scholarly journals Evaluation of the population based integrated Care System “Gesundes Kinzigtal”: Results from the health care utilisation study over six years of observation

2015 ◽  
Vol 15 (5) ◽  
Author(s):  
Ingrid Schubert ◽  
Peter Ihle ◽  
Ingrid Koester
Keyword(s):  
Health Care ◽  
Integrated Care ◽  
Population Based ◽  
Health Care Utilisation ◽  
Care Utilisation ◽  
Care System

scholarly journals The Impact of Population-Based Disease Management Services on Health Care Utilisation and Costs: Results of the CAPICHe Trial

2018 ◽  
Vol 34 (1) ◽  
pp. 41-48 ◽  
Author(s):  
Paul A. Scuffham ◽  
Joshua M. Byrnes ◽  
Christine Pollicino ◽  
David Cross ◽  
Stan Goldstein ◽  
...  
Keyword(s):  
Health Care ◽  
Disease Management ◽  
Population Based ◽  
Health Care Utilisation ◽  
Care Utilisation ◽  
The Impact ◽  
Management Services

Depression and lack of physical activity as factors leading to higher health care utilisation

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
T E Dorner ◽  
S Haider ◽  
I Grabovac ◽  
A Rieder
Keyword(s):  
Physical Activity ◽  
Health Care ◽  
Depressive Symptoms ◽  
Health Care System ◽  
Health Care Utilisation ◽  
Health Hazards ◽  
Related Factors ◽  
Good Opportunity ◽  
Care Utilisation ◽  
Care System

Abstract Background Depressive symptoms and lack of physical activity (PA) often occur simultaneously, since depression, associated with listlessness can lead to lack of PA, and lack of PA, associated with poor quality of life and health satisfaction can lead to depressive symptoms. Both factors are independent risk factors for a higher health care utilisation. We aimed to assess the effects of the combination of depressive symptoms and lack of aerobic PA on the probability of using in- and outpatient health care services. Methods Data from 15.770 people from the nationally representative Austrian Health Interview Survey from 2014 were used for the analysis. Results In analysis, adjusted for socio-demographic, health related, and lifestyle-related factors, the combination of depressive symptoms and lack of PA were associated with higher odds of outpatient health care utilisation (OR: 1.43; 95%CI: 0.99-2.07) in men and (OR: 2.02; 95%CI: 1.50-2.73) in women, and with higher odds of inpatient health care utilisation (OR: 1.52; 95%CI: 1.02-2.26) in men and (OR: 1.75; 95%CI: 1.28-2.40) in women. Being affected by depressive symptoms alone showed slightly lower, and being affected by lack of PA alone showed clearly lower OR for health care utilisation compared to the combination of the two factors Conclusions Our results show that the combination of depressive symptoms and lack of PA are associated with a higher health care utilisation. Both factors are often neglected health hazards in the health care system and the attendance of affected people could be regarded as opportunity to address those factors properly. Key messages The combination of depressive symtoms and lack of physical activity lead to higher health care utilisation. Addressing those factors in the health care system properly would be a good opportunity to address those important health hazards.

scholarly journals Health care utilisation preceding relapse or second malignant neoplasm after childhood acute lymphoblastic leukaemia: a population-based matched cohort study

BMJ Open ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. e050285
Author(s):  
Karen Schow Jensen ◽  
Birgitte Klug Albertsen ◽  
Henrik Schrøder ◽  
Alina Zalounina Falborg ◽  
Kjeld Schmiegelow ◽  
...  
Keyword(s):  
Health Care ◽  
General Practice ◽  
Malignant Neoplasm ◽  
Population Based ◽  
Health Care Utilisation ◽  
Second Malignant Neoplasm ◽  
Childhood All ◽  
Bimodal Structure ◽  
Childhood Acute Lymphoblastic Leukaemia ◽  
Care Utilisation

ObjectivesTo investigate health care utilisation including both primary and secondary health care 6 months before the diagnosis of a relapse or a second malignant neoplasm (SMN) in survivors of childhood acute lymphoblastic leukaemia (ALL).Design and settingA Danish population-based matched cohort study linking multiple nationwide registries.ParticipantsParticipants were recruited from a total of 622 childhood ALL 2.5-year event-free survivors diagnosed between 1994 and 2015. Cases were survivors developing a relapse or an SMN and references were survivors still in first remission. Each case was matched with five references on age, sex, treatment protocol and risk group.Primary outcome measuresConsultations in general practice and hospital the last 6 months before relapse or SMN. Cases and references were compared with monthly incidence rate ratios (IRRs) from negative binomial regression models.ResultsOf the 622 childhood ALL survivors, 60 (9.6%) developed a relapse (49) or an SMN (11) and 295 matched references were identified. Health care utilisation in general practice increased among cases the last month before the event compared with references with an IRR of 2.71 (95% CI 1.71 to 4.28). Data showed a bimodal structure with a significantly increased number of visits 4, 5 and 6 months before the event. Hospital health care utilisation increased 2 months before the event in cases with an IRR of 5.01 (3.78 to 6.63) the last month before the event and an IRR of 1.94 (1.32 to 2.85) the second-last month comparing cases and references.ConclusionsSurvivors of childhood ALL developing a relapse or an SMN have a short period of increased health care utilisation before diagnosis. At hospital, this might be explained by pre-diagnostic examinations. In general practice, data suggest a bimodal structure with children later developing a relapse having more contacts also half a year before the relapse, suggesting that there could be early warnings.

scholarly journals Characterizing mental health/addictions and assault visits in the year prior to death: a population-based linked cohort study of homicide victims

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Meghan O'Neill ◽  
Emmalin Buajitti ◽  
Peter D Donnelly ◽  
Kathy Kornas ◽  
Laura Rosella
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Population Based ◽  
Health Care Utilisation ◽  
Health Care Use ◽  
Care Utilisation ◽  
Older Youth ◽  
Ed Visits ◽  
One Year ◽  
Utilisation Data

IntroductionHomicide is an important cause of death for older youth and adult Canadians; however, little is known about health care use prior to death among this population. ObjectivesTo characterise health care use for mental health and addictions (MHA) and serious assault (herein referred to assault) one year prior to death among individuals who died by homicide in Ontario, Canada using linked mortality and health care utilisation data. MethodsWe report rates of health care use for MHA and assault in the year prior to death among all individuals 16 years and older in Ontario, Canada, who died by homicide from April 2003 to December 2012 (N=1,541). Health care use for MHA included inpatient stays, emergency department (ED) visits and outpatient visits, whereas health care use for assault included only hospital-based care (ED visits and inpatient stays). Sociodemographic characteristics and health care utilisation were examined across homicide deaths, stratified by sex. ResultsOverall, 28.5% and 5.9% of homicide victims sought MHA and assault care in the year prior to death, respectively. A greater proportion of females accessed care for MHA, whereas a greater proportion of males accessed assault-related health care. Males were more likely to be hospitalised following an ED visit for a MHA or assault related reason, in comparison to females. The most common reason for a MHA hospital visit was for substance-related disorders. We found an increase over time for hospital-based visits for assault prior to death, a trend that was not observed for MHA-related visits. ConclusionsA large proportion of homicide victims interacted with the health care system for MHA or assault in the year prior to death. An increase in hospital-based visits for assault-related reasons prior to death was observed. These trends may offer insight into avenues for support and prevention for victims of homicide.

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