Inpatient Hospital Service Utilization of the Uninsured in Nebraska: Policy Implications for Addressing Uncompensated Care

2009 ◽  
Vol 20 (2) ◽  
pp. 444-457
Author(s):  
Li-Wu Chen ◽  
Michael D. Shambaugh-Miller ◽  
Jane L. Meza ◽  
Wanqing Zhang ◽  
Kelly L. Shaw ◽  
...  
Keyword(s):  
Service Utilization ◽  
Policy Implications ◽  
Hospital Service ◽  
Uncompensated Care ◽  
Inpatient Hospital

EDUCATION

PEDIATRICS ◽  
1958 ◽  
Vol 21 (3) ◽  
pp. 476-490
Author(s):  
Morris Green ◽  
Milton J. E. Senn
Keyword(s):  
Medical Care ◽  
Private Practice ◽  
Hospital Service ◽  
Inpatient Hospital ◽  
Medical Graduates ◽  
Pediatric Education

Despite the frequent lack of integration of psychologic and social considerations in the medical care of patients, it has seemed to us that, more and more, medical graduates are seeking pediatric training that goes beyond the traditional. The authors have described the manner in which they have attempted to incorporate social and psychologic considerations into day-to-day teaching on an inpatient hospital service. Solutions to many of the remaining problems in providing experiences from which the trainee may learn attitudes and techniques easily applicable to private practice may be achieved through further experiments in pediatric education.

Impact of a University Alcohol Policy Change on Bystander Responses to Alcohol-Related Medical Emergencies

2018 ◽  
Vol 48 (3-4) ◽  
pp. 103-117
Author(s):  
Amie L. Haas ◽  
Nicholas C. Welter
Keyword(s):  
Service Utilization ◽  
Policy Change ◽  
Qualitative Data ◽  
Medical Service ◽  
Evaluation Study ◽  
Underage Drinking ◽  
Alcohol Policy ◽  
Policy Implications ◽  
Medical Emergencies ◽  
Call Volume

Two studies evaluated the implementation of a stricter campus underage drinking policy on service utilization and bystander helping behaviors for alcohol-related medical emergencies. A program evaluation (Study 1) examined campus emergency medical service logs assessing changes in call volume and service utilization, finding a 30% reduction in call volume postpolicy change. Study 2 provided a qualitative data summarizing campus first responder ( N =  35) accounts of off-duty alcohol-related emergency calls. Off-duty calls increased postpolicy change and thematic analyses indicated they were (a) motivated by fear of campus sanctions, (b) often yielded delays or failures to contact campus emergency staff, and (c) resulted from student misunderstandings of policy implications for bystander helpers. Findings highlight potential challenges in executing environmental strategies to reduce college drinking.

Hospital service utilization trajectories of individuals living with epilepsy in New South Wales, Australia, 2012–2016: A population-based study

2020 ◽  
Vol 105 ◽  
pp. 106941
Author(s):  
Reidar P. Lystad ◽  
Frances Rapport ◽  
Andrew Bleasel ◽  
Geoffrey Herkes ◽  
Armin Nikpour ◽  
...  
Keyword(s):  
Service Utilization ◽  
New South ◽  
New South Wales ◽  
Population Based ◽  
Hospital Service ◽  
Population Based Study ◽  
South Wales

EXPLAINING THE GAP IN ANTENATAL CARE SERVICE UTILIZATION BETWEEN YOUNGER AND OLDER MOTHERS IN GHANA

2015 ◽  
Vol 48 (3) ◽  
pp. 342-357 ◽  
Author(s):  
Sheila A. Boamah ◽  
Jonathan Amoyaw ◽  
Isaac Luginaah
Keyword(s):  
Antenatal Care ◽  
Service Utilization ◽  
Care Service ◽  
Policy Implications ◽  
Sub Saharan Africa ◽  
World Health ◽  
Group Differences ◽  
Wealth Status ◽  
Older Mothers ◽  
Explanatory Variables

SummaryOver two-thirds of pregnant women (69%) have at least one antenatal care (ANC) coverage contact in sub-Saharan Africa. However, to achieve the full life-saving potential that ANC promises for women and babies, a nuanced understanding of age-specific gaps in utilization of ANC services is required. Using the 2008 Ghana Demographic and Health Survey of 1456 individuals, this study examined the disparities in the use of ANC services between younger and older mothers by applying four counterfactual decomposition techniques. The results show that cross-group differences in the explanatory variables largely account for the differentials in ANC service utilization between younger and older mothers. Birth order (parity) accounts for the largest share of the contribution to the overall explained gap in ANC utilization between the younger and older mothers, suggesting that ANC differentials between the two groups are probably due to biosocial factors. To a lesser extent, wealth status of the two groups also contributes to the overall explained gap in ANC service utilization. The policy implications of these findings are that in order to bridge the ANC service utilization gap between the two groups, policymakers must systematically address gaps in cross-group differences in the explanatory variables in order to increase the utilization of ANC to attain the minimum recommendation of four visits as per World Health Organization guidelines.

Modifiable Risk Factors for Hospitalization Among People with Psychosis: Evidence from the National Study of Low Prevalence (Psychotic) Disorders

2006 ◽  
Vol 40 (8) ◽  
pp. 683-690 ◽  
Author(s):  
Vera Morgan ◽  
Ailsa Korten ◽  
Assen Jablensky
Keyword(s):  
Risk Factors ◽  
Case Management ◽  
Service Utilization ◽  
Psychotic Disorders ◽  
Policy Implications ◽  
National Study ◽  
Symptom Profile ◽  
Risky Behaviours ◽  
Low Prevalence ◽  
The Impact

Objective: Relatively little has been published on dynamic, that is, modifiable, as opposed to static risk factors for hospitalization in the research literature on risk factors for hospitalization in serious mental illness. The aim of this study was to develop a model to determine modifiable predictors of hospitalization using data from the Australian National Study of Low Prevalence (Psychotic) Disorders. Method: The Study of Low Prevalence Disorders used a two-phase design to estimate the prevalence of psychoses and identify characteristics of people with psychotic illness. This paper compares people hospitalized at the time of census and those using outpatient services. Logistic regression was used to examine the relative impact of dynamic characteristics including service utilization, symptom profile and risky behaviours on a base model for risk of hospitalization. Results: In the base model, course of disorder and age but not type of psychosis were significantly associated with hospitalization. Among symptoms, delusions (but not hallucinations) and negative symptoms significantly increased the odds of hospitalization. Service utilization, especially case management, reduced the odds significantly and substantially. Results for risky behaviours (e.g. substance abuse, offending) were ambiguous. Conclusions: The results highlight the impact of dynamic factors, particularly case management, over and above static factors in reducing the risk of hospitalization in psychosis, and point to a potential for targeted interventions to avert some of the burden, both emotional and financial, associated with the hospitalization of people with psychotic disorders. These findings have important clinical and policy implications.

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