scholarly journals O uso seletivo do território na distribuição dos serviços de saúde: um estudo de Sobral – Ceará

2017 ◽  
Vol 11 (2) ◽  
pp. 95
Author(s):  
Maria Cássia de Sá ◽  
Virgínia Célia Cavalcante de Holanda
Keyword(s):  
Health Care ◽  
Health Services ◽  
Healthcare Services ◽  
The State ◽  
Private Health Care ◽  
Health Services Use ◽  
Public And Private ◽  
Urban Network ◽  
Palabras Clave ◽  
Services Use

ResumoNa perspectiva de captar as expressões que Sobral congrega na rede urbana cearense, nos debruçamos durante essa pesquisa no estudo do uso do território de Sobral pelos serviços de saúde. Enquanto cidade média, a referida cidade responde por uma das quatro macrorregiões de saúde no estado, reunindo estabelecimentos públicos e privados que oferecem assistência à saúde nos três níveis de complexidade que compõe a rede de ações e serviços de saúde no Brasil. Os serviços de saúde seguem a lógica de uso corporativo do território, e Sobral historicamente vem garantindo seu lugar nessa topologia.Palavras-chave: Cidade Média. Sobral. Serviços de Saúde. Uso do Território.  AbstractIn  the perspective of capturing the expressions that Sobral aggregates  in the Ceará's urban network, we worked  during this research in the study of the use of territory of Sobral by health services While average city, this city accounts for one of the four macro health regions in the state, bringing together public and private health care offers three levels of complexity that makes up the network of actions and healthcare services in Brazil. Health services, follow the logic of corporate use of the territory, and Sobral historically has guaranteed its place in this topology.Keywords: Medium City. Sobral. Health Services. Use of the territory.  ResumenEn la perspectiva de captar las expresiones que Sobral aduna en la rede urbana cearense, direccionamos esa investigación en el estudio del uso del territorio de Sobral por los servicios de salud. Mientras ciudad media, la referida ciudad revelase como una de las cuatro macro-regiones de salud en estado, reuniendo establecimientos públicos y privados que ofrecen asistencia a la salud en los tres niveles de complexidad que compone la rede de acciones y servicios de salud en Brasil. Los servicios de salud siguen a lógica de uso corporativo del territorio, y Sobral históricamente viene garantizando su sitio en esa topología. Palabras Clave:  Ciudad Media. Sobral. Servicios de salud. Uso del territorio. 

scholarly journals Health Services Use and Health Care Costs of Obese and Nonobese Individuals

2004 ◽  
Vol 164 (19) ◽  
pp. 2135 ◽  
Author(s):  
Marsha A. Raebel ◽  
Daniel C. Malone ◽  
Douglas A. Conner ◽  
Stanley Xu ◽  
Julie A. Porter ◽  
...  
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care Costs ◽  
Health Services Use ◽  
Care Costs ◽  
Services Use

Filters on the pathway to mental health care, II. Sociodemographic factors

1995 ◽  
Vol 25 (6) ◽  
pp. 1149-1160 ◽  
Author(s):  
J. J. Gallo ◽  
S. Marino ◽  
D. Ford ◽  
J. C. Anthony
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Services ◽  
Health Services ◽  
Psychiatric Disorder ◽  
The United States ◽  
Sociodemographic Characteristics ◽  
Health Services Use ◽  
Relative Odds ◽  
Services Use

SynopsisThis study uses the prospectively gathered data of the Epidemiologic Catchment Area Program, a multi-site interview survey of mental disturbances among adult household residents in the United States, to compare health services use by individuals with different sociodemographic characteristics, accounting for the first-time occurrence of psychiatric disorder, over the course of a 1-year follow-up interval. Case ascertainment was by means of a standardized interview method, the Diagnostic Interview Schedule. In the present investigation, 13400 continuing participants in the household sample who reported no contact with mental health services in the 6 months prior to the initial interview were studied with regard to health services use and sociodemographic characteristics. Separately, and before the mental health assessments were made, respondents were asked about their use of health and mental health services. African-Americans were significantly less likely than whites to have consulted with a specialist in mental health (estimated relative odds, 0·22, 95% confidence interval 0·10 to 0·52), even accounting for coincident psychiatric disorder, gender, and other covariates known to be associated with differential use of health care services. Hispanics and other minorities were also less likely to have consulted a specialist in mental health (estimated relative odds, 0·37 and 0·26, respectively). This large community study extends previous work on mental health services and ethnicity.

scholarly journals Health services use in eating disorders

2007 ◽  
Vol 38 (10) ◽  
pp. 1465-1474 ◽  
Author(s):  
R. H. Striegel-Moore ◽  
L. DeBar ◽  
G. T. Wilson ◽  
J. Dickerson ◽  
F. Rosselli ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Health Services ◽  
Health Plan ◽  
Service Use ◽  
Healthcare Services ◽  
Primary Care Visit ◽  
Health Services Use ◽  
Health Maintenance ◽  
Co Morbidity ◽  
Services Use

BackgroundThis study examined healthcare services used by adults diagnosed with an eating disorder (ED) in a large health maintenance organization in the Pacific Northwest.MethodElectronic medical records were used to collect information on all out-patient and in-patient visits and medication dispenses, from 2002 to 2004, for adults aged 18–55 years who received an ED diagnosis during 2003. Healthcare services received the year prior to, and following, the receipt of an ED diagnosis were examined. Cases were matched to five comparison health plan members who had a health plan visit close to the date of the matched case's ED diagnosis.ResultsIncidence of EDs (0.32% of the 104 130 females, and 0.02% of the 93 628 males) was consistent with prior research employing treatment-based databases, though less than community-based samples. Most cases (50%) were first identified during a primary-care visit and psychiatric co-morbidity was high. Health services use was significantly elevated in all service sectors among those with an ED when compared with matched controls both in the year preceding and that following the receipt of the incident ED diagnosis. Contrary to expectations, healthcare utilization was found to be similarly high across the spectrum of EDs (anorexia nervosa, bulimia nervosa, and eating disorders not otherwise specified).ConclusionsThe elevation in health service use among women both before and after diagnosis suggests that EDs merit identification and treatment efforts commensurate with other mental health disorders (e.g. depression) which have similar healthcare impact.

scholarly journals 0843 Prospective Associations of Insomnia Symptoms With Health Services Use in Community-Dwelling Older Adults

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A321-A321
Author(s):  
M Tzuang ◽  
J T Owusu ◽  
J Huang ◽  
O C Sheehan ◽  
G W Rebok ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Health Services ◽  
Home Health Care ◽  
Home Health ◽  
Community Dwelling ◽  
Health Services Use ◽  
Ed Visits ◽  
Insomnia Symptoms ◽  
Services Use

Abstract Introduction Limited research has examined links of insomnia with health services use, particularly using claims-based data. We investigated the association of insomnia symptoms with costly health services use, measured by Medicare claims, in a nationally representative sample of U.S. older adults. Methods Participants were 4,302 community-dwelling Medicare beneficiaries aged ≥65 years from Round 1 (2011) of the National Health and Aging Trends Study who had continuous fee-for-service Medicare coverage 1 year before and after the Round 1 interview. Participants reported past-month insomnia symptoms (i.e., sleep onset latency >30 minutes, difficulty returning to sleep after early awakening) which we categorized as 0, 1, or 2 symptoms. Outcomes were linked Medicare claims occurring after Round 1 interviews: emergency department (ED) visits, all-cause hospitalizations, preventable hospitalizations, all-cause 30-day readmissions, home health care (all measured as yes/no); and number of hospitalizations and ED visits. Results Overall, 18.9% of participants were hospitalized, 29.3% visited the ED, 3.1% had a preventable hospitalization, 2.6% had a readmission, and 11.7% used home health care. After adjustment for demographics, compared to participants with no insomnia symptoms, those with 2 symptoms had a higher odds of ED visits (odds ratio (OR)=1.42, p<0.001), all-cause hospitalizations (OR=1.30, p<0.01), preventable hospitalizations (OR=1.83, p<0.05), 30-day readmissions (OR=1.73, p<0.05), and home health care use (OR=1.27, p<0.05). These associations did not hold, however, upon further adjustment for health characteristics (i.e., depressive/anxiety symptoms, medical comorbidities and BMI). After full adjustment, reporting 2 insomnia symptoms, versus no insomnia symptoms, was associated with a greater number of ED visits (Incidence Rate Ratio=1.16, p<0.05). Conclusion Among older adults, a greater number of insomnia symptoms is associated with greater health services use. Insomnia symptoms may be a marker of, or exacerbate, health conditions. Targeting insomnia may lower health services use. Support National Institute on Aging: R01AG050507 & R01AG050507-02S (PI: Spira); F31-AG058389; U01AG032947 (PI: Kasper) for the National Health and Aging Trends Study. Johns Hopkins Center on Aging and Health Data Use Agreement (PI: Roth, Co-I: Sheehan) with Centers for Medicare & Medicaid Services titled, “Potentially modifiable factors influencing outcomes in NHATS.”

Patterns of Health Services Use Before Age 1 in Children Later Diagnosed With ADHD

2021 ◽  
Vol 25 (12) ◽  
pp. 1639-1639
Author(s):  
Matthew Engelhard ◽  
Samuel Berchuck ◽  
Jyotsna Garg ◽  
Shelley Rusincovitch ◽  
Geraldine Dawson ◽  
...  
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Health Services ◽  
Health Care Utilization ◽  
Outpatient Clinic ◽  
Hospital Admissions ◽  
Care Utilization ◽  
Health Services Use ◽  
Utilization Patterns ◽  
Services Use

Background: Children with ADHD have 2 to 3 times increased health care utilization and annual costs once diagnosed, but little is known about utilization patterns early in life, prior to diagnosis. Quantifying early health services use among children later diagnosed with ADHD could help us understand the early life impact of the disorder and uncover health care utilization patterns associated with higher ADHD risk. Methods: Electronic health record (EHR) data from the Duke University Health System (DUHS) was analyzed for patients born October 1, 2006–October 1, 2016. Those with at least two well-child visits before age 1 were grouped as ADHD or not ADHD based on retrospective billing codes. Adjusted odds ratios (AORs) for hospital admissions, procedures, emergency department (ED) visits, and outpatient clinic encounters before age 1 were compared between groups via logistic regression controlling for sex, race, and ethnicity. Results: ADHD diagnoses were identified in 1,315 (4.4%) of 29,929 patients meeting criteria. Before age 1, individuals with ADHD had 60% increased odds of hospital admission, 58% increased odds of visiting the emergency department, and 41% increased odds of procedures ( p < .0001), including 4.7-fold increased odds of blood transfusion ( p < .0001). They also had more outpatient clinic visits (μ = 14.7 vs. μ = 12.5, p < .0001), including 52% increased odds of visiting a medical specialist, 38% increased odds of visiting a surgical specialist, 70% increased odds of visiting a neonatologist, and 71% increased odds of visiting an ophthalmologist ( p < .0001 for all AORs). In addition, individuals with ADHD had 6-fold increased odds of visits related to child abuse and neglect ( p = .0010). Conclusions: Children later diagnosed with ADHD were more likely to be admitted to the hospital, visit the ED, and visit specific medical and surgical services before age 1. Future work will identify patterns of health interactions unique to ADHD to stratify ADHD risk.

scholarly journals Impact of COVID- 19 on continuity of essential health services in various health care institutions in district Amritsar, Punjab, India

2021 ◽  
Vol 8 (3) ◽  
pp. 124-127
Author(s):  
Priyanka Devgun ◽  
Shivesh Devgan ◽  
Harjot Singh ◽  
Sukhpal Singh ◽  
Amanbir Singh
Keyword(s):  
Health Care ◽  
Health Services ◽  
World Health ◽  
Private Health Care ◽  
Human Race ◽  
Public And Private ◽  
The Public ◽  
Health Care Institutions ◽  
Significant Difference ◽  
The Impact

From a point in time where the human race declared itself the master of the universe to this point in time where it is facing an existential threat from the contagion- Covid 19 pandemic has exposed the vulnerability of the human race to a wipeout. The disruption of physical, mental, social, emotional and financial health and health systems is unprecedented. Study the impact of Covid 19 on continuity of essential health services in various health care institutions in district Amritsar, Punjab.: Online survey was conducted through google forms using questionnaire adapted from the World Health Organization-Pulse Survey on Continuity of Essential Health Services during Covid 19 pandemic. Respondents were personnel working at public and Ayushman Bharat empaneled private health care institutions. Response rate was 60% (55 out of 92 health care institutions personnel responded) A highly significant difference was observed between the public and the private health care sector in provision of antenatal care (Mann Whitney U statistic= 78.00, p=.004) and imaging and radio diagnosing services (Mann Whitney U statistic= 48.00, p=.000) while a significant difference was observed in provision of service of institutional delivery (Mann Whitney U statistic= 112.00, p=.046). All the other essential health services were similarly affected in the public and private health sector institutes. Financial difficulties faced during the lockdown was the single most common reason stated for disruption of essential health services. There was a significant difference in level of satisfaction experienced by health care personnel from public and private sector (Mann Whitney U statistic= 94.00, p=.02). Thematic analysis of the data on improving preparedness to minimize disruption in essential health services yielded the themes pertaining to creating a robust public health care infrastructure including use of e-health technology in the district and recruitment of adequate health care man power according to set norms.

Sign in / Sign up

Export Citation Format

Share Document