This study addresses the question how income affects health care utilization by the population aged 50 and over in the United States and a number of European countries with varying health care systems. The probabilities that individuals receive several medical services (visits to general practitioner, specialist, dentist, inpatient, or outpatient services) are analyzed separately using probit models. In addition to controls for income and demographic characteristics, controls for health status (both subjective and objective measures of health) are used. We analyze how the relationship between income and health care utilization varies across countries and relate these cross country differences to characteristics of the health care system, i. e., per capita total and public expenditure on health care, gate-keeping for specialist care, and copayments.
Tuberculosis and human immunodeficiency virus co-infection is a major source of morbidity and mortality in Ethiopia. Routine offering of provider initiated HIV testing and counseling for TB patients is necessary to increase access to HIV care packages. However little is known about utilization of PITC service among tuberculosis patients in Ethiopia The main objective of this study is to assess the utilization of PITC service among TB patients in Ethiopia. Health facility based cross sectional survey was conducted from January to March 2010. A total of 385 participants were included in the study from seven health facilities. The study utilized both quantitative and qualitative study designs. Study participants were interviewed using structured questionnaire and three focus group discussions were conducted among TB patients.The utilization of PITC service among TB patients in the studied health facilities was 78.1%.
Epidemic Care Assessment and health care is defined by the association of the health system. Health care system not only represents the health structure but it also many other section which constitute the whole system. These are economic conditions, family system, and social support network, cultural forces, environmental conditions, political systems and other then, each affect the health care seeking patterns. Almost all the developing countries have health care system, the public and the private health sector co-exit, effecting with each other. In the world rich and poor, both have equal right to enjoy better health. In nineteenth century socio economic status and Epidemic Care Assessment relationship come back, when researchers observed differences in health outcomes among tribute, the wealthy choice and the working class in Europe Since then, measures of socio-economic status have come to appear regularly in studies of the causes of health and mortality. Given that a variety of socio-economic variables including income, education, occupation, race, and culture, among other showing similar associations with health
A study was conducted to determine the demand for health care in urban slum dwellers in Dhaka city during December, 2009. The study consisted of 120 randomly selected household. This study has analysis the comparative analysis between two slums dwellers’ of demand for health care. The findings of the study indicate that the demand for health care of Baganbari slum dwellers is higher than Kalapani slum dwellers. This study compares the health care utilization patterns in Baganbari and Kalapani slum by using data from two area recent household-based surveys of health care demand. Utilization rates at different providers are compared according to a series of variables that have been shown to be important determinants of demand including income, price of health care, health education and sex were observed to have positively significant relationships with their demand for health care.
This book reveals the conditions of utilization of antenatal and postnatal services by the rural women in most populated province (Punjab) of Pakistan. What are the socio-economic and demographic factors that affect the utilization of these services. The results are quite promising regarding the awareness of the rural women and men for the importance of maternal and neonatal health. The role of doctors, para-medical staff and of media is quite important in boosting the utilization of maternal health care services.
This cross-sectional study ascertains the frequency of traditional healthcare usage and examines some of the factors and reasons governing the choice of this kind of healthcare within the Kathmandu Metropolitan City. This study also observes differences in utilization of health care services across ethnic groups, between gender, across age groups, among people who vary in terms of their educational level and income level.
Primary health care is the bedrock of any country`s health care system. It is aimed to provide the individuals and the communities with protective, preventive, restorative and rehabilitative health services within the available resources. However there is a growing lack of confidence and trust by the public in all health services at this level of care, resulting from the poor state of the facilities and low standards of delivery. This book therefore sought to explore and highlight those barriers affecting the utilization of primary health care services in a low income nation like Nigeria. It also aimed to serve as a basis for understanding and appreciating the complex factors affecting the utilization of these essential services, and how these factors translate into a deterioration of a nation’s health indices. It is expected that these findings will enrich academic discussions and guide policy makers in formulating policies and guidelines towards improving primary healthcare services. It will also aid international organizations with interest in implementing primary health services in developing nations
The developmental status of a society closely related to the health care facility and educational infrastructure in the region, mare richness in natural resources does not ensure the social status of the region, unless the human element steps in with technology, innovation and enterprise. The natural resources need to be investing in social infrastructure rather than economic infrastructure, for ensuring long term sustainable development and improving human development index. This book focuses on the available rural government health care facilities and their utilization as an indispensable part of socio-economic development of the people in the developing country. The availability of adequate health care facilities and their proper utilization is must for rural development. The book describes the health care facility in an underdeveloped district rich in mineral and coal, under three broad sections: spatial distribution of health care facilities, its utilization level and prevalent nutritional deficiency diseases. The content would be useful for planner, policy-makers and health administrators of district.
Utilization of professional oral health care should be considered in organizing good oral health for the population. Use of oral health care services is affected by many factors.They depend on individual''s factors, characteristics of the care providers, and the availability, accessibility, affordability, and acceptability of the care delivery system. The cost of care is often the barrier to seeking care. Several studies have shown that dental insurance increases demand and utilization of care services. In the present study,insurance elevated the demand for care and the highest demand was among persons with commercial insurance. Insured persons had a higher frequency of dental visits than did the non- insured. Type of services, however, did not differ between the insured and non-insured, except for extractions, which were more common among the non- insured. The present findings indicate a clear need to modify dental insurance systems in Iran to facilitate optimal use of oral health care services to maximize the oral health of the population. Special attention in insurance schemes should be focused on preventive care.
Maternal mortality in Ethiopia is the highest in the world. A study was carried out in 2006 among Family Planning, Antenatal Care, and Delivery Care Service attendees in the health facilities, Ethiopia. A quantitative and qualitative methodologies were applied. The study indicated that integration of programs is critically important to increase utilization of services and minimize missed opportunities in maternal care and HIV/AIDS services in health facilities of Ethiopia.
The cross sectional study was conducted to analyze the barriers and enabling factors affecting the use and non use of maternal health services especially among marginalized populations in urban slum areas in the Kathmandu valley. Total 200 mothers were interviewed in the study with the cluster sampling. The study found that many factors contribute to the maternal health utilization, among them education of mother, education of husband, distance to health services, parity of mother and ethnic category were determined by study. Similarly, the parity, occupation and ethnicity of mother influence the ANC utilization. The findings suggest that maternal health program need to develop explicit target social targeting strategy to intensify services to Dalit at squatter settlements and awareness raising program on “Aama Suraksha Program” could be beneficial to the improvement of maternal health services.
Every year, approximately 536,000 maternal deaths occur in the world due to pregnancy related complications; of which over 95% occur in sub-Saharan Africa and Asia. One explanation for poor health outcomes among women in these countries including Ethiopia is the low utilization of ANC & delivery care services by a large proportion of women. So, the study was aimed to assess factors influencing utilization of antenatal and delivery care services in Burji special woreda, SNNPR, Ethiopia. A community-based cross sectional study was conducted in the woreda from March 1-30, 2011. The study included 1 urban and 8 rural kebeles with a total sample size of 773 respondents and 40 discussants for four FGDs. The study revealed that the proportion of women who received ANC was 55.6%. Only 16.4% mothers delivered at health institution and only 15 % of total delivery was attended by skilled birth attendants. Residence, monthly income and maternal education were major determinants of ANC service utilization and residence, maternal education and ANC attendance were determinants for delivery care service utilization after adjusting for other variables.
This thesis examines the types of health care choices rural people in Chiapas Soconusco region make within their cultural belief system and available resources. The utilization of health care services depends on many variables: personal beliefs, cultural traditions, availability and access to services, and the financial means to pay for them. The population in this study identifies itself as campensenos, or small-scale farmers, and struggle for survival among large agricultural businesses. By examining the existing health infrastructure in Chiapas, Mexico, and the traditional medicinal practices that have established themselves in this region over time, this study questions the health care choices people are able to make based on inconsistent availability of medical resources. While this study is based on a very small sample of people, it shows a need for further research in this understudied coastal region of Chiapas.
Official-language minorities in Canada may face specific issues in accessing health care services that can lead to negative consequences on their health, utilization of health care services and satisfaction with the health care system. A secondary data analysis of the 2006 Survey on the Vitality of Official-Language Minorities revealed significant differences between the Anglophone minority (n=5,161) and the Francophone minority (n=12,029) with regards to general health, and access to and use of health care services. Important predictors of these outcomes included age, education level, household income, marital status and place of residence (urban/rural). Access to health care services in the minority language was associated with self-perceived health in the Anglophone minority only. Health policy recommendations elaborated in light of the findings include working on both the supply and the demand of health care services offered in the two official languages, while taking into consideration important contextual differences between regions.