Relevant bibliographies by topics / Healthcare utilisation

Academic literature on the topic 'Healthcare utilisation'

Author: Grafiati
Published: 10 December 2022
Last updated: 28 January 2023

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Journal articles on the topic "Healthcare utilisation"

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Zhang, Yi-Na, Yun Chen, Ying Wang, Fan Li, Michelle Pender, Na Wang, Fei Yan, Xiao-Hua Ying, Sheng-Lan Tang, and Chao-Wei Fu. "Reduction in healthcare services during the COVID-19 pandemic in China." BMJ Global Health 5, no. 11 (November 2020): e003421. http://dx.doi.org/10.1136/bmjgh-2020-003421.

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IntroductionThe COVID-19 pandemic caused a healthcare crisis in China and continues to wreak havoc across the world. This paper evaluated COVID-19’s impact on national and regional healthcare service utilisation and expenditure in China.MethodsUsing a big data approach, we collected data from 300 million bank card transactions to measure individual healthcare expenditure and utilisation in mainland China. Since the outbreak coincided with the 2020 Chinese Spring Festival holiday, a difference-in-difference (DID) method was employed to compare changes in healthcare utilisation before, during and after the Spring Festival in 2020 and 2019. We also tracked healthcare utilisation before, during and after the outbreak.ResultsHealthcare utilisation declined overall, especially during the post-festival period in 2020. Total healthcare expenditure and utilisation declined by 37.8% and 40.8%, respectively, while per capita expenditure increased by 3.3%. In a subgroup analysis, we found that the outbreak had a greater impact on healthcare utilisation in cities at higher risk of COVID-19, with stricter lockdown measures and those located in the western region. The DID results suggest that, compared with low-risk cities, the pandemic induced a 14.8%, 26.4% and 27.5% reduction in total healthcare expenditure in medium-risk and high-risk cities, and in cities located in Hubei province during the post-festival period in 2020 relative to 2019, an 8.6%, 15.9% and 24.4% reduction in utilisation services; and a 7.3% and 18.4% reduction in per capita expenditure in medium-risk and high-risk cities, respectively. By the last week of April 2020, as the outbreak came under control, healthcare utilisation gradually recovered, but only to 79.9%–89.3% of its pre-outbreak levels.ConclusionThe COVID-19 pandemic had a significantly negative effect on healthcare utilisation in China, evident by a dramatic decline in healthcare expenditure. While the utilisation level has gradually increased post-outbreak, it has yet to return to normal levels.
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Beaney, Thomas, Jonathan Clarke, Thomas Woodcock, Rachel McCarthy, Kavitha Saravanakumar, Mauricio Barahona, Mitch Blair, and Dougal S. Hargreaves. "Patterns of healthcare utilisation in children and young people: a retrospective cohort study using routinely collected healthcare data in Northwest London." BMJ Open 11, no. 12 (December 2021): e050847. http://dx.doi.org/10.1136/bmjopen-2021-050847.

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ObjectivesWith a growing role for health services in managing population health, there is a need for early identification of populations with high need. Segmentation approaches partition the population based on demographics, long-term conditions (LTCs) or healthcare utilisation but have mostly been applied to adults. Our study uses segmentation methods to distinguish patterns of healthcare utilisation in children and young people (CYP) and to explore predictors of segment membership.DesignA retrospective cohort study.SettingRoutinely collected primary and secondary healthcare data in Northwest London from the Discover database.Participants378 309 CYP aged 0–15 years registered to a general practice in Northwest London with 1 full year of follow-up.Primary and secondary outcome measuresAssignment of each participant to a segment defined by seven healthcare variables representing primary and secondary care attendances, and description of utilisation patterns by segment. Predictors of segment membership described by age, sex, ethnicity, deprivation and LTCs.ResultsParticipants were grouped into six segments based on healthcare utilisation. Three segments predominantly used primary care, two moderate utilisation segments differed in use of emergency or elective care, and a high utilisation segment, representing 16 632 (4.4%) children accounted for the highest mean presentations across all service types. The two smallest segments, representing 13.3% of the population, accounted for 62.5% of total costs. Younger age, residence in areas of higher deprivation and the presence of one or more LTCs were associated with membership of higher utilisation segments, but 75.0% of those in the highest utilisation segment had no LTC.ConclusionsThis article identifies six segments of healthcare utilisation in CYP and predictors of segment membership. Demographics and LTCs may not explain utilisation patterns as strongly as in adults, which may limit the use of routine data in predicting utilisation and suggest children have less well-defined trajectories of service use than adults.
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Stewart, Catherine Louise, and Jennifer Anne Hall. "Factors that affect the utilisation of maternal healthcare in the Mchinji District of Malawi." PLOS ONE 17, no. 12 (December 30, 2022): e0279613. http://dx.doi.org/10.1371/journal.pone.0279613.

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Background It is widely accepted that maternal healthcare is vital for improving maternal and neonatal mortality rates. Furthermore, the continuum of care–the integrated delivery of antenatal, delivery and postnatal care–has been shown to be particularly important. Sub-Saharan Africa has the highest neonatal and maternal mortality rates in the world; significant improvements in the provision and utilisation of the continuum are urgently needed, therefore the barriers preventing access need to be better understood. This study aimed to identify key factors associated with the utilisation of maternal healthcare, in the Mchinji District of Malawi. Methods 4,244 pregnant women from the Mchinji District of Malawi were interviewed between March and December 2013. The overall utilisation of maternal healthcare was calculated by combining the use of antenatal, delivery and postnatal care into one variable—continuum of care. Univariate and multivariate logistic regressions were performed to determine the factors associated with utilisation of maternal healthcare. Results Utilisation of maternal healthcare in the Mchinji District was inadequate; only 24% of women received the recommended package. Being further from a healthcare facility (OR = 0.2, 95%CI = 0.04–0.96), having at least one live child (OR = 0.87, 95%CI = 0.84–0.99), previous experience of miscarriage (OR = 0.64, 95%CI = 0.50–0.82) or abuse (OR = 0.81, 95%CI = 0.69–0.95) reduced utilisation, whereas being in the richest 20% (OR = 1.33 95%CI = 1.08–1.65), having a planned pregnancy (OR = 1.3, 95%CI = 1.11–1.51) or more control over decisions (OR = 1.09, 95%CI = 0.80–1.49) increased utilisation. Conclusion Seven groups of women were identified as having an increased risk of low utilisation of maternal healthcare; women living >5km from a healthcare facility, within the poorest socio-economic group, experiencing an unplanned pregnancy, with at least one live child, experience of a previous miscarriage, no control over their healthcare decisions or experience of abuse. Policy makers should pay extra attention to these high-risk groups when designing and delivering strategies to improve maternal healthcare utilisation.
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Harvey, Sarah, Joanna Bromley, Miles Edwards, Megan Hooper, Hannah McAndrew, and Joanne Timms. "Audit of the impact of the integrated psychological medicine service (IPMS) on service utilisation." BJPsych Open 7, S1 (June 2021): S80—S81. http://dx.doi.org/10.1192/bjo.2021.252.

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AimsAn audit to assess the impact of an Integrated Psychological Medicine Service (IPMS) on healthcare utilization pre & post intervention. We hypothesized that an IPMS approach would reduce healthcare utilization.BackgroundThe IPMS focusses on integrating biopsychosocial assessments into physical healthcare pathways. It has developed in stages as opportunities presented in different specialities leading to a heterogeneous non-standardised service. The key aim is involvement of mental health practitioners, psychologists & psychiatrists in complex patients with comorbidity or functional presentations in combination with the specialty MDT. This audit is the first attempt to gather data across all involved specialities and complete a randomised deep dive into cases.MethodReferrals into IMPS from July 2019 to June 2020 pulled 129 referrals, of which a 10% randomised sample of 13 patients was selected to analyse. 5 patients had one year of data either side of the duration of the IPMS intervention (excluding 8 patients with incomplete data sets).We analysed; the duration & nature of the IPMS intervention, the number, duration & speciality of inpatient admissions & short stays, outpatient attendances, non-attendances & patient cancellations. Psychosocial information was also gathered. One non-randomised patient was analysed as a comparative case illustration.ResultRandomised patients; patient 78's utilisation remained static, patient 71 post-referral engaged with health psychology & reduced healthcare utilisation. Patient 7 increased healthcare utilisation post-referral secondary to health complications. Patient 54 did not attend & increased healthcare utilisation post-referral. Patient 106 had increased healthcare utilisation post-referral from a new health condition. The randomised sample identified limitations of using healthcare utilisation as an outcome measure when contrasted to the non-randomised case (which significantly reduced healthcare utilisation post-referral).ConclusionCorrelation only can be inferred from the data due to sample size, limitations & confounding factors e.g. psycho-social life events, acquired illness. Alternative outcome measurements documented (e.g PHQ9/GAD7) were not reliably recorded across pathways.The results evidenced that single cases can demonstrate highly desirable effects of a biopsychosocial approach but they can also skew data sets if results are pooled due to the small sample size & heterogeneous interventions. With some patients an increase in healthcare utilisation was appropriate for an improved clinical outcome. This audit identified that utilising healthcare utilisation as an outcome measure is a crude tool with significant limitations & the need to agree tailored outcome measures based on the type of intervention to assess the impact of IPMS.
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Rosen, Tony, Yuhua Bao, Yiye Zhang, Sunday Clark, Katherine Wen, Alyssa Elman, Philip Jeng, et al. "Identifying patterns of health care utilisation among physical elder abuse victims using Medicare data and legally adjudicated cases: protocol for case–control study using data linkage and machine learning." BMJ Open 11, no. 2 (February 2021): e044768. http://dx.doi.org/10.1136/bmjopen-2020-044768.

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IntroductionPhysical elder abuse is common and has serious health consequences but is under-recognised and under-reported. As assessment by healthcare providers may represent the only contact outside family for many older adults, clinicians have a unique opportunity to identify suspected abuse and initiate intervention. Preliminary research suggests elder abuse victims may have different patterns of healthcare utilisation than other older adults, with increased rates of emergency department use, hospitalisation and nursing home placement. Little is known, however, about the patterns of this increased utilisation and associated costs. To help fill this gap, we describe here the protocol for a study exploring patterns of healthcare utilisation and associated costs for known physical elder abuse victims compared with non-victims.Methods and analysisWe hypothesise that various aspects of healthcare utilisation are differentially affected by physical elder abuse victimisation, increasing ED/hospital utilisation and reducing outpatient/primary care utilisation. We will obtain Medicare claims data for a series of well-characterised, legally adjudicated cases of physical elder abuse to examine victims’ healthcare utilisation before and after the date of abuse detection. We will also compare these physical elder abuse victims to a matched comparison group of non-victimised older adults using Medicare claims. We will use machine learning approaches to extend our ability to identify patterns suggestive of potential physical elder abuse exposure. Describing unique patterns and associated costs of healthcare utilisation among elder abuse victims may improve the ability of healthcare providers to identify and, ultimately, intervene and prevent victimisation.Ethics and disseminationThis project has been reviewed and approved by the Weill Cornell Medicine Institutional Review Board, protocol #1807019417, with initial approval on 1 August 2018. We aim to disseminate our results in peer-reviewed journals at national and international conferences and among interested patient groups and the public.
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Sonik, Rajan A., Alisha Coleman-Jensen, and Susan L. Parish. "Household food insufficiency, health status and emergency healthcare utilisation among children with and without special healthcare needs." Public Health Nutrition 23, no. 17 (June 9, 2020): 3204–10. http://dx.doi.org/10.1017/s1368980020000361.

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AbstractObjective:To compare exposure to household food insufficiency and the relationship between household food insufficiency and both health status and emergency healthcare utilisation among children with and without special healthcare needs (SHCN).Design:Analysing pooled data from the 2016–2017 iterations of the National Survey of Children’s Health, we conducted multivariate logistic regressions on household food insufficiency, health status and emergency healthcare utilisation. We assessed interactions between household food insufficiency and children’s SHCN status in our models of health status and utilisation.Setting:United States.Participants:Parents of a nationally representative sample of non-institutionalised children (aged 0–17 years).Results:Children with SHCN were more likely to experience household food insufficiency (70 v. 56 %), non-excellent health status (67 v. 28 %) and emergency healthcare utilisation (32 v. 18 %) than other children. Household food insufficiency was associated with 37 % (children with SHCN) and 19 % (children without SHCN) reductions in the likelihood of having excellent health. Household food insufficiency was associated with a roughly equal (16–19 %) increase in the likelihood of emergency department utilisation across groups.Conclusions:Compared with other children, children with SHCN have an elevated risk of exposure to household food insufficiency and experiencing greater reductions in health status when exposed.
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Viktorsson, Lisa, Eva Törnvall, Magnus Falk, Ingrid Wåhlin, and Pia Yngman‐Uhlin. "Young adults' healthcare utilisation and healthcare needs: Perceptions and experiences of healthcare providers." Health Expectations 25, no. 1 (October 8, 2021): 245–53. http://dx.doi.org/10.1111/hex.13370.

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Schnyder, N., C. Michel, R. Panczak, S. Ochsenbein, B. G. Schimmelmann, and F. Schultze-Lutter. "The interplay of etiological knowledge and mental illness stigma on healthcare utilisation in the community: A structural equation model." European Psychiatry 51 (June 2018): 48–56. http://dx.doi.org/10.1016/j.eurpsy.2017.12.027.

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AbstractBackground:The stigma of mental illness, especially personal attitudes towards psychiatric patients and mental health help-seeking, is an important barrier in healthcare utilisation. These attitudes are not independent of each other and are also influenced by other factors, such as mental health literacy, especially the public’s causal explanations for mental problems. We aimed to disentangle the interrelations between the different aspects of stigma and causal explanations with respect to their association with healthcare utilisation.Methods:Stigma and causal explanations were assessed cross-sectional using established German questionnaires with two unlabelled vignettes (schizophrenia and depression) in a random-selection representative community sample (N = 1375, aged 16–40 years). They were interviewed through a prior telephone survey for current mental disorder (n = 192) and healthcare utilisation (n = 377). Structural equation modelling was conducted with healthcare utilisation as outcome and stigma and causal explanations as latent variables. The final model was additionally analysed based on the vignettes.Results:We identified two pathways. One positive associated with healthcare utilisation, with high psychosocial stress and low constitution/personality related causal explanations, via positive perception of help-seeking and more help-seeking intentions. One negative associated with healthcare utilisation, with high biogenetic and constitution/personality, and low psychosocial stress related explanations, via negative perception of psychiatric patients and a strong wish for social distance. Sensitivity analysis generally supported both pathways with some differences in the role of biogenetic causal explanation.Conclusion:Our results indicate that campaigns promoting early healthcare utilisation should focus on different strategies to promote facilitation and reduce barriers to mental healthcare.
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Meulman, Iris, Ellen Uiters, Johan Polder, and Niek Stadhouders. "Why does healthcare utilisation differ between socioeconomic groups in OECD countries with universal healthcare coverage? A protocol for a systematic review." BMJ Open 11, no. 11 (November 2021): e054806. http://dx.doi.org/10.1136/bmjopen-2021-054806.

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IntroductionEven in advanced economies with universal healthcare coverage (UHC), a social gradient in healthcare utilisation has been reported. Many individual, community and healthcare system factors have been considered that may be associated with the variation in healthcare utilisation between socioeconomic groups. Nevertheless, relatively little is known about the complex interaction and relative contribution of these factors to socioeconomic differences in healthcare utilisation. In order to improve understanding of why utilisation patterns differ by socioeconomic status (SES), the proposed systematic review will explore the main mechanisms that have been examined in quantitative research.Methods and analysisThe systematic review will follow the Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines and will be conducted in Embase, PubMed, Scopus, Web of Science, Econlit and PsycInfo. Articles examining factors associated with the differences in primary and specialised healthcare utilisation between socioeconomic groups in Organisation for Economic Co-operation and Development (OECD) countries with UHC will be included. Further restrictions concern specifications of outcome measures, factors of interest, study design, population, language and type of publication. Data will be numerically summarised, narratively synthesised and thematically discussed. The factors will be categorised according to existing frameworks for barriers to healthcare access.Ethics and disseminationNo primary data will be collected. No ethics approval is required. We intend to publish a scientific article in an international peer-reviewed journal.
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Kazanga, Isabel, Alister C. Munthali, Joanne McVeigh, Hasheem Mannan, and Malcolm MacLachlan. "Predictors of Utilisation of Skilled Maternal Healthcare in Lilongwe District, Malawi." International Journal of Health Policy and Management 8, no. 12 (August 13, 2019): 700–710. http://dx.doi.org/10.15171/ijhpm.2019.67.

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Background: Despite numerous efforts to improve maternal and child health in Malawi, maternal and newborn mortality rates remain very high, with the country having one of the highest maternal mortality ratios globally. The aim of this study was to identify which individual factors best predict utilisation of skilled maternal healthcare in a sample of women residing in Lilongwe district of Malawi. Identifying which of these factors play a significant role in determining utilisation of skilled maternal healthcare is required to inform policies and programming in the interest of achieving increased utilisation of skilled maternal healthcare in Malawi. Methods: This study used secondary data from the Woman’s Questionnaire of the 2010 Malawi Demographic and Health Survey (MDHS). Data was analysed from 1126 women aged between 15 and 49 living in Lilongwe. Multivariate logistic regression was conducted to determine significant predictors of maternal healthcare utilisation. Results: Women’s residence (P=.006), education (P=.004), and wealth (P=.018) were significant predictors of utilisation of maternal healthcare provided by a skilled attendant. Urban women were less likely (odds ratio [OR] = 0.47, P=.006, 95% CI = 0.28–0.81) to utilise a continuum of maternal healthcare from a skilled health attendant compared to rural women. Similarly, women with less education (OR = 0.32, P=.001, 95% CI = 0.16–0.64), and poor women (OR = 0.50, P=.04, 95% CI = 0.26–0.97) were less likely to use a continuum of maternal healthcare from a skilled health attendant. Conclusion: Policies and programmes should aim to increase utilisation of skilled maternal healthcare for women with less education and low-income status. Specifically, emphasis should be placed on promoting education and economic empowerment initiatives, and creating awareness about use of maternal healthcare services among girls, women and their respective communities.
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Dissertations / Theses on the topic "Healthcare utilisation"

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Wenig, Christina M. [Verfasser]. "Impact of Obesity on Healthcare Utilisation and Costs / Christina M. Wenig." München : Verlag Dr. Hut, 2011. http://d-nb.info/1018982507/34.

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Onyigbuo, Chineme. "Exploring health-seeking behaviours among Nigerians in the UK : towards improved healthcare utilisation." Thesis, Middlesex University, 2016. http://eprints.mdx.ac.uk/21324/.

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The changing face of patient’s populations in the UK has resulted in notable increases in cultural diversity that impact on health care service provision, access and utilisation; with health services underutilisation, prevalent more among immigrants due to heavy reliance on cultural and religious cure methods. The aim of this thesis therefore, was to explore how Nigerians in the UK engage with the British health system. This objective was pursued by integrating immigration issues, with factors associated with decisions to seek medical help, including health beliefs, access, attitudes, cognitions, and socio-political and religious experiences (past and present) that impact upon health outcomes. A triangulation approach was employed, involving a critical review of measures, and four empirical studies consisting of qualitative and quantitative research methodologies. Results show that health-seeking behaviours among Nigerians were best accounted for by their religious and cultural beliefs, as typified by their health context before migration. Religion was not found as a barrier to medical help-seeking; the regression analysis revealed that belonging to the Christian religious group predicted increased medical help-seeking; although assimilation to the British culture was associated with reduced religious behaviours. However, the role of other religious groups regarding medical help-seeking remains unclear, and needs a more focused study. In addition, care providers mainly agreed on the benefits of integrating the spiritual methods into formal healthcare systems, bringing some challenges which were tentatively negotiated through the theory of transformative coping (TTC). Findings have implications for research, policies, and clinical practice, particularly when culture-sensitive and integrated health interventions are tailored to the needs of the diverse immigrant populations in the UK.
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Gale, Samantha Charlotte. "Healthcare utilisation amongst those with Down's syndrome in Hong Kong : a population-based, cross-sectional study." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hdl.handle.net/10722/193762.

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Down’s syndrome is a common chromosomal disorder associated with intellectual disability, congenital anomalies and increased risk of a number of acquired diseases. Despite improvements in life expectancy due to improved medical care, clear health disparities still exist. Down’s syndrome remains an important cause of infant mortality and intellectual disability in Hong Kong and globally. Gaps in existing knowledge include an unknown prevalence of Down’s syndrome, especially amongst adults; unknown patterns of A&E and outpatient utilisation by people with Down’s syndrome; the applicability of international data on hospitalisations of people with Down’s syndrome to Hong Kong; and the current demand on Hong Kong’s public healthcare services by people with Down’s syndrome. This study uses Hospital Authority patient and healthcare episode data to identify people with Down’s syndrome alive in 2010. Data from the Hong Kong Census 2011 is then used to create an estimate of the age- specific point prevalence of Down’s syndrome in Hong Kong on 31/12/2010. The relative risk associated with Down’s syndrome of at least one admission is calculated. Age and gender stratified rates of A&E attendance, outpatient attendance and inpatient admissions for both the Down’s syndrome population and the general population are estimated and compared. Average length of stay is also calculated for both populations and compared. A negative binomial with log link regression model is used to examine the association between patient characteristics, including age, gender, ethnicity and known comorbidities, and admission factors, including admission type, admitting speciality, surgery and intensive care admission, on length of stay. Lastly, the proportion of Hospital Authority A&E attendances, outpatient attendances and inpatient admissions that are by people with Down’s syndrome is calculated. 2,144 people with Down’s syndrome were identified. The overall prevalence of Down’s syndrome on 31/12/2010 in Hong Kong was 3.00 per 10,000. It was highest in those aged under 5 years at 9.95 per 10,000 and decreased with age. Rates of A&E, outpatient attendance and inpatient admission were 2.0, 2.4 and 3.3 times higher respectively in the Down’s syndrome population compared to the general population. The Risk Ratio of at least one admission associated with Down’s syndrome was 2.59 (p<0.001). Factors significantly associated with increased length of stay included infant age group, known thyroid disease, known other circulatory malformation, non-emergency admission, surgery, admission to ICU and 3 or more known comorbidities. Known congenital heart disease and known epilepsy were significantly associated with a shorter length of stay. The overall proportion of A&E attendances, outpatient attendances and inpatient admissions that were by people with Down’s syndrome were 0.06%, 0.07% and 0.10% respectively. This study provides new knowledge on Down’s syndrome in Hong Kong which will be of use to those delivering and planning healthcare services for this population, and also to those providing genetic counselling on Down’s syndrome. At the same time, new questions are raised on morbidity, mortality and equity of healthcare access amongst people with Down’s syndrome. Further research is required to answer these questions and thus allow effective interventions for reducing morbidity and mortality in this population to be designed.
published_or_final_version
Public Health
Master
Master of Public Health
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Wikehult, Björn. "Use of Healthcare, Perceived Health and Patient Satisfaction in Patients with Burns." Doctoral thesis, Uppsala University, Department of Surgical Sciences, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-9262.

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A severe burn is a trauma fraught with stress and pain and may change the entire course of life. This thesis focuses on care utilisation, care experiences and patient satisfaction after a severe burn.

The patients studied were treated at the Burn Unit at Uppsala University Hospital between 1980 and 2006. Burn-related health was examined using the Burn Specific Health Scale-Brief (BSHS-B), personality traits with the Swedish universities Scales of Personality (SSP), psychological symptoms using the Hospital Anxiety and Depression scale (HADS), symptoms of posttraumatic stress with the Impact of Event Scale-Revised (IES-R) and satisfaction with care using the Patient Satisfaction-Results and Quality (PS-RESKVA) questionnaire.

Those utilising care years after injury reported poorer functioning on three of the BSHS-B subscales. Personality traits had a greater impact on care utilisation than injury severity.

Social desirability was lower among care utilisers and was associated with burn-related health aspects.

The participants reported a low level of negative care experiences, the most common of which was Powerlessness.

Most patients were satisfied with care, more with quality of contact with the nursing staff, and less with treatment information. Multiple regressions showed that the BSHS-B Interpersonal relationships subscale was an independent variable related to all measured aspects of patient satisfaction. The highest adjusted R2 was 0.25.

In a prospective assessment with multiple regression analyses, Age and Education, the personality traits of Stress susceptibility, Trait irritability, Detachment and Social desirability, in addition to the post-traumatic stress symptoms Intrusion and Hyperarousal, were predictors of satisfaction with care. The highest adjusted R2 was 0.19.

The thesis has pointed out that interpersonal factors are related to care utilisation as well as satisfaction with care. However, satisfaction with care was only moderately associated with health and individual characteristics, which may imply that the care itself is of major importance.

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Cheruto, Sowon Karen. "How the healthcare-seeking socio-cultural context shapes maternal health clients' mHealth utilisation in a Kenyan context." Doctoral thesis, Faculty of Commerce, 2021. http://hdl.handle.net/11427/34016.

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Problem Statement: Many developing countries are still grappling with poor health as a result of strained healthcare systems. Top among health inequalities is maternal care with maternal mortality rates being almost 19 times higher in developing countries than in their developed counterparts. mHealth presents the potential for developing countries to overcome some of the traditional healthcare challenges. However, despite the compelling evidence for the potential of maternal mHealth from the plethora of effectiveness studies, why when and how interventions work/do not work in different contexts are not fully understood. Socio-cultural factors are one of the most cited reasons for variance in uptake and utilisation of such technologies. To date, research explaining how socio-cultural factors shape mHealth utilisation is sparse. Purpose of the study: The main objective of the study was to explain how mHealth utilisation behaviour emerges within the healthcare-seeking socio-cultural context. To achieve the objective, the study identified the socio-cultural characteristics of the maternal healthcareseeking context and analysed the user-technology interaction within this context. Research methodology: Building on the foundation that human experiences are best understood in situ, the study adopted explanatory methods guided by an interpretivist paradigm. The study drew upon Activity Theory as a lens to understand the maternal mHealth utilisation phenomenon. Hence, we theorised healthcare-seeking as an activity whose cultural aspects were further understood using Hofstede typology of culture. The study used a Kenyan maternal mHealth intervention to elucidate the phenomenon. We employed semi-structured interviews, focus group discussions, observations, informal discussions, and document review to gather data. The sample was purposively selected and comprised various maternal health stakeholders: maternal health clients, their partners, project implementers and healthcare professionals. Key findings: The results of the study show that the healthcare-seeking socio-cultural context which is characterised by socio-cultural attributes such as high-power distance, high uncertainty avoidance, gendered relations, and collectivism shapes mHealth utilisation behaviour in a dialectical process. This process takes place as maternal health clients shape and are shaped by mHealth within their healthcare-seeking socio-cultural context through a process of internalisation and externalisation. From an internalisation perspective, uncertainties and risks in the maternal healthcare-seeking context resulted in hesitated adoption. Contextual perceptions of usefulness of the intervention resulted in the use of mHealth to substitute other healthcare structures while having different perceptions of the role of mHealth created dissonance among the maternal health clients. With regards to externalisation, maternal health clients adopted legitimisation strategies to reduce uncertainties and to develop trust required for initial and continued use of the intervention. They legitimised both the intervention artifact, and the information. Since the mHealth intervention presented appropriate social cues, being accompanied by the expected health provider's persona, maternal health clients readily humanised the intervention. The contextual social norms around pregnancy also presented a need for the maternal health clients to make their mHealth use an ‘appropriate behaviour' by negotiating use with relevant stakeholders in the context. Finally, in response to mHealth technology paradoxes that challenged the very motive of healthcare-seeking, maternal health clients coped by abandoning mHealth, or otherwise accommodating it. Originality/contribution: This study contributed to knowledge, theory, and practice. First, the study suggests theoretical propositions that explain how mHealth utilisation behaviour emerges. These findings may be useful to similar developing-country contexts. A further contribution to theory emerges from the use of Activity Theory to understand the phenomenon. The study helps to operationalise Activity Theory concepts in Information Systems research. Second, the study provides recommendations to practise with regard to the design and implementation of mHealth interventions. These insights may be useful to mHealth designers and implementers in designing mHealth solutions that are contextually relevant. Here, we propose the consideration of mHealth intervention characteristics that will aid utilisation, involving healthcare professionals and other community stakeholders in mHealth implementation and integrating mHealth into existing healthcare structures.
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El-Atem, Nathan Abraham. "An investigation of ambulatory tertiary hospital resource utilisation by people with liver disease." Thesis, Queensland University of Technology, 2020. https://eprints.qut.edu.au/180900/1/Nathan_El-Atem_Thesis.pdf.

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This thesis described the casemix, health resource utilisation and geographic clustering of demand for health services for liver disease using data collected from the Princess Alexandra Hospital, Brisbane. High levels of advanced liver disease were seen, with a high requirement for ancillary services. Younger patients and patients with less severe disease were less likely to attend scheduled appointments. Demand for specialty care was clustered within specific geographic areas. The findings of this program of research highlight some specific issues that need to be addressed, in order to improve health services for patients with chronic liver disease.
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Matondolo, Siyamthanda Luthando. "Utilisation of ICT in healthcare centre to support HIV/AIDS flow of information and service delivery In Khayelitsha." Thesis, Cape Peninsula University of Technology, 2012. http://hdl.handle.net/20.500.11838/2477.

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Thesis (MTech (Information Technology))--Cape Peninsula University of Technology, 2012.
This research is an attempt to investigate the utilisation of Information Communication Technology (ICT) in Healthcare to support the flow of HIV/AIDS patient’s general information in public and private sector. Furthermore, the research examines the detail flow of database information for healthcare service delivery to patients, in particular HIV/AIDS patients, in Khayelitsha Township. Finally, the research will detail the types of technologies currently being utilised to transfer this information, technology utilised for capturing or data collection profile of the patient. The research study data collecting was done in 2009 in mostly private and public healthcare centre in Khayelitsha township. First, the study will concentrate on general utilisation of ICT in healthcare service delivery and flow of information for public and private sector healthcare centres. Additionally, the research also looks at NGOs such as HIV/AIDS Unit in Cape Peninsula University of Technology (CPUT) and Treament Action Campaign (TAC) to find out what ICT equipment is being utilised to transfer this information to adult people to inform and make them to be aware of HIV/AIDS and improve healthcare service delivery to patients and particularly to HIV/AIDS patients. Taking NGO’s such as TAC and CPUT HIV/AIDS Unit that are well informed about HIV/AIDS, nationally and internationally will make our research results to be more precise. The research will also look at the utilisation of ICT in flow of information at healthcare centre such as communication between healthcare providers such as receptionist/clerk, nurses, doctors and medical researchers since they are the first people who deal with HIV/AIDS patient cases when they come for healthcare provision.
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Nguyen, Mai Phuong. "Contribution of private healthcare to universal health coverage: an investigation of private over public health service utilisation in Vietnam." Thesis, Queensland University of Technology, 2021. https://eprints.qut.edu.au/225903/1/Mai%20Phuong_Nguyen_Thesis.pdf.

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Achievement of Universal Health Coverage (UHC) is a desirable goal for all countries. Complementary public and private services are essential. This study examined factors that influence consumer choice for private and public health care services in Vietnam. Thirty senior healthcare professionals were interviewed and secondary data on over 35,000 episodes of healthcare gathered during national health surveys in households were analyzed. For Vietnam and similar low and middle-income countries to achieve UHC, it is necessary to overcome incomplete social health insurance coverage, variable quality of private and public health services, unregulated quality in advertising and inefficient competition between sectors.
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Palmer, James Caldwell. "Qualities of personal interaction : the promotion of research utilisation for quality improvement in the US health care sector." Thesis, University of Hertfordshire, 2008. http://hdl.handle.net/2299/2323.

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Nature of the inquiry: My research inquiry investigated how qualities of personal interaction shape and affect the promotion of research utilisation for quality improvement in the US healthcare sector. The research investigated my own professional practice of consulting, teaching, and research regarding the improvement of healthcare practices and outcomes. Efforts to improve the quality of healthcare services are often difficult to realise and sustain. The quality improvement movement in the USA and elsewhere has not conducted much self-examination of its own processes for sources of these perennially problematic results. Relevance: The quality of healthcare services can be readily understood as having consequences of life or death, wellness or suffering. Healthcare expenditures in the USA are estimated at 16% of GDP and over 9% in the UK. Improving healthcare quality improvement efforts is a matter of profound human and social significance. Approach: The DMan research methodology is a reflexively aware process conducted as a cohort and as small learning groups of researchers during the three-year programme. The research inquiry used the complex responsive process of relating theory of learning as emergent changes of meaning or, equivalently, knowledge. As a social science of qualities, it uses the qualities of human interaction as the unit of analysis. The research utilised an interdisciplinary approach drawing upon: healthcare quality improvement literature; organizational discourse studies; research on strategy as practice; performance management; communications theories; the theory of mindful learning; interpersonal neurobiology; figurational sociology; and American pragmatist philosophy. The methodology employs a mindful reflexivity research strategy related to concepts from mindful learning and social neuroscience literature. Central methods included iterative peer and supervisor debriefing and iterative reflexive narrative practice. Findings: A contribution is made to the healthcare literature by describing how ordinary qualities of social coordination dynamics affect the promoters of healthcare research, not just potential users of research. A contribution is made to professional practice by providing a new perspective from which to analyse the sources of performance challenges prevalent in healthcare quality improvement efforts. The research findings indicate how applications of substantial organisational and social resources to promote research utilisation in the US health sector can be co-opted and dissipated away from ostensive substantive objectives. This occurs by research promoters‟ organizational discourse efforts to favourably shape power relating and other qualities of interaction of improvement initiatives. These efforts restrict the emergence of learning about the promoted changes.
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Nzute, Anastesia. "Utilisation of insecticide treated nets among women in rural Nigeria : themes, stories, and performance." Thesis, University of Wolverhampton, 2017. http://hdl.handle.net/2436/620391.

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Background: The effect of Malaria attack on maternal and child health in Nigeria is high compared with other countries in sub Saharan Africa. This problem has been a persistent issue in Nigeria and many researchers have tried to proffer solutions. Insecticide treated nets (ITN) have been identified as providing approximately 80% protection against malaria attack. However, all the measures put in place to control malaria failed to meet up with the set target of the Roll Back Malaria Initiative, which aimed at reducing malaria deaths in Nigeria by half by 2010 in line with the Millennium Development Goals (Anyaehie et al., 2009). As part of the global initiative to reduce malaria deaths before 2015 (Amoran, Senbanjo and Asagwara, 2011) the Nigerian government introduced intervention programmes to protect pregnant women, and children under-five years of age (Anyaehie et al., 2011). However, although there has been considerable and effective intervention in controlling this preventable disease in the African continent, marked inconsistency in the distribution of the ITN, scarcity and low usage in Nigeria (Amoran, Senbanjo and Asagwara, 2011) are apparent, despite emphasis on community-based strategies for malaria control (Obinna, 2011). For midwives in rural Nigeria the disproportionate vulnerability of pregnant women and young children is of great concern. This particular issue is the focus of a hermeneutic phenomenological inquiry into the experiences of pregnant women and mothers in their efforts to protect their families and themselves from malaria attack. The study contends that the ‘big (pan-African/national) story’ of malaria has found many voices, speaking from a predominantly positivist perspective. While some more interpretivist approaches to exploring experience have been employed elsewhere in Sub-Saharan Africa (Rachel and Frank 2005), there remains a need for more participatory research related to health care issues in Nigeria (Abdullahi et al 2013). Women and children make up the majority of the Nigeria population of over 160 million. An attack of malaria on them affects entire households and the economy of the nation. Therefore, the purpose of this study was to give voice to the ‘small (household) stories’ of Nigerian women (mothers and health workers), living and working in impoverished rural communities, and consider how their viewpoints, perspectives and imaginings might contribute to the fight for a malaria-free Nigeria. Methodological approach: The research draws on the philosophy of Martin Heidegger, Hans-Georg Gadamer, and Maurice Merleau-Ponty. The participants’ accounts are interpreted in terms of Africana ‘Womanism’ as defined by Hudson-Weems (1993), the socio-narratology approach elaborated by Frank (2010), and Igbo world-view. Research procedure: Individual semi-structured interviews and focus groups were conducted with Igbo women in three rural communities in Enugu State in eastern Nigeria (Nsukka, Ngwo, and Amechi). This was a three-phase process involving an initial orientation visit to engage with local gatekeepers and community health workers. A first round of interviews and discussion took place in three communities in 2014, followed by the first phase of interpretation. A second field trip took place in 2015, during which participants discussed the ongoing interpretation and elaborated further on some of the issues raised. Interpretive phases 2 and 3 followed this visit. Interpretive process: Interpretive shifts in understanding were accomplished in three ways: 1. Seeking thematic connections between participants’ accounts of living with the threat of malaria. 2. Engaging in dialogical narrative analysis to explore the work done by the stories embedded in individual accounts of living under the threat of malaria. 3. Crafting found poetry from within the collective accounts to produce an evocative text that could mediate an emotional response and understanding of the malaria experience. Key outcomes: The research was a response to calls for more participatory research into the detailed experiences of people in Africa facing up to the threat of malaria. It has provided a vehicle for the voices of a group of Nigerian women and health workers to bring attention to the continuing plight of pregnant women and their families with limited access to insecticide-treated bed nets in poor living conditions. They have told how they seek to empower themselves in their own small and particular ways. It has provided insights into their worldview(s) and what others might see from where they stand. As such it has added to their own call expressed during the research to “Keep malaria on the agenda.” The research has used the women’s own testimony to create an oral resource designed https://youtu.be/XelMXLUzTV0 to facilitate education and action among small local groups of women and their families, and for health workers in local rural communities.
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Books on the topic "Healthcare utilisation"

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Efficient healthcare: Overcoming broken paradigms. Houston, Texas: Rice University Building Institute, 2009.

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Bridges to health and healthcare: New solutions for improving access and services. Highlands, TX: aha! Process, Inc., 2014.

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Jensen, Uffe Juul, and Gavin Mooney. Changing Values in Medical and Healthcare Decision-Making. Wiley & Sons, Incorporated, John, 2007.

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Greenhalgh, Trisha. How to Read a Paper: The Basics of Evidence-Based Medicine and Healthcare. Wiley & Sons, Incorporated, John, 2019.

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How to Read a Paper: The Basics of Evidence-based Medicine and Healthcare. Wiley-Interscience, 2019.

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Greenhalgh, Trisha. How to Read a Paper: The Basics of Evidence-Based Medicine and Healthcare. Wiley & Sons, Incorporated, John, 2019.

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Book chapters on the topic "Healthcare utilisation"

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Vani, S., Palvadi Srinivas Kumar, R. Srivel, and T. Tangarasan. "Natural Language Processing Utilisation in Healthcare." In Machine Learning Approaches and Applications in Applied Intelligence for Healthcare Data Analytics, 101–14. Boca Raton: CRC Press, 2022. http://dx.doi.org/10.1201/9781003132110-7.

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Acheampong, George, and Solomon Yaw Agyeman-Boaten. "Utilisation and Pricing of Healthcare Services." In Health Service Marketing Management in Africa, 81–93. New York : Routledge, 2020.: Productivity Press, 2019. http://dx.doi.org/10.4324/9780429400858-8.

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Mulhall, Anne. "Research evaluation and utilisation: the role of epidemiology." In Epidemiology, Nursing and Healthcare, 189–212. London: Macmillan Education UK, 1996. http://dx.doi.org/10.1007/978-1-349-13579-0_7.

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Gasser, René, Ursula Wolf, Martin Wolf, Klaus von Ammon, Gudrun Bornhöft, and Stefanie Maxion-Bergemann. "International Utilisation of Complementary Medical Approaches." In Homeopathy in Healthcare – Effectiveness, Appropriateness, Safety, Costs, 67–90. Berlin, Heidelberg: Springer Berlin Heidelberg, 2011. http://dx.doi.org/10.1007/978-3-642-20638-2_7.

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Liverani, Marco, Lauren Oliveira Hashiguchi, Mishal Khan, and Richard Coker. "Antimicrobial Resistance and the Private Sector in Southeast Asia." In Ethics and Drug Resistance: Collective Responsibility for Global Public Health, 75–87. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-27874-8_5.

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Abstract Southeast Asia is considered a regional hotspot for the emergence and spread of antimicrobial resistance (AMR). A commonality across countries in the region, particularly those with lower incomes such as Cambodia, Myanmar, Lao PDR and Vietnam, is the high utilisation of private healthcare providers, often unregulated, which may play a role in driving AMR. In this chapter we discuss challenges to the control of AMR in Southeast Asia, with a focus on the role of the private sector. After providing an overview of the problem and current policy responses, we consider ethical issues of equity and fairness that may arise from the implementation of established and proposed interventions.
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Dauwed, Mohammed, and Ahmed Meri. "IOT Service Utilisation in Healthcare." In IoT and Smart Home Automation [Working Title]. IntechOpen, 2019. http://dx.doi.org/10.5772/intechopen.86014.

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Moore, Patrick, Siobhan Scarlett, and Anne Nolan. "Health Insurance and Healthcare Utilisation and Screening." In Health and Wellbeing: Active Ageing for Older Adults in Ireland Evidence from The Irish Longitudinal Study on Ageing, 47–73. The Irish Longitudinal Study on Ageing, 2017. http://dx.doi.org/10.38018/tildare.2017-01.c3.

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Roe, Lorna, Christine McGarrigle, Belinda Hernandez, Aisling O'Halloran, Siobhan Scarlett, Mark Ward, and Rose Anne Kenny. "Patterns in Health Service Utilisation and Healthcare Entitlements." In The Older Population of Ireland on the Eve of the COVID-19 Pandemic, 83–99. The Irish Longitudinal Study on Ageing, 2020. http://dx.doi.org/10.38018/tildare.2020-10.c5.

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Karon, Ronald. "Utilisation of Health Information Systems for Service Delivery in the Namibian Environment." In Healthcare Policy and Reform, 398–412. IGI Global, 2019. http://dx.doi.org/10.4018/978-1-5225-6915-2.ch019.

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The use of Health Information Systems (HIS) is considered to be a major contributing factor to healthcare service delivery. However, the utilisation of HIS which includes use and management is critically challenging in the public health sector in many developing countries. The manifestation of the challenges results in poor service delivery, which includes patient deaths. This is the main motivation for this study, to investigate how HIS can be used to improve service delivering in the hospitals from developing countries perspective. The study was carried out in Namibia, using two hospitals in the public healthcare. The study adopted the qualitative case study. The study revealed that the use of parallel systems, lack of systems integration, lack of portable devices and users' incompetency are some of the factors which impact the use and management of HIS in hospitals.
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"The Histories and Cultures of Evidence Utilisation: The Cases of Medical Oncology and Haematology." In Evidence-Based Healthcare in Context, 111–28. Routledge, 2016. http://dx.doi.org/10.4324/9781315255774-15.

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Conference papers on the topic "Healthcare utilisation"

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Cho, Peter Siu Pan, James Shearer, Anna Simpson, Sanchika Campbell, Mark W. Pennington, Surinder S. Birring, and Surinder S. Birring. "Healthcare utilisation in chronic cough." In ERS International Congress 2020 abstracts. European Respiratory Society, 2020. http://dx.doi.org/10.1183/13993003.congress-2020.2740.

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Cho, PSP, J. Shearer, A. Simpson, S. Campbell, MW Pennington, and SS Birring. "P181 Healthcare utilisation in chronic cough." In British Thoracic Society Winter Meeting, Wednesday 17 to Friday 19 February 2021, Programme and Abstracts. BMJ Publishing Group Ltd and British Thoracic Society, 2021. http://dx.doi.org/10.1136/thorax-2020-btsabstracts.326.

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Ng, CJ, ML Ong, F. Li, and JYH Low. "P07 Advance care planning reduces healthcare utilisation and saves cost." In ACP-I Congress Abstracts. British Medical Journal Publishing Group, 2019. http://dx.doi.org/10.1136/spcare-2019-acpicongressabs.98.

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Kassem, Jamila Alsayed, Adam Belloum, Tim Muller, and Paola Grosso. "Utilisation Profiles of Bridging Function Chain for Healthcare Use Cases." In 2022 IEEE 18th International Conference on e-Science (e-Science). IEEE, 2022. http://dx.doi.org/10.1109/escience55777.2022.00085.

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Samuel, Liji. "TRANSFORMING THE HEALTHCARE SYSTEM: THE PUBLIC-PRIVATE HEALTHCARE DICHOTOMY IN INDIA IN THE ERA OF DIGITAL HEALTH." In International Conference on Public Health. The International Institute of Knowledge Management, 2021. http://dx.doi.org/10.17501/24246735.2020.6103.

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Digital health initiatives have become popular in all jurisdictions across the globe. The digital health move, though it is envisioned as a cost-effective way to ensure the availability of health care services especially for the people who live in rural areas, its success depends on the response of the health care system and the state control and regulation. India lacks a comprehensive statesponsored or state-regulated health care system and more than 70 percent of people utilise the private sector medical services. In this backdrop, the implementation of the National Digital Health Mission (NDHM), announced by the Government of India very recently, will be critical. Thus, this research paper strives to bring out the public-private disjunction in the availability and utilisation of public and private health care facilities, issues of health care financing and legal regulation of clinical establishments in the public and private sector. This study uses the doctrinal method and analyses the Five-Year Plans, National Sample Survey Reports, National Health Profile, National Health Accounts Estimates for India and other Government Reports and independent studies to detail the public-private dichotomy. However, this study finds limitations in presenting the current position of private health care service providers due to the unavailability of updated authoritative government reports/ studies/ surveys. On reviewing the currents trends in the public and private health care sector, the study finds that the private sector has surpassed the public sector in all means, including health provisioning, utilisation, and financing. The NDHM is a laudable initiative to ensure affordable health care to millions of people in India. However, any move to implement it, leaving the fundamental issue of deep-rooted public-private dichotomy existing in the healthcare sector will be detrimental. It will result in a digital divide in the public and private healthcare sector and gross violation of patients’ rights and mismanagement of health information. Keywords: digital health, National Digital Health Mission, private healthcare sector, utilisation of healthcare service
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Tse, G., C. Ariti, M. Bafadhel, A. Papi, V. Carter, J. Zhou, D. Skinner, et al. "P214 Oral corticosteroid-related healthcare resource utilisation in patients with COPD." In British Thoracic Society Winter Meeting 2022, QEII Centre, Broad Sanctuary, Westminster, London SW1P 3EE, 23 to 25 November 2022, Programme and Abstracts. BMJ Publishing Group Ltd and British Thoracic Society, 2022. http://dx.doi.org/10.1136/thorax-2022-btsabstracts.346.

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Ali, I., F. Gilchrist, WD Carroll, J. Alexander, S. Clayton, T. Willis, and M. Samuels. "G176(P) Healthcare utilisation in SMA type 1 patients treated with nusinersen." In Royal College of Paediatrics and Child Health, Abstracts of the RCPCH Conference and exhibition, 13–15 May 2019, ICC, Birmingham, Paediatrics: pathways to a brighter future. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2019. http://dx.doi.org/10.1136/archdischild-2019-rcpch.171.

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Browning, Dominy, Nawar Diar Bakerly, John P. New, Norman Stein, Henrik Svedsater, David A. Leather, James Lay-Flurrie, and Joanne Fletcher. "Healthcare resource utilisation (HRU) in the Asthma Salford Lung Study (SLS asthma)." In ERS International Congress 2018 abstracts. European Respiratory Society, 2018. http://dx.doi.org/10.1183/13993003.congress-2018.pa5036.

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Szentes, Boglárka, Sabine Witt, Andrew Bush, Steve Cunningham, Nagehan Emiralioglu, Lutz Goldbeck, Matthias Griese, et al. "Healthcare utilisation in childhood interstitial lung diseases: Analysis of chILD-EU registry data." In ERS International Congress 2016 abstracts. European Respiratory Society, 2016. http://dx.doi.org/10.1183/13993003.congress-2016.pa4248.

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Pang, R., H. Williams-Gunn, A. Sinha, P. Rughani, M. Hird, and C. May. "G206(P) Growth and healthcare utilisation in premature babies discharged on home oxygen." In Royal College of Paediatrics and Child Health, Abstracts of the Annual Conference, 13–15 March 2018, SEC, Glasgow, Children First – Ethics, Morality and Advocacy in Childhood, The Journal of the Royal College of Paediatrics and Child Health. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2018. http://dx.doi.org/10.1136/archdischild-2018-rcpch.201.

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Reports on the topic "Healthcare utilisation"

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Nolan, Anne, Yuanyuan Ma, and Patrick Moore. Changes in Public Healthcare Entitlement and Healthcare Utilisation among the Older Population in Ireland. The Irish Longitudinal Study on Ageing, October 2016. http://dx.doi.org/10.38018/tildare.2016-03.

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Nolan, Anne. Public Healthcare Eligibility and the Utilisation of GP Services by Older People in Ireland. The Irish Longitudinal Study on Ageing, December 2014. http://dx.doi.org/10.38018/tildarb.2014-01.

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Mulaku, Mercy N. What are the effects of interventions to improve healthcare utilization and health outcomes in people with low health literacy? SUPPORT, 2016. http://dx.doi.org/10.30846/1610113.

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People with low health literacy are more likely to use health services incorrectly and to have poorer health outcomes than people with high health literacy. Single strategies to improve health literacy (e.g. alternative presentations of numerical data) might improve health service utilisation and health outcomes by improving health literacy. Other mixed strategies, such as self-management, disease management, and adherence interventions, might improve healthcare utilization and health outcomes in people with low health literacy by facilitating patient/provider communication, circumventing barriers to healthcare, or improving health-related skills.
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Shey Wiysonge, Charles. Does interactive communication between primary care physicians and specialists improve patient outcomes? SUPPORT, 2016. http://dx.doi.org/10.30846/1610102.

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Many health systems fail to facilitate the seamless movement and management of patients between different providers and different levels of care. Poor coordination and continuity of care can result in suboptimal patient outcomes and the inefficient utilisation of scarce healthcare resources. Interactive communication holds promise as a method to improve coordination between primary and specialty care. Interactive communication refers to planned, timely, two-way exchanges of pertinent clinical information directly between primary care and specialist physicians. Such communication may occur, for example, through face-to-face exchanges, videoconferencing, telephone, or contact by email.
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Shey Wiysonge, Charles. Does interactive communication between primary care physicians and specialists improve patient outcomes? SUPPORT, 2016. http://dx.doi.org/10.30846/1608102.

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Many health systems fail to facilitate the seamless movement and management of patients between different providers and different levels of care. Poor coordination and continuity of care can result in suboptimal patient outcomes and the inefficient utilisation of scarce healthcare resources. Interactive communication holds promise as a method to improve coordination between primary and specialty care. Interactive communication refers to planned, timely, two-way exchanges of pertinent clinical information directly between primary care and specialist physicians. Such communication may occur, for example, through face-to-face exchanges, videoconferencing, telephone, or contact by email.
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