Using financing to motivate a for-profit health care provider to deliver family planning services: Is it a cost-effective intervention? A study of AAR health services in Kenya

2003 ◽  
Vol 18 (3) ◽  
pp. 205-220 ◽  
Author(s):  
Grace Chee
Keyword(s):  
Health Care ◽  
Family Planning ◽  
Health Services ◽  
Health Care Provider ◽  
Care Provider ◽  
Cost Effective ◽  
Effective Intervention ◽  
Family Planning Services ◽  
For Profit

scholarly journals Telemedicine during COVID-19: India embracing the change

2021 ◽  
Vol 8 (4) ◽  
pp. 262-264
Author(s):  
Manoj Pathak ◽  
Srishti Rai
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care Provider ◽  
Care Provider ◽  
Adult Literacy ◽  
Rural Areas ◽  
Vital Role ◽  
Literacy Rate ◽  
Psychological Counselling ◽  
Standards Of Practice

Telemedicine has been around for decades but it has taken foreground in health services recently. When COVID-19 cases started to be reported in the country it brought with itself panic and chaos. At all India level, the adult literacy rate is 77.7%, this could also be linked to unawareness related to the disease in rural areas. The sudden countrywide lockdown imposed was of no help and further worsened the situation for economically weaker section of the society. During the struggle of our nation to overcome the COVID-19 Telemedicine has indeed played a vital role. People in fear of contacting the disease and due to nationwide lockdown were unable to reach their health care provider. People with pre-existing conditions that needs regular monitoring, pregnancy related queries, queries on new symptoms, psychological counselling and many more could not wait for the COVID-19 to be over before they get any help on the issues.­­ Telemedicine shall continue developing and be used in a multitude of settings by more health-care doctors and patients, and these standards of practice will be a crucial driver within this evolution.

scholarly journals Characteristics and Trends in Hypnotics Consumption in the Largest Health Care System in Israel

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
O. Marom ◽  
G. Rennert ◽  
N. Stein ◽  
K. Landsman ◽  
G. Pillar
Keyword(s):  
Health Care ◽  
Health Services ◽  
Retrospective Analysis ◽  
Health Care System ◽  
Health Care Provider ◽  
Dose Escalation ◽  
Care Provider ◽  
Pharmacy Records ◽  
Israeli Population ◽  
Major Increase

Objectives. To quantify and characterize hypnotics consumption habits among adult patients insured by Clalit Health Services (CHS), the largest health care provider in Israel, in 2000 and 2010.Methods. A retrospective analysis of CHS computerized pharmacy records. Data were collected for all patients over the age of 18 years who were prescribed hypnotics in 2000 and in 2010.Results. Sleep medications were consumed by 8.7% of the adult CHS population in 2000 and by 9.6% in 2010. About one-quarter of consumers were treated for more than 6 months in both years. Multiple sleeping drugs were consumed more often in 2010 (45.2%) than a decade before (22%). While in 2000 benzodiazepines accounted for 84.5% of hypnotics, in 2010 this was reduced to 73.7% (p<0.05). Of all patients treated for longer than 6 months only 11% in 2000 and 9% in 2010 required a dose escalation suggesting the absence of tolerance.Conclusions. Nine percent of the Israeli population consumes hypnotics. There is a major increase in prescription of combination of medications between 2000 and 2010, with an increase in Z class medications use and reduction in benzodiazepines. Most patients chronically treated did not escalate dosage, suggesting the absence of tolerance.

scholarly journals Cost-effectiveness of microscopy of urethral smears for asymptomatic Mycoplasma genitalium urethritis in men in England

2017 ◽  
Vol 29 (1) ◽  
pp. 72-79
Author(s):  
Andrew J Sutton ◽  
Tracy E Roberts ◽  
Louise Jackson ◽  
John Saunders ◽  
Peter J White ◽  
...  
Keyword(s):  
Health Care ◽  
Cost Effectiveness ◽  
Ectopic Pregnancy ◽  
Health Care Provider ◽  
Care Provider ◽  
Current Practice ◽  
Outcome Measure ◽  
Cost Effective ◽  
Secondary Outcome ◽  
Asymptomatic Men

The objective was to determine whether or not the limited use of urethral microscopy to diagnose asymptomatic and symptomatic non-chlamydial, non-gonococcal urethritis (NCNGU) in men is a cost-effective strategy to avert pelvic inflammatory disease (PID), ectopic pregnancy or infertility in female partners. Outputs from a transmission dynamic model of NCNGU in a population of 16–30 year olds in England simulating the number of consultations, PID cases and patients treated over time amongst others, were used along with secondary data to undertake a cost-effectiveness analysis carried out from a health care provider perspective. The main outcome measure was cost per case of PID averted. A secondary outcome measure was cost per major outcome averted, where a major outcome is a case of symptomatic PID, ectopic pregnancy, or infertility. Offering a limited number of asymptomatic men urethral microscopy was more effective than the current practice of no microscopy in terms of reducing the number of cases of PID with an incremental cost-effectiveness ratio of £15,700, meaning that an investment of £15,800 is required to avert one case of PID. For major outcomes averted, offering some asymptomatic men urethral microscopy was again found to be more effective than no microscopy, but here an investment of £49,900 is required to avert one major outcome. Testing asymptomatic men for NCNGU in a small number of genitourinary medicine settings in England is not cost-effective, and thus by maintaining the current practice of not offering this patient group microscopy, this continues to make savings for the health care provider.

scholarly journals Patterns of access to reproductive health services in Ghana and Nigeria: results of a cluster analysis

2020 ◽  
Author(s):  
Oluwasegun Jko Ogundele ◽  
Milena Pavlova ◽  
Wim Groot
Keyword(s):  
Health Care ◽  
Family Planning ◽  
Maternal Health ◽  
Reproductive Health ◽  
Health Services ◽  
Multinomial Logistic Regression ◽  
Maternal Health Services ◽  
Reproductive Health Services ◽  
Family Planning Services ◽  
Poor Access

Abstract Background Inequalities in access to health care result in systematic health differences between social groups. Interventions to improve health do not always consider these inequalities. To examine access to reproductive health care services in Ghana and Nigeria, the patterns of use of family planning and maternal care by women in these countries are explored. Methods We used population-level data from the Ghana and Nigeria Demographic Health Surveys of 2014 and 2013 respectively. We applied a two-step cluster analysis followed by multinomial logistic regression analysis. Results The initial two-step cluster analyses related to family planning identified three clusters of women in Ghana and Nigeria: women with high, medium and poor access to family planning services. The subsequent two-step cluster analyses related to maternal care identified five distinct clusters: higher, high, medium, low and poor access to maternal health services in Ghana and Nigeria. Multinomial logistic regression showed that compared to women with secondary/higher education, women without education have higher odds of poor access to family planning services in Nigeria (OR=2.54, 95% CI: 1.90−3.39) and in Ghana (OR=1.257, 95% CI: 0.77−2.03). Compared to white-collar workers, women who are not working have increased odds of poor access to maternal health services in Nigeria (OR= 1.579, 95% CI: 1.081−2.307, p ≤0.01). This association is not observed for Ghana. Household wealth is strongly associated with access to family planning services and maternal health care services in Nigeria. Not having insurance in Ghana is associated with low access to family planning services, while this is not the case in Nigeria. In both countries, the absence of insurance is associated with poor access to maternal health services. Conclusions These differences confirm the importance of a focused context-specific approach towards reproductive health services, particularly to reduce inequality in access resulting from socio-economic status. Interventions should be focused on the categorization of services and population groups into priority classes based on needs assessment. In this way, they can help expand coverage of quality services bottom up to improve access among these vulnerable groups.

1652: The Effect of Health Care Provider Characteristics on Nodal Yield at Radical Cystectomy

2007 ◽  
Vol 177 (4S) ◽  
pp. 548-548
Author(s):  
Girish S. Kulkarni ◽  
Gina A. Lockwood ◽  
Andrew Evans ◽  
Arthy Saravanan ◽  
Michael A.S. Jewett ◽  
...  
Keyword(s):  
Health Care ◽  
Radical Cystectomy ◽  
Health Care Provider ◽  
Care Provider ◽  
Provider Characteristics ◽  
Nodal Yield

User- and Health Care Provider–Reported Outcomes for a Wearable Bolus Insulin Delivery Patch

Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 995-P
Author(s):  
MARK PEYROT ◽  
RICHARD M. BERGENSTAL ◽  
DARLENE M. DREON ◽  
VANITA ARODA ◽  
TIMOTHY S. BAILEY ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Provider ◽  
Care Provider ◽  
Insulin Delivery ◽  
Bolus Insulin
Sign in / Sign up

Export Citation Format

Share Document