Disability, Health Status, and Utilization of Health Services

1980 ◽  
Vol 10 (4) ◽  
pp. 657-676 ◽  
Author(s):  
Saad Z. Nagi ◽  
Judith Marsh
Keyword(s):  
Independent Living ◽  
Unmet Needs ◽  
Adult Population ◽  
Relative Importance ◽  
Important Indicator ◽  
Utilization Of Services ◽  
Utilization Of Health Services ◽  
Patterns Of Utilization ◽  
Policies And Programs ◽  
The U.S

Change in the patterns of utilization of services is an important indicator of the influence of policies and programs concerning health care. This paper focuses on these patterns as revealed in a survey of a probability sample of the U.S. adult population conducted in 1972. The analysis sought to assess the influence of a number of health dimensions, as well as economic and sociodemographic characteristics, on utilization. Coverage through insurance or other payment plans constituted one of the independent factors in the analysis. The dimensions of health included indicators of disabilities in work and independent living, limitations in physical and emotional performance, and the existence and severity of pathology and impairment. A discriminant analysis was employed to assess the relative importance of these variables in their influence upon the utilization of services. Finally, the paper presents information about unmet needs for care.

Abstract P183: 20-year Secular Trend of Cardiovascular Disease Comorbidities in the United States, 1997-2016

Circulation ◽  
2018 ◽  
Vol 137 (suppl_1) ◽  
Author(s):  
Dianjianyi Sun ◽  
Tao Zhou ◽  
Xiang Li ◽  
Yoriko Heianza ◽  
Xiaoyun Shang ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Secular Trend ◽  
Adult Population ◽  
The United States ◽  
The Past ◽  
The Us ◽  
Metabolic Conditions ◽  
Respiratory Conditions ◽  
The U.S ◽  
Chronic Comorbidities

Background: Cardiovascular disease (CVD) has been the number one cause of death and disability in the US and globally for decades, and its comorbidity complicates the management of CVD. However, little is known about the secular trend of CVD comorbidities in national representative populations in the last 20 years. Methods: Prevalence of CVD and nine major chronic comorbidities was estimated using data from 1,324,214 adults aged 18 years and older in the National Health Interview Survey (NHIS) from 1997 through 2016, with age-standardized to the U.S. population in the year 2000. Results: CVD prevalence in the US adult population significantly declined in the past twenty years (from 6.6% in 1997 to 5.9% in 2016, P trend <0.01in Figure a). And such trend was shown in women and whites (P trend <0.01), but not in men and blacks (P trend >0.05). We ranked the nine major chronic comorbidities (high to low) in the CVD patients (Figure b.), including (1) hypertension, (2) respiratory conditions, (3) nervous system conditions, (4) digestive conditions, (5) diabetes, (6) cancer, (7) genitourinary conditions, (8) circulatory conditions, and (9) endocrine/nutritional/metabolic conditions. From 1997 to 2016, the prevalence of CVD comorbidities including hypertension (38.8% to 50.2%), digestive conditions (17.0% to 27.1%), diabetes (10.0% to 19.2%), cancer (9.4% to 12.8%), and genitourinary conditions (4.1% to 5.2%) continuingly increased (all P trend <0.01), while respiratory conditions declined (35.9% to 27.6%, P trend <0.01). Similar trends of CVD comorbidities were observed among subgroups stratified by gender or by race. Conclusions: CVD prevalence in the U.S. adults have declined significantly in the past two decades, but rates of CVD comorbidities including hypertension, digestive conditions, diabetes, cancer, and genitourinary conditions increased substantially.

scholarly journals Explaining the success of a multinational company's innovation in the base of the pyramid: m-pesa in Kenya

2021 ◽  
Vol 12 (2) ◽  
pp. 526-556
Author(s):  
Diogo Palheta Nery
Keyword(s):  
Unmet Needs ◽  
Adult Population ◽  
First Century ◽  
Base Of The Pyramid ◽  
Role Of Government ◽  
Supportive Role ◽  
Key Points ◽  
New Business ◽  
In The Beginning

In the beginning of the twenty-first century, C. K. Prahalad launched a new business proposition named as “Base of the Pyramid” (BOP). In such type of business, Multinational Companies (MNCs) look for new opportunities of profits helping to meet the poor’s unmet needs in developing countries. However, MNCs significant involvement in BOP business has been losing momentum due to the challenges MNCs have been faced in developing BOP businesses. This study intended to recall Prahalad’s original BOP proposal explaining the success of a BOP innovation developed by an MNC in Kenya: M-PESA, a mobile money service. About 70% of Kenya’s adult population has M-PESA accounts and M-PESA’s monthly transactions account for 30% of Kenyan GDP. How did a multinational company develop the successful BOP innovation M-PESA in Kenya? Our study intends to explain how the British multinational Vodafone employed successful Base of the Pyramid principles of innovation in Kenyan M-PESA. Indeed, there is a gap of studies about the Prahalad’s principles of innovation for developing BOP products. Therefore, this research analyzed Prahalad’s BOP proposal, including his twelve principles of innovation to develop BOP products, by comparing such proposal with Karnani’s framework for fighting poverty. Karnani is regarded as the main critic against the Prahalad’s BOP proposal. Most of Prahalad’s BOP principles of innovation were identified in M-PESA in Kenya (eleven out of the twelve principles). However, Karnani’s framework explained better the factors that influenced successful BOP innovation in Kenyan M-PESA than Prahalad’s proposal. Furthermore, this study pointed out two key points that explained the success of M-PESA innovation in Kenya that they were not included neither in Prahalad’s nor in Karnani’s proposals: social intrapreneurship made by MNCs employees, and supportive role of government in developing BOP businesses. Therefore, such topics deserve more attention from the BOP literature in order to advance this field.

scholarly journals Predicting Temperature Shifts off the U.S. East Coast

Eos ◽  
2016 ◽  
Vol 97 ◽  
Author(s):  
Sarah Stanley
Keyword(s):  
East Coast ◽  
Relative Importance ◽  
Ocean Temperature ◽  
Middle Atlantic Bight ◽  
Atmospheric Processes ◽  
Middle Atlantic ◽  
New Research ◽  
The U.S

New research reveals the relative importance of oceanic and atmospheric processes in year-to-year changes in ocean temperature along the Middle Atlantic Bight.

Prevalence of Persistent Pain in the U.S. Adult Population: New Data From the 2010 National Health Interview Survey

2014 ◽  
Vol 15 (10) ◽  
pp. 979-984 ◽  
Author(s):  
Jae Kennedy ◽  
John M. Roll ◽  
Taylor Schraudner ◽  
Sean Murphy ◽  
Sterling McPherson
Keyword(s):  
National Health ◽  
National Health Interview Survey ◽  
Adult Population ◽  
Persistent Pain ◽  
Health Interview Survey ◽  
Health Interview ◽  
Interview Survey ◽  
The U.S
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