scholarly journals Outpatient Care Utilization among Elderly in South Sumatra Based on National Social-Economic Survey Data

2020 ◽  
Vol 16 (4) ◽  
pp. 509-518
Author(s):  
Misnaniarti Misnaniarti ◽  
Fenny Etrawati
Keyword(s):  
Health Insurance ◽  
Outpatient Care ◽  
Private Health Insurance ◽  
Care Utilization ◽  
Chi Square ◽  
Work Activity ◽  
Chi Square Test ◽  
Economic Survey ◽  
Using Data ◽  
Outpatient Utilization

Implementation of National Health Insurance is thought to be the cause ofincreasing number of visits to health facilities, especially in elderly peoplewho tend to be in sick. This study aims to analyze the outpatient utilizationby elderly in South Sumatera region. Study design was cross-sectional.Samples was elderly in South Sumatra (n = 2,833 people). Study done on2016, using data from Survei Sosial Ekonomi Nasional (Susenas) at 2015. Dataanalysis used chi-square test and multiple logistic regression. Based on thestudy known that outpatient utilization of elderly in all health facilitiesduring the past month amounted to 29.2%. Providers selected when elderlyneeded of outpatient treatment, most often visited to the doctor'spractice/midwife's practice (46.2%), and puskesmas (24.2%). Elderly whohas private health insurance have a tendency was 1.9 times greater (OR=1.9)to utilize outpatient compared to elderly who do not have insurance. Itsconcluded that variables associated with outpatient care utilization are:health insurance membership (OR=1.9) and work activity (OR=1.5). It isrecommended for elderly to remain active in their activities so that they canrealize the healthy and active aging and reduce the sick visits to healthfacilities.

scholarly journals Voluntary counseling and testing (VCT) services and their contribution to access to HIV diagnosis in Brazil

2009 ◽  
Vol 25 (9) ◽  
pp. 2053-2063 ◽  
Author(s):  
Alexandre Grangeiro ◽  
Maria Mercedes Escuder ◽  
Maria Amélia Veras ◽  
Draurio Barreira ◽  
Dulce Ferraz ◽  
...  
Keyword(s):  
Social Indicators ◽  
National Health System ◽  
Hiv Diagnosis ◽  
Chi Square ◽  
Voluntary Counseling ◽  
Voluntary Counseling And Testing ◽  
Counseling And Testing ◽  
Chi Square Test ◽  
Limited Health ◽  
Using Data

The Voluntary Counseling and Testing (VCT) Network was implemented in Brazil in the 1980s to promote anonymous and confidential access to HIV diagnosis. As a function of the population and dimensions of the local epidemic, the study assessed the network's coverage, using data from a self-applied questionnaire and data from the Information Technology Department of the Unified National Health System (SUS), UNDP, and National STD/AIDS Program. The Student t test was used for comparison of means and the chi-square test for proportions. Brazil has 383 VCT centers, covering 48.9% of the population and 69.2% of the AIDS cases. The network has been implemented predominantly in regions where the epidemic shows a relevant presence, but 85.3% of the cities with high HIV incidence lack VCT centers; absence of VCT was associated with more limited health infrastructure and worse social indicators. A slowdown in expansion of the network was observed, with VCT Centers implemented on average 16 years after the first AIDS case in the given municipality. The number of HIV tests performed under the SUS is 2.3 times higher in cities with VCT centers. The network's scope is limited, thus minimizing the contribution by these services to the supply of HIV diagnosis in Brazil.

scholarly journals Methods and techniques of research motivation and satisfaction of employees

2021 ◽  
Vol 9 (2) ◽  
pp. 53-63
Author(s):  
Dragana Pešić-Jenačković
Keyword(s):  
Analysis Of Variance ◽  
Employee Motivation ◽  
Test Point ◽  
Coefficient Of Determination ◽  
Business Success ◽  
Chi Square ◽  
Methods And Techniques ◽  
Chi Square Test ◽  
Using Data ◽  
The Impact

Motivation and employee satisfaction are very important precondition for the effectiveness of work and the achievement of set goals for individuals and organizations. Consequently, continuous measurement of employee motivation and satisfaction is essential to improve company's efficiency and improve human resource use. The results of a well-planned, detailed and adequate methods and techniques of research on employee motivation and satisfaction can be applied to the design of various schemes in order to reduce absenteeism and employee turnover and overall business success. In this paper, the emphasis is on the methodology of researching employee motivation and satisfaction. In addition to the elaboration of questionnaires with scales for measuring the motivation and satisfaction of employees, it is explained in which situations, in which types of questions and answers, respectively, types of data, and how certain statistical techniques are applied, such as: T-test, One-factor analysis of variance (ANOVA), Chi-square test, Point-two-series correlations. Also, the importance of using the subsequent post hoc test (LSD comparison) in the analysis of variance, as well as the indicators of correlation, the strength of the impact, such as: phi correlation coefficient, Kramer's coefficient and contingency coefficient, is pointed out in the Chi-square test. In addition to the mentioned techniques and indicators from SPSS, the role of certain indicators (eta squared and coefficient of determination) is calculated, which are calculated using data from research results and with the help of certain formulas

scholarly journals What Are the Determinants of the Decision to Purchase Private Health Insurance in China?

2020 ◽  
Vol 17 (15) ◽  
pp. 5348
Author(s):  
Guangsheng Wan ◽  
Zixuan Peng ◽  
Yufeng Shi ◽  
Peter C. Coyte
Keyword(s):  
Logistic Regression ◽  
Health Insurance ◽  
Private Health Insurance ◽  
Insurance Industry ◽  
Policy Decision ◽  
Medical Expense ◽  
Enabling Factors ◽  
Chi Square ◽  
Services Utilization ◽  
Nationally Representative

The objective of this study was to assess the determinants of the decision to purchase private health insurance (PHI) in China. Nationally representative data from the fourth wave of the China Household Finance Survey from 2017 were used, and the dataset comprised 105,691 individuals aged 18 years or older. The Andersen health services utilization model was used to inform the research. Chi-square tests and logistic regression analyses were used to estimate the decision to purchase PHI. The proportion of the sample that had PHI was small, at 5.06%, but coverage for social basic medical insurance (SBMI) was 90.64%. Among PHI holders, the overwhelming majority (87.40%) also had SBMI. Logistic regression analysis demonstrated that predisposing factors (age, education, marital status, household size), enabling factors (household income, SBMI status, geographical factors, household medical expense, and medical debt), and needs-based factors (health status) were statistically significant determinants of the decision to purchase PHI. This study suggests that the socio-economic circumstances of households play a crucial role in the decision to acquire PHI. The findings may be used by the insurance industry to inform actions to enhance PHI coverage and by policy decision-makers that seek to improve equality in access to PHI.

Urgent Care Utilization in a Pediatric Population With Private Health Insurance

2020 ◽  
Vol 34 (3) ◽  
pp. e21-e27
Author(s):  
Shawna S. Mudd ◽  
Sylvia M. Alvarado ◽  
Sarah Otaru ◽  
Therese Canares
Keyword(s):  
Health Insurance ◽  
Private Health Insurance ◽  
Pediatric Population ◽  
Urgent Care ◽  
Care Utilization

scholarly journals Risk selection into supplemental private health insurance in China

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Yawen Jiang ◽  
Weiyi Ni
Keyword(s):  
Health Insurance ◽  
Instrumental Variable ◽  
Private Health Insurance ◽  
Developed Countries ◽  
Risk Selection ◽  
Alternative Analysis ◽  
Cross Sectional ◽  
Advantageous Selection ◽  
Using Data ◽  
Sectional Analysis

Abstract Background Information on risk selection is important for the regulation and development of supplemental private health insurance (PHI). The research on risk selection into supplemental PHI has been documented in several developed countries where the regulation of the PHI markets was relatively mature. However, evidence on this important aspect of the supplemental PHI market in China is still absent in the literature. The private insurers in China were not prohibited from discrimination against pre-existing conditions and did not guarantee ongoing enrolment. Therefore, the direction and degree of risk selection could not be inferred using the evidence from the other countries. To provide evidence on risk selection into supplemental PHI in China, we conducted a cross-sectional analysis using data from the 2015 wave of China Health and Retirement Longitudinal Study (CHARLS). Results Using probit models, we found that individuals having better self-reported general health were more likely to enrol in PHI in China, suggesting advantageous selection. This result was confirmed by an alternative analysis using an instrumental variable. We also adjusted the realized occurrence of hospitalization by excluding potential moral hazard effect and showed that the adjusted hospitalization risk was negatively associated with PHI enrolment, which also indicated advantageous selection. Conclusions The findings suggested potential over-insurance of healthier individuals or under-insurance of less healthy individuals. The regulation of the PHI market in China should aim to address the inefficiency. The current study could also contribute to the information base for policymakers in countries where the PHI markets similarly lack strong regulation.

scholarly journals Changes in Indicators after Assessment of Diabetes Mellitus Adequacy Evaluation: Korean Health Insurance Review and Assessment Service Data 2010-2015

2020 ◽  
Vol 20 (4) ◽  
pp. 175-181
Author(s):  
Hyun-Soo Kang ◽  
Min-Taek Lim ◽  
Bo-Yeon Kim ◽  
Kyong-Do Han ◽  
Keun-Mi Lee ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Health Insurance ◽  
Prescription Rate ◽  
Chi Square ◽  
Test Items ◽  
High Prevalence ◽  
Using Data ◽  
Service Data ◽  
Linearity Test

Background: The Korean Health Insurance Review and Assessment Service has conducted diabetes medical adequacy evaluation projects since 2010. This study aimed to evaluate the medical adequacy of type 2 diabetes mellitus patients after the assessment project and help establish the direction of future projects.Methods: Using data from the Health Insurance Review & Assessment Service (2010-2015), chi-square tests and t-tests were used to analyze the enforcement rate according to a combination of items for appropriate management methods. Logistic regression and linearity test were performed to assess the relationships among the evaluation group, appropriate test items, and prescription rate.Results: We found that 33.6-39.8% of patients did not undergo any diabetes-related tests. Only about 7% of hemoglobin A1c (HbA1c) tests were performed, and 36% of cases were tested simultaneously with serum lipid profile tests. As age increased, the number of days taken to prescribe diabetes medications also increased.The prescription rate of diabetes drugs for 292 days or more was 61% in patients who had not been tested for adequacy, and the average prescription rate increased as the number of tests increased.Conclusions: In older adults with a high prevalence of diabetes, it is necessary to establish a test rate for proper management of diabetes, including HbA1c, and related test items to increase the average prescription rate.

scholarly journals Is Amoxicillin The Drug Of Choice In Dentoalveolar Abscess - A Hospital based study

2020 ◽  
Vol 11 (SPL3) ◽  
pp. 1239-1244
Author(s):  
Shreya Svitlana Anand ◽  
Hemavathy Muralidoss ◽  
Jaiganesh Ramamurthy
Keyword(s):  
Private Hospital ◽  
Adult Population ◽  
Age Group ◽  
Chi Square ◽  
Drug Of Choice ◽  
Dental Hospital ◽  
Chi Square Test ◽  
Young Adult Population ◽  
Study Population ◽  
Using Data

The aim of the study was to identify if amoxicillin is the drug of choice for dentoalveolar abscess. The retrospective evaluation was conducted using data provided by a private hospital. 86000 patients had reported to the outpatient department, a private hospital between June 2019 and March 2020, and the data was collected and analyzed. Patients diagnosed with dentoalveolar abscess were selected for the study. The antibiotic prescribed for treatment was recorded. A retrospective analysis was done based on the collected data. The data was entered in a methodical manner [serial number, name, age, gender, tooth number. Statistical analysis was performed in the statistical software SPSS and data were analyzed by descriptive statistics and Chi-square test. The retrospective study consisted of 27 subjects infected with Dentoalveolar Abscess. In this study we observed that 100% of the patients affected with dentoalveolar abscess were prescribed Amoxicillin and the most affected individuals among the study population belonged to the young adult population (age group 18-35 years) [51.85%], followed by patients aged 36-55 years [33.33%] and least affected belonging to age group 56-75 years [14.81%]. Around 74.07% of the population were prescribed Amoxicillin alone, 18.51% have prescribed a combination of Amoxicillin and Metronidazole, followed by 7.4% of the study population were prescribed the combination of Amoxicillin and Clavulanic acid. Within the limits of this study, we find that the drug prescribed for Dentoalveolar abscess in a private dental hospital is predominantly Amoxicillin. Hence, we conclude that amoxicillin is the drug of choice for dentoalveolar abscesses.

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