Ethical issues in pharmacoepidemiologic research using Saskatchewan administrative health care utilization dataDisclaimer: Although this work includes data provided by Saskatchewan Health, the interpretation and conclusions are those of the author and do not necessarily represent those of Saskatchewan Health or the Government of Saskatchewan.

2001 ◽  
Vol 10 (7) ◽  
pp. 607 ◽  
Author(s):  
Nigel S. B. Rawson
2021 ◽  
pp. 002073142098192
Author(s):  
Saruna Ghimire ◽  
Devendra Raj Singh ◽  
Sara J. McLaughlin ◽  
Renusha Maharjan ◽  
Dhirendra Nath

This study aims to evaluate factors associated with health care utilization (HCU) and to assess vertical and horizontal equity in utilization among Nepali older adults. Data are from an existing cross-sectional study involving systematic random sampling of 260 older adults in Far-Western (Sudurpaschim) Province of Nepal. Andersen’s theoretical framework was used to assess predisposing, enabling, and need factors that have the potential to influence health care utilization. Multivariable logistic regression analyses were conducted to examine potential correlates of HCU. Horizontal and vertical equity were assessed using concentration curve and index. More than one-third of participants had not visited a health facility in the prior 12 months. Nine in 10 participants did not know about the government’s free health service for older adults. Joint/extended family type, Ayurvedic/Homeopathic health care preference, higher-income tertile, and presence of chronic conditions were associated with higher odds of health care utilization in adjusted analyses. The concentration curve for HCU lies below the line of equity, and the subsequent index is positive, indicating that HCU was concentrated among richer individuals. If the government of Nepal is to achieve its goal of universal health care, the existing pro-rich inequity in HCU needs to be addressed.


2020 ◽  
Vol 75 (1) ◽  
pp. 148-150 ◽  
Author(s):  
Andrea L. Oliverio ◽  
Lindsay K. Admon ◽  
Laura H. Mariani ◽  
Tyler N.A. Winkelman ◽  
Vanessa K. Dalton

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