Health care utilization during the Covid-19 pandemic in Mexico: the cascade of care

2021 ◽  
Vol 63 (6, Nov-Dic) ◽  
pp. 743-750
Author(s):  
M. Arantxa Colchero ◽  
Rouselinne Gómez ◽  
Carlos J Pineda-Antúnez ◽  
Sergio A Bautista-Arredondo
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Facilities ◽  
Care Utilization ◽  
Lower Probability ◽  
Nutrition Survey ◽  
Public Health Facilities ◽  
Health And Nutrition ◽  
Cascade Of Care ◽  
Utilization Patterns

Objective. The objective of the study is to describe trends in selected services offered at public health facilities and utilization patterns during the Covid-19 epidemic in Mexico. Materials and methods. We used administrative data and the National Health and Nutrition Survey Covid-19, 2020. Results. We found a reduction in the rates of diabetes and detection screening during 2020 compared to 2014-2019. From the demand side, we found that 18.6% of the population reported health needs, and only 34% of them received care in public health facilities. The use of private health services was extensive even among the population with social security. The uninsured and the population with high and medium socioeconomic status had a lower probability of receiving care in public health facilities. Conclusion. We document trends in selected services, as well as the cascade of care during the Covid-19 epidemic in Mexico and its potential impact on displaced health care.

scholarly journals Attitude of Rural Community Towards Health Care Utilization at Primary

1970 ◽  
Vol 9 (2) ◽  
pp. 69-74
Author(s):  
Md Ziaul Islam ◽  
Sanjoy Kumar Chowdhury ◽  
Sharmin Farjana
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Utilization ◽  
Rural Community ◽  
Family Income ◽  
Health Facilities ◽  
Care Utilization ◽  
Primary Level ◽  
Public Health Facilities ◽  
Monthly Family Income

Objective: The study was conducted to assess the attitude of rural community towards health care utilization at primary level public health facilities. Study Design: Descriptive cross sectional study carried out over a period of six months from June to November 2007. Study Setting: A randomly selected village (Lohagach) of Sreepur Upazila under Gazipur district. Subjects: 305 randomly selected adult (age 15-60 years) household members who are permanent residents of the said area. Materials and methods: Data was collected by face to face interview with a semi-structured questionnaire. Results: Among the 305 respondents, 55.40% are male and 44.60% are female with mean age of 32.39 years (± SD 11.94). Most respondents have educational qualification up to secondary level (32.10%) while some up to primary level (21%). Majority of the respondents are housewives (35.40%) and Service holders (20.30%) having an average monthly family income of TK.7805.57 (± SD 6442.24). It is evident from the study that; females, respondents from older age group, and those from higher monthly family income has less appreciation for existing primary level public health facilities. Also, the higher the education level of the respondent, the lower was the level of satisfaction regarding healthcare received at primary level public health facilities. As regards to availability of healthcare; insufficiency of doctors (52.8%) & prescribed medicine supply (75.4%) and lack of appropriate and necessary laboratory investigation (64.6%) & surgical treatment facilities (62.6%) are identified by the respondents as major setbacks. The study reveals key impediments pointed out by the respondents which interfere with their easy access to quality healthcare at these facilities; including long waiting time (60.3%), insufficient waiting room facilities (64.9%) and inadequate duration of consultation with physician (50.2%). Major constraints associated with primary health care utilization are mostly due to lack of awareness (22.66%) and transportation problem (22.6%). Key words: Attitude of Rural Community, Health Care Utilization, Primary Level Public Health Facilities   DOI = 10.3329/jom.v9i2.1433 J MEDICINE 2008; 9 : 69-74

scholarly journals Uptake of evidence in policy development: the case of user fees for health care in public health facilities in Uganda

2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Juliet Nabyonga-Orem ◽  
Freddie Ssengooba ◽  
Rhona Mijumbi ◽  
Christine Kirunga Tashobya ◽  
Bruno Marchal ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Policy Development ◽  
Health Facilities ◽  
User Fees ◽  
Public Health Facilities

scholarly journals Roles of Technology Enhanced Learning in Tackling Antimicrobial Resistance among Laboratory Professionals in Public Health Facilities in Nigeria

2020 ◽  
pp. 18-24
Author(s):  
Nura Bawa ◽  
Hafsat Yusuf Imam
Keyword(s):  
Public Health ◽  
Health Care ◽  
Antimicrobial Resistance ◽  
Health Care Professionals ◽  
Health Facilities ◽  
Technology Enhanced Learning ◽  
Laboratory Equipment ◽  
Public Health Facilities ◽  
Enhanced Learning ◽  
Share Information

Technology has been found effective in almost all aspects of life. This includes its effectiveness in the field of education through technology enhanced learning. This paper aimed to look at roles of technology enhanced learning in tackling antimicrobial resistance among laboratory professionals in public health facilities in Nigeria. Qualitative research design was adopted for the study. Population of the study included all 75300 laboratory professionals in the North-west Nigeria. Convenience sampling technique was used to select 382 participants as sample for the study. This was guided by Research Advisors Model for selection of sample size. The instrument (open ended questionnaire) was used to gather data for the study. It was validated by experts, pilot study was conducted, and reliability index of 0.88 was obtained. It was found from the study that most of the health care professionals lamented not only they lack modern laboratory equipment but also lack technical knows how to operate the modern laboratory equipment/tools/apparatuses. It also was gathered that vast majority of them use handheld devices (smart phones) with few of them using laptops and in extreme cases desktops computers for learning and other day-to-day activities. Based on the findings from the study, it was concluded that in the 21st Century, collaborations through technology has become imminent. Thus, technology enhanced professional learning will not only help share information about global challenges but also help in providing lasting solutions to it. The study recommended that workshops and regular trainings should be organized to teach health care professionals on how to effectively collaborate, generate and share information through social media platforms.

scholarly journals Availability and Utilization of Primary Healthcare Centre in Thanjavur District, Tamilnadu

2019 ◽  
pp. 288-297 ◽  
Author(s):  
R. Sudharsan ◽  
V. Saravanabavan
Keyword(s):  
Public Health ◽  
Health Status ◽  
Tamil Nadu ◽  
Living Environment ◽  
Health Facilities ◽  
Care Utilization ◽  
Cultural Economic ◽  
Public Health Facilities ◽  
The People ◽  
Primary Healthcare Centre

Health is a common theme in most cultures. Among the definitions still used, probably the oldest is that health is not the absence of disease. Contemporary developments in social sciences reveal that health is not only a biomedical phenomenon, but one which is influenced by social, psychological, cultural, economic and political factors of the people concerned. Thanjavur District lies on the east of Tamil Nadu. It is situated between 90 50’and 110 25’ of the northern latitude and between 780 45’and 790 25’ of the eastern longitude. It extends to an area of 3411 sq. kms. Our sample in Thanjavur, we found more people depending upon the public health facilities than on the private health facilities. Almost 74% people went to public health facilities and only 26% went to the private health facilities. The health status of various blocks of the district in relation to other blocks with reference to socio-economic living, environment, family structure and health care utilization but also emphasized the intra regional variation that exists among different bocks in the health status of the population.

scholarly journals Does Public Health Insurance Coverage Lead to Better Health Outcomes? Evidence From Chinese Adults

2019 ◽  
Vol 56 ◽  
pp. 004695801984200 ◽  
Author(s):  
Hongli Fan ◽  
Qingyue Yan ◽  
Peter C. Coyte ◽  
Wenguang Yu
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Insurance ◽  
Health Effect ◽  
Public Health Insurance ◽  
Care Utilization ◽  
Care Providers ◽  
Physical And Mental Health ◽  
Nutrition Survey ◽  
Positive Health

This article examines the impacts of public health insurance on the health of adults through use of data from the China Health and Nutrition Survey. We use the endogenous treatment effects model to infer the causal effects of public health insurance on health. We find that public health insurance significantly improves the physical and mental health status of health insurance beneficiaries after controlling for other covariates. Among the 2 types of voluntary public health insurance, the Urban Resident Basic Medical Insurance has the greater impact in improving health than the New Cooperative Medical Scheme. Moreover, the health effect appears to be stronger for middle-aged individuals, the elderly, and those with lower incomes than for their counterparts. The positive health effects may result from few channels, including the increase of health care utilization, the improvement of health-related behaviors, and the fact that individuals with public health insurance are more likely to use higher level care providers. This study provides implications on reforming China’s health care system.

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