COMMON HEALTH PROBLEMS AND UTILIZATION OF PRIMARY HEALTH CARE SERVICES IN THE RURAL AREAS OF THUA THIEN HUE PROVINCE

2020 ◽  
pp. 62-71
Author(s):  
Tuan Duong Quang ◽  
Anh Le Ho Thi Quynh ◽  
Hung Nguyen Nam ◽  
Tam Nguyen Minh
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Health Status ◽  
Rural Areas ◽  
Health Problems ◽  
Care Utilization ◽  
Mountainous Area ◽  
Geography Information System ◽  
Care Services ◽  
Geography Information

Although health status in Vietnam has been much improved, people living in rural areas have faced several challenges, including a rapid increase of the aging population, inadequate capacity of health system, and problems of inequities in access to the healthcare system. Objectives: This study aimed to explore the common health problems and health care utilization of people living in the rural areas of Thua Thien Hue province. Methods: A cross-sectional study and geography information system application were carried out. A total of 2.631 individuals in 599 households of a lowland area and a mountainous area was interviewed with a structured questionnaire regarding to health status and health care utilization during the last 6 months. Geography information system software was used to visualize these data of household. Results: 32.8% of participants reported at least an episode of illness within 6 months prior to the interviews. Most of illness people lived in mountainous area. Fever, uncomplicated hypertension, cough, and headache were reported as the most common health problems among participants. Most of participants preferred to visit commune health centers and district hospitals. People in different areas have a significant difference trend from another in choosing health facilities. Conclusion: Residents in difficult-to-reach areas had high prevalence of health problems and experienced social and structural barriers of healthcare services access. It is necessary to improve the availability and quality of primary care services to improve the health status and accessibility of disadvantaged people. Keywords: primary care, utilization, rural areas, health care acessibility

scholarly journals Health status and health care utilization after discharge from geriatric in-hospital stay – description of a register-based study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
E. Rydwik ◽  
R. Lindqvist ◽  
C. Willers ◽  
L. Carlsson ◽  
G. H. Nilsson ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Health Status ◽  
Health Care Utilization ◽  
Care Utilization ◽  
Future Studies ◽  
Healthcare Data ◽  
Utilization Data ◽  
Hospital Stays ◽  
Socioeconomic Data

Abstract Background This study is the first part of a register-based research program with the overall aim to increase the knowledge of the health status among geriatric patients and to identify risk factors for readmission in this population. The aim of this study was two-fold: 1) to evaluate the validity of the study cohorts in terms of health care utilization in relation to regional cohorts; 2) to describe the study cohorts in terms of health status and health care utilization after discharge. Methods The project consist of two cohorts with data from patient records of geriatric in-hospital stays, health care utilization data from Stockholm Regional Healthcare Data Warehouse 6 months after discharge, socioeconomic data from Statistics Sweden. The 2012 cohort include 6710 patients and the 2016 cohort, 8091 patients; 64% are women, mean age is 84 (SD 8). Results Mean days to first visit in primary care was 12 (23) and 10 (19) in the 2012 and 2016 cohort, respectively. Readmissions to hospital was 38% in 2012 and 39% in 2016. The validity of the study cohorts was evaluated by comparing them with regional cohorts. The study cohorts were comparable in most cases but there were some significant differences between the study cohorts and the regional cohorts, especially regarding amount and type of primary care. Conclusion The study cohorts seem valid in terms of health care utilization compared to the regional cohorts regarding hospital care, but less so regarding primary care. This will be considered in the analyses and when interpreting data in future studies based on these study cohorts. Future studies will explore factors associated with health status and re-admissions in a population with multi-morbidity and disability.

An Analysis of the Role of Health Care in Reducing Socioeconomic Inequalities in Health: The Case of the Netherlands

2003 ◽  
Vol 33 (3) ◽  
pp. 523-541 ◽  
Author(s):  
Johan P. MaCkenbach
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Health Care Services ◽  
Health Problems ◽  
Socioeconomic Inequalities ◽  
Care Utilization ◽  
Inequalities In Health ◽  
Socioeconomic Groups ◽  
Care Services ◽  
Care System

The aim of this article is to analyze the role of the health care system in reducing socioeconomic inequalities in health in countries with good access to health services, using the Dutch example. In the past, health care has contributed substantially to reducing a number of health problems in the population, particularly health problems leading to mortality. Data on trends in mortality from selected conditions by socioeconomic group show that both higher and lower socioeconomic groups have profited from these mortality reductions, probably because of largely equal access to essential health care services, and that absolute inequalities in mortality from these conditions have declined notably. The current situation is still one of largely equal financial access to health care services, with relatively small differences between socioeconomic groups in health care utilization, after adjustment for differences in prevalence of health problems. There is no evidence that inequalities in health care utilization contribute to a widening of socioeconomic inequalities in health. Financing of the health care system, however, is slightly regressive, and out-of-pocket payments contribute to the poor financial situation of the chronically ill. For the future, three possible contributions of the health care system to reducing socioeconomic inequalities in health are described: preservation of equal access to high-quality health care; development of specific care packages for lower socioeconomic groups; promotion and support of intersectoral activities.

FACTORS ASSOCIATED WITH THE ASSESSMENT ON HEALTH CARE QUALITY AT COMMUNE HEALTH CENTERS IN THUA THIEN HUE PROVINCE

2017 ◽  
pp. 53-61
Author(s):  
Minh Tam Nguyen ◽  
Thi Hoa Nguyen
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Patient Satisfaction ◽  
Health Status ◽  
Care Quality ◽  
Health Care Facilities ◽  
Health Centers ◽  
Important Indicator ◽  
Care Services ◽  
Primary Care Services

Background: Patient satisfaction is an important indicator of healthcare quality. Better satisfaction is associated with greater adherence to treatment and better health outcomes. Primary care is considered the basic structure of many healthcare systems. Evaluation of healthcare provision is essential in the ongoing assessment and consequent quality improvement of healthcare services. Objective: To describe and analyze the determinants associated with patient assessment and satisfaction in primary care. Methods: The survey was conducted with 519 households and 209 patients at 18 commune health centers. The questionnaire included sociodemographic variables, health status, and use and satisfaction with primary care services. We undertook descriptive analyses, bivariate correlations to study the relationship between levels of satisfaction and the explanatory variables for demographics, health status and health services for households and patients. Results: The majority of households and patients were satisfied with the health care services at primary health care facilities. Satisfaction of waiting time, communication and counseling by healthcare providers was high. We found significant associations between the level of satisfaction and owning health insurance card, the first contact point assigned at CHCs, the severity of illness episodes, and health condition of participants. Conclusions: The results provide evidence on factors that should be taken into account in the planning and development of health policies with respect to the quality and delivery of primary care services in order to enhancing the satisfaction of clients. Key words: consumer satisfaction, patient satisfaction, primary care, quality indicators

Health status and health care of immigrants in Canada: a longitudinal analysis

2005 ◽  
Vol 10 (2) ◽  
pp. 77-83A ◽  
Author(s):  
Bruce Newbold
Keyword(s):  
Health Care ◽  
Health Status ◽  
Health Care Services ◽  
Care Utilization ◽  
Need For Care ◽  
Foreign Born ◽  
Concomitant Increase ◽  
Care Services ◽  
Two Populations ◽  
Use Of Health Care

Objectives: This paper focuses upon health status, need for care, and use of health care from 1994/95 to 2000/01 in the Canadian foreign-born population. Methods: Using Statistics Canada's longitudinal National Population Health Survey, descriptive and survival analyses are used to explore immigrant health status and health care. Results: The health status of immigrants quickly declines after arrival, with a concomitant increase in use of health care services. However, survival analysis of the risk of a change to poor health indicates no difference between immigrants and the native-born. Similarly, there is no difference in the risk of hospital use between the two populations. Conclusions: The health status of recent immigrant arrivals is observed to decline towards that of the native-born population, while health care utilization increases. However, increased use may not be sufficient to offset declines in health, meaning that need for health care within the immigrant population may be unmet.

scholarly journals Understanding the Patterns and Processes of Primary Care Use: A Combined Quantitative and Qualitative Approach

1998 ◽  
Vol 3 (4) ◽  
pp. 1-13 ◽  
Author(s):  
Anne Rogers ◽  
Gerry Nicolaas
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Decision Making ◽  
Health Status ◽  
Self Care ◽  
Health Care Utilisation ◽  
Care Services ◽  
Care Utilisation ◽  
The Relationship ◽  
The Way

This paper addresses the combined use of quantitative and qualitative methodology to understand the relationship between need, demand and use of primary careservices. The study conducted in three different areas in the North west of England was designed to, link health status to subsequent use of health care in a waywhich might be used for service planning and the allocation of resources, and to provide data to inform a long term programme examining the relationship between need and demand for primary care. The study was in two stages, a survey and diary study designed to ascertain frequency of health care utilisation and health status of households, followed by a linked qualitative study consisting of in-depth interviews on a subset of people experiencing a range of common complaints seen in primary care. The mixture of methodologies gave a broader understanding of the dynamics of health utilisation in the localities studied. The survey and diary data showed the way in which key variables can be used to map the patterns of primary care utilisation in a population and the extent of self care actions and lay management of illness undertaken within households. We found that ill people are far more likely to use self care than professional health care services, and when they do use formal services, this tends to be in addition to self care practices. The qualitative data illuminated more about the processes of health care utilisation, particularly the way in which the past experience of illness and service contact coalesced with peoples’ more immediate decision making about using primary care services. The findings suggest that health care use is most appropriately viewed as an interplay between agency and structure rather than the outcome of ‘expressedneed’, individual decision making or ‘supply induced’ demand.

scholarly journals ANTENATAL HEALTH CARE;

2017 ◽  
Vol 24 (04) ◽  
pp. 495-499
Author(s):  
Muhammad Asim ◽  
Saira Siddiqui ◽  
Nazia Malik ◽  
Waseem Nawaz ◽  
Farman Ali
Keyword(s):  
Health Care ◽  
Rural Areas ◽  
Health Care Services ◽  
Relevant Literature ◽  
Health Care Facilities ◽  
Easy Access ◽  
Care Utilization ◽  
Household Decision ◽  
Care Services ◽  
Maternal Morbidity And Mortality

Background: Prenatal and postnatal health care utilization services areimperative strategy to decrease maternal morbidity and mortality. One in 38 Pakistani womendies from pregnancy related causes as compared to 1 in 230 women in Sri Lanka. Objectives:The objective of the present study is to know about the pattern and trends of utilization ofantenatal and postnatal health care services by mothers in Pakistan. Study design: Descriptivesystematic literature review. Material and methods: The relevant literature was systematicallysearched through different key words related to antenatal and postnatal health care utilizationservices in Pakistan through different online research engines to accomplish this study.Results: Twenty five research articles were included in this review article. It was found thatlast two decades, we cannot achieve the optimum progress towards antenatal and postnatalhealth care utilization services. The problem is much severe in rural areas of across the country,where a number of socio-cultural and program factors hinders women to utilize the basic healthservices. Mother’s education, household income, autonomous at household decision makingand birth order are the significant factors that to utilize the antenatal and postnatal care inPakistan. Conclusion: There should be need to aware the mother about the importance ofprenatal and postnatal visits. In rural areas, government should give some economic incentivefor prenatal and postnatal visits. Furthermore, government should take necessary steps totackle the problem by providing the easy access to the health care facilities.

scholarly journals Spatial Accessibility to Primary Care in Dual Public-Private Health System in Malaysia: A Case Study in Rural Selangor

2021 ◽  
Author(s):  
Jabrullah Ab Hamid ◽  
Muhamad Hanafiah Juni ◽  
Rosliza Abdul Manaf ◽  
Sharifah Norkhadijah Syed Ismail ◽  
Poh Ying Lim
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Rural Areas ◽  
Urban Areas ◽  
Northern Region ◽  
Spatial Accessibility ◽  
Local Context ◽  
Health Care Planning ◽  
Care Services ◽  
Primary Care Services

Abstract Background:Disparities of access to health services in rural areas is a global health issue, especially in middle income countries including Malaysia. Recent method called enhanced two-step floating catchment area (E2SFCA) exhibit promising results in quantifying the health care accessibility. This study aimed to describe and explore the pattern of spatial accessibility to primary care services based on secondary data.Methods:The E2SFCA method were adapted to measure the level of accessibility to primary care across rural area in Selangor state of Malaysia, with slight modification to suit our local context considering for public and private providers as well as incorporating clinic’s availability factor into the original formula. For each provider, spatial pattern of accessibility scores was mapped, spatial autocorrelation local Moran’s I and Getis-Ord-Gi* was performed and the degree of equality was computed based on Gini index.Results:Areas with high E2SFCA scores mainly concentrated encircling the periphery of the large urban areas at the centre of the state, largely contributed by the private sector whereas low E2SFCA scores areas observed predominantly at the northern region and along the coastal region. As a whole, the E2SFCA scores across rural Selangor population was fairly equal but lower degree of equality was observed at the northern region of the state.Conclusions:The level and distribution of E2SFCA scores reflects the performance of the primary health care. Findings from this study provides insight for the health authorities to identify disparities of access to primary care services and areas that need attention, hence would be basis for future health care planning and resource distribution.

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