scholarly journals The Effect of Parental Social Integration on the Physical Examination Utilization for Young Migrant Children: A National Cross-Sectional Study in China

2022 ◽  
Vol 9 ◽  
Author(s):  
Zhengyue Jing ◽  
Shiya Zhang ◽  
Nan Zhang ◽  
Mei Sun ◽  
Chengchao Zhou
Keyword(s):  
Physical Examination ◽  
Social Integration ◽  
Service Utilization ◽  
Healthcare Service ◽  
Health Management ◽  
Sense Of Self ◽  
Secondary Data ◽  
Migrant Children ◽  
Dynamic Monitoring ◽  
Cross Sectional

Purpose: Physical examination is a key component of child health management. Migrant children are a vulnerable group with lower healthcare service utilization, and this study aims to explore the effect of parental social integration on the physical examination service utilization for young migrant children under 6 years old in China.Method: This study conducted a secondary data analysis of the 2014 National Internal Migrant Dynamic Monitoring Survey in China. A total of 2,620 participants were included in this study. A total of 22 indicators were selected to measure social integration. Multivariate logistic regression was used to explore the association between parental social integration and physical examination use of young migrant children.Results: More than half (66.4%) of the migrant children aged 0–6 years had used free physical examination. Parental social integration, especially structural integration, was associated with the physical examination utilization of migrant children. Specifically, those migrant children's parents who had medical insurance (P < 0.05; OR = 1.29), who had participated in local activities (P < 0.001; OR = 1.98), who had registered local residents as neighbors (P < 0.05; OR = 1.34), and who had a deep sense of self-identity (P < 0.05; OR = 1.09) were more likely to take children to use physical examination.Conclusions: This study provided evidence that parental social integration was associated with migrant children's physical examination utilization, and this association was multifaceted, lying in the dimensions of economic, structural, and psychological integration. Improving the social integration of migrant parents would be effective to enhance the migrant children's healthcare service utilization.

scholarly journals Socioeconomic inequity in inpatient service utilization based on need among internal migrants: evidence from 2014 national cross-sectional survey in China

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Yi Wang ◽  
Zhengyue Jing ◽  
Lulu Ding ◽  
Xue Tang ◽  
Yuejing Feng ◽  
...  
Keyword(s):  
Service Utilization ◽  
Concentration Index ◽  
Equal Treatment ◽  
Dynamic Monitoring ◽  
Inpatient Service ◽  
Sampling Frame ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
High School Degree ◽  
Internal Migrants

Abstract Background Providing equal treatment for those who have the same need for healthcare, regardless of their socioeconomic and cultural background, has become a shared goal among policymakers who strive to improve healthcare. This study aims to identify the socioeconomic status (SES) inequities in inpatient service utilization based on need among migrants by using a nationally representative study in China. Methods The data used in this study was derived from the 2014 National Internal Migrant Population Dynamic Monitoring Survey collected by the National Health Commission of China. The sampling frame for this study was taken using the stratified multistage random sampling method. All provincial urban belt and key cities were stratified, and 119 strata were finally determined. We used logistic regression method and Blinder-Oaxaca decomposition and calculated the concentration index to measure inequities of SES in inpatient service utilization based on need. Sample weights provided in the survey were applied in all the analysis and all standard errors in this study were clustered at the strata level. Results Of the total internal migrants, 18.75% unmet the inpatient service need. Results showed that inpatient service utilization concentrated among high-SES migrants (Concentration Index: 0.036, p < 0.001) and the decomposition results suggested that about 44.16% of the total SES gap in inpatient service utilization could be attributed to the gradient effect. After adjusting for other confounding variables, those had high school degree and university degree were more likely to meet the inpatient services need, and the OR values were 1.48 (95% CI 1.07, 2.03, p = 0.017) and 2.04 (95% CI 1.45, 2.88, p = 0.001), respectively. The OR values for Quartile 3 and Quartile 4 income groups was 1.28 (95% CI 1.01, 1.62, p = 0.044) and 1.37 (95% CI 1.02, 1.83, p = 0.035), respectively. Conclusion This study observed an inequity in inpatient service utilization where the utilization concentrates among high SES migrants. It is important for policy makers to be aware of them and more intervention should be conducted.

scholarly journals Appropriateness and affordability of prescriptions to diabetic patients attending a tertiary hospital in Eastern Uganda: A retrospective cross-sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0245036
Author(s):  
Samuel Baker Obakiro ◽  
Kenedy Kiyimba ◽  
Agnes Napyo ◽  
Andrew Marvin Kanyike ◽  
Wilberforce John Mayoka ◽  
...  
Keyword(s):  
Health Management ◽  
Drug Prescription ◽  
Essential Medicine ◽  
Secondary Data ◽  
Essential Medicines ◽  
Health Management Information System ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
The Government ◽  
Eastern Uganda

Background Irrational prescription of drugs can lead to high cost of treatment thus limiting access to essential medicines. We assessed the affordability and appropriateness of prescriptions written for diabetic patients in Eastern Uganda. Methods We collected secondary data from the health management information system registers of patients who attended the outpatient medical clinic at Mbale regional referral hospital from January 2019 to December 2019. The average cost of the prescriptions was calculated and adjusted odds ratios for predictors for unaffordability estimated using logistic regression. Computed scores for indicators of rational drug prescription were used to assess the extent of rational prescribing. Results The median cost per prescription was USD 11.34 (IQR 8.1, 20.2). Majority of the diabetic patients (n = 2462; 94.3%, 95% CI: 93.3–95.1%) could not afford the prescribed drugs. Predictors for unaffordability were if a prescription contained: ≥ 4 medicines (AOR = 12.45; 95% CI: 3.9–39.7); an injectable (AOR = 5.47; 95%CI: 1.47–20.32) and a diagnosis of diabetes mellitus with other comorbidities (AOR = 3.36; 95%CI: 1.95–5.78). Having no antidiabetic drug prescribed was protective for non-affordability (AOR = 0.38; 95%CI: 0.24–0.61). The average number of drugs per prescription was 2.8. The percentage prescription of drugs by generic name and from the essential medicine and health supplies list of Uganda were (6160/7461; 82.6%, 96% CI: 81.7%-83.4%) and (6092/7461; 81.7%, 95% CI: 80.8%-82.5%) respectively against WHO standard of 100%. Conclusion The majority of diabetic patients (94.3%) in Eastern Uganda cannot afford to buy prescribed medicines. The government should therefore ensure that essential medicines are readily accessible in public health facilities.

scholarly journals Inequality in health service utilization among migrant and local children: a cross-sectional survey of children aged 0–14 years in Shenzhen, China

2020 ◽  
Author(s):  
Xiatong Ke ◽  
Liang Zhang ◽  
Wenxi Tang
Keyword(s):  
Child Health ◽  
Health Service ◽  
Service Utilization ◽  
Educational Level ◽  
Health Management ◽  
Migrant Children ◽  
Children's Health ◽  
Children’S Health ◽  
Management Service ◽  
Health Guidance

Abstract Background: Shenzhen has the largest number of migrant children of all cities in China. Unequal access to basic health services among migrant and local children greatly affects health equity and has a profound impact on the quality of human capital. This study aimed to investigate differences in child health management service utilization between local and migrant children in the Futian District of Shenzhen and to identify factors influencing these differences.Methods: This study extracted the data on child health management in the Futian District of Shenzhen from the 2018 Survey of Health Service Needs of Chinese Residents in the New Era. The chi-square test was used to analyze differences between local and migrant children, and specific factors affecting child health management service utilization were analyzed with binary logistic regression.Results: In this study, 1512 families in 12 communities in Futian District, Shenzhen were investigated. Among this families, 936 participants were aged 0-14 years, and the final effective sample size was 508. The greatest difference between migrant and local children was in the utilization of development guidance services (59% vs. 77.5%, P < 0.001). The main factors influencing physical examination, development guidance, disease prevention guidance, injury prevention guidance, oral health guidance and mental health guidance service utilization were mother’s educational level, household registration, father’s educational level, father’s occupation and annual family income, household registration, the child’s sex and father’s occupation, respectively. The odds of having used disease prevention guidance were 2.257 times higher among children whose fathers had an undergraduate education or above compared with children whose fathers had a junior high school education or below (95% CI: 1.417–3.595). The odds of having used injury prevention guidance were 46.3% lower for children whose fathers were mixed white-/blue-collar workers compared with children whose fathers were white-collar workers (OR = 0.537, 95% CI: 0.361–0.799). The odds of having used mental health guidance were 52.2% lower among children whose fathers were mixed white-/blue-collar workers compared with those whose fathers were white-collar workers (OR = 0.478, 95% CI: 0.293–0.777).Conclusions: In the Futian District of Shenzhen, health management service utilization is significantly lower among migrant children than among local children. Father’s educational level and occupation limit the utilization of child health management services for migrant children. Fathers have a stronger influence on children’s health service utilization than do mothers. The potential influence of fathers in promoting children’s health maintenance should be carefully considered, and fathers’ attention to children’s health should be increased.

scholarly journals Socioeconomic inequity in inpatient service utilization based on need among internal migrants: Evidence from 2014 national cross-sectional survey in China

2020 ◽  
Author(s):  
Yi Wang ◽  
Zhengyue Jing ◽  
Lulu Ding ◽  
Xue Tang ◽  
Yuejing Feng ◽  
...  
Keyword(s):  
Service Utilization ◽  
Concentration Index ◽  
Equal Treatment ◽  
Dynamic Monitoring ◽  
Inpatient Service ◽  
Sampling Frame ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
High School Degree ◽  
Internal Migrants

Abstract Background: Providing equal treatment for those who have the same need for healthcare, regardless of their socioeconomic and cultural background, has become a shared goal among policymakers who strive to improve healthcare. This study aims to identify the socioeconomic status (SES) inequities in inpatient service utilization based on need among migrants by using a nationally representative study in China. Methods: The data used in this study was derived from the 2014 National Internal Migrant Population Dynamic Monitoring Survey collected by the National Health Commission of China. The sampling frame for this study was taken using the stratified multistage random sampling method. All provincial urban belt and key cities were stratified, and 119 strata were finally determined. We used logistic regression method and Blinder-Oaxaca decomposition and calculated the concentration index to measure inequities of SES in inpatient service utilization based on need. Sample weights provided in the survey were applied in all the analysis and all standard errors in this study were clustered at the strata level. Results: Of the total internal migrants, 18.75% unmet the inpatient service need. Results showed that inpatient service utilization concentrated among high-SES migrants (Concentration Index: 0.036, p <0.001) and the decomposition results suggested that about 44.16% of the total SES gap in inpatient service utilization could be attributed to the gradient effect. After adjusting for other confounding variables, those had high school degree and university degree were more likely to meet the inpatient services need, and the OR values were 1.48 (95% CI 1.07, 2.03, p =0.017) and 2.04 (95% CI 1.45, 2.88, p =0.001), respectively. The OR values for Quartile 3 and Quartile 4 income groups was 1.28 (95% CI 1.01, 1.62, p =0.044) and 1.37 (95% CI 1.02, 1.83, p =0.035), respectively. Conclusion: This study observed an inequity in inpatient service utilization where the utilization concentrates among high SES migrants. It is important for policy makers to be aware of them and more intervention should be conducted.

scholarly journals Socioeconomic inequity in inpatient service utilization based on need among internal migrants: Evidence from 2014 national cross-sectional survey in China

2020 ◽  
Author(s):  
Yi Wang ◽  
Zhengyue Jing ◽  
Lulu Ding ◽  
Xue Tang ◽  
Yuejing Feng ◽  
...  
Keyword(s):  
Service Utilization ◽  
Concentration Index ◽  
Equal Treatment ◽  
Dynamic Monitoring ◽  
Inpatient Service ◽  
Sampling Frame ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
High School Degree ◽  
Internal Migrants

Abstract Background: Providing equal treatment for those who have the same need for healthcare, regardless of their socioeconomic and cultural background, has become a shared goal among policymakers who strive to improve healthcare. This study aims to identify the socioeconomic status (SES) inequities in inpatient service utilization based on need among migrants by using a nationally representative study in China.Methods: The data used in this study was derived from the 2014 National Internal Migrant Population Dynamic Monitoring Survey collected by the National Health Commission of China. The sampling frame for this study was taken using the stratified multistage random sampling method. All provincial urban belt and key cities were stratified, and 119 strata were finally determined. We used logistic regression method and Blinder-Oaxaca decomposition and calculated the concentration index to measure inequities of SES in inpatient service utilization based on need. Sample weights provided in the survey were applied in all the analysis and all standard errors in this study were clustered at the strata level.Results: Of the total internal migrants, 18.75% unmet the inpatient service need. Results showed that inpatient service utilization concentrated among high-SES migrants (Concentration Index: 0.036, p<0.001) and the decomposition results suggested that about 44.16% of the total SES gap in inpatient service utilization could be attributed to the gradient effect. After adjusting for other confounding variables, those had high school degree and university degree were more likely to meet the inpatient services need, and the OR values were 1.48 (95% CI 1.07, 2.03, p=0.017) and 2.04 (95% CI 1.45, 2.88, p=0.001), respectively. The OR values for Quartile 3 and Quartile 4 income groups was 1.28 (95% CI 1.01, 1.62, p=0.044) and 1.37 (95% CI 1.02, 1.83, p=0.035), respectively.Conclusion: This study observed an inequity in inpatient service utilization where the utilization concentrates among high SES migrants. It is important for policy makers to be aware of them and more intervention should be conducted.

scholarly journals Association between Undiagnosed Hypertension and Health Factors among Middle-Aged and Elderly Chinese Population

2019 ◽  
Vol 16 (7) ◽  
pp. 1214
Author(s):  
Junmin Zhou ◽  
Shu Fang
Keyword(s):  
Body Mass Index ◽  
Health Status ◽  
Physical Examination ◽  
Service Utilization ◽  
Body Mass ◽  
Healthcare Service ◽  
Undiagnosed Hypertension ◽  
Health Factors ◽  
Urban Sample ◽  
Urban Rural

Undiagnosed hypertension has resulted in significant health and economic burdens. This study sought to investigate the association between health factors and undiagnosed hypertension among hypertensive Chinese and to assess the urban-rural disparity. A total of 6455 diagnosed and undiagnosed hypertensive adults were included. Multivariable logistic regression was conducted to examine the association between health factors and undiagnosed hypertension. The urban–rural disparity was investigated through stratified analysis. Undiagnosed hypertension was prevalent (28.8%), and rural residents were more likely to have undiagnosed hypertension compared to their urban counterparts (30.1% versus 24.7%). Physical examination, healthcare service utilization, body mass index, chronic diseases, headache, and self-rated health status were found to be significantly associated with undiagnosed hypertension. In addition, healthcare service utilization, underweight in body mass index, headache, and self-rating health status were associated with undiagnosed hypertension among the rural sample but not in the urban sample. Undiagnosed hypertension was significantly related to health factors among hypertensive Chinese. The findings provided implications for future hypertension prevention programs. The use of physical examination (e.g., blood pressure measurements) is recommended; special attention may be given to those who are underweight and self-rate their health as good and fair, as they are more likely to be neglected.

scholarly journals COVID-19 in Jeddah Islamic Port (Ministry of Health, Kingdom of Saudi Arabia)

2021 ◽  
Vol 3 (30) ◽  
pp. 30-47
Author(s):  
Nashwan M. Abdullah ◽  
◽  
Abdullah J. Alsahafi ◽  
Ahmed A. Osman ◽  
Mohammed S. Alharbi ◽  
...  
Keyword(s):  
Infection Control ◽  
Health Management ◽  
Secondary Data ◽  
Cross Sectional Study ◽  
Health Surveillance ◽  
Control Measures ◽  
Primary Data ◽  
Ministry Of Health ◽  
Cross Sectional

Health Surveillance Centers at Jeddah Islamic Port (HSCJIP) devised a plan consisting of preventive measures implemented alongside several agencies to contend with COVID-19. We aimed to explore the experience of the Ministry of Health in Jeddah in terms of dealing with COVID-19 in the Jeddah Islamic Port (JIP) in 2020. Methods: This is a cross-sectional study using secondary data from the HSCJIP, the primary data of which have been collected as a part of routine health surveillance. Results: HSCJIP identified 261 patients with 676 contacts and they performed 472 visits to thermal scans points and performed 106,633 thermal scans to the employee and visitors. Discussion and conclusion: HSCJIP conducted an epidemiological investigation of positive cases and follow-up of contacts with the quarantine of confirmed cases. Moreover, several infection control measures were applied such as thermal scans. Monitoring visits at government and private agencies at the port were required. In quarantine facilities, there was a need to assign doctors, nurses, pharmacists, infection control specialists, and health management staff and to define their tasks and coordinate their activities during work. There was also a need for HSCJIP to apply all environmental sanitation and infection control requirements to the quarantine facilities, with remarkable cooperation from the hotel administration, in order to meet all the needs of the medical team, including the provision of medical files, medicines, personal protective equipment, forms and patient files of referral and follow-up cases, and preparation for requirements for the safe disposal of medical waste in patient rooms.

UPAYA PENINGKATAN KINERJA PERAWAT GAWAT DARURAT MELALUI BERBAGAI GAYA KEPEMIMPINAN DI RSUD DAERAH ISTIMEWA YOGYAKARTA

2017 ◽  
Vol 6 (3) ◽  
pp. 186-194
Author(s):  
Deby Zulkarnain Rahadian Syah ◽  
Muhamat Nofiyanto
Keyword(s):  
Emergency Room ◽  
Leadership Style ◽  
Quantitative Research ◽  
Secondary Data ◽  
Cross Sectional ◽  
Organizational Goals ◽  
Democratic Leadership ◽  
The Right ◽  
Research Type ◽  
Special Region

Background: Nurses in charge of the Emergency Room are required to have more ability than nurses serving patients in other units. Emergency Room is an initial service in a hospital. One's leadership style will greatly affect the effectiveness of a leader. The selection of the right leadership style can lead to the achievement of individual or organizational goals. Objective: To know the various leadership style used by the head of room in improving the performance of nurses of Emergency Room RSUD in in Special Region of Yogyakarta. Method: This research includes quantitative research type, using cross sectional approach. The population of this study was the head of the treatment room. Secondary data of nurse's performance is taken from nursing care which is written in medical record file of Emergency Room of RSUD in Special Region of Yogyakarta. Results: The performance of nurses at Emergency Room RSUD A in the good category was 100%. The performance of nurses at Emergency Room RSUD B in the enough category was 45%. The performance of nurses at Emergency Room C in good category was 80%. The performance of nurses at Emergency Room RSUD D in good category was 55%. The performance of nurses at RSUD E in the good category was 95%. The result of cross tabulation between leadership style and nurse performance of RSUD in the whole DIY with good performance is leader who use democratic leadership style equal to 35%. Conclusion: Most of the nurse's good performance in Emergency Room is followed by democratic leadership style of head of space.  Keyword: leadership style, head of space, performance of nurses

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