Effects of Preferred Provider Organizations on Health Care Use and Costs: Pooled Cross-Sectional Time Series, First Quarter 1988 Through First Quarter 1990

Many changes take place over the lifetime of a longitudinal panel survey. Changing priorities, new supplements, and conflicting demands are factors that may be unforeseen. The evolution of the National Population Health Survey (NPHS) since its first cycle in 1994/95 is discussed in this context. Statistics Canada contacts panel members every two years for twenty years, to estimate the health of Canadians and its determinants, health care use, and other characteristics. The NPHS was designed to provide both longitudinal and cross-sectional estimates, and to allow sample and content supplements. This paper describes the NPHS and the changes in focus needed to move the panel forward to cycle 2 and beyond.

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Gender differences in health care use among the elderly population in areas of Norway and Finland. A cross-sectional analysis based on the HUNT study and the FINRISK Senior Survey

BMC Health Services Research ◽

10.1186/1472-6963-6-110 ◽

2006 ◽

Vol 6 (1) ◽

Cited By ~ 35

Author(s):

Anna Liisa Suominen-Taipale ◽

Tuija Martelin ◽

Seppo Koskinen ◽

Jostein Holmen ◽

Roar Johnsen

Keyword(s):

Health Care ◽

Gender Differences ◽

Elderly Population ◽

The Elderly ◽

Health Care Use ◽

Cross Sectional ◽

Cross Sectional Analysis ◽

Hunt Study ◽

Sectional Analysis

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MEETING SOCIAL NEEDS TO IMPROVE HEALTH OUTCOMES: PARTNERSHIPS BETWEEN COMMUNITY-BASED ORGS AND HEALTH CARE

Innovation in Aging ◽

10.1093/geroni/igz038.1849 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S499-S500

Author(s):

Traci L Wilson ◽

Suzanne R Kunkel ◽

Jane Straker ◽

Marisa Scala-Foley ◽

Elizabeth Blair

Keyword(s):

Health Care ◽

Health Outcomes ◽

Social Services ◽

Health Care Providers ◽

Health Care Use ◽

Social Needs ◽

Care Providers ◽

Community Based ◽

Cross Sectional ◽

Improve Health

Abstract Unmet social needs negatively affect individual and population health, and better integration of community-based supports and health systems is a promising approach to improve health outcomes and avoid unnecessary health care use. Community-based organizations (CBOs) such as Area Agencies on Aging (AAAs) and Centers for Independent Living (CILs), as providers and coordinators of social services, are well-positioned within their communities to coordinate care and provide for unmet social needs. Partnerships between CBOs and health care entities have clear potential to improve health care outcomes while also reducing expenditures. This paper will present a cross-sectional analysis of a national survey of AAAs, CILS, and other CBOs at two time points (2017: n=593; 2018: n=763) to understand the extent, type, and evolution of CBO engagement with health care providers. In addition, longitudinal analysis (n=374) shows movement at the organization level: 33% of organizations who did not have a contract at T1 but were pursuing one had achieved a contract by T2. This presentation will: describe details of the services delivered, contracting arrangements, and populations served under CBO/health care contracts, as well as challenges experienced by CBOs; examine differences by state and organizational structure; and discuss the implications of state policy on integrated care and contracting.

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From the conventional to the alternative: exploring patients’ pathways of cancer treatment and care

Journal of Complementary and Integrative Medicine ◽

10.1515/jcim-2014-0070 ◽

2016 ◽

Vol 13 (1) ◽

Cited By ~ 1

Author(s):

Andrea L. Mulkins ◽

Emily McKenzie ◽

Lynda G. Balneaves ◽

Anita Salamonsen ◽

Marja J. Verhoef

Keyword(s):

Health Care ◽

Decision Making ◽

Cancer Patients ◽

Health Beliefs ◽

Health Care Professionals ◽

Pilot Project ◽

Health Care Use ◽

Cross Sectional ◽

Treatment Pathways ◽

Cam Use

Abstract: Complementary and alternative medicine (CAM) use is widespread and on the increase among cancer patients. Most research to date has involved a cross-sectional snapshot of CAM use rather than an exploration into the longitudinal, nonlinear treatment trajectories that cancer patients develop. Our aim is to explore and describe different treatment and decision-making pathways that individuals develop after receipt of a diagnosis of either breast, colorectal, or prostate cancer.: The study was part of a larger mixed-methods pilot project to explore the feasibility of conducting a five-year international study to assess cancer patients’ treatment pathways, including health care use and the perceived impact of different patterns of use on health outcomes over the course of one year. The results presented in this paper are based on the analysis of personal interviews that were conducted over the course of 12 months with 30 participants.: Five pathways emerged from the data: passive conventional, self-directed conventional, cautious integrative, aggressive integrative, and aggressive alternative. Factors that shaped each pathway included health beliefs, decision-making role, illness characteristics, and the patient–practitioner relationship.: The results of this examination of the longitudinal treatment and decision-making trajectory provide important information to support health care professionals in their quest for individualized, targeted support at each stage of the patient pathway.

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Personality, Health Care Use, and Costs: A Study Protocol for a Systematic Review

Healthcare ◽

10.3390/healthcare8030263 ◽

2020 ◽

Vol 8 (3) ◽

pp. 263

Author(s):

André Hajek ◽

Benedikt Kretzler ◽

Hans-Helmut König

Keyword(s):

Systematic Review ◽

Health Care ◽

Observational Studies ◽

Scientific Journal ◽

Empirical Studies ◽

Health Care Use ◽

Personality Characteristics ◽

Third Party ◽

Personality Factors ◽

Cross Sectional

Recent empirical studies have shown that personality factors are associated with health care use (HCU). However, to date, a systematic review is lacking summarizing evidence regarding the link between personality factors and health care use or costs (i.e., monetarily valued health care use). Therefore, the objective of this systematic review is to provide an overview of evidence from observational studies investigating the link between personality characteristics and health care use or costs. Electronic databases (PubMed, PsycINFO, NHS EED) will be searched using predefined search terms. In an additional step, the reference lists of included studies will be searched (manually). No restrictions will be applied regarding the time of publication. Observational studies (both cross-sectional and longitudinal) assessing the link between personality characteristics and health care use/costs across all age categories will be included. Only studies using validated tools to quantify personality characteristics will be included. Among others, studies only focusing on mental HCU or studies only analyzing samples with a specific disorder (e.g., individuals with personality disorders) will be excluded. Mainly, data on methods (study design, measures, and statistical analysis), sample characteristics, and results regarding the link between personality and HCU/costs will be extracted. A quality assessment will be conducted. Two reviewers will perform the study selection, data extraction, and assessment of the study quality. If disagreements occur, they will be resolved through discussion to reach a consensus or by inclusion of a third party. Results will be presented narratively (text and tables). Depending on the number and heterogeneity of the studies included, a meta-analysis will be conducted. Results will be disseminated through publication in a peer-reviewed, scientific journal.

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