scholarly journals Living conditions, health services use and neighborhood perception at a survey of Brasília´s suburb

2020 ◽  
Vol 31 (02) ◽  
pp. 43-54
Author(s):  
Sergio Eduardo Soares Fernandes ◽  
Margarita Urdaneta ◽  
Elza Ferreira Noronha ◽  
Edgar Merchan-Hamann

Method: Probabilistic population based survey describing living conditions, health services utilization and neighborhood perception in north suburb of Brasilia. Results: 1619 dwellers were available predominantly young low schooled, mostly unemployed (60%), living in brick house with piped water and electricity (>98%); 29% had sewage system; 85% of dwellers always use the same public health facility. Sexual assaults (7%); armed fights (32%); robbery (41%) and gang fights (25%) were perceived in neighborhoods that were seen as noisy (32%), dirty (40%), with few healthy food stores (34%) and sports/leisure areas (66%).  Conclusion: public policies in the capital´s suburb must be strengthened.

Epilepsia ◽  
2020 ◽  
Vol 61 (9) ◽  
pp. 1969-1978
Author(s):  
Churl‐Su Kwon ◽  
Bonnie Wong ◽  
Parul Agarwal ◽  
Jung‐Yi Lin ◽  
Madhu Mazumdar ◽  
...  

2011 ◽  
Vol 4 (2) ◽  
pp. 80-91
Author(s):  
Ana Lledó Boyer ◽  
Mª Ángeles Pastor Mira ◽  
Sofía López-Roig ◽  
Maximiliano Nieto Ferrandéz

Studies on the socioeconomic impact of fibromyalgia (FM) have shown the high health services use done by these patients. These data indicate the challenge of dealing with these people, their treatment and rehabilitation, as well as the need of changes in actions and implementation of cost-effective approaches. In this study we reviewed the literature on the health care use behavior in FM. The data shows that the emotional state and catastrophizing are relevant factors in the onset of seeking health care, and within the system, higher self-efficacy, attributions of symptoms to external factors, the perception of good health and lower comorbidity is associated with less use.


2004 ◽  
Vol 37 (2) ◽  
pp. 129-142 ◽  
Author(s):  
AMARDEEP THIND

Respiratory illness continues to be a leading cause of paediatric morbidity and mortality in Indonesia. The Indonesian government is moving towards a more managed care-based approach as it reforms its health care system following the 1997 financial crisis. In order to better design contractual relationships between the payor and different providers, there needs to be a better understanding of the patterns and predictors of health services utilization for respiratory illness. This study uses the Indonesia Demographic and Health Survey to study the determinants of private, public and non-formal provider utilization for respiratory illness. Multinomial logistic regression models for predicting use were constructed using the Andersen Behavioural Model as the conceptual framework. The findings indicate that age, household size, maternal education, religion, the asset index, location and illness severity play a role in determining use of private, public or non-formal providers. The results indicate that from a policy perspective, the Indonesian government needs be inclusive rather than exclusive in the choice of providers that are contracted by the managed care plans, in order to safeguard the health of the under-five population.


2020 ◽  
Vol 3 (Supplement_1) ◽  
pp. 69-71
Author(s):  
A Dheri ◽  
E Kuenzig ◽  
D Mack ◽  
S Murthy ◽  
G G Kaplan ◽  
...  

Abstract Background Health services use in inflammatory bowel disease (IBD) patients cost the Canadian healthcare system $1.3 billion per year, but recent changes to care in children with IBD may have altered trends in health services use. Characterization of these trends would aid health policy makers plan for the healthcare needs of IBD children. Aims To quantify time trends in IBD health services use in children and all-cause health services use in children with and without IBD using a population-based cohort. Methods Using the Ontario Crohn’s and Colitis Cohort, children <18y with IBD diagnosed between 1994–2012 in Ontario were identified using validated algorithms from health administrative data, and matched on age, sex, rurality, and income to children without IBD. We evaluated trends in the number of IBD-specific and all-cause outpatient visits, emergency department (ED) visits, and hospitalizations using negative binomial regression. Cox proportional hazards regression models were used to describe changes in the hazard of intestinal resection (Crohn’s disease; CD) and colectomy (ulcerative colitis; UC) over time. Results are reported as annual percentage change (with 95%CI) for events within 5 years from the diagnosis/index date. Results IBD-specific hospitalization rates decreased by 2.5% (95%CI 1.8–3.2%) per year, but all-cause hospitalization rates in children without IBD decreased faster (APC, 95%CI: 4.3%, 3.5–5.1%, difference in rates p-value=0.0028). The hazard of intestinal resection for CD decreased by 6.0% (95%CI 4.6–7.3%) per year and the hazard of colectomy for UC decreased by 3.0% (95%CI 0.7–5.2%) per year. IBD-specific outpatient visit rates increased after 2005 by 4.0% (95%CI 3.1–4.9%) per year. Similar trends were not observed in children without IBD. Conclusions Decreasing hazards of intestinal resection and colectomy in children with IBD suggest changes in disease management, including more care being provided on an outpatient basis. Decreased hospitalization rates in IBD were mirrored by similar decreases in non-IBD children, indicating universal care changes. Understanding why these trends are occurring may help us better understand how to provide optimal care to children with IBD. Funding Agencies CIHRCanGIEC


2015 ◽  
Vol 16 (1) ◽  
Author(s):  
Julia Köpp ◽  
Steffen Fleßa ◽  
Wolfgang Lieb ◽  
Marcello Ricardo Paulista Markus ◽  
Alexander Teumer ◽  
...  

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