scholarly journals The Association of Post-Materialism with Health Care Use. Findings of a General Population Survey in Germany

2020 ◽  
Vol 17 (23) ◽  
pp. 8869
Author(s):  
André Hajek ◽  
Hans-Helmut König
Keyword(s):  
Health Care ◽  
Negative Binomial ◽  
Outcome Measure ◽  
General Social Survey ◽  
Total Sample ◽  
Chronic Illnesses ◽  
Health Care Use ◽  
Future Research ◽  
Doctor Visits ◽  
Underlying Mechanisms

(1) The aim of this study was to identify the association between post-materialism and health care use (in terms of the frequency of doctor visits and the reason for doctor visits). (2) Data were taken from the German General Social Survey (a representative sample of individuals aged 18 years and over, n = 3338). The Inglehart’s post-materialist index was used to quantify post-materialism. The doctor visits (self-reported) in the past three months served as an outcome measure. The reasons for seeing a doctor served as an additional outcome measure (acute illness; chronic illness; feeling unwell; requesting advice; visit to the doctor’s office without consulting the doctor (e.g., need to get a prescription); preventive medical check-up/vaccination). (3) After adjusting for several covariates, negative binomial regressions revealed that compared with materialism, post-materialism was associated with decreased doctor visits (total sample; women). Moreover, the likelihood of visiting the doctor for reasons of chronic illnesses was lower in post-materialistic women, whereas the likelihood of visiting the doctor for reasons of preventive medical check-up/vaccination was higher in post-materialistic women. (4) Study findings identify an unexplored link between post-materialism and doctor visits in women. One may conclude that in the long-term, the increased likelihood of preventive medical check-ups in post-materialistic women will be beneficial in decreasing the need for doctor visits for reasons of chronic illnesses. However, future research is required to elucidate the underlying mechanisms.

scholarly journals Learning from and Leveraging Multi-Level Changes in Responses to the COVID 19 Pandemic to Facilitate Breast Cancer Prevention Efforts

2021 ◽  
Vol 18 (13) ◽  
pp. 6999
Author(s):  
Deborah J. Bowen ◽  
Kelly E. Rentscher ◽  
Amy Wu ◽  
Gwen Darien ◽  
Helen Ghirmai Haile ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Health Care ◽  
Cancer Prevention ◽  
Care Delivery ◽  
Breast Cancer Prevention ◽  
Health Care Use ◽  
Economic Life ◽  
Future Research ◽  
Multi Level ◽  
And Shifts

The coronavirus pandemic (COVID-19) has had multilevel effects on non-COVID-19 health and health care, including deferral of routine cancer prevention and screening and delays in surgical and other procedures. Health and health care use has also been affected by pandemic-related loss of employer-based health insurance, food and housing disruptions, and heightened stress, sleep disruptions and social isolation. These disruptions are projected to contribute to excess non-COVID-19 deaths over the coming decades. At the same time municipalities, health systems and individuals are making changes in response to the pandemic, including modifications in the environmental to promote health, implementation of telehealth platforms, and shifts towards greater self-care and using remote platforms to maintain social connections. We used a multi-level biopsychosocial model to examine the available literature on the relationship between COVID-19-related changes and breast cancer prevention to identify current gaps in knowledge and identify potential opportunities for future research. We found that COVID-19 has impacted several aspects of social and economic life, through a variety of mechanisms, including unemployment, changes in health care delivery, changes in eating and activity, and changes in mental health. Some of these changes should be reduced, while others should be explored and enhanced.

A Scoping Review of Telehealth-Assisted Case Management for Chronic Illnesses

2021 ◽  
pp. 019394592110089
Author(s):  
Jee Young Joo ◽  
Megan F. Liu
Keyword(s):  
Health Care ◽  
Case Management ◽  
Scoping Review ◽  
Access To Health Care ◽  
Health Care Services ◽  
Care Delivery ◽  
Management Practice ◽  
Empirical Studies ◽  
Chronic Illnesses ◽  
Future Research

This scoping review aimed to examine telehealth-assisted case management for chronic illnesses and assess its overall impact on health care delivery. Guided by the PRISMA statement, this review included 36 empirical studies published between 2011 and 2020. This study identified three weaknesses and four strengths of telehealth-assisted case management. While the weaknesses were negative feelings about telehealth, challenges faced by patients in learning and using telehealth devices, and increased workload for case managers, the strengths included efficient and timely care, increased access to health care services, support for patients’ satisfaction, and cost savings. Future research can be designed and conducted for overcoming the weaknesses of telehealth-assisted case management. Additionally, the strengths identified by this review need to be translated from research into case management practice for chronic illness care. This review not only describes the value of such care strategy, but also provides implications for future nursing practice and research.

scholarly journals Health care use and remaining needs for support among women with breast cancer in the first 15 months after diagnosis: the role of the GP

2019 ◽  
Vol 37 (1) ◽  
pp. 103-109 ◽  
Author(s):  
Deborah N Lo-Fo-Wong ◽  
Hanneke C de Haes ◽  
Neil K Aaronson ◽  
Doris L van Abbema ◽  
Jolien M Admiraal ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Health Care ◽  
General Practice ◽  
Treatment Phase ◽  
Health Care Use ◽  
Future Research ◽  
Frequent Contact ◽  
Health Care Practices ◽  
Additional Support

Abstract Background The number of women with breast cancer in general practice is rising. To address their needs and wishes for a referral, GPs might benefit from more insight into women’s health care practices and need for additional support. Objective To examine the prevalence of health care use and remaining needs among women with breast cancer in the first 15 months after diagnosis. Methods In this multicentre, prospective, observational study women with breast cancer completed a questionnaire at 6 and 15 months post-diagnosis. Medical data were retrieved through chart reviews. The prevalence of types of health care used and remaining needs related to medical, psychosocial, paramedical and supplementary service care (such as home care), was examined with descriptive analyses. Results Seven hundred forty-six women completed both questionnaires. At both assessments patients reported that they had most frequent contact with medical and paramedical providers, independent of types of treatment received. Three to fifteen percent of the patients expressed a need for more support. Prominent needs included a wish for more frequent contact with a physiotherapist, a clinical geneticist and a psychologist. Patients also wanted more help for chores around the house, particularly in the early post-treatment phase. Conclusion A small but relevant percentage of women with breast cancer report having unmet needs. GPs may need to be particularly watchful of their need for more support from specific providers. Future research into the necessity of structural needs assessment among cancer patients in general practice is warranted.

A systematic review of transition readiness and transfer satisfaction measures for adolescents with chronic illness

2014 ◽  
Vol 26 (2) ◽  
pp. 159-174 ◽  
Author(s):  
Jennifer Stinson ◽  
Sara Ahola Kohut ◽  
Lynn Spiegel ◽  
Meghan White ◽  
Navreet Gill ◽  
...  
Keyword(s):  
Health Care ◽  
Transitional Care ◽  
Chronic Illnesses ◽  
Future Research ◽  
Adult Health ◽  
Transition Readiness ◽  
Cosmin Checklist ◽  
Validated Questionnaire ◽  
Satisfaction Measures ◽  
Adult Health Care

Abstract Background: The transition from pediatric to adult health care can be challenging for adolescents with chronic illnesses. As a result, many adolescents are unable to transfer to adult health care successfully. Adequate measurement of transition readiness and transfer satisfaction with disease management is necessary in order to determine areas to target for intervention towards improving transfer outcomes. Objectives: This study aims to systematically review and critically appraise research on transition readiness and transfer satisfaction measures for adolescents with chronic illnesses as well as to assess the psychometric quality of these measures. Methods: Electronic searches were conducted in MEDLINE, EMBASE, CINAHL, PsychINFO, ERIC, and ISI Web of Knowledge for transition readiness and transfer satisfaction measures for adolescents with chronic health conditions. Two reviewers independently selected articles for review and assessed methodological quality. Results: In all, eight readiness and six satisfaction measures met the inclusion criteria, for a total of 14 studies, which were included in the final analysis. None of these measures have well-established evidence of reliability and validity. Most of the measures were developed ad hoc by the study investigators, with minimal to no evidence of reliability and/or validity using the Cohen criteria and COSMIN checklist. Conclusion: This research indicates a major gap in our knowledge of transitional care in this population, because there is currently no well-validated questionnaire that measures readiness for transfer to adult health care. Future research must focus on the development of well-validated transition readiness questionnaires, the validation of existing measures, and reaching consensus on outcomes of successful transfer.

Lower decision threshold for doctor visits as a predictor of health care use in somatoform disorders and in the general population

2008 ◽  
Vol 30 (4) ◽  
pp. 349-355 ◽  
Author(s):  
Ricarda Mewes ◽  
Winfried Rief ◽  
Elmar Brähler ◽  
Alexandra Martin ◽  
Heide Glaesmer
Keyword(s):  
Health Care ◽  
General Population ◽  
Somatoform Disorders ◽  
Health Care Use ◽  
Decision Threshold ◽  
Doctor Visits

Body Appreciation and Health Care Avoidance: A Brief Report

2020 ◽  
Vol 45 (1) ◽  
pp. 47-53 ◽  
Author(s):  
Mackenzie Cook ◽  
Virginia Ramseyer Winter ◽  
Elizabeth A O’Neill
Keyword(s):  
Health Care ◽  
Body Image ◽  
Social Work ◽  
Well Being ◽  
Health Care Use ◽  
Care Utilization ◽  
Future Research ◽  
Body Appreciation ◽  
Social Work Interventions ◽  
Work Education

Abstract Research suggests that body image is related to health behaviors and health care use, but possible mechanisms for this relationship remain unclear. The current study examined the presence of a relationship between body appreciation and avoiding the doctor to avoid being weighed, using a diverse sample of women (N = 499). Controlling for body size and determinants of health care utilization, logistic regression results suggested that women with higher body appreciation were less likely to avoid health care to avoid being weighed (odds ratio = 0.38, p < .001). In addition, differences in avoiding the doctor to avoid being weighed were found for the covariates (that is, age, race, body mass index, and socioeconomic status). These results inform knowledge regarding barriers to health care use and the relationship between body image and health care use. The article concludes with a discussion of the implications for future research, social work interventions, and social work education to promote women’s health and well-being.

scholarly journals Educational associations with missed GP appointments for patients under 35 years old: administrative data linkage study

BMC Medicine ◽  
2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Ross McQueenie ◽  
David A. Ellis ◽  
Michael Fleming ◽  
Philip Wilson ◽  
Andrea E. Williamson
Keyword(s):  
Health Care ◽  
Educational Attainment ◽  
Representative Sample ◽  
Public Services ◽  
Negative Binomial ◽  
Research Policy ◽  
School Attendance ◽  
Future Research ◽  
Increased Risk ◽  
Lower Educational Attainment

Abstract Background There is an evidence gap about whether levels of engagement with public services such as schools and health care affect people across the lifespan. Data on missed patient appointments from a nationally representative sample of Scottish general practices (GP) (2013–2016) were probabilistically linked to secondary school pupil data. We tested whether school attendance, exclusions (2007–2011) or lower educational attainment (2007–2016) was associated with an increased risk of missing general practice appointments. Methods School attendance data were classified into quartiles of possible days attended for years we had data. School exclusions were derived as a categorical variable of ‘ever excluded’. Attainment data were categorised via the Scottish Credit and Qualifications Framework (SCQF) level 3 or 6; a cumulative measure of attainment on leaving school. The associations between school attendance, exclusions and attainment and risk of missing medical appointments were investigated using negative binomial models, offset by number of GP appointments made and controlling for potential confounders. Results 112,534 patients (all aged under 35) had GP appointment and retrospective school attendance and exclusion data, and a subset of 66,967 also had attainment data available. Patients who had lower attendance, had been excluded from school or had lower educational attainment had an increased risk of missing GP appointments (all rate ratios > 1.40). Conclusions This study provides the first evidence from a population-representative sample in a high-income country that increased numbers of missed appointments in health care are associated with reduced school attendance, higher levels of school exclusion and lower educational attainment. Insights into the epidemiology of missingness across public services can support future research, policy and practice that aim to improve healthcare, health outcomes and engagement in services.

scholarly journals Is food insecurity related to health-care use, access and absenteeism?

2019 ◽  
Vol 22 (17) ◽  
pp. 3211-3219 ◽  
Author(s):  
António Melo ◽  
Maria Ana Matias ◽  
Sara S Dias ◽  
Maria João Gregório ◽  
Ana M Rodrigues ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Food Insecurity ◽  
Health Care Access ◽  
Access To Health Care ◽  
Negative Binomial ◽  
Health Care Use ◽  
Continuous Variables ◽  
Care Access

AbstractObjective:Food insecurity (FI) is defined as uncertain access to healthy food in quantity and quality. We hypothesize that FI may be associated with greater health-care use and absenteeism because it may amplify the effect of diseases; also, FI may be associated with reduced health-care access because it reflects economic vulnerability. The present study estimates the association between FI and health-care use and access, and absenteeism.Design:Cross-sectional data collected in 2015–2016. Health-care use was measured as the number of consultations, taking any drug and having been hospitalized in the past year. Health-care access was measured by the suspension of medication and having fewer consultations due to financial constraints. Absenteeism was measured by the weeks of sickness leave. Binary variables were modelled as a function of FI using logistic regressions; continuous variables were modelled as a function of FI using negative binomial and zero-inflated negative binomial regressions. Covariates were included sequentially.Setting:Portugal.Participants:Non-institutionalized adults from the EpiDoc3 cohort (n 5648).Results:FI was significantly associated with health-care use before controlling for socio-economic conditions and quality of life. Moderate/severe FI was positively related to the suspension of medicines (adjusted OR = 4·68; 95 % CI 3·11, 6·82) and to having fewer consultations (adjusted OR = 3·98; 95 % CI 2·42, 6·37). FI and absenteeism were not significantly associated.Conclusions:Our results support the hypothesis that FI reflects precariousness, which hinders access to health care. The greater use of health care among food-insecure people is explained by their worse quality of life and lower socio-economic condition, so that the specific role of poor nutrition is unclear.

Intrusive imagery and goals: a control theory perspective

2009 ◽  
Vol 2 (3) ◽  
pp. 134-144 ◽  
Author(s):  
Stuart Reid
Keyword(s):  
Outcome Measure ◽  
Total Sample ◽  
Future Research ◽  
Clinical Implications ◽  
Clinical Group ◽  
Approach And Avoidance ◽  
The World ◽  
Evaluation Outcome ◽  
Intrusive Imagery ◽  
Avoidance Goals

AbstractRecently, autobiographical memory theorists proposed that intrusive imagery contains important information about goals. This study examined thematic links between approach and avoidance goals in two groups: a clinical group (n = 22) and a non-clinical group (n = 24). Participants completed the Clinical Outcomes in Routine Evaluation – Outcome Measure (CORE-OM), Goals Task and an imagery interview. In the total sample, almost 90% of reported imagery matched at least one goal. Eighty-five percent of clinical participants reported imagery that matched avoidance goals, whereas only half of non-clinical participants' imagery matched an avoidance goal. The majority of imagery was found to be associated with a particular memory or a collection of memories for similar events. These findings support proposals that intrusive imagery contains important information about goals, and in particular states of the world to be avoided. Clinical implications and directions for future research are discussed.

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