-of-pocket payments and poor health outcomes of the population. More than 10% of Latvian population can’t afford medical care. The ratio of public funding for healthcare in Latvia is among the lowest in EU countries. Latvia spends 5.3% (USD PPP 1217) of GDP on health, lower than the OCED country average of 8.9% (USD PPP 3453). Latvia is facing a dramatic gap between the availability of hospital beds and long term care beds and the lowest prevalence of general medical practitioners among all Baltic States 321.6 per 100 000. These mentioned factors may hinder the development of health care in Latvia and reduce the ability to participate in international health service market.

scholarly journals Self-rated health among women and their assessment of the health care system / Samoocena zdravja med ženskami in njihov odnos do zdravstvenega sistema v sloveniji

2013 ◽  
Vol 52 (2) ◽  
pp. 87-98 ◽  
Author(s):  
Mirjana Ule ◽  
Slavko Kurdija
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Access To Health Care ◽  
Health Care Services ◽  
Strong Support ◽  
Social Categories ◽  
Female Population ◽  
Care Services ◽  
Self Assessed Health ◽  
Care System

Abstract Background: This article researches gender inequality in health based on subjective assessments of health, the accessibility of health care services and trust in the health care system between different social categories of women in Slovenia. Methods: The study is based on the Slovenian Public Opinion survey (ISSP Health Module) carried out in 2011 on representative samples of the adult Slovenian population. In the data, we investigated the gender differences and difference between different socio-economic categories within the female sub-sample in self-assessed health, and some other related topics such as: trust in doctors, trust in health care system, access to health care services and attitude to the health care policy in Slovenia. Results: The data shows significant inequalities in self-assessed health between different social strata. Self-assessed health is significantly lower among women at the bottom of the educational and income scale. The data also reveals strong support for the preservation of the available public health. Conclusion: Neoliberal economic reforms (of health care) affect vulnerable social categories the most, and women are particularly exposed. The use of women’s unpaid work in the family belongs among the basic (neo)liberal saving strategies. These want to take more care and health work within families from the shoulders of the state and place it onto the shoulders of family members, which mainly means women. In these circumstances, it is understandable that women subjectively assess their health as being worse than men’s. Moreover, conditions are being established that de facto could lead to worse health in the female population in Slovenia.

scholarly journals People Centeredness, Chronic Conditions and Diversity Sensitive eHealth: Exploring Emancipation of the ‘Health Care System’ and the ‘Patient’ in Health Informatics

Life ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. 329
Author(s):  
Lars Botin ◽  
Pernille S. Bertelsen ◽  
Lars Kayser ◽  
Paul Turner ◽  
Sidsel Villumsen ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Health Informatics ◽  
Chronic Conditions ◽  
Access To Health Care ◽  
Health Care Services ◽  
Health Care Systems ◽  
User Engagement ◽  
Care Systems ◽  
Care System

Health care systems struggle to consistently deliver integrated high-quality, safe, and patient-centered care to all in an economically sustainable manner. Inequity of access to health care services and variation in diagnostic and treatment outcomes are common. Further, as health care systems become ever more complex, iatrogenesis and counter productivity have emerged as real dangers. In exploring this paradox, this paper considers a subset of those in society living with chronic conditions. Their attributes and circumstances have led to them being marginalized or excluded from ‘end-user’ engagement and/or from their requirements being incorporated into technology supported chronic disease management initiatives. Significantly, these citizens are often the most vulnerable and socially disadvantaged and tend to achieve poorer results and cost more per capita than the ‘average patient’ in their interactions with the health care system. Critically, this paper argues that a truly people-centered technology supported chronic care system can only be designed by understanding and responding to the needs, attributes and capabilities of the most vulnerable in society. This paper suggests innovative ways of supporting interactions with these ‘end-users’ and highlights how reflection on these approaches can contribute to emancipating the health system to move towards more socially inclusive eHealth solutions.

scholarly journals Antibiotic self-medication in Afghanistan: first report

2020 ◽  
Author(s):  
Rohullah Roien ◽  
Sayed Hamid Mousavi ◽  
Mohammad Arif Athaie ◽  
Mahdi Mohaqiq ◽  
Mohammad Hossein Delshad ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Access To Health Care ◽  
Health Care Services ◽  
Respiratory Infections ◽  
Antibiotic Use ◽  
Health Care Facilities ◽  
Self Medication ◽  
Cross Sectional ◽  
Care System

Abstract Introduction: The purpose of this study was to find, the prevalence of self-medication with antibiotics, and antibiotics used for self-treated disease.Methods: this cross-sectional study was carried out among 385 participants in 12 community pharmacies located in 4 different regions of Kabul from May to November 2017. Standard questionnaire based on similar studies was designed and distributed among participants. Data was collected and analyzed in SPSS 16.0.Results: out of 385 participants (61.29% male and 38.70% female) 282 persons (73.25%) had practiced antibiotic self-medication during last year. The common reasons for antibiotic self-medication was economic problems (26.95%), lack of time (22.69%), comfortability (21.63%), lack of confidence on health care system (17.37%), and poor access to health care facilities (11.34%). Conditions like cough (28.01%), common cold (14.89%), respiratory infections (13.47%), sore throat (12.41%) and diarrhea (7.44%) were commonly self-medicated with antibiotics. penicillins (25.17%), metronidazole (15.60%), ceftriaxone (14.18%), tetracycline (10.28%), Azithromycin (9.21%), cefixime (7.09%), ciprofloxacin (6.73%) were mostly used for self-medication. 93 (32.97%) respondents had experienced side effects during antibiotic self-medication. Conclusions: The prevalence of antibiotic self-medication is very high (75.53%) in Kabul and this widespread antibiotic use has increased the risk of antibiotic resistance. Awareness and Strict rules for selling antibiotics without prescription should be developed and implemented to improve the rational use of antibiotics. Only pharmacists or professional peoples should be permitted to work in pharmacies. The quality, accessibility and cost of health care services should be enhanced in order to improve patient’ satisfaction in health care system.

scholarly journals Using Prospective Methods to Identify Fieldwork Locations Favourable to Understanding Divergences in Health Care Accessibility

2021 ◽  
Vol 10 (8) ◽  
pp. 506
Author(s):  
Jan Ketil Rød ◽  
Arne H. Eide ◽  
Thomas Halvorsen ◽  
Alister Munthali
Keyword(s):  
Health Care ◽  
Low Income ◽  
Access To Health Care ◽  
Health Care Services ◽  
Good Health ◽  
Low Income Countries ◽  
Care Services ◽  
Health Care Accessibility ◽  
Barriers To Health ◽  
Walking Time

Central to this article is the issue of choosing sites for where a fieldwork could provide a better understanding of divergences in health care accessibility. Access to health care is critical to good health, but inhabitants may experience barriers to health care limiting their ability to obtain the care they need. Most inhabitants of low-income countries need to walk long distances along meandering paths to get to health care services. Individuals in Malawi responded to a survey with a battery of questions on perceived difficulties in accessing health care services. Using both vertical and horizontal impedance, we modelled walking time between household locations for the individuals in our sample and the health care centres they were using. The digital elevation model and Tobler’s hiking function were used to represent vertical impedance, while OpenStreetMap integrated with land cover map were used to represent horizontal impedance. Combining measures of walking time and perceived accessibility in Malawi, we used spatial statistics and found spatial clusters with substantial discrepancies in health care accessibility, which represented fieldwork locations favourable for providing a better understanding of barriers to health access.

scholarly journals COVID‐19 outcomes in hospitalized patients with active cancer: Experiences from a major New York City health care system

Cancer ◽  
2021 ◽  
Author(s):  
Chen Fu ◽  
James H. Stoeckle ◽  
Lena Masri ◽  
Abhishek Pandey ◽  
Meng Cao ◽  
...  
Keyword(s):  
Health Care ◽  
New York ◽  
New York City ◽  
Health Care System ◽  
York City ◽  
Hospitalized Patients ◽  
Active Cancer ◽  
Care System

scholarly journals How do caregivers of children with congenital heart diseases access and navigate the healthcare system in Ethiopia?

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sugy Choi ◽  
Heesu Shin ◽  
Jongho Heo ◽  
Etsegenet Gedlu ◽  
Berhanu Nega ◽  
...  
Keyword(s):  
Health Care ◽  
Cardiac Surgery ◽  
Health Care System ◽  
Low Income ◽  
Congenital Heart ◽  
Heart Diseases ◽  
Heart Defects ◽  
Care Facility ◽  
Long Distance ◽  
Care System

Abstract Background Surgery can correct congenital heart defects, but disease management in low- and middle-income countries can be challenging and complex due to a lack of referral system, financial resources, human resources, and infrastructure for surgical and post-operative care. This study investigates the experiences of caregivers of children with CHD accessing the health care system and pediatric cardiac surgery. Methods A qualitative study was conducted at a teaching hospital in Ethiopia. We conducted semi-structured interviews with 13 caregivers of 10 patients with CHD who underwent cardiac surgery. We additionally conducted chart reviews for triangulation and verification. Interviews were conducted in Amharic and then translated into English. Data were analyzed according to the principles of interpretive thematic analysis, informed by the candidacy framework. Results The following four observations emerged from the interviews: (a) most patients were diagnosed with CHD at birth if they were born at a health care facility, but for those born at home, CHD was discovered much later (b) many patients experienced misdiagnoses before seeking care at a large hospital, (c) after diagnosis, patients were waiting for the surgery for more than a year, (d) caregivers felt anxious and optimistic once they were able to schedule the surgical date. During the care-seeking journey, caregivers encountered financial constraints, struggled in a fragmented delivery system, and experienced poor service quality. Conclusions Delayed access to care was largely due to the lack of early CHD recognition and financial hardships, related to the inefficient and disorganized health care system. Fee waivers were available to assist low-income children in gaining access to health services or medications, but application information was not readily available. Indirect costs like long-distance travel contributed to this challenge. Overall, improvements must be made for district-level screening and the health care workforce.

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