Health care utilization in chronic pain—A population based study

AbstractAimsTo investigate health care utilization in relation to chronic pain.MethodsIn this cross-sectional study postal questionnaires, measuring sociodemographic characteristics, pain, health related quality of life (HRQoL), attitudes to pain and health care utilization past six months, were sent to 4500 individuals aged 20–70 years, randomly drawn from the Icelandic National Registry.ResultsTotal response rate was 36.9% (n = 1589) and was higher among older individuals and women. Nearly one half of respondents (47.5%, n = 754) reported chronic pain (≥3 months) with mean duration of 9.3 years (median = 6.0 years, SD = 10.0) and 57.5% of them had consulted health care service for their pain past six months. Use of pain related health care was significantly related to attitudes towards pain and individuals with pain in chest, upper extremities, hips and lower extremities consulted health care for their pain significantly more often than people with other pain locations. Pain related health care utilization was not significantly related to sociodemographic characteristics. There was a significant difference in both Physical (PCS) and Mental (MCS) component HRQoL scales as well as nature of pain (severity, interference, spread and pattern), between individuals who had consulted health care for their pain and those who had not. However, when these relationships were tested by using logistic regression models, only PCS and pain interference remained significant in this relationship.ConclusionsChronic pain related health care utilization is related to several pain characteristics and its influence on daily life, where interference and physical components of HRQoL are most important.

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Satisfaction to healthcare among elderly; comparison study between Egypt and Saudi Arabia

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20183048 ◽

2018 ◽

Vol 5 (8) ◽

pp. 3180

Author(s):

Faten Sami Ali Mostafa ◽

Ekram M. El-Shabrawy ◽

El Morsy Ahmed El Morsy ◽

Shaimaa Ahmed Senosy

Keyword(s):

Health Care ◽

Saudi Arabia ◽

Older People ◽

Health Care Services ◽

Care Service ◽

Health Care Service ◽

Care Program ◽

Cross Sectional ◽

Total Satisfaction ◽

Significant Difference

Background: In the context of health care services; clinicians use consumer or patient satisfaction assessment to monitor their performance and alter the delivery of care in order to retain and attract customers. Also to determine how they can better meet the needs of patients and, so, improve patient compliance. This study was designed to examine the satisfaction status of elderly patients utilize the selected geriatric health centers in the study in a comparison way between Egypt and Saudi Arabia in order to improve the geriatric health care program in Egypt.Methods: This is a cross-sectional study to assess the geriatric service through assessing the structure, process and geriatric satisfaction from the geriatric health services by an observational checklist and questionnaire. Statistical analysis was done using SPSS version 22 and Spectrum-5 software.Results: Saudi Arabia centers were significantly higher in patients' satisfaction; there were a statistically significant difference between both countries regarding total satisfaction score (p<0.001).Conclusions: The indicators in both countries under the study suggest a growing proportion of older people in the populations. This study has revealed that efforts to improve health care service for older people have not been fully implemented. Many older people still do not satisfy the offered medical service due to several obstacles. Policymakers must invest in the systems that would encourage and facilitate formal care provision, through partnership between the state and civil society for example and through investing in both old age and family support policies.

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THE CORRELATION BETWEEN DEMAND FACTORS AND HEALTH CARE SERVICE UTILIZATION BY CONTRIBUTION BENEFICIARY PATIENTS

Jurnal Administrasi Kesehatan Indonesia ◽

10.20473/jaki.v7i2.2019.185-191 ◽

2019 ◽

Vol 7 (2) ◽

pp. 185

Author(s):

Leli Rachmawati ◽

Isma Faridatus Sholihah

Keyword(s):

Health Care ◽

Health Care Utilization ◽

General Hospital ◽

Health Care Services ◽

Care Service ◽

Health Care Service ◽

Care Utilization ◽

Care Services ◽

Outpatient Unit ◽

Health Care Service Utilization

Background: National Health Insurance is the government's effort to increase public access to health care services. As the implementer of the National Health Insurance, the Outpatient Unit of Haji General Hospital, Surabaya has undergone the decrease of contribution beneficiaries’ visits from 2010-2013. This condition indicates a decrease in health care utilization by the low-income community.Aim: This study aims to identify the correlation between health care demands and health care utilization by the contribution beneficiary patients.Method: The study was an observational analytic using a cross-sectional design. A systematic random sampling technique was used to determine the sample of the study. The respondents were 74 contribution beneficiary patients who possessed a district government free care scheme and had ever utilized the health care services at the Outpatient Unit of Haji General Hospital, Surabaya, and at least 13 years old. The data were collected through questionnaires and analyzed with Spearman and Chi-Square tests (α =0.05).Results: Health status, insurance needs, additional costs, gender, ethnicity, education, and income did not have a significant correlation with the health care service utilization by the contribution beneficiary patients at the Outpatient Unit of Haji General Hospital. It was identified that the older the people are, the higher the frequency of health care utilization is. Besides, service time was proven to be the determinants of health care utilization (p = 0.006).Conclusion: The most influential factors in utilizing the health care services by contribution beneficiary patients are service time and age. Based on those factors, the Haji General Hospital requires to improve its services and service timeliness for the elderly contribution beneficiary patients.Keywords: demand, contribution beneficiary patients, utilization.

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How to reduce excessive use of health care service in medical aid beneficiaries: an economic impact of community-based case management

10.21203/rs.2.11189/v1 ◽

2019 ◽

Author(s):

Myung Ja Kim ◽

Eunhee Lee

Keyword(s):

Health Care ◽

Case Management ◽

Health Care Utilization ◽

Economic Impact ◽

Care Service ◽

Health Care Service ◽

Care Utilization ◽

Community Based ◽

Medical Aid ◽

Use Of Health Care

Abstract Background Community based case management for medical aid beneficiaries was implemented in Korea to induce rational use of medical care among the beneficiaries and stabilize the financial system. This study investigated the economic impact of community based case management on health care utilization and cost. Methods This study is a quantitative policy evaluation study to evaluate the impact of case management on excessive use of health care service in medical aid beneficiaries using national database. Results Total 1,741 medical aid beneficiaries with case management included in this study. Case management was provided to three target group, high-risk, long-term inpatient, and intensive care group. An increase in health-related quality of life (QOL) and the ability to use appropriate health care and a reduction in health care utilization and cost were observed for case management. There was no significant difference in the reduction in the total number of visiting days and the cost between the groups. Conclusions An increase in the health care utilization among medical aid beneficiaries has been observed due to the aging population and increase in the number of recipients. To reduce health care costs while maintaining the health status of the beneficiaries, it is necessitated to expand the targeted management.

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Predictors for chronic pain-related health care utilization: a cross-sectional nationwide study in Iceland

Health Expectations ◽

10.1111/hex.12245 ◽

2014 ◽

Vol 18 (6) ◽

pp. 2704-2719 ◽

Cited By ~ 10

Author(s):

Thorbjorg Jonsdottir ◽

Helga Jonsdottir ◽

Eirikur Lindal ◽

Gudmundur K. Oskarsson ◽

Sigridur Gunnarsdottir

Keyword(s):

Health Care ◽

Chronic Pain ◽

Health Care Utilization ◽

Care Utilization ◽

Cross Sectional ◽

Nationwide Study

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Cultural Mistrust and Health Care Utilization: The Effects of a Culturally Responsive Cognitive Intervention

Journal of Black Studies ◽

10.1177/0021934717728454 ◽

2017 ◽

Vol 48 (8) ◽

pp. 816-834 ◽

Cited By ~ 2

Author(s):

Randolph T. Brooks ◽

Reginald Hopkins

Keyword(s):

Health Care ◽

Health Care Utilization ◽

Service Utilization ◽

Culturally Responsive ◽

Care Service ◽

Health Care Service ◽

Cognitive Intervention ◽

Cultural Mistrust ◽

Care Utilization ◽

Health Care Service Utilization

Cultural mistrust is a critical factor underlying the racial/ethnic disparity in mental health care service utilization. It was hypothesized that there would be a difference in utilization attitudes and intentions before and after exposure to a culturally responsive intervention among individuals with moderate to high levels of cultural mistrust. Two Hundred Thirty-Six students from a predominately Black university participated in this study. This experiment employed a Solomon Four Groups design to assess the effectiveness of a culturally responsive cognitive intervention to neutralize the effects of cultural mistrust on health care attitudes and health care service utilization intentions. The results showed that the intervention was effective in neutralizing cultural mistrust and improving posttest utilization attitudes and intentions among individuals who had high levels of cultural mistrust. It was also found that health care utilization attitudes and intentions were enhanced for individuals with high levels of cultural mistrust.

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Health Care Exclusion: An Examination in Bangladesh

South East Asia Journal of Public Health ◽

10.3329/seajph.v1i1.13208 ◽

2013 ◽

Vol 1 (1) ◽

pp. 17-23

Author(s):

Abu Taher Md Sanaullah Nury ◽

Amir Mohammad Sayem

Keyword(s):

Health Care ◽

Mass Media ◽

Service Use ◽

Care Service ◽

Health Care Service ◽

Care Utilization ◽

Cross Sectional Survey ◽

Wealth Status ◽

Cross Sectional ◽

The Family

Bangladesh has made significant progress in many of its social development indicators particularly in health; however, a vast portion of its people still does not use health care services from medically trained providers. An attempt has been made in this study to investigate levels and patterns of health care exclusion among women in Bangladesh. A face to face cross-sectional survey was carried out in a total of 674 married women, selected with the convenience sampling technique. This study was carried out in Bancharampur sub-district under Bramman Baria district and Mirpur sub-district under Dhaka district from 1st July to 30th July in 2010. Results revealed that the mean health care exclusion score was 14.0 (SD=4.40) out of 21. The least used reason to explain health care exclusion was A doctor recommended a surgery for a family member but we did not have it done, with only 9.9% of the subjects giving this reason. The most common reason was A child in the family was sick but was unable to obtain the required health care (32.6%). Multivariate regression analysis found that the independent variables explained 37.8% of variance. Significant association of health care exclusion appeared with the participants' level of education (B= -0.183, CI= -0.264 to -0.102), the familys wealth status (B= -0.803, CI= -0.970 to -0.637), family size (B=0.315, CI=0.214 to 0.416), exposure to mass media (B=0.415, CI=0.218 to 0.612) and history of health care service use (B=1.971, CI=1.238 to 2.705). It is suggested that women's education specific to health care utilization, increasing health related mass media exposure and providing counselling on positive aspects of health care by health professionals to the patients coming to the clinic are necessary to reduce health are exclusion.DOI: http://dx.doi.org/10.3329/seajph.v1i1.13208 South East Asia Journal of Public Health 2011:1:17-23

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A183 TELEHEALTH USE IN RURAL SASKATCHEWAN AND INFLAMMATORY BOWEL DISEASE OUTCOMES

Journal of the Canadian Association of Gastroenterology ◽

10.1093/jcag/gwab002.181 ◽

2021 ◽

Vol 4 (Supplement_1) ◽

pp. 197-199

Author(s):

M Patterson ◽

M Gozdzik ◽

J Peña-Sánchez ◽

S Fowler

Keyword(s):

Health Care ◽

Inflammatory Bowel Disease ◽

Health Care Utilization ◽

Bowel Disease ◽

Postal Code ◽

Care Utilization ◽

Specialist Care ◽

Disease Characteristics ◽

Significant Difference ◽

Inflammatory Bowel

Abstract Background Appropriate management of inflammatory bowel disease (IBD) often requires multiple specialist appointments per year. Living in rural locations may pose a barrier to regular specialist care. Saskatchewan (SK) has a large rural population. Prior to COVID-19, telehealth (TH) in SK was not routinely used for either patient assessment or follow up. Furthermore, TH was exclusively between hospitals and specific TH sites without direct contact using patient’s personal phones. Aims The objective of this study was to assess the differences in demographics, disease characteristics, outcomes, and health care utilization between patients from rural SK with IBD who used TH and those who did not. Methods A retrospective chart review was completed on all rural patients (postal code S0*) with IBD in SK who were followed at the Multidisciplinary IBD Clinic in Saskatoon between January 2018 and February 2020. Patients were classified as using TH if they had ever used it. Information on demographics, disease characteristics, and access to IBD-related health care in the year prior to their last IBD clinic visit or endoscopy was collected. Data was not collected for clinic visits after March 1, 2020 as all outpatient care became remote secondary to the COVID-19 pandemic. Mean, standard deviations, median and interquartile ranges (IQR) were reported. Mann-Witney U and Chi-Square tests were used to determine differences between the groups. Results In total, 288 rural SK IBD patients were included, 30 (10.4%) used TH and 258 (89.6%) did not. Patient demographics were not significantly different between the two groups; although, there was a statistically significant difference in the proportion of ulcerative colitis patients (17% TH vs. 38% non-TH, p=0.02). The percentage of patients with clinical remission was 87% for TH patients and 74% for non-TH patients (p=0.13). There were no significant differences in health care utilization patterns and biochemical markers of disease, including c-reactive protein (CRP) and fecal calprotectin (FCP) (p>0.05). Conclusions Prior to the pandemic, a small percentage of patients with IBD in rural SK ever used TH. A small proportion of UC patients used TH. No significant differences in disease characteristics, outcomes, or health care utilization were identified. Further study is warranted to identify barriers to use of this technology to tailor care to this patient group and improve access to care, especially now as the COVID-19 pandemic has drastically changed the use of virtual care. Funding Agencies None

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