scholarly journals Analysis of Healthcare Seeking Behavior

2015 ◽  
Vol 7 (1) ◽  
Author(s):  
Chrissy Dangel ◽  
Steven Allgeier ◽  
Adam Haas ◽  
Amanda Johnson
Keyword(s):  
Emergency Department ◽  
Water Contamination ◽  
Poison Control ◽  
Poison Control Center ◽  
Health Seeking ◽  
Control Center ◽  
Healthcare Seeking ◽  
Health Seeking Behaviors ◽  
Seeking Behavior ◽  
Healthcare Seeking Behavior

This paper describes analyses of health seeking behaviors from two surveillance datastreams: Poison Control Center (PCC) calls and Emergency Department (ED) visit records. These analyses were conducted in order to quantify behaviors following the development of symptoms after water contamination exposure and to understand  the motivation, decision-making and timing behind healthcare seeking behaviors.

scholarly journals Health care seeking behavior for common childhood morbidities in Ethiopia: The effects of maternal behavior and access to key health services

2020 ◽  
Author(s):  
Cindy Xin Feng ◽  
Nigatu R Geda ◽  
Susan J Whiting ◽  
Rein Lepnurm ◽  
Carol J Henry ◽  
...  
Keyword(s):  
Working Mothers ◽  
Survey Design ◽  
Medical Attention ◽  
Demographic And Health Surveys ◽  
High Morbidity ◽  
Care Seeking ◽  
Health Seeking ◽  
Healthcare Seeking ◽  
Seeking Behavior ◽  
Healthcare Seeking Behavior

Abstract Background: Childhood morbidities such as diarrhea and pneumonia are the leading causes of death in Ethiopia. Appropriate healthcare-seeking behavior of mothers for common childhood illnesses could prevent a significant number of these early deaths; however, little nation-wide research has been conducted in Ethiopia to assess mothers’ healthcare-seeking behavior for their children.Method: The study used the Ethiopian Demographic and Health Surveys (EDHS) conducted in 2016 on a nationally representative sample of 10641 children under the age of five. The main determinants of care-seeking during diarrhea and Acute Respiratory Infection (ARI) episodes were assessed using multiple logistic regression analyses while adjusting for complex survey design.Results: Only 43% and 35% of households sought medical attention for their children in episodes of diarrhea and ARI, respectively, during a reference period of two weeks before the survey. The odds of seeking care for diarrhea are lower for non-working mothers versus working mothers. The likelihood of seeking care for diarrhea or ARI is higher for fathers who had education versus no education. The place of delivery for the child, receiving postnatal checkup and getting at least one immunization in the past determined the likelihood of seeking care for ARI, but not for diarrhea. The odds of seeking care are higher for both diarrhea and ARI among households that are headed by females and where mothers experienced domestic violence. Religion and types of family structure are also significant factors of seeking care for diarrhea episodes, but not for ARI.Conclusion: Given the high morbidity and mortality rates for children in Ethiopia, a deeper understanding of the health-seeking behaviour of mothers may provide insights for identifying the potential gaps and developing improvement of mothers’ awareness and perception towards childhood problems

scholarly journals SOCIAL SUPPORT AND HEALTHCARE-SEEKING BEHAVIOR OF OLDER PERSONS IN NIGERIA

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S143-S144
Author(s):  
Funmi Togonu-Bickersteth ◽  
Joshua O Aransiola ◽  
Catherine O Oyetunji-Alemede ◽  
Opeyemi Ekundayo ◽  
Oluwasegun Oluwaleimu
Keyword(s):  
Social Support ◽  
Older Persons ◽  
Healthcare Facility ◽  
Care Utilization ◽  
Binary Logistic Regression Analysis ◽  
Health Seeking ◽  
Healthcare Facilities ◽  
Healthcare Seeking ◽  
Seeking Behavior ◽  
Healthcare Seeking Behavior

Abstract Abstract The choice of healthcare facility by older persons is an important factor in their healthcare seeking behavior, and this can be associated with a number of factors. This study investigated the relationship between social support and healthcare facility choice of older persons in Nigeria. Other factors associated with the choice of healthcare facilities by older persons were also identified. Quantitative data were collected from a sample of 3,696 elderly aged 60 years above (55.6% male; 44.4% females; mean age = 69.2, SD = 8.60) who were selected through multi-stage systematic random sampling. Binary logistic regression analysis revealed that older persons who received social support were more likely to seek treatment in formal healthcare facilities, while older persons who did not receive any form of social support were more likely to seek treatment in informal healthcare facilities. Membership of social or religious groups was found to be a predictor of health seeking behavior among the older adults. Sex, age, level of education, and ability to handle activities of daily living (ADL), and ease of access to the nearest health facility, were found to be significantly associated with choice of healthcare facilities. The article concludes that there is need for conscious planning to provide formal supports to ease access of older persons to available health facilities. Such facilitation should include financial support and removal of existing physical and cultural barriers to health care utilization by older persons.

Study of Caregivers Regarding Pediatric Poisoning

2019 ◽  
Vol 58 (10) ◽  
pp. 1072-1077
Author(s):  
Barbara Insley Crouch ◽  
Marty Christensen Malheiro ◽  
Kaitlyn Brown
Keyword(s):  
Emergency Department ◽  
Pediatric Patients ◽  
Study Participant ◽  
Poison Control ◽  
Poison Control Center ◽  
Prevention Strategies ◽  
Prospective Survey ◽  
Control Center ◽  
Poison Prevention

The overall objective was to characterize action by caregivers when a potential poison exposure occurs and identify barriers to poison control center (PCC) utilization. A prospective survey of caregivers of pediatric patients who presented to an emergency department for a potential poison exposure was completed by each study participant. A total of 371 surveys were completed between August 2016 and August 2017. The majority of patients were 3 years or younger. Caucasians were more likely to have heard of the PCC, had the toll-free number available, and had previously called compared with other races and ethnicities. Caregivers with some government insurance were more likely to think that PCCs report child poisoning calls to authorities. Education efforts of nationwide PCCs focus on awareness of the PCC as well as poison prevention strategies. Understanding barriers to utilization of PCC and populations who are more likely to underutilize the PCC can help direct education efforts.

scholarly journals Can a Multitiered Copayment System Affect People’s Healthcare-seeking Behavior? A Case Study of Wenzhou, China

2021 ◽  
Author(s):  
Lizheng Ge ◽  
Yunyun Huang ◽  
Tingke Xu ◽  
Qianru Zhao ◽  
Chun Chen ◽  
...  
Keyword(s):  
Medical Care ◽  
Healthcare System ◽  
Tertiary Care ◽  
Care Facility ◽  
Healthcare Services ◽  
Health Seeking ◽  
Medical Care System ◽  
Healthcare Seeking ◽  
Seeking Behavior ◽  
Healthcare Seeking Behavior

Abstract Background. Facilitating the primary health care (PHC) system and maintaining people’s reasonable health-seeking behavior are key to establishing a sustainable healthcare system. China has employed a multitiered copayment system to incentivize the public to utilize PHC services through its hierarchical medical care system; however, most people still prefer visiting tertiary care hospitals. Methods. This preliminary study was conducted in 2016 on 1831 individuals from four regions of Wenzhou in Zhejiang Province to explore the effect and influencing factors of the multitiered copayment system that drives their primary healthcare-seeking behavior. We question whether a quality gap in healthcare services influences the minimal effect of the multitiered copayment system, which existing literature has considered as an important factor in the lack of reform in the Chinese healthcare system. We discuss the effect of the policy following the current situation in which there exists a large gap and further consider the hypothetical situation of a reduced gap in the future. Result. The results indicate that the initial effects of the multitiered copayment system was limited. However, they become more pronounced after the equalization of the quality of healthcare services. Moreover, the main determinants in people’s selection of PHC institutions changed from age and needs variables (self-rated health status) to age and enabling variables (distance to a medical care facility). Conclusion. This study confirms that changes in the quality gap in healthcare services influence the multitiered copayment system. Hence, reducing this gap can help to achieve the intended outcome of the tiered healthcare insurance schedule.

scholarly journals Determinants of Delay in Healthcare Seeking for Common Childhood Illnesses among Caregivers with Under-Five Children in Touboro Health District, Near Cameroon’ s Northeastern Border with Chad

2021 ◽  
pp. 1-14
Author(s):  
H. Ngouakam ◽  
E. Nekehforba ◽  
B. Tientche
Keyword(s):  
Health District ◽  
Health Seeking ◽  
Children Under Five ◽  
Healthcare Seeking ◽  
Under Five ◽  
Under Five Children ◽  
Childhood Illnesses ◽  
Female Children ◽  
Seeking Behavior ◽  
Healthcare Seeking Behavior

Aims: The study sought to determine the determinants of delay in health-seeking among caregivers with under-five children. Study Design: This was a mixed-method, cross-sectional study. Place and Duration of Study: The study took place in Touboro Health District involving 386 caregivers of under-five children from May to July 30, 2020. Methodology: A structured questionnaire and two focused group discussions were used to gather information on caregiver knowledge of healthcare-seeking behavior. Data were analyzed using SPSS version 25.0. Bivariable logistic regression was employed to identify factors associated with of healthcare seeking behavior. Results: Results of the 386 sick children, fever 39.9% (154/386), diarrhea 30.3% (117/386) and cough 24.9% (96/386) were the common symptoms. The majority of the caregivers of the under-five children had poor knowledge of 63% (243/386) about common infant illnesses. Caregivers of female children under-five(OR= 2.26, 95% CI: 1.29-3.96, P = 0.004), caregivers aged between 21 and 30 years (OR=5.53, 95% CI: 1.32-23.11, P = 0.019), caregivers whose occupation is housewife (OR=2.64 95% CI 1.23-5.68, P =10.013),) ,caregivers who host > 6children in a household (OR= 3.56 95% CI  1.42-8.92 , P =0.007) were key determinants of delay in health-seeking. Conclusion: Caregivers of female children under-five, caregivers aged between 21 and 30 years, caregivers whose occupation is housewife, caregivers under-five children residing in a rural area, caregivers who host more than 6 children in a household, households with an average monthly income of  <10.000 FRS Cfa were predictors of delay appropriate health-seeking. There is a need to intensify health education focusing on childhood illnesses, and timely care-seeking to effectively respond to caregiver's expectations among others.

scholarly journals Using Syndromic Surveillance to Characterize Unintentional Ingestions in Children

2015 ◽  
Vol 7 (1) ◽  
Author(s):  
Alyssa Z. Chase ◽  
Mansi Agarwal ◽  
Maria Mercurio-Zappala ◽  
Mark Su
Keyword(s):  
Emergency Department ◽  
Syndromic Surveillance ◽  
Foreign Bodies ◽  
Emergency Department Visits ◽  
Poison Control ◽  
Poison Control Center ◽  
Poverty Level ◽  
Control Center ◽  
Future Studies ◽  
Children Under 5

Unintentional Ingestions (UIs) in NYC were investigated for children under 5 years using syndromic surveillance data. Emergency Department visits for UIs have remained stable in this population from 2010 through July 2014, with foreign bodies such as coins and medications comprising the bulk of these visits. Among medications, analgesics were the most common known source of poisoning.  Our results corroborate findings from the Poison Control Center and will be used to identify all UIs in near real-time. Our results also suggest a link between accidental medicinal UIs and poverty level and living with grandparents, which we will further explore in future studies.

Household Disinfectant Exposure During the COVID-19 Pandemic: A Retrospective Study of the Data from an Italian Poison Control Center

2020 ◽  
Author(s):  
Paolo Maurizio Soave ◽  
Simone Grassi ◽  
Antonio Oliva ◽  
Bruno Romanò ◽  
Enrico Di Stasio ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Poison Control ◽  
Poison Control Center ◽  
Control Center

scholarly journals Acute toxic exposures in children: analysis of a three year registry managed by a Pediatric poison control Center in Italy

2021 ◽  
Vol 47 (1) ◽  
Author(s):  
M. Marano ◽  
F. Rossi ◽  
L. Ravà ◽  
M. Khalil Ramla ◽  
M. Pisani ◽  
...  
Keyword(s):  
Hospital Admission ◽  
Age Groups ◽  
Gastrointestinal Symptoms ◽  
Direct Access ◽  
Poison Control ◽  
Poison Control Center ◽  
Pediatric Hospital ◽  
Control Center ◽  
Hospital Referral ◽  
The Impact

Abstract Introduction Acute pediatric poisoning is an emerging health and social problem. The aim of this study is to describe the characteristics of a large pediatric cohort exposed to xenobiotics, through the analysis of a Pediatric Poison Control Center (PPCc) registry. Methods This study, conducted in the Pediatric Hospital Bambino Gesù of Rome, a reference National Pediatric Hospital, collected data of children whose parents or caregivers contacted the PPCc by phone (group “P”), or who presented to the Emergency Department (group “ED”), during the three-year period 2014–2016. Data were prospectively and systematically collected in a pre-set electronic registry. Comparisons among age groups were performed and multivariable logistic regression models used to investigate associations with outcomes (hospital referral for “P”, and hospital admission for “ED”group). Results We collected data of 1611 children on group P and 1075 on group ED. Both groups were exposed to both pharmaceutical and non-pharmaceutical agents. Pharmaceutical agent exposure increased with age and the most common route of exposure was oral. Only 10% among P group were symptomatic children, with gastrointestinal symptoms. Among the ED patients, 30% were symptomatic children mostly with gastrointestinal (55.4%) and neurologic symptoms (23.8%). Intentional exposure (abuse substance and suicide attempt), which involved 7.7% of patients, was associated with older age and Hospital admission. Conclusions Our study describes the characteristics of xenobiotics exposures in different paediatric age groups, highlighting the impact of both pharmacological and intentional exposure. Furthermore, our study shows the utility of a specific PPCc, either through Phone support or by direct access to ED. PPCc phone counselling could avoid unnecessary access to the ED, a relevant achievement, particularly in the time of a pandemic.

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