Utilization of Affective Factors of Health Services: A Systematic Review

2019 ◽  
Vol 8 ◽  
Author(s):  
Solmaz Azimzadeh ◽  
Jafar Sadegh Tabrizi ◽  
Shirin Nosratnejad ◽  
Mostafa Farahbakhsh ◽  
Saber Azami Aghdash ◽  
...  

Utilization is one of the dimensions of equity in health systems. Identifying the factors affecting utilization of health services can be helpful for interventional purposes. This study systematically reviewed the factors affecting the utilization of inpatient, outpatient, diagnostic, and pharmaceutical services. This systematic review was conducted between 2016 and 2017. The search was performed using keywords based on MeSH in valid databases such as Scopus, Embase, ProQuest, ScienceDirect, PubMed, and Web of Science in the fields of title, abstract, and keyword. Related papers published from 2000 to 2017 were searched. First, the retrieved studies were screened and checked for quality; then, the useful data were extracted and analyzed. Out of the 1178 retrieved publications, 20 studies were included in the final analysis. The identified factors were categorized into 5 areas, including demographic (4 items), socioeconomic (13 items), health services–related (13 items), health status–related (7 items), and health insurance–related factors (2 items), and reported. The findings of this study can be a useful source and a comprehensive body of evidence on the utilization of health services. The results can be used by the policy makers and managers in designing interventions for changing the utilization patterns of health services. [GMJ. 2019;inpress:e1236]

2019 ◽  
Vol 8 ◽  
pp. e1236
Author(s):  
Solmaz Azimzadeh ◽  
Jafar Sadegh Tabrizi ◽  
Shirin Nosratnejad ◽  
Mostafa Farahbakhsh ◽  
Saber Azami Aghdash ◽  
...  

Utilization is one of the dimensions of equity in health systems. Identifying the factors affecting utilization of health services can be helpful for interventional purposes. This study systematically reviewed the factors affecting the utilization of inpatient, outpatient, diagnostic, and pharmaceutical services. This systematic review was conducted between 2016 and 2017. The search was performed using keywords based on MeSH in valid databases such as Scopus, Embase, ProQuest, ScienceDirect, PubMed, and Web of Science in the fields of title, abstract, and keyword. Related papers published from 2000 to 2017 were searched. First, the retrieved studies were screened and checked for quality; then, the useful data were extracted and analyzed. Out of the 1178 retrieved publications, 20 studies were included in the final analysis. The identified factors were categorized into 5 areas, including demographic (4 items), socioeconomic (13 items), health services–related (13 items), health status–related (7 items), and health insurance–related factors (2 items), and reported. The findings of this study can be a useful source and a comprehensive body of evidence on the utilization of health services. The results can be used by the policy makers and managers in designing interventions for changing the utilization patterns of health services. [GMJ.2019;8:e1236]


2019 ◽  
Vol 8 ◽  
pp. 1411
Author(s):  
Elham Shami ◽  
Jafar Sadegh Tabrizi ◽  
Shirin Nosratnejad

Insurance organizations are among the most influential organizations in the health system, which can lead to healthcare efficiency and patient satisfaction in case they are increasingly accessed. The main purpose of the present systematic review was to examine the effect of health insurance on the utilization of health services and also to examine the factors affecting it. The present study was a systematic review that aimed to examine the effect of health insurance on the utilization of health care services. The study was conducted in 2016 using Scopus, PubMed, Web of Science, Science Direct, and ProQuest databases. We examined the utilization rate of health insurance in insured people. The inclusion and exclusion criteria were included based on review and meta-analysis purposes. The utilization of health services increased for inpatient and outpatient services. The utilization rate of inpatient services increased by 0.51% whereas the utilization rate of outpatient services increased by 1.26%. We classified the variables affecting the utilization rate of insurance into three main categories and sub-categories: demographic variables of the household, socioeconomic status, and health status. Our study showed that insured people increased the utilization rate of health services, depending on the type of health services. Thus, health policymakers should consider the community’s health insurance as a priority for health programs. For now, implementing universal health insurance is a good solution. [GMJ.2019;8:e1411]


2021 ◽  
Vol 12 ◽  
Author(s):  
Armin Fereidouni ◽  
Maryam Rassouli ◽  
Mahmood Salesi ◽  
Hadis Ashrafizadeh ◽  
Amir Vahedian-Azimi ◽  
...  

Background: Identifying the preferred place of death is a key indicator of the quality of death in cancer patients and one of the most important issues for health service policymakers. This study was done to determine the preferred place of death and the factors affecting it for adult patients with cancer.Methods: In this systematic review and meta-analysis study four online databases (PubMed, Scopus, web of science, ProQuest) were searched by relevant keywords. Quality assessment of papers was conducted using Newcastle-Ottawa (NOS) criterion. Odds ratios, relative risks, and 95% confidence intervals were determined for each of the factors extracted from the investigations.Results: A total of 14,920 participants of 27 studies were included into the meta-analysis. Based on the results, 55% of cancer patients with a confidence interval [95% CI (41–49)] preferred home, 17% of patients with a confidence interval [95% CI (−12%) 23)] preferred hospital and 10% of patients with confidence interval [95% CI (13–18)] preferred hospices as their favored place to die. Effective factors were also reported in the form of demographic characteristics, disease-related factors and psychosocial factors.Conclusions: This study showed that more than half of cancer patients chose home as their preferred place of death. Therefore, guided policies need to ensure that the death of the patients in the preferred place should be considered with priority.Systematic Review Registration:https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020218680, identifier: CRD42020218680.


2020 ◽  
Vol 10 (5) ◽  
pp. 75
Author(s):  
Saud Alenezi

This study explores perceptions of Saudi university students about the factors that affect their in-class willingness to communicate (WTC) in English. The study is conducted using a qualitative research approach. The sample of the study comprises 30 EFL students enrolled in the Preparatory Year programme at the Northern Border University (NBU) in Arar City, kingdom of Saudi Arabia (KSA). The data were collected through in-depth semi-structured interviews and then analyzed using a thematic content analysis. The results revealed that there are 19 factors affecting the students’ in-class WTC in English which can be categorized into three main themes that are learner-related factors (e.g., self-perceived communication competence, fear of making mistakes, fear of being laughed at, feeling of shyness, lack of confidence, being afraid of public speaking, previous communication experience), affective factors (e.g., motivation, second language communicative anxiety, evaluation apprehension), and classroom environment factors (e.g., topic interest, topic familiarity, instructional methods, instructional materials, time, classroom apprehension, instructor, class size, classmates). The study concludes with some pedagogical implications for EFL practitioners about L2 learners’ in-class participation in the target language and provides some insights for the improving the learning experience of English as a foreign language.


Author(s):  
Berly Nisa Srimayarti ◽  
Devid Leonard ◽  
Dicho Zhuhriano Yasli

One of the benchmarks for assessing service performance in hospitals is efficiency in medical services. Measurement of service  efficiency will affect the quality of the hospital. Patients will consider the completeness of the service facilities they have and the quality of services to be obtained. This is due to the tendency of people to seek quality health services. Improving service quality standards in hospitals will have an impact on increasing income and getting recognition from the community for the quality of services in hospitals. This study aims to look at the determinant factors that affect hospital efficiency. This study uses a systematic review method based on the PRISMA protocol. Article searches were conducted through four online databases (PubMed, ProQuest, SAGE and SpingerLink). The initial search found 307 articles, filtered using inclusion criteria, so as many as 8 articles were analyzed with a time span of 2017-2021. The efficiency of health services in hospitals is the basis for obtaining a wider patient base and producing quality services. The results of the literature study show that there are 29 factors affecting hospital efficiency. The various factors obtained were categorized into organizational factors, health resource factors, and technical efficiency factors.


Author(s):  
Mohsen Dowlati ◽  
Hesam Seyedin ◽  
Shandiz Moslehi

ABSTRACT Background: Biological hazards are one of the most important and common types of hazards in emergencies and disasters. Hospital preparedness measures for biological hazards are essential for a proper response and mitigation of its effects. The aim of this systematic review is to investigate hospital preparedness measures for biological hazards. Methods: For this research, electronic databases including Web of Science, PubMed, ScienceDirect, Scopus, ProQuest, Google Scholar, and Cochrane Library from March 1950 to June 2019 were searched. Key words such as hospital, emergency department, preparedness, plan, management, and biological hazards were used in combination with the Boolean operators OR and AND. A thematic synthesis approach through the use of MAXQDA software was applied to analyze the data. Results: In total, 5257 articles were identified, in which 23 articles meet the inclusion criteria for entering the process of final analysis. The findings showed three main administrative, specialized, and logistical issues regarding preparedness measures for biological hazards in hospitals. Conclusion: Hospital preparedness for biological hazards is one of the most important hospital disaster plans. Results of this systematic review present valuable advice for policy-makers and hospital managers to prepare and enhance hospital performance against biological hazards.


2020 ◽  
Vol 36 ◽  
pp. 73-76
Author(s):  
Lillian Ayebale ◽  
Gilbert Habaasa ◽  
Samson Tweheyo

Mathematics is seen by society as the foundation of scientific technological knowledge that is vital in social-economic development of a nation. In fact, studies suggest that mathematics as a subject affects all aspects of human life at different levels. This paper is a rapid systematic review of factors affecting students’ achievement in mathematics. We searched literature on student achievement in mathematics. We used ERIC database and supplemented with Google Scholar and random Google search. Twenty six articles met the final selection criteria and were reviewed. The teaching methods, teachers’ attitude, students’ attitude towards mathematics were noted as key factors in almost all articles reviewed. There seemed to be consistency too that parents can exert a positive influence on their children’s mathematical performance, classroom environment, students’ previous mathematics achievement and gender related factors. Student achievement at secondary level determines whether they will opt to or qualify to study statistics at university. From this review, it is imperative that these factors be addressed early in the students’ career so as to have more student enrollment for statistics at tertiary institutions.


Author(s):  
Nurul Qalbi R ◽  
Prof Indar ◽  
Prof Rahmatiah

Good health care is a community need and is often a measure of development success. The utilization of health service units is still relatively low, although the Puskesmas continue to try to bring health services closer to immigrants. This shows that the lack of confidence of immigrant patients in the health services provided by health workers so that immigrant patients prefer to be referred and continue treatment at the hospital. The purpose of this study is to analyze the factors that influence immigrant patients on the utilization of health services. This research was conducted at Tamalanrea Public Health Center in Makassar City from July-August 2019. The population in this study was 154 people based on data in Tamalanrea Health Center in the last 6 months while the sample in this study was 59 people. Analysis of the data used in this study includes univariate and bivariate analysis stages using multiple regression tests using SPSS version 10. The results of this study indicate that (1) Age has no influence on the utilization of health services, gender has an influence on the utilization of health services in Tamalanrea Health Center ; (2) There is an influence of facilities, and trust in the use of health services with the respective p-value: facilities p = 0.015 and trust p = 0.004. While knowledge has a value of p = 0.665 so that it does not influence the utilization of health services at the Tamalanrea Health Center. The important role of the immigration detection house agency is to help promote and convince immigrants or foreign refugees that first-rate health services can provide the best health services and cure their sickness.


Author(s):  
Chris McCahill

Policy makers in urban areas throughout the United States are interested in managing parking provision and minimizing the negative impacts of excess parking, yet those policy makers often lack an understanding of how much the existing parking is used and how different factors affect its use. This paper presents a study of multifamily residential parking use and related factors at 80 sites in Madison, Wisconsin. Twenty-two factors, including neighborhood and building characteristics, are considered. During the evening peak, parking use ranges from 0 to 1.4 spaces per residential unit, and the existing supply is 67% occupied. This paper presents three simple models of parking occupancy that require only two neighborhood characteristics and three building characteristics. These models explain roughly two-thirds of the variation in occupancy. Neighborhood characteristics are highly collinear and explain roughly 40% of the variation. Building characteristics explain more than 50% of the variation. This work validates similar findings from prior studies of larger cities and also offers important guidance for practitioners in other cities to understand factors affecting parking demand and to develop models of their own. Given the vast amount of unused parking observed in this study, this work reinforces the notion that cities should implement policies to manage their supply better.


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