THE VALIDITY OF THE SUNFRAIL TOOL: A CROSS-SECTIONAL STUDY AMONG DUTCH COMMUNITY-DWELLING OLDER PEOPLE

2020 ◽  
pp. 1-7
Author(s):  
R.J.J. Gobbens ◽  
M. Maggio ◽  
Y. Longobucco
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Older People ◽  
Health Care Professionals ◽  
Cross Sectional Study ◽  
Criterion Validity ◽  
Adverse Outcomes ◽  
Community Dwelling ◽  
Care Utilization ◽  
Cross Sectional

Background: Early detection of frail older people is important. Timely intervention may allow health care professionals to prevent or delay the occurrence of adverse outcomes such as disability, increases in health care utilization, and premature death. Objectives: We assessed the construct and criterion validity of the SUNFRAIL tool, a questionnaire for measuring frailty among older people. Design, Setting and Participants: This cross-sectional study was carried out in a sample of Dutch citizens. A total of 195 community-dwelling persons aged 71 years and older completed the questionnaire. Measurements: Construct validity was examined by determining the correlation between the SUNFRAIL tool and the Tilburg Frailty Indicator (TFI). Criterion validity for the SUNFRAIL tool was determined by establishing the correlations with chronic diseases and adverse outcomes of frailty (disability, falls, indicators of health care utilization). Disability was measured using the Groningen Activity Restriction Scale. Participants also answered questions regarding falls and health care utilization. Results: The construct validity of this tool was good and showed significant correlations with the TFI. The correlation between SUNFRAIL total and TFI total was 0.624. The criterion validity of the SUNFRAIL tool was good for chronic diseases and good-to-excellent for adverse outcomes disability, receiving nursing care, and falls. The area under the curve for these outcomes was 0.840 (95% CI 0.781–0.899), 0.782 (95% CI 0.696–0.868), and 0.769 (95% CI 0.686–0.859), respectively. Conclusions: The results of our study suggest that the SUNFRAIL tool is a valid instrument for assessing frailty in community-dwelling older people. It is an attractive instrument for use in practice because it takes little time for health care professionals and older people to complete the questionnaire, and it expresses the integral functioning of human beings.

scholarly journals Health Care Utilization and Symptom Severity in Ghanaian Children – a Cross-Sectional Study

PLoS ONE ◽  
2013 ◽  
Vol 8 (11) ◽  
pp. e80598 ◽  
Author(s):  
Ralf Krumkamp ◽  
Nimako Sarpong ◽  
Benno Kreuels ◽  
Lutz Ehlkes ◽  
Wibke Loag ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Symptom Severity ◽  
Cross Sectional Study ◽  
Care Utilization ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Brand equity analysis to increase health care utilization

2020 ◽  
Author(s):  
Ernawaty ◽  
Kendra Wardhani K ◽  
Stefanus Supriyanto ◽  
Nuzulul Kusuma Putri ◽  
Yeni Rahmah Husniyawati
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Brand Equity ◽  
Health Care Services ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Care Utilization ◽  
Cross Sectional ◽  
Brand Association ◽  
Care Services

Background: Health care utilization is one of the key indicators in measuring performance of health care services. Strong brand equity suggests positive correlation with great attraction for consumers to use a product. Design and Methods: A cross-sectional study was conducted to identify the effects of brand equity to health care utilization. 381 students were selected by simple random sampling. Multiple logistic regression tests were used to analyze the influence between variables. Results: Findings showed that there was an influence between brand equity and health care utilization (P=0.001). In the three attributes, brand equity was known to have an influence to the utilization of health care. The highest influence of the three attributes was brand association (Exp (B) = 2.501). Conclusions: It can be concluded that brand equity affects patient visits to AHCC showing that the brand equity significantly influence patient visits. Promotion to create familiarity and good impression was required to enhance brand equity and increase health care utilization.

scholarly journals Association Between a Wider Availability of Health Information and Health Care Utilization in Vietnam: Cross-Sectional Study (Preprint)

2017 ◽  
Author(s):  
Hoang Thuy Linh Nguyen ◽  
Keiko Nakamura ◽  
Kaoruko Seino ◽  
Van Thang Vo
Keyword(s):  
Health Care ◽  
Mass Media ◽  
Health Care Utilization ◽  
Health Information ◽  
Cross Sectional Study ◽  
Care Utilization ◽  
The Internet ◽  
Sectional Study ◽  
Cross Sectional ◽  
Education Courses

BACKGROUND The rapid and widespread development of mass media sources including the Internet is occurring worldwide. Users are being confronted with a flood of health information through a wide availability of sources. Studies on how the availability of health information has triggered users’ interest in utilizing health care services remain limited within the Vietnamese population. OBJECTIVE This study examined the associations between the wider availability of sources for health information and health care utilization in Vietnam after adjusting for potential confounding variables. METHODS The data for this study were drawn from a cross-sectional study conducted over a 6-month period in Hue, a city in central Vietnam. The participants were 993 randomly selected adults aged between 18 and 60 years. Information was collected through face-to-face interviews on the types of information sources that were consulted, including traditional media (television), Internet, and health education courses, as well as the impact of such information on health care use (emergency department visits, hospitalizations, doctor visits). Multivariable logistic regression analyses were performed at a 95% confidence level. RESULTS The prevalence of watching television, using the Internet, and attending health education courses to obtain health information were 50.9% (505/993), 32.9% (327/993), and 8.7% (86/993), respectively. After further adjustments for self-reported health status, the presence of health insurance, and monthly income, respondents who watched television and used the Internet to obtain health information were 1.7 times more likely to visit a doctor (television: adjusted odds ratio [AOR] 1.69, 95% CI 1.30-2.19; Internet: AOR 1.64, 95% CI 1.23-2.19), and also significantly associated with inpatient hospitalization (P=.003). CONCLUSIONS The use of widely available mass media sources (eg, television and the Internet) to obtain health information was associated with higher health care utilization. How this interest in health-related information can be used so that it will have a beneficial effect on care-seeking behavior should be a topic of concern to further health promotion in developing countries.

scholarly journals Health-seeking Behavior of Undergraduate Nursing Students and Associated Factors: A Cross-sectional Study

2021 ◽  
Author(s):  
Gerili Zaya ◽  
Shijia Li ◽  
Jingyu Pan ◽  
Jinyu Zhang ◽  
Anita Näslindh-Ylispangar ◽  
...  
Keyword(s):  
Health Care ◽  
Nursing Students ◽  
Health Care Utilization ◽  
Cross Sectional Study ◽  
Care Utilization ◽  
Health Seeking ◽  
Cross Sectional ◽  
Health Seeking Behavior ◽  
Health Counseling ◽  
Seeking Behavior

Abstract Background Though relevant education and clinical practice could promote health-seeking behavior, nurses and nursing students may not actively seek healthcare. Methods This was a cross-sectional study using an adaptation of the self-reported Health Behavior Questionnaire (HBQ) including sociocultural background, lifestyle, self-assessment of life, health care utilization, and health counseling. 199 valid samples were acquired by convenient sampling. Univariate analysis, Spearman rank correlation, Pearson correlation, and multivariate linear regression were used to analyze the data. Results Cultural background, living with family, employment, most items in lifestyle, and all items in perceived life status were correlated with health-seeking behavior. A multivariate linear regression verified the influence of alcohol consumption, financial situation, and work situation on the experience of health care utilization, as well as the influence of physical health and interpersonal relationship on the experience of health counseling. Conclusions Less alcohol consumption, better financial situation, and better work situation are positively correlated with health care utilization. Better physical health and sounder interpersonal relationships can improve health counseling. The effect of other factors needs further exploration. Cohort studies could be used to investigate the long-term change in health-seeking behavior.

scholarly journals Patterns and predictors of private and public health care utilization in an informal settlement in Nairobi, Kenya: A cross-sectional study

2020 ◽  
Author(s):  
Elvis Wambiya ◽  
Peter O Otieno ◽  
Martin Kavao Mutua ◽  
Hermann Pythagore Pierre Donfouet ◽  
Shukri F Mohamed
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Utilization ◽  
Informal Settlement ◽  
Cross Sectional Study ◽  
Public Health Care ◽  
Care Utilization ◽  
Health Seeking ◽  
Cross Sectional ◽  
Explanatory Variables

Abstract BackgroundKnowledge of health care utilization is particularly crucial in low-and middle-income countries where inequalities in burden of disease and access to primary health care exist. Inconclusive evidence exists on health-seeking and utilization of health facilities in the informal settlements in Kenya. This study assessed the patterns and predictors of private and public health care utilization in an urban informal settlement in Kenya.MethodsThis cross-sectional study used data from the Lown scholars study conducted between June and July 2018. It was nested within the Nairobi Urban Health and Demographic Surveillance System. Households were selected using simple random sampling and data obtained for all household members who reported having sought care for an illness in the 12 months preceding the study. Data were collected on health-seeking behaviour and explanatory variables (predisposing, enabling, and need) using an adaptation of Andersen’s conceptual framework. Health care utilization patterns by explanatory variables were described using proportions and multinomial logistic regression used to identify the predictors of private or public health care use.ResultsThree hundred and sixty-four members from 300 households sought care for an illness in the 12 months preceding the study. Almost half (47%) of the respondents sought care from private facilities while about 33% and 20% used public and other facilities, respectively. Health care utilization was influenced by enabling and need factors. Health insurance coverage was associated with private health facility use (aOR 3.06; 95% CI 1.48 – 6.31). Satisfaction with the quality of care was associated with lower use of public facilities (aOR 0.31; CI 0.11 – 0.84) while satisfaction with cost of care was associated with higher use of public facilities (aOR 2.09; CI 1.01 – 4.29). Members who reported an acute infection were more likely to use private facilities (aOR 3.07; 95% CI 1.52 – 6.18).ConclusionsHealth care utilization in the urban informal settlements favours private health facility use. As Kenya commits to achieving universal health coverage, interventions to improve health care access in informal and low-resource settlements should be modelled around enabling and need factors, particularly health care financing and quality of health care provision.

scholarly journals Health care utilization and out of pocket expenditure in a rural area of Kerala: a cross sectional study

2020 ◽  
Vol 7 (8) ◽  
pp. 3081
Author(s):  
Sajna Mathumkunnath Vijayan ◽  
Safa Puliyakkadi ◽  
Swathi Chalil
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Health Care Utilization ◽  
Chronic Diseases ◽  
Rural Area ◽  
Cross Sectional Study ◽  
Care Utilization ◽  
Sectional Study ◽  
Cross Sectional ◽  
Study Participants

Background: Out-of-pocket expenditure in health has substantial negative side effects. They may lead to impoverishment. The knowledge of pattern of health care utilization and out of pocket expenditure is imperative for policy making in health care. Objectives of this study were to study utilization pattern of health care services of the population in a rural area of Thrissur district and study of the self-reported chronic morbidity profile and out of pocket expenditure for chronic diseases among the population.Methods: A community based cross sectional study was conducted in Tholur panchayath area of Thrissur district of Kerala. The calculated sample size was 552 households. House hold was considered as primary sampling units. All family members of the house hold were included in the study. Cluster sampling method was adopted. Data was collected using a pre tested semi-structured questionnaire.Results: A total of 809 individuals from 583 households were found to have chronic diseases. Among them, 54.8% were utilizing private health facility for their treatment. Majority (86%) were following modern medicine system for treatment. Health insurance was availed by 26.6 % of the study participants. Most common reported morbidity was combination of hypertension, diabetes mellitus, and hypercholesterolemia. The total median out of pocket expenditure for chronic diseases was found to be 5000 Indian Rupees. It was found that 41.6% of the total income of study participants was spent for health care of chronic diseases which indicate catastrophic health expenditure.Conclusions: The burden of chronic disease is high and the private hospitals are approached more by the study population for treatment rather than government hospitals. Health insurance coverage is low, and social assistance availed for treatment is marginal. These factors lead to high out of pocket expenditure amounting to catastrophic health expenditure.

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