scholarly journals The impact of COVID‐19 lockdown on glycaemic control and use of health services among children followed at a Danish diabetes clinic

2021 ◽  
Author(s):  
Poul‐Erik Kofoed ◽  
Signe Timm
Keyword(s):  
Glycaemic Control ◽  
Health Services ◽  
Diabetes Clinic ◽  
The Impact ◽  
Use Of Health Services

scholarly journals The arrogance of insight?

1993 ◽  
Vol 17 (4) ◽  
pp. 233-234 ◽  
Author(s):  
Rachel Perkins ◽  
Parimala Moodley
Keyword(s):  
Health Services ◽  
Help Seeking ◽  
Mental Distress ◽  
Emotional Responses ◽  
Explanatory Models ◽  
Physical Illness ◽  
Psychological Models ◽  
Help Seeking Behaviour ◽  
The Impact ◽  
Use Of Health Services

People's beliefs about illness, distress and disability profoundly influence their experience of, and responses to, such problems. Medical anthropologists have long recognised the importance of explanatory models of physical illness and the impact of these on the provision and use of health services. Similarly, psychological models of physical illness and related behaviour stress the importance of the ways in which people conceptualise or understand their difficulties. These are central in determining emotional responses to illness, help-seeking and illness-related behaviours, attitudes towards and compliance with treatment. Eisenbruch (1990) argues that, “the culturally constructed ideas held by the patient about the cause and nature of disease” are as important in relation to mental distress and disturbance. Help-seeking behaviour, attitudes towards and compliance with treatment are of central concern in psychiatry and all of these are influenced by people's understandings of their difficulties. Yet relatively little attention has been paid to the ways in which people conceptualise their mental distress.

scholarly journals Savings ownership and the use of maternal health services in Indonesia

2019 ◽  
Vol 34 (10) ◽  
pp. 752-761
Author(s):  
Soyoon Weon ◽  
David W Rothwell ◽  
Shailen Nandy ◽  
Arijit Nandi
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Antenatal Care ◽  
Health Facility ◽  
Care Delivery ◽  
Maternal Health Services ◽  
Reproductive Age ◽  
Percentage Points ◽  
The Impact ◽  
Use Of Health Services

Abstract In low- and middle-income countries (LMICs), many women of reproductive age experience morbidity and mortality attributable to inadequate access to and use of health services. Access to personal savings has been identified as a potential instrument for empowering women and improving access to and use of health services. Few studies, however, have examined the relation between savings ownership and use of maternal health services. In this study, we used data from the Indonesian Family Life Survey to examine the relation between women’s savings ownership and use of maternal health services. To estimate the effect of obtaining savings ownership on our primary outcomes, specifically receipt of antenatal care, delivery in a health facility and delivery assisted by a skilled attendant, we used a propensity score weighted difference-in-differences approach. Our findings showed that acquiring savings ownership increased the proportion of women who reported delivering in a health facility by 22 percentage points [risk difference (RD) = 0.22, 95%CI = 0.08–0.37)] and skilled birth attendance by 14 percentage points (RD = 0.14, 95%CI = 0.03–0.25). Conclusions were qualitatively similar across a range of model specifications used to assess the robustness of our main findings. Results, however, did not suggest that savings ownership increased the receipt of antenatal care, which was nearly universal in the sample. Our findings suggest that under certain conditions, savings ownership may facilitate the use of maternal health services, although further quasi-experimental and experimental research is needed to address threats to internal validity and strengthen causal inference, and to examine the impact of savings ownership across different contexts.

scholarly journals Economic Evaluation of Emotional and Personal Support in the Health Care of Women with Disabilities

Healthcare ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 438
Author(s):  
Manuel Vargas-Vargas ◽  
María-Leticia Meseguer-Santamaría ◽  
Francisco Sánchez-Alberola
Keyword(s):  
Health Care ◽  
Health Services ◽  
Economic Cost ◽  
National Health Survey ◽  
Women With Disabilities ◽  
Personal Support ◽  
Unit Costs ◽  
Spanish Women ◽  
The Impact ◽  
Use Of Health Services

It is generally accepted that people with disabilities make greater use of health services. Moreover, certain social circumstances alter the intensity of such use. This manuscript seeks to analyze the existing differences in the use of healthcare among women with and without disabilities, to study the impact of emotional and personal support (EPS) on such use and to assess the reduction of the economic cost that this factor entails. Data from the Spanish National Health Survey (SNHS-2017) and updated unit costs of health services have been used to estimate the differences in use attributable to disability and the economic impact of emotional and personal support. The empirical results show an association between disability and perceived EPS, the latter being less common among Spanish women with disabilities. In addition, within this group, EPS significantly influences the levels of use of health services. Finally, the net effect of a perceived EPS increase would translate into a reduction in the economic costs of health care for women with disabilities.

The Impact of DTaP-IPV-HB Vaccine on Use of Health Services for Young Infants

2006 ◽  
Vol 25 (9) ◽  
pp. 826-831 ◽  
Author(s):  
Lindsay A. Thompson ◽  
Matilde Irigoyen ◽  
L Adriana Matiz ◽  
Philip S. LaRussa ◽  
Shaofu Chen ◽  
...  
Keyword(s):  
Health Services ◽  
Young Infants ◽  
Hb Vaccine ◽  
The Impact ◽  
Use Of Health Services

Use of health services by preschool-aged children who are developmentally vulnerable and socioeconomically disadvantaged: testing the inverse care law

2020 ◽  
pp. jech-2019-213384
Author(s):  
Sue Woolfenden ◽  
Claire Galea ◽  
Hannah Badland ◽  
Hayley Smithers Sheedy ◽  
Katrina Williams ◽  
...  
Keyword(s):  
Health Services ◽  
Primary Healthcare ◽  
Service Use ◽  
Reference Group ◽  
Socioeconomically Disadvantaged ◽  
Cross Sectional ◽  
Disadvantaged Children ◽  
Inverse Care Law ◽  
The Impact ◽  
Use Of Health Services

AimThe inverse care law suggests that those with the greatest need for services are least likely to receive them. Our aim of this study was to test the inverse care law in relation to the use of health services by children aged 4–5 years in Australia who were developmentally vulnerable and socioeconomically disadvantaged.MethodCross-sectional data were collected from the Longitudinal Study of Australian Children birth cohort when the children were aged 4–5 years. Children were grouped according to the combination of developmental vulnerability (yes, no) and socioeconomic disadvantage (lower, higher), resulting in four groups (reference group: developmentally vulnerable and disadvantaged). Multivariate regression was used to examine the impact of the combination of developmental vulnerability and disadvantage on health service use, adjusting for other sociodemographic characteristics.Results3967 (90%) of children had data on developmental vulnerability at 4–5 years. A third of children (32.6%) were classified as developmentally vulnerable, and 10%–25% of these children had used health services. Non-disadvantaged children who were developmentally vulnerable (middle need) had 1.4–2.0 times greater odds of using primary healthcare, specialist and hospital services; and non-disadvantaged children who were not developmentally vulnerable (lowest need) had 1.6–1.8 times greater odds of using primary healthcare services, compared with children who were developmentally vulnerable and disadvantaged (highest need).ConclusionWe found some evidence of the inverse care law. Equity in service delivery remains a challenge that is critically important to tackle in ensuring a healthy start for children.

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