Health Status and Health Service Utilization among Vietnamese Farmers in a Mountainous Province

Problems of poor health status and low health service use among farmers in mountainous areas have not been fully investigated. A cross-sectional study was conducted in Son La, a mountainous province in Vietnam, to assess the self-rated health and health care service utilization among farmers. Visual analogue scale (VAS) was used to measure the self-rated health. Multivariate Tobit, Poisson, and logistic regression were employed to identify related factors. Among 197 farmers, the mean VAS score was 67.8 (SD = 15.5). Approximately 40% of participants reported health problems, and the most popular morbidity was hypertension—56.4%. There were 28.9% and 50.3% of farmers using inpatient and outpatient treatments in the last 12 months, respectively. Age, educational level, family income, marital status, alcohol use, and source of information have been identified as associated factors with self-rated health status and morbidities, while age, gender, education, and morbidities were related to health service utilization. Data indicated a high proportion of health issues and a high rate of health care service use among farmers in a mountainous area of Vietnam. Adaptable health policies and prevention programs or preventive health services should be implemented regularly in mountainous regions to protect farmers from the onset of morbidities and to enhance their health.

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From Their Perspective: The Connection between Life Stressors and Health Care Service Use Patterns of Homeless Frequent Users of the Emergency Department

Health & Social Work ◽

10.1093/hsw/hlz010 ◽

2019 ◽

Vol 44 (2) ◽

pp. 113-122 ◽

Cited By ~ 6

Author(s):

Megan Moore ◽

Kelsey M Conrick ◽

Ashok Reddy ◽

Ann Allen ◽

Craig Jaffe

Keyword(s):

Health Care ◽

Emergency Department ◽

Service Utilization ◽

Health Care System ◽

Service Use ◽

Care Service ◽

Health Care Service ◽

Frequent Users ◽

Medical Needs ◽

Care System

Abstract The perspective of homeless adults on their health care service utilization is not well studied. This article describes a study that used in-depth, semistructured interviews with 18 individuals to highlight the viewpoints of homeless people who are frequent users of the emergency department (ED) about the influence of life events on service utilization. Participants reported high levels of pain and comorbid psychiatric, substance use, and medical conditions. They also reported an identifiable pattern of health care utilization, often centered on a crisis event, influenced by high perceived medical needs, inability to cope after crisis, predisposing vulnerability from social determinants of health, and health care system factors. A social work case management intervention often led to a period of stability and use of ED alternatives. Modifiable targets for intervention at the health care system and local levels include improving trust and convenience of ED alternatives, enhancing consistency of care at ED-alternative sites, and educating those at risk of frequent ED use about community alternatives.

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Rural disadvantage in breast cancer health-care service use and outcomes: quantifying the effects of individual risk factors and health service risk factors

10.14264/uql.2015.971 ◽

2015 ◽

Author(s):

Janni Leung

Keyword(s):

Breast Cancer ◽

Risk Factors ◽

Health Care ◽

Health Service ◽

Service Use ◽

Care Service ◽

Health Care Service ◽

Individual Risk ◽

Health Care Service Use ◽

Individual Risk Factors

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The impact of health care service utilization on disparities in self-rated health: The mediating effects of health care service utilization

10.17997/swry.46.1.1 ◽

2015 ◽

Vol 46 ◽

pp. 1-24

Author(s):

Jin hyun Kim

Keyword(s):

Health Care ◽

Service Utilization ◽

Care Service ◽

Health Care Service ◽

Mediating Effects ◽

Self Rated Health ◽

Health Care Service Utilization ◽

The Impact

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Determinants of Health Service Utilization Among Adults at High Risk of Developing Type 2 Diabetes in Kerala, India

Asia Pacific Journal of Public Health ◽

10.1177/10105395211072497 ◽

2022 ◽

pp. 101053952110724

Author(s):

Phoebe Hone ◽

Jim Black ◽

Thirunavukkarasu Sathish ◽

Nitin Kapoor ◽

Yingting Cao ◽

...

Keyword(s):

Health Status ◽

Health Service ◽

Service Utilization ◽

General Health ◽

Health Service Utilization ◽

Service Use ◽

Educational Status ◽

Outpatient Services ◽

General Health Status

The purpose of this study was to examine the determinants of health service utilization in a population at high risk of developing type 2 diabetes mellitus in India. Using Andersen’s behavioral model of healthcare utilization, multivariate logistic regression analysis was performed on baseline data of the Kerala Diabetes Prevention Program. We examined the association between predisposing, enabling, and need factors with outpatient health service use in the past four weeks and inpatient health service use in the past 12 months. More than a quarter (27.9%) and 12.9% of 1007 participants used outpatient services and inpatient services, respectively. Men were less likely to use outpatient services (odds ratio [OR] = 0.56; 95% confidence interval [CI] [0.39, 0.82]). Outpatient service utilization was positively associated with low social support (OR = 1.69; 95% CI [1.09, 2.62]), low general health status (OR = 5.71; 95% CI [2.42, 13.47]), and time off from work due to illness (OR = 8.01; 95% CI [5.32, 12.07]). Higher educational status (OR = 0.63; 95% CI [0.41, 0.95]), low general health status (OR = 3.59; 95% CI [1.54, 8.34]), and time off from work due to illness (OR = 1.21; 95% CI [0.76,1.93]) were associated with increased utilization of inpatient services. Although gender, educational status, and social support had important roles, health service utilization in this study population was largely dependent on general health status and presence of illness.

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Effectiveness of home- and community-based services in decreasing health care service and expenditure in Taiwan

Innovation in Aging ◽

10.1093/geroni/igab046.3586 ◽

2021 ◽

Vol 5 (Supplement_1) ◽

pp. 1009-1010

Author(s):

Ya-Mei Chen ◽

Shih-Cyuan Wu ◽

Shiau-Fang Chao ◽

Kuan-Ming Chen ◽

Chen-Wei Hsiang ◽

...

Keyword(s):

Health Care ◽

Service Utilization ◽

Service Use ◽

Care Service ◽

Health Care Service ◽

Care Group ◽

Use Patterns ◽

Care Services ◽

Home Based ◽

Professional Care

Abstract Background Whether long-term care service use decreases older adults’ health care service use and cost has been a strong interest among aging countries, including Taiwan. The current study examined the impact of continuous use of HCBS offered by Taiwan’s LTC plan 2.0 on older adults’ health service utilization and cost overtime. Methods This study used the LTC Plan 2.0 database and the National Health Insurance Plan claim dataset, and included 151,548 clients who had applied for and were evaluated for LTC services for the first time from 2017 through 2019 and continuously used any LTC Plan 2.0 services for six months. Outcome variables were users’ health service utilization and health care cost 12 months before and after starting to continuously use HCBS. Latent class analysis and generalized estimating equations were used to investigate the influences of different service use patterns on the changes in physical functions. Results Three subgroups of LTC recipients with different use patterns, including home-based personal care (home-based PC) services (n = 107324, 70.8%), professional care services (n = 30466, 20.1%), and community care services (n = 13794, 9.1%) were identified. When compared to care recipients in the community care group, those in the home-based PC group had more emergency room expenditures (1 point/month, p< 0.05) but less hospitalization expenditures (38 points/month, p<0.001), while the professional care group had less emergency room and hospitalization expenditures (3 and 138 points/month, p< 0.001). Conclusion Those receiving professional care and home care services spent less on health care service utilization.

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