Health Status, Behavioral Health Risks, Health Care Access, and Health Care Utilization Among Rhode Islanders, 1990 and 1996: A Report of Results of the 1990 and 1996 Rhode Island Health Interview Surveys

Abstract Background Low back pain (LBP) is a major contributor to chronic pain and disability. The purpose of this study was to evaluate health-care access and utilization among patients with LBP in Iran. We also sought to study the pattern and characteristics of care-utilization behavior in these patients. Methods Data from the Community Oriented Program for Control of Rheumatic Diseases (COPCORD) were used for this study. Three cities (Zahedan, Sanandaj, Yazd) were selected to represent the Iranian population, with different socioeconomic status and ethnic, cultural, and religious background. Demographic data, acute or chronic LBP, disability index, and utilizing care from conventional medicine (CM), allied health providers (AHP), and complementary and alternative medicine (CAM) providers were recorded. Results Of 9101 patients, 38.6% reported LBP. Only 3.3% did not utilize care of any kind, 66.7% referred to CM providers, 20.8% to AHP, and 9.2% to CAM care. Health-care utilization was higher in female patients, older age, higher education, and higher disability index. Conclusions The findings of this study indicate a high rate of health-care utilization among patients with LBP in Iran. CM is the most prevalent health-care resource sought by patients. These findings could be used as a framework in developing more efficient health-care programs according to the needs of specific populations.

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Health Status, Behavioral Health Risks, and Access to Health Care Among Rhode Island Adults in 2008

PsycEXTRA Dataset ◽

10.1037/e546602011-001 ◽

2009 ◽

Author(s):

Y. Jiang ◽

J. E. Hesser

Keyword(s):

Health Care ◽

Health Status ◽

Behavioral Health ◽

Rhode Island ◽

Health Risks ◽

Access To Health Care ◽

Access To Health

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Implications of an Occupational Health Model to Behavioral Health Care Utilization in Soldiers

PsycEXTRA Dataset ◽

10.1037/e533652013-412 ◽

2012 ◽

Author(s):

Amy Adler ◽

Carl Castro

Keyword(s):

Health Care ◽

Occupational Health ◽

Health Care Utilization ◽

Behavioral Health ◽

Behavioral Health Care ◽

Care Utilization ◽

Health Model

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Self-reported health status is a strong predictor of health care utilization

PsycEXTRA Dataset ◽

10.1037/e556952006-013 ◽

1999 ◽

Keyword(s):

Health Care ◽

Health Status ◽

Health Care Utilization ◽

Strong Predictor ◽

Care Utilization ◽

Reported Health ◽

Self Reported Health Status

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Burden of Behavioral Health Comorbidities on Outpatient Health Care Utilization by Active Duty Service Members With a First Documented mTBI

Military Medicine ◽

10.1093/milmed/usaa320 ◽

2021 ◽

Vol 186 (Supplement_1) ◽

pp. 567-571

Author(s):

Lalon M Kasuske ◽

Peter Hoover ◽

Tim Wu ◽

Louis M French ◽

Jesus J Caban

Keyword(s):

Health Care ◽

Health Care Utilization ◽

Behavioral Health ◽

Active Duty ◽

Service Members ◽

Care Utilization ◽

Men And Women ◽

Outpatient Visits ◽

Outpatient Utilization ◽

Health Comorbidities

ABSTRACT Objective More than 280,000 Active Duty Service Members (ADSMs) sustained a mild traumatic brain injury (mTBI) between 2000 and 2019 (Q3). Previous studies of veterans have shown higher utilization of outpatient health clinics by veterans diagnosed with mTBI. Additionally, veterans with mTBI and comorbid behavioral health (BH) conditions such as post-traumatic stress disorder, depression, and substance use disorders have significantly higher health care utilization than veterans diagnosed with mTBI alone. However, few studies of the relationship between mTBI, health care utilization, and BH conditions in the active duty military population currently exist. We examined the proportion of ADSMs with a BH diagnosis before and after a first documented mTBI and quantified outpatient utilization of the Military Health System in the year before and following injury. Materials and Methods Retrospective analysis of 4,901,840 outpatient encounters for 39,559 ADSMs with a first documented diagnosis of mTBI recorded in the Department of Defense electronic health record, subsets of who had a BH diagnosis. We examined median outpatient utilization 1 year before and 1 year after mTBI using Wilcoxon signed rank test, and the results are reported with an effect size r. Outpatient utilization is compared by BH subgroups. Results Approximately 60% of ADSMs experience a first mTBI with no associated BH condition, but 17% of men and women are newly diagnosed with a BH condition in the year following mTBI. ADSMs with a history of a BH condition before mTBI increased their median outpatient utilization from 23 to 35 visits for men and from 32 to 42 visits for women. In previously healthy ADSMs with a new BH condition following mTBI, men more than tripled median utilization from 7 to 24 outpatient visits, and women doubled utilization from 15 to 32 outpatient visits. Conclusions Behavioral health comorbidities affect approximately one-third of ADSMs following a first mTBI, and approximately 17% of previously healthy active duty men and women will be diagnosed with a new BH condition in the year following a first mTBI. Post-mTBI outpatient health care utilization is highly dependent on the presence or absence of BH condition and is markedly higher is ADSMs with a BH diagnosis in the year after a first documented mTBI.

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Health status and health care utilization after discharge from geriatric in-hospital stay – description of a register-based study

BMC Health Services Research ◽

10.1186/s12913-021-06751-3 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

E. Rydwik ◽

R. Lindqvist ◽

C. Willers ◽

L. Carlsson ◽

G. H. Nilsson ◽

...

Keyword(s):

Primary Care ◽

Health Care ◽

Health Status ◽

Health Care Utilization ◽

Care Utilization ◽

Future Studies ◽

Healthcare Data ◽

Utilization Data ◽

Hospital Stays ◽

Socioeconomic Data

Abstract Background This study is the first part of a register-based research program with the overall aim to increase the knowledge of the health status among geriatric patients and to identify risk factors for readmission in this population. The aim of this study was two-fold: 1) to evaluate the validity of the study cohorts in terms of health care utilization in relation to regional cohorts; 2) to describe the study cohorts in terms of health status and health care utilization after discharge. Methods The project consist of two cohorts with data from patient records of geriatric in-hospital stays, health care utilization data from Stockholm Regional Healthcare Data Warehouse 6 months after discharge, socioeconomic data from Statistics Sweden. The 2012 cohort include 6710 patients and the 2016 cohort, 8091 patients; 64% are women, mean age is 84 (SD 8). Results Mean days to first visit in primary care was 12 (23) and 10 (19) in the 2012 and 2016 cohort, respectively. Readmissions to hospital was 38% in 2012 and 39% in 2016. The validity of the study cohorts was evaluated by comparing them with regional cohorts. The study cohorts were comparable in most cases but there were some significant differences between the study cohorts and the regional cohorts, especially regarding amount and type of primary care. Conclusion The study cohorts seem valid in terms of health care utilization compared to the regional cohorts regarding hospital care, but less so regarding primary care. This will be considered in the analyses and when interpreting data in future studies based on these study cohorts. Future studies will explore factors associated with health status and re-admissions in a population with multi-morbidity and disability.

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