scholarly journals A Regional Collaboration of Health (ARCH): Using health survey and linked routine data to understand wellbeing

2018 ◽  
Vol 3 (4) ◽  
Author(s):  
Fatemeh Torabi ◽  
Ashley Akbari ◽  
Jane Lyons ◽  
Mathilde Castagnet ◽  
Ronan Lyons
Keyword(s):  
Health Service ◽  
Health Survey ◽  
Health Data ◽  
Health Service Utilisation ◽  
Service Utilisation ◽  
Care Hospital ◽  
Regional Collaboration ◽  
Primary Care Hospital ◽  
Personal Wellbeing ◽  
Reported Health

IntroductionMonitoring social wellbeing and its relationship to health service utilisation by means of appropriate measurement tools can potentially provide a complementary view for influencing service development. Aspects of wellbeing have been collected in the Welsh Health Survey (WHS) while routine health data captures health service utilisation. Objectives and ApproachWHS was used to link self-reported wellbeing to health outcomes, prior to linking to routinely collected data. Initially, a measure for personal wellbeing was developed using the four personal wellbeing questions defined by The Office of National Statistics (ONS), included in national surveys from 2011 onward. We conducted regression analysis to identify potential predictors of personal wellbeing scores our model included self-reported lifestyle behaviour, self-reported health, education, work, household and general demographics. Links to primary care, hospital and emergency department datasets are being developed to provide insight into the relationship between wellbeing, multi-morbidity and health service utilisation. ResultsFour wellbeing questions had similar scoring patterns across age groups which is different to most health indicators that tend to show a marked health decline with increasing age. There is a difference between mean wellbeing score for males and females. Our finding showed that self-reported of ‘excellent’ or ‘very good’ general health has the largest positive effect on wellbeing while positive viewpoint on self-health has the second largest effect on our model. In addition, being retired from a paid job, eating at least one or 5+ portion of fruit and vegetables and giving up smoking have positive impact on population wellbeing. In contrast, not being able to work, intermediate household occupancy, consuming alcohol in last 12-months, having long-standing illness, showed a negative impact on wellbeing. Conclusion/ImplicationsThis project established robust methodology on utilizing survey and routine health data for monitoring and evaluation purposes. We also evaluated the linkability of survey data The latest release of National Survey for Wales (NSW) will cover a combination of self-reported health measures and aims for a higher linkage consent rate.

scholarly journals A Regional Collaboration of Health (ARCH): Using health survey and linked routine data to understand wellbeing.

2018 ◽  
Vol 3 (2) ◽  
Author(s):  
Fatemeh Torabi ◽  
Ashley Akbari ◽  
Jane Lyons ◽  
Mathilde Castagnet ◽  
Ronan Lyons
Keyword(s):  
Health Service ◽  
Health Outcomes ◽  
Survey Data ◽  
Health Survey ◽  
Health Data ◽  
Health Service Utilisation ◽  
Service Utilisation ◽  
Care Hospital ◽  
Regional Collaboration ◽  
Personal Wellbeing

BackgroundMonitoring social wellbeing and its relationship to health service utilisation by means of appropriate measurement tools can provide a complementary view towards service development. Welsh Health Survey (WHS) collects aspects of wellbeing while routine health data captures details around health service utilisation. ObjectiveThe aim of this project was to evaluate the linkage ability of routine health data with survey data and establish a methodology for utilizing survey data as a measure for self-reported health outcomes. MethodWe used WHS data from UK data archive to link self-reported wellbeing to health outcomes, a measure for personal wellbeing was developed using the personal wellbeing questions defined by Office of National Statistics (ONS), included in national surveys from 2011 onward. WHS was then linked to routine health data using SAIL Databank. We conducted regression analysis to identify potential predictors of personal wellbeing by linking primary care, hospital and emergency department datasets, to develop and provide insight into the relationship between wellbeing, multi-morbidity and health service utilisation. FindingsWellbeing questions had similar scoring patterns across age groups which is different to most health indicators that tend to show a marked health decline with increasing age. Our findings showed that self-reported of ‘excellent’ or ‘very good’general health has the largest positive effect on wellbeing while positive viewpoint on self-health has the second largest effect. ConclusionsCombining and harmonising data from multiple sources and linking them to information from a longitudinal cohort create useful resources for population health research. These methods are reproducible and can be utilised by other researchersand projects.

scholarly journals Health literacy and age-related health-care utilisation: a multi-dimensional approach

2020 ◽  
pp. 1-22
Author(s):  
Joachim Gerich ◽  
Robert Moosbrugger ◽  
Christoph Heigl
Keyword(s):  
Health Literacy ◽  
Health Service ◽  
Health Care Utilisation ◽  
Health Service Utilisation ◽  
Service Utilisation ◽  
Significant Interaction Effect ◽  
Medication Costs ◽  
Age Related ◽  
Care Utilisation ◽  
Health Related

Abstract Inefficient health service utilisation puts pressure on health systems and may cause such negative individual consequences as over-medicalisation or exacerbation of health problems. While previous research has considered the key relevance of health literacy (HL) for efficient use of health services, the results of that research have been somewhat inconclusive. Possible reasons for diverging results of prior research may be grounded in different measurement concepts of HL and the disregarding of age-specific effects. This paper analyses the association between individuals’ HL typology based on a two-dimensional concept and indicators of health service utilisation measured by registered data covering the number of doctor visits and medication costs. Our results confirm a significant interaction effect between age and HL typology. The age-related increase in health service utilisation is strongest for individuals with the combination of high subjective HL but low health-related knowledge, while the smallest increase is for individuals with the constellation of high subjective HL combined with high health-related knowledge. Individuals with specific constellations of HL (that is, individuals with high subjective HL but low health-related knowledge) are associated with reduced service utilisation in younger ages but higher service utilisation in later stages of life, compared to other groups. These results are likely to be attributed to a higher external health-related locus of control and more traditional paternalistic role expectations in such groups.

Patterns in Health Service Utilisation and Healthcare Entitlements

2020 ◽  
pp. 83-99
Author(s):  
Lorna Roe ◽  
Christine McGarrigle ◽  
Belinda Hernandez ◽  
Aisling O'Halloran ◽  
Siobhan Scarlett ◽  
...  
Keyword(s):  
Health Service ◽  
Health Service Utilisation ◽  
Service Utilisation

Barriers to and facilitators of health services utilisation by refugees in resettlement countries: an overview of systematic reviews

2020 ◽  
Vol 44 (1) ◽  
pp. 132 ◽  
Author(s):  
Jamuna Parajuli ◽  
Dell Horey
Keyword(s):  
Health Care ◽  
Health Service ◽  
Health Services ◽  
Systematic Reviews ◽  
Health Professionals ◽  
Health Service Utilisation ◽  
Barriers And Facilitators ◽  
Service Utilisation ◽  
Knowledge And Skills ◽  
Overview Of Systematic Reviews

Objective The aim of this study was to provide an overview of the previously reviewed research literature to identify barriers and facilitators to health service utilisation by refugees in resettlement countries. Methods An overview of systematic reviews was conducted. Seven electronic databases (Medline, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, ProQuest Central, Scopus, EBSCO and Google Scholar) were searched for systematic reviews of barriers and facilitators to health-seeking behaviour and utilisation of health services by refugees following resettlement. The two authors independently undertook data selection, data extraction and quality assessment using a validated tool. Results Nine systematic reviews covered a range of study areas and refugee populations. Barriers to health service utilisation fell into three broad areas: (1) issues related to refugees, including refugee characteristics, sociocultural factors and the effects of previous experiences; (2) issues related to health services, including practice issues and the knowledge and skills of health professionals; and (3) issues related to the resettlement context, including policies and practical issues. Few facilitators were identified or evaluated, but these included approaches to care, health service responses and behaviours of health professionals. Conclusions Barriers to accessing health care include refugee characteristics, practice issues in health services, including the knowledge and skills of health professionals, and the resettlement context. Health services need to identify barriers to culturally sensitive care. Improvements in service delivery are needed that meet the needs of refugees. More research is needed to evaluate facilitators to improving health care accessibility for these vulnerable groups. What is known about the topic? Refugee health after resettlement is poor, yet health service use is low. What does this paper add? Barriers to accessing health services in resettlement countries are related not only to refugees, but also to issues regarding health service practices and health professionals’ knowledge and skill, as well as the context of resettlement. Few facilitators to improving refugee access to health services have been identified. What are the implications for practitioners? The barriers associated with health professionals and health services have been linked to trust building, and these need to be addressed to improve accessibility of care for refugees.

The internet as a setting for mental health service utilisation by young people

2010 ◽  
Vol 192 (S11) ◽  
Author(s):  
Jane M Burns ◽  
Tracey A Davenport ◽  
Lauren A Durkin ◽  
Georgina M Luscombe ◽  
Ian B Hickie
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Young People ◽  
Health Service ◽  
Health Service Utilisation ◽  
The Internet ◽  
Service Utilisation

scholarly journals Do general practice management and/or team care arrangements reduce avoidable hospitalisations in Central and Eastern Sydney, Australia?

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Heidi Welberry ◽  
Margo Linn Barr ◽  
Elizabeth J. Comino ◽  
Ben F. Harris-Roxas ◽  
Elizabeth Harris ◽  
...  
Keyword(s):  
General Practice ◽  
Data Collection ◽  
Health Service ◽  
Baseline Period ◽  
Health Service Utilisation ◽  
Service Utilisation ◽  
Complex Care ◽  
Care Needs ◽  
Team Care ◽  
Complex Care Needs

Abstract Background The number of people living with chronic health conditions is increasing in Australia. The Chronic Disease Management program was introduced to Medicare Benefits Schedule (MBS) to provide a more structured approach to managing patients with chronic conditions and complex care needs. The program supports General Practitioners (GP)s claiming for up to one general practice management plan (GPMP) and one team care arrangement (TCA) every year and the patient claiming for up to five private allied health visits. We describe the profile of participants who claimed for GPMPs and/or TCAs in Central and Eastern Sydney (CES) and explore if GPMPs and/or TCAs are associated with fewer emergency hospitalisations (EH)s or potentially preventable hospitalisations (PPH)s over the following 5 years. Methods This research used the CES Primary and Community Health Cohort/Linkage Resource (CES-P&CH) based on the 45 and Up Study to identify a community-dwelling population in the CES region. There were 30,645 participants recruited within the CES area at baseline. The CES-P&CH includes 45 and Up Study questionnaire data linked to MBS data for the period 2006–2014. It also includes data from the Admitted Patient Data Collection, Emergency Department Data Collection and Deaths Registry linked by the NSW Centre for Health Record Linkage. Results Within a two-year health service utilisation baseline period 22% (5771) of CES participants had at least one claim for a GPMP and/or TCA. Having at least one claim for a GPMP and/or TCA was closely related to the socio-demographic and health needs of participants with higher EHs and PPHs in the 5 years that followed. However, after controlling for confounding factors such as socio-demographic need, health risk, health status and health care utilization no significant difference was found between having claimed for a GPMP and/or TCA during the two-year health service utilisation baseline period and EHs or PPHs in the subsequent 5 years. Conclusions The use of GPMPs and/or TCAs in the CES area appears well-targeted towards those with chronic and complex care needs. There was no evidence to suggest that the use of GPMPs and /or TCAs has prevented hospitalisations in the CES region.

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