scholarly journals Examining the relationship between childhood health conditions and health service utilisation at school entry and subsequent academic performance in a large cohort of Australian children

2016 ◽  
Vol 52 (7) ◽  
pp. 750-758 ◽  
Author(s):  
Esther Nasuuna ◽  
Giuseppe Santoro ◽  
Peter Kremer ◽  
Andrea M de Silva
Keyword(s):  
Academic Performance ◽  
Health Service ◽  
Large Cohort ◽  
Health Service Utilisation ◽  
School Entry ◽  
Health Conditions ◽  
Service Utilisation ◽  
Childhood Health ◽  
The Relationship

scholarly journals Identifying a retrospective cohort of adolescents with chronic health conditions from a paediatric hospital prior to transfer to adult care: the Calgary Transition Cohort

BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e027045 ◽  
Author(s):  
Kyleigh Schraeder ◽  
Alberto Nettel-Aguirre ◽  
Andrew Mackie ◽  
Olesya Barrett ◽  
David W Johnson ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Health Service ◽  
Chronic Health Conditions ◽  
Health Service Utilisation ◽  
Health Conditions ◽  
Service Utilisation ◽  
Adult Care ◽  
Chronic Health ◽  
Paediatric Hospital ◽  
Visit Frequency

PurposeThe Calgary Transition Cohort was created to examine health service utilisation by adolescents affected by chronic health conditions seen in a tertiary paediatric hospital in the province of Alberta, Canada. The cohort includes adolescents who received care before the implementation of a hospital-wide intervention to improve transitions to adult care.ParticipantsUsing hospital records, a stepwise methodology involving a series of algorithms based on adolescents’ visit frequency to a hospital ambulatory chronic care clinic (CCC) was used to identify the cohort. A visit frequency of ≥4 visits in any 24-month window, during the ages of 12–17 years old, was used to identify eligible adolescents, as agreed on by key stakeholders and chronic disease clinical providers, and reflects the usual practice at the hospital for routine care of children with chronic disease.Findings to dateAdolescents with ≥4 visits to the same CCC in any 2-year period (n=1344) with a median of 8.7 years of follow-up data collected (range 1.4–9.1). The median age at study entry was 14 years (range 12–17) and 22 years (range 14–24) at study exit. The cohort was linked (97% successful match proportion) to their population-level health records that allowed for examination of occurrence of chronic disease codes in health utilisation encounters (ie, physician claims, hospital admissions and emergency room visits). At least one encounter with a chronic disease code (International Classification of Diseases, 9th/10th Revisions) was observed during the entire study window in 87.9% of the cohort.Future plansThe Calgary Transition Cohort will be used to address existing knowledge gaps about health service utilisation by adolescents, seen at a tertiary care hospital, affected by a broad group of chronic health conditions. These adolescents will require transition to adult-oriented care. Longitudinal analysis of health service use patterns over a 9-year window (2008–2016) will be conducted.

scholarly journals Health literacy and age-related health-care utilisation: a multi-dimensional approach

2020 ◽  
pp. 1-22
Author(s):  
Joachim Gerich ◽  
Robert Moosbrugger ◽  
Christoph Heigl
Keyword(s):  
Health Literacy ◽  
Health Service ◽  
Health Care Utilisation ◽  
Health Service Utilisation ◽  
Service Utilisation ◽  
Significant Interaction Effect ◽  
Medication Costs ◽  
Age Related ◽  
Care Utilisation ◽  
Health Related

Abstract Inefficient health service utilisation puts pressure on health systems and may cause such negative individual consequences as over-medicalisation or exacerbation of health problems. While previous research has considered the key relevance of health literacy (HL) for efficient use of health services, the results of that research have been somewhat inconclusive. Possible reasons for diverging results of prior research may be grounded in different measurement concepts of HL and the disregarding of age-specific effects. This paper analyses the association between individuals’ HL typology based on a two-dimensional concept and indicators of health service utilisation measured by registered data covering the number of doctor visits and medication costs. Our results confirm a significant interaction effect between age and HL typology. The age-related increase in health service utilisation is strongest for individuals with the combination of high subjective HL but low health-related knowledge, while the smallest increase is for individuals with the constellation of high subjective HL combined with high health-related knowledge. Individuals with specific constellations of HL (that is, individuals with high subjective HL but low health-related knowledge) are associated with reduced service utilisation in younger ages but higher service utilisation in later stages of life, compared to other groups. These results are likely to be attributed to a higher external health-related locus of control and more traditional paternalistic role expectations in such groups.

College Readiness, Early Post-secondary Academic Performance and the GED Degree: Evidence from Kentucky

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
T. M. Tonmoy Islam ◽  
Kathryn Rouse
Keyword(s):  
Academic Performance ◽  
College Readiness ◽  
Educational Development ◽  
School Entry ◽  
First Semester ◽  
Post Secondary ◽  
Ged Graduates ◽  
Ged Credential ◽  
Math Readiness ◽  
The Relationship

Abstract We use detailed administrative data from Kentucky to provide robust descriptive evidence on the relationship between the General Educational Development (GED) degree, college readiness, and early post-secondary (PSE) academic performance. Following previous work in this area, we address selection issues by focusing on a sample of students who are identified as at-risk prior to high school entry. Our results suggest the GED credential is not a credible signal of PSE readiness, particularly in mathematics. GED graduates attain a lower first semester GPA and are also less likely to re-enroll in second semester courses. We also find that changes made to the GED exam in 2014 to enhance student readiness in PSE institutions did not yield meaningful improvements. Finally, we investigate the extent to which differences in math coursework can explain estimated GED-related math readiness gaps, finding coursework to account for about for about 40 percent of the observed gap.

Patterns in Health Service Utilisation and Healthcare Entitlements

2020 ◽  
pp. 83-99
Author(s):  
Lorna Roe ◽  
Christine McGarrigle ◽  
Belinda Hernandez ◽  
Aisling O'Halloran ◽  
Siobhan Scarlett ◽  
...  
Keyword(s):  
Health Service ◽  
Health Service Utilisation ◽  
Service Utilisation
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