Academic literature on the topic 'Service utilisation'

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Journal articles on the topic "Service utilisation"

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B. Neethi, B. Neethi, and A. Sailaja A. Sailaja. "Development of Extension Service Utilisation Index." International Journal of Scientific Research 2, no. 11 (June 1, 2012): 25–27. http://dx.doi.org/10.15373/22778179/nov2013/9.

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Pan, Zijing, Wanchun Xu, Zhong Li, Chengzhong Xu, Fangfang Lu, Pei Zhang, Liang Zhang, and Ting Ye. "Trajectories of Outpatient Service Utilisation of Hypertensive Patients in Tertiary Hospitals in China." International Journal of Environmental Research and Public Health 17, no. 3 (January 29, 2020): 852. http://dx.doi.org/10.3390/ijerph17030852.

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This study aims to identify the characteristics and trajectories of outpatient service utilisation for hypertensive patients in tertiary hospitals. This study also attempts to investigate the determinants of the trajectories of outpatient service utilisation. A total of 9822 patients with hypertension and hypertension-related medical utilisation were recruited in Yichang, China from January 1 to December 31 in 2016. The latent trajectories of outpatient service utilisation were identified through latent class growth analysis. Differences in the demographic characteristics and medical utilisation among patients in different trajectories were tested by one-way ANOVA and chi-square analysis. The predictors of the trajectory groups of outpatient service utilisation were identified through multinomial logistic regression. Four trajectory groups were determined as stable-low (34.7%), low-fluctuating (13.4%), high-fluctuating (22.5%), and stable-high (29.4%). Significant differences were observed in all demographic characteristics (p < 0.001) and medical service utilisation variables (p < 0.001) among the four trajectories except for inpatient cost (p = 0.072). Determinants for outpatient service utilisation patterns include the place of residence, education level, outpatient visit times, inpatient service utilisation, and outpatient cost. Overall, hypertensive patients visiting outpatient units in the tertiary hospital were middle-aged, elderly, and well-educated, and they received poor follow-up services. The four identified latent trajectories have different characteristics and medical utilisation patterns. Trajectory group-based measurements are necessary for hypertension management and economic burden reduction.
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Simpson, Grahame K., Mark Sabaz, Maysaa Daher, Robert Gordon, and Barbara Strettles. "Challenging Behaviours, Co-morbidities, Service Utilisation and Service Access among Community-dwelling Adults with Severe Traumatic Brain Injury: A Multicentre Study." Brain Impairment 15, no. 1 (May 2014): 28–42. http://dx.doi.org/10.1017/brimp.2014.7.

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Objective: To examine patterns, predictors and unmet needs of service utilisation and access to mental health and/or drug and alcohol services among community-dwelling adults with severe traumatic brain injury, and compare those who displayed challenging behaviours with those not displaying challenging behaviour.Design: Retrospective multicentre study.Subjects: All active clients (n= 507) of the New South Wales (NSW) Brain Injury Rehabilitation Program (BIRP) community rehabilitation teams.Methods: Clinician-rated data were collected on client challenging behaviours, mental health and functional status, service utilisation and unmet needs. Between-groups analyses (challenging behaviour versus no challenging behaviours) were conducted to examine patterns of service utilisation and unmet needs. Predictors for service utilisation were tested by multiple linear regression.Results: Challenging behaviours were associated with higher use of BIRP and non-BIRP services and greater levels of unmet needs. Challenging behaviour was an independent predictor of higher levels of service utilisation, in conjunction with pre- and post-injury mental health and drug and alcohol co-morbidities and geographic location. Only 15.3% of the 111 clients with challenging behaviours and co-morbid drug and alcohol problems accessed a drug and alcohol service, while another 32.4% had unmet needs for such services.Conclusion: Challenging behaviours make an independent contribution to increased levels of service utilisation after severe traumatic brain injury.
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Darma, Azri, Hidayati Hidayati, and Fadil Oenzil. "Differences between dental health service quality and utilization of Community Health Centres in the City of Padang based on indicators of utilisation effectiveness." Padjadjaran Journal of Dentistry 30, no. 2 (July 31, 2018): 140. http://dx.doi.org/10.24198/pjd.vol30no2.18330.

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Introduction: The high prevalence of oral disease have not been followed by the availability of oral healthcare, especially at the community-based level. This study was aimed to determine the differences between dental health service quality and utilisation of community health centres in the city of Padang based on indicators of utilisation effectiveness. Methods: A cross-sectional survey was conducted towards two Community Health Services (Puskesmas) as the samples selected using random sampling technique. One Community Health Service was representing a rarely visited Community Health Service with ≤ 9 patients visit per day, and another Community Health Service was representing oppositely. As much as 131 respondents were included in this study, selected using the purposive sampling method. Dimensional satisfaction of service quality including tangibility, reliability, responsiveness, assurance, and empathy, were collected by interviewing the respondents based on a self-reported questionnaire. All data were analysed using the chi-square test. Results: The majority of respondents agreed that dimensional satisfaction such as tangibility, reliability, responsiveness, assurance, and empathy at both Community Health Services were at a good level. There was a significant relationship (p < 0.05) between several dimensional satisfaction of service quality variables (the wide and clean parking area; intense involvement of dentists on every oral examination; friendly service by the front-office; and empathetic affection of dentists towards the patient’s complain) and the utilisation of oral health services. Conclusion: No service differences found from relationship analysis between dental health service quality and utilisation of community health centres in the city of Padang based on indicators of utilisation effectiveness.Keywords: Service quality, dimensional satisfaction, oral health service, service utilisation, Community Health Centre.
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Dotse-Gborgbortsi, Winfred, Andrew J. Tatem, Zoe Matthews, Victor A. Alegana, Anthony Ofosu, and Jim A. Wright. "Quality of maternal healthcare and travel time influence birthing service utilisation in Ghanaian health facilities: a geographical analysis of routine health data." BMJ Open 13, no. 1 (January 2023): e066792. http://dx.doi.org/10.1136/bmjopen-2022-066792.

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ObjectivesTo investigate how the quality of maternal health services and travel times to health facilities affect birthing service utilisation in Eastern Region, Ghana.DesignThe study is a cross-sectional spatial interaction analysis of birth service utilisation patterns. Routine birth data were spatially linked to quality care, service demand and travel time data.Setting131 Health facilities (public, private and faith-based) in 33 districts in Eastern Region, Ghana.ParticipantsWomen who gave birth in health facilities in the Eastern Region, Ghana in 2017.Outcome measuresThe count of women giving birth, the quality of birthing care services and the geographic coverage of birthing care services.ResultsAs travel time from women’s place of residence to the health facility increased up to two2 hours, the utilisation rate markedly decreased. Higher quality of maternal health services haves a larger, positive effect on utilisation rates than service proximity. The quality of maternal health services was higher in hospitals than in primary care facilities. Most women (88.6%) travelling via mechanised transport were within two2 hours of any birthing service. The majority (56.2%) of women were beyond the two2 -hour threshold of critical comprehensive emergency obstetric and newborn care (CEmONC) services. Few CEmONC services were in urban centres, disadvantaging rural populations.ConclusionsTo increase birthing service utilisation in Ghana, higher quality health facilities should be located closer to women, particularly in rural areas. Beyond Ghana, routinely collected birth records could be used to understand the interaction of service proximity and quality.
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Areru, Hiwot Abera, Mesay Hailu Dangisso, and Bernt Lindtjørn. "Large local variations in the use of health services in rural southern Ethiopia: An ecological study." PLOS Global Public Health 2, no. 5 (May 25, 2022): e0000087. http://dx.doi.org/10.1371/journal.pgph.0000087.

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Ethiopia is behind schedule in assuring accessible, equitable and quality health services. Understanding the geographical variability of the health services and adjusting small-area level factors can help the decision-makers to prioritize interventions and allocate scarce resources. There is lack of information on the degree of variation of health service utilisation at micro-geographic area scale using robust statistical tools in Ethiopia. Therefore, the objective of this study was to assess the health service utilisation and identify factors that account for the variation in health service utilisation at kebele (the smallest administrative unit) level in the Dale and Wonsho districts of the Sidama region. An exploratory ecological study design was employed on the secondary patient data collected from 1 July 2017 to 30 June 2018 from 65 primary health care units of the fifty-four kebeles in Dale and Wonsho districts, in the Sidama region. ArcGIS software was used to visualise the distribution of health service utilisation. SaTScan analysis was performed to explore the unadjusted and covariate-adjusted spatial distribution of health service utilisation. Linear regression was applied to adjust the explanatory variables and control for confounding. A total of 67,678 patients in 54 kebeles were considered for spatial analysis. The distribution of the health service utilisation varied across the kebeles with a mean of 0.17 visits per person per year (Range: 0.01–1.19). Five kebeles with health centres had a higher utilisation rate than other rural kebeles without health centres. More than half (57.4%) of the kebeles were within a 10 km distance from health centres. The study found that distance to the health centre was associated with the low health care utilisation. Improving the accessibility of health services by upgrading the primary health care units could increase the service use.
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Kamil, Wisam, Estie Kruger, and Marc Tennant. "Utilisation of Dental Services of Older People in Australia: An Economic Explanatory Model Based on Cost and Geographic Location." Geriatrics 6, no. 4 (October 20, 2021): 102. http://dx.doi.org/10.3390/geriatrics6040102.

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The increased percentage of older people retaining their natural dentition was associated with a burden of poor oral health and increased service demands. This study analyses the dental service utilisation of the ageing population in Australia and develops a modelled cost design that estimates the dental expenditure required to cover dental services for the aged population. Using the Australian Census of Population and Housing, ageing population and socioeconomic data were mapped to geographic boundaries and integrated with dental service provision data to estimate a model for the utilisation of dental services. The estimated financial cost of dental services was calculated based on the mean fees as per the Australian Dental Association’s Dental Fees Survey. The utilisation of the services varied considerably across the states and also by type of service, with limited numbers using periodontic services. However, there was an increase in cost for replacement and restorative services (5020 million AUD), most evident in the socioeconomic deprivation areas. In addition, the average dental services utilisation cost increased noticeably in the lower socioeconomic deciles of all regions outside major cities. The geographic maldistribution of older people significantly affects the utilisation of dental services, especially among disadvantaged communities. A predicted cost model of 6385 million AUD would cover the oral health needs of older Australians.
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Zeng, Yanbing, Weiqian Xu, and Xiaomeng Tao. "What factors are associated with utilisation of health services for the poor elderly? Evidence from a nationally representative longitudinal survey in China." BMJ Open 12, no. 6 (June 2022): e059758. http://dx.doi.org/10.1136/bmjopen-2021-059758.

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ObjectivesTo investigate the status and factors of healthcare service utilisation among the poor elderly in China.MethodsWe selected the poor elderly from the China Health and Retirement Longitudinal Study (CHARLS) from 2011 to 2015. The main outcome measures include utilisation indicators for the probability and costs of outpatient/inpatient services. Based on modified Andersen behaviour model, a two-part model is designed to analyse the factors of the health service utilisation of the poor elderly.ResultsThe visit rate of outpatient services increased from 15.05% in 2011 to 21.26% in 2015, and the hospitalisation rate increased from 7.26% to 14.32%. The median cost of outpatient and inpatient services in 2015 for the poor elderly were 350 RMB and 10 000 RMB, respectively, and the out-of-pocket ratios were 85.2% and 53.3%, respectively. 78.44% of the people who actually needed healthcare did not use health services, and the main reason was financial difficulties (42.32%). The poor elderly who are higher educated, have children, live in central regions and have social security and a poor health status and who do not smoke or drink are more likely to use health services. The need factor plays a crucial role in determining health service utilisation.ConclusionsThe poor elderly tends to have a worse health status and a heavier medical burden but had a lower utilisation of health services. Predisposing, enabling, need and health behaviour variables should be considered to improve the health service utilisation and the health of the poor elderly.
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Ruggeri, Mirella. "Service utilisation: a pivotal measure in assessing service needs and service outcome." Epidemiologia e psichiatria sociale. Monograph Supplement 6, S1 (April 1997): 105–12. http://dx.doi.org/10.1017/s1827433100000873.

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In past years the study of service utilization has given a great contribution to the evaluation of mental health services. Nowadays, the challenge that must be faced is to obtain from service utilization research useful knowledge for clinical practice and service planning.Psychiatric care organization should be based on coherent and comprehensive assessments of the population's morbidity and needs for care, and take into account costs and benefits of different forms of treatments in relieving mental disorders and meeting mental health needs. While the former issue has been widely studied, the last two are mostly unexplored. Specifically, there is limited amount of information available on the significance that certain patterns of service utilization, or changes in service utilization, may have for the patient, his/her relatives and the community, and on the correlation between certain characteristics of service utilization and the overall quality of care.In this perspective, service utilization must not be considered an isolated step in the patient's career; the causal link between needs, use, and outcome of services should be identified. A full understanding of the role of service utilization in psychiatry thus necessitates taking into consideration events occurring at various steps of a person's history:step 1: a person develops a mental disorder;step 2: in certain cases this will determine a mental health service need;step 3: in certain cases the service need will determine mental health service utilization;step 4: use of mental health services will have a certain outcome.
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Hendrickx, David, Ingrid Amgarth-Duff, Asha C Bowen, Jonathan R Carapetis, Robby Chibawe, Margaret Samson, and Roz Walker. "Barriers and Enablers of Health Service Utilisation for Childhood Skin Infections in Remote Aboriginal Communities of Western Australia." International Journal of Environmental Research and Public Health 17, no. 3 (January 28, 2020): 808. http://dx.doi.org/10.3390/ijerph17030808.

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In Australia, children living in remote Aboriginal communities experience high rates of skin infections and associated complications. Prompt presentation to primary care health services is crucial for early diagnosis and treatment. We performed a qualitative study in four remote Aboriginal communities in the Pilbara region of Western Australia to explore factors that affected health service utilisation for childhood skin infections in this setting. The study consisted of semistructured interviews and focus group discussions with parents and carers (n = 16), healthcare practitioners (n = 15) and other community service providers (n = 25). We used Andersen’s health service utilisation model as an analytical framework. Our analysis captured a wide range of barriers that may undermine timely use of health services for childhood skin infections. These included general factors that illustrate the importance of cultural competency amongst healthcare providers, patient-centred care and community engagement. Relating specifically to health service utilisation for childhood skin infections, we identified their apparent normalisation and the common use of painful benzathine penicillin G injections for their treatment as important barriers. Health service utilisation in this setting may be enhanced by improving general awareness of the significance of childhood skin infections, actively engaging parents and carers in consultation and treatment processes and strengthening community involvement in health service activities.
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Dissertations / Theses on the topic "Service utilisation"

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Johnston, Janice Mary. "Ambulatory care: a comparison of event and episode utilisation patterns." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1998. http://hub.hku.hk/bib/B31237125.

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Rouvrais, Siegfried. "Utilisation d'agents mobiles pour la construction de services distribués." Rennes 1, 2002. http://www.theses.fr/2002REN10035.

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Roberts, Nicola. "Using attachment theory within mental health community services to improve patient outcomes and reduce service utilisation costs." Thesis, University of Manchester, 2012. https://www.research.manchester.ac.uk/portal/en/theses/using-attachment-theory-within-mental-health-community-services-to-improve-patient-outcomes-and-reduce-service-utilisation-costs(78a9832e-0e8f-4d2b-a6a4-8d7ffdf5aa6d).html.

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This thesis follows the paper-based format and papers one and two have been prepared for submission to Attachment and Human Development and the British Journal of Clinical Psychology, respectively. The relevant submission guidelines are included in the appendices (Appendix A and B).Attachment theory (Bowlby, 1977a) has prompted a wealth of empirical research in its contribution to adult attachment patterns and subsequent psychopathology in mental health (Holmes, 2001; Wallin, 2007). More recently, attachment theory has been proposed as a suitable framework by which to inform the organisation, design and delivery of mental health services (Goodwin, 2003; Seager et al., 2007) but it is unclear what this would look like in practice. Adopting an attachment-informed service model has key implications for individual and service outcomes and the two papers presented in this thesis aim to contribute to research in this area, followed by a critical review of the research, its relevance and future implications. Paper one is a narrative overview of the literature discussing the practice implications of services adopting an attachment-informed framework, and describes how this might be conceptualised in front-line service delivery. Articles reviewed described the influence of attachment theory in predominantly inpatient, secure forensic and/or psychiatric rehabilitation services, and its application within more generic community mental health services was explored. Paper two aimed to investigate the importance of individual attachment and service attachment to client psychopathology, quality of life, service utilisation and service costs in community-based mental health services. The final section, the Critical Review, critiqued the literature review and aimed to place the research within a wider context. This section considers the findings from the research and the limitations of the study, while also highlighting important issues for services, with implications for clinical practice and future research.
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Monnot, Elisa Marie. "L’expérience d’apprentissage du client : la première utilisation d’un produit-service." Paris 9, 2010. https://portail.bu.dauphine.fr/fileviewer/index.php?doc=2010PA090014.

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Alors que la connaissance est un construit souvent évoqué dans les recherches en comportement du consommateur, le développement des compétences a reçu peu d’attention dans la littérature en marketing, et en particulier dans le cadre de l’utilisation de produits-services. Cette thèse explore la dynamique de l’expérience d’apprentissage du client et son hétérogénéité dans le cas de la première utilisation d’un produit-service. Elle vise à comprendre comment les clients développent leurs compétences et apprennent à se servir des produits-services après l’achat. Sur le plan conceptuel, elle s’appuie sur des travaux pluridisciplinaires sur les compétences, l’apprentissage et les usages des produits. Sur le plan empirique (1) l’étude 1 par entretiens rétrospectifs analyse la façon dont les clients perçoivent leurs expériences de première utilisation de produits-services, (2) l’étude 2, une enquête expérientielle par observations filmées et entretiens, détermine les trajectoires qu’ils suivent pour apprendre à s’en servir. Des recommandations sont également formulées pour améliorer les stratégies de formation et d’assistance à l’usage des entreprises
While consumer knowledge is seen as a fundamental construct in consumer behaviour research, customer competencies development received very little attention in marketing literature. Academic researchers have also shown less concern with service-product usage. This dissertation investigates the dynamics and heterogeneity of customer learning experience during first service-product use. This doctoral study aims at having a better understanding of how customers develop their competencies and learn how to use services-products after purchase. It relies on multidisciplinary research works about competencies, learning and product usage. This research examines the customer learning experience during first service-product use through two qualitative studies: (1) via in-depth retrospective interviews to explain how customers perceive their first service-product use experiences; (2) via an experiential study, with video recorded observations and interviews, to determine different learning trajectories for first service-product use. Managerial implications are also discussed to improve usage assistance and customer education strategies
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CHAGNAUD, MAURICE. "Utilisation pratique d'un micro-ordinateur au sein d'un service hospitalier." Aix-Marseille 2, 1990. http://www.theses.fr/1990AIX20227.

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Fernandez, Plotka Jose-Luis. "Utilisation and service productivities in community social care for older people." Thesis, London School of Economics and Political Science (University of London), 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.423140.

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Macey, Steven Michael. "Assessing the excess health service utilisation and direct medical costs of injuries." Thesis, Swansea University, 2010. https://cronfa.swan.ac.uk/Record/cronfa42913.

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This study was undertaken with the aim to develop improved measures of health service utilisation (HSU) and direct medical costs following an index injury, utilising large scale datasets linked via anonymous patient identifiers. A cohort of anonymous injury patients resident in Swansea and attending an emergency department (ED) or admitted to hospital between 01/04/2005 and 31/03/2007 were identified and tracked as they progressed through various treatment stages following their index injury, incorporating ED attendances, inpatient stay and outpatient contacts. To determine the extent of the subsequent HSU and direct medical costs associated with the index injury a unique model was developed whereby the numbers, lengths and treatment costs of health service contacts observed amongst the cohort of injured individuals during the follow-up period were compared with the equivalent figures expected in the absence of an injury. On average each index injury was found to lead to an excess of 0.12 (95% Cl 0.11, 0.13) ED attendances, 0.07 (95% Cl 0.06, 0.08) inpatient admissions, 1.00 (95% Cl 0.78, 1.23) inpatient bed days and 0.55 (95% Cl 0.52, 0.58) outpatient contacts being estimated over the follow-up period. Moreover, every index injury resulted in mean excess ED, inpatient and outpatient treatment costs of £12.05 (95% Cl £11.05, £13.05), £492.43 (95% Cl £415.66, £569.21) and £73.30 (95% Cl £68.44, £78.17), respectively, equating to a combined figure of £577.79 (95% Cl £500.32, £655.26). Across the entire injured cohort this amounts to an overall excess direct medical cost total of £17.6 million being incurred, with the equivalent figure for the whole of Wales potentially being as high as £306.4 million. Together with signifying the magnitude of the HSU and direct medical costs resulting from injury, this study has introduced and implemented improved methods for estimating these outcome measures based on the use of anonymous patient record linkage.
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Nätti, S. (Satu). "Customer-related knowledge utilisation in the collaborative relationships of professional service organisation." Doctoral thesis, University of Oulu, 2005. http://urn.fi/urn:isbn:9514279123.

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Abstract The purpose of this study is to describe customer-related knowledge utilisation in the collaborative relationships of professional service organisations. Within this specific context, knowledge transfer capabilities are emphasised as an important prerequisite in the utilisation process. Effective organisation-level knowledge utilisation is crucial in collaborative relationships of professional service organisations. In order to formulate a coherent service offering across different areas of expertise, for instance, it is beneficial to transfer customer knowledge between professionals, business units and functions. Knowledge utilisation across different expertise areas may also be an important prerequisite for an organisation's innovativeness and proactiveness in customer cooperation. Customer-related knowledge utilisation and related knowledge transfer processes are in this study approached from a relationship management perspective, and literature from organisation research, resource-based view and knowledge management is used as a theoretical basis. Empirically this study is based on a descriptive case study of two professional service firms in the field of business-to-business education and consultancy services. In the first case, an in-depth analysis of an organisation developing a collaborative relationship in the outsourcing situation is described. In the second case, additional views are given on organisational practices potentially facilitating customer-related knowledge transfer. Empirical results show that internal fragmentation in the professional service organisation seems to be, to a large extent, inherent in this type of organisation, and may cause many problems in customer-related knowledge transfer and thus in effective utilisation of that knowledge. These knowledge transfer inhibitors rise from an organisation's characteristics; its dominant logic, culture, structure and systems. These organisational characteristics are bound to the characteristics of knowledge itself: its tacitness, non-observability and complexity, and can have an inhibiting influence on knowledge transfer. However, in spite of the inherent forces causing internal fragmentation and inhibiting knowledge transfer, moderating practices of a well-planned relationship coordination system, customer knowledge and expertise codification, and cooperative working practices among the experts seem to help to maintain customer knowledge transfer and utilisation, and thus also continuity and value creation in the long-term relationships. This value creation can be seen to be based on accessing and integrating a wide variety of knowledge resources in order to create innovative, flexible and multifaceted service offerings. Value creation can also be based on organisational ability for generative learning in order to change prevailing organisational assumptions and to develop the operations model needed in collaborative relationship.
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Xu, Fang, and 徐方. "Self-rated health, chronic diseases and health service utilisation in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2015. http://hdl.handle.net/10722/212607.

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Introduction Self-rated health (SRH) is a widely used indicator of health service utilisation and reflects self-perceived objective health condition. Poorer non-comparative SRH was shown to be related to higher inpatient and outpatient utilisation in Western and elderly populations. Little is known about how healthcare utilisation relates to SRH in non-Western settings, such as Hong Kong and in adult populations. The association of age- and time- comparative SRH with healthcare utilisation is also unclear. This study aimed to assess the association of three types of SRH (non-, age- and time- comparative SRH) with inpatient and outpatient utilisation in Hong Kong‟s general populaion. Methods Data were derived from 2011 Thematic Household Survey (THS), covering 23,892 non-institutional residents aged 20 and above. The study adopts Andersen‟s Behavioral Model of Health Service Use for the analytical framework. Healthcare utilisation was measured by inpatient use during the past year and outpatient use (including General Outpatient Clinic (GOPC) and Specialist Outpatient Clinic (SOPC)) during the past month, in terms of ever-use and the amount of use (bed-days and number of outpatient visits). SRH was measured with a 5-point Likert Scale: non-comparative SRH from “Excellent” to “Poor”; age- and time- comparative from “much worse” to “much better”. Logistic regression and zero-truncated negative binomial/ Poisson regression were applied to examine the association of SRH and chronic diseases with healthcare utilisation in the public and private sector separately as per the Andersen behavioral model. Results “Fair/ poor” non-comparative SRH was associated with higher inpatient and outpatient utilisation. The association was not significant for hospital bed-days. Similarly, age-comparative SRH was associated with inpatient (except private bed-days) and outpatient utilisation (except the number of SOPC visits). “Worse/ much worse” time-comparative SRH was associated with higher healthcare utilisation, but the relationship was less clear for private hospitalisation. The presence of cancer, cardiovascular diseases, diabetes, lower respiratory diseases, and musculoskeletal diseases were associated with higher healthcare utilisation, with stronger association observed for ever-use than the amount of use. The relationships between musculoskeletal diseases and inpatient utilisation, between cardiovascular diseases and diabetes and the number of private outpatient visits, and between lower respiratory diseases and GOPC utillisation were not significant. Conclusions The present study suggests SRH to be a useful health indicator of health service utilisation. All three SRH measures were associated with health service utilisation and no marked differences were observed between different measures. Poorer SRH were strongly related to higher public inpatient utilisation, with stronger association observed for ever hospitalisation than bed-days. Poorer SRH measures were also related to higher outpatient uilisation in both sectors during the past month. All the selected chronic conditions were related to increased healthcare use. The associations were less clear for hospital bed-days and the private sector. Future studies should focus on the predictive validity of SRH on future healthcare utilisation.
published_or_final_version
Public Health
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Master of Philosophy
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Williams, Jonathan Mark. "Energy utilisation and combined heat & power sizing in the health service." Thesis, Cardiff University, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.273836.

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Books on the topic "Service utilisation"

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Nätti, Satu. Customer-related knowledge utilisation in the collaborative relationships of professional service organisation. Oulu: Oulu University Press, 2005.

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Ryan, Mandy. Estimating the effects of health service charges: Evidence on the utilisation of prescriptions. York: Centre for Health Economics, University of York, 1988.

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Salisbury, Brian. Service brokerage : individual empowerment and social service accountability =: Le Courtage de services : une question de pouvoir et de responsabilité. Downsview, Ont: Institut G. Allan Roeher, 1987.

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Ellen, Altman, ed. Service quality in academic libraries. Norwood, N.J: Ablex, 1996.

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Nanda, Satyajeet. Gap between maternal and child health service delivery and utilisation in Orissa: A micro-level exploratory study. New Delhi: Council for Social Development, 2007.

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Dele, Olowu, and Oshionebo Basil, eds. A report on the National Workshop on Manpower Utilisation and Development in Nigeria: A post-Udoji evaluation, 4th-5th September 1985. [Lagos]: Administrative Staff College of Nigeria, 1986.

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Das, N. P. Systematic screening to meet unmet need by integrating reproductive health services: An operations research model to maximise the service utilisation : final report. Baroda: Population Research Centre, Faculty of Science, M.S. University of Baroda, 2005.

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Québec (Province). Ministère de la santé et des services sociaux. Groupe tactique d'intervention. Les urgences au Québec, 1990-1997: Bilan, perspectives et normes : document de consultation. [Québec]: Le Groupe, 1998.

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Québec (Province). Ministère de la santé et des services sociaux. Groupe tactique d'intervention. Les urgences au Québec, 1990-1997: Bilan, perspectives et normes. [Québec]: Gouvernement du Québec, Ministère de la santé et des services sociaux, 1998.

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Adrian, Renton, Petrou Stavros, and Whitaker Luke, eds. Community services for people with HIV infection: Utilisation needs and costs of community services for people with HIV infection : a London-based prospective study. London: HMSO, 1996.

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Book chapters on the topic "Service utilisation"

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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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Mahapatro, Sandhya R. "Newborn Care Practices and Barriers to Service Utilisation." In Towards Newborn Survival, 87–103. Singapore: Springer Nature Singapore, 2022. http://dx.doi.org/10.1007/978-981-19-3417-9_6.

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Lovett, Raymond, and Katherine A. Thurber. "Health Conditions and Health Service Utilisation among Children in LSIC." In Indigenous Children Growing Up Strong, 209–31. London: Palgrave Macmillan UK, 2017. http://dx.doi.org/10.1057/978-1-137-53435-4_10.

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McNally, Michael J., Jack C. Chaplin, Giovanna Martínez-Arellano, and Svetan Ratchev. "Data Capture and Visualisation on a Shoestring: Demonstrating the Digital Manufacturing on a Shoestring Project." In IFIP Advances in Information and Communication Technology, 200–209. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-72632-4_14.

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AbstractThe adoption of digital manufacturing in small to medium enterprises (SMEs) in the manufacturing sector in the UK is low, yet these technologies offer significant promise to boost productivity. Two major causes of this lack of uptake is the high upfront cost of digital technologies, and the skill gap preventing understanding and implementation. This paper describes a common approach to data capture and visualisation that is cheap and simple. Cheap through the utilisation of low cost and readily available consumer technologies, and simple through the pre-defined flexible approaches that require a minimum of configuration. This approach was implemented on three demonstrators to showcase the flexibility of the approach. These were a tool condition monitoring system, a job and machine status monitor, and a robotic process monitor. The development process resulted in a software architecture where processes were separated and communicated by message queues. We conclude that a service oriented architecture would be the best system for carrying forward the development process. This research was conducted as part of the wider EPSRC Digital Manufacturing on a Shoestring project.
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Andersen, Kristian Gjerrestad, Gbanaibolou Jombo, Sikiru Oluwarotimi Ismail, Yong Kang Chen, Hom Nath Dhakal, and Yu Zhang. "Damage Characterisation in Composite Laminates Using Vibro-Acoustic Technique." In Springer Proceedings in Energy, 275–82. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-63916-7_34.

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AbstractThe need to characterise in-service damage in composite structures is increasingly becoming important as composites find higher utilisation in wind turbines, aerospace, automotive, marine, among others. This paper investigates the feasibility of simplifying the conventional acousto-ultrasonic technique set-up for quick and economic one-sided in-service inspection of composite structures. Acousto-ultrasonic technique refers to the approach of using ultrasonic transducer for local excitation while sensing the material response with an acoustic emission sensor. However, this involves transducers with several auxiliaries. The approach proposed herewith, referred to as vibro-acoustic testing, involves a low level of vibration impact excitation and acoustic emission sensing for damage characterisation. To test the robustness of this approach, first, a quasi-static test was carried out to impute low-velocity impact damage on three groups of test samples with different ply stacking sequences. Next, the vibro-acoustic testing was performed on all test samples with the acoustic emission response for the samples acquired. Using the acoustic emission test sample response for all groups, the stress wave factor was determined using the peak voltage stress wave factor method. The stress wave factor results showed an inverse correlation between the level of impact damage and stress wave factor across all the test sample groups. This corresponds with what has been reported in literature for acousto-ultrasonic technique; thus demonstrating the robustness of the proposed vibro-acoustic set-up. Structural health monitoring, impact damage, acousto-ultrasonic testing, non-destructive testing.
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Sanderson, David, Emma Shires, Jack C. Chaplin, Harvey Brookes, Amer Liaqat, and Svetan Ratchev. "Context-Aware Plug and Produce for Robotic Aerospace Assembly." In IFIP Advances in Information and Communication Technology, 184–99. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-72632-4_13.

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AbstractAerospace production systems face increasing requirements for flexibility and reconfiguration, along with considerations of cost, utilisation, and efficiency. This drives a need for systems with a small number of automation platforms (e.g. industrial robots) that can make use of a larger number of end effectors that are potentially flexible or multifunctional. This leads to the challenge of ensuring that the configuration and location of each end effector is tracked by the system at all times, even in the face of manual adjustments, to ensure that the correct processes are applied to the product at the right time. We present a solution based on a Data Distribution Service that provides the system with full awareness of the context of its automation platforms and end effectors. The solution is grounded with an example use case from WingLIFT, a research programme led by a large aerospace manufacturer. The WingLIFT project in which this solution was developed builds on the adaptive systems approach from the Evolvable Assembly Systems project, with focus on extending and increasing the aerospace industrial applicability of plug and produce techniques. The design of this software solution is described from multiple perspectives, and accompanied by details of a physical demonstration cell that is in the process of being commissioned.
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Renahy, Julie, Izabella Thomas, Grégory Chippeaux, Bérenger Germain, Xavier Petiaux, Barbara Rath, Valérie de Grivel, Sylviane Cardey, and Dominique A. Vuitton. "La «langue contrôlée» et l’informatisation de son utilisation au service de la qualité des textes médicaux et de la sécurité dans le domaine de la santé." In Informatique et Santé, 97–108. Paris: Springer Paris, 2011. http://dx.doi.org/10.1007/978-2-8178-0285-5_9.

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Bamisaiye, A. "Utilisation of child health services in developing countries." In Child Health in the Tropics, 309–19. Dordrecht: Springer Netherlands, 1985. http://dx.doi.org/10.1007/978-94-009-5012-2_31.

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Alam, Moneer. "Utilisation of Public Health Facilities: A Situational Assessment." In Paying Out-of-Pocket for Drugs, Diagnostics and Medical Services, 121–40. New Delhi: Springer India, 2013. http://dx.doi.org/10.1007/978-81-322-1281-2_7.

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Rogers, Owen, and Dave Cliff. "The Use of Provision Point Contracts for Improving Cloud Infrastructure Utilisation." In Economics of Grids, Clouds, Systems, and Services, 16–28. Berlin, Heidelberg: Springer Berlin Heidelberg, 2012. http://dx.doi.org/10.1007/978-3-642-35194-5_2.

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Conference papers on the topic "Service utilisation"

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Thomas, MO, S. Webber, VC Moore, and R. Mukherjee. "P226 Temporal trends in cardiopulmonary exercise testing (CPET) service utilisation." In British Thoracic Society Winter Meeting 2018, QEII Centre, Broad Sanctuary, Westminster, London SW1P 3EE, 5 to 7 December 2018, Programme and Abstracts. BMJ Publishing Group Ltd and British Thoracic Society, 2018. http://dx.doi.org/10.1136/thorax-2018-212555.383.

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Thomas, M. "Cardiopulmonary Exercise Testing (CPET) Service Utilisation: Backlog to the Future." In ERS International Congress 2022 abstracts. European Respiratory Society, 2022. http://dx.doi.org/10.1183/13993003.congress-2022.3943.

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Whittier, Alicia, Parag Kulkarni, Fengming Cao, and Simon Armour. "Mobile data offloading addressing the service quality vs. resource utilisation dilemma." In 2016 IEEE 27th Annual International Symposium on Personal, Indoor, and Mobile Radio Communications (PIMRC). IEEE, 2016. http://dx.doi.org/10.1109/pimrc.2016.7794869.

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Madtharad, Chakphed, Channarong Sorndit, Suttichai Premrudeepreechacharn, and Mark McGranaghan. "PEA’s premium power service: Baseline and risk assessment." In 2007 9th International Conference on Electrical Power Quality and Utilisation. IEEE, 2007. http://dx.doi.org/10.1109/epqu.2007.4424190.

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Simpson, Andrew, Mark Slaymaker, David Power, Douglas Russell, Moi Hoon Yap, and Alastair Gale. "On the utilisation of a service-oriented infrastructure to support radiologist training." In 2009 22nd IEEE International Symposium on Computer-Based Medical Systems (CBMS). IEEE, 2009. http://dx.doi.org/10.1109/cbms.2009.5255374.

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Constante, HM, G. Tsakos, and RG Watt. "P29 Racial inequalities in dental service utilisation amongst middle-aged brazilian adults." In Society for Social Medicine, 61st Annual Scientific Meeting, University of Manchester, 5–8 September 2017. BMJ Publishing Group Ltd, 2017. http://dx.doi.org/10.1136/jech-2017-ssmabstracts.131.

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Carreira, Pedro J. G., Luis M. G. Maricato, Nuno M. S. Costa Mendes, Fernando M. L. Bastiao, Vitor M. C. Madeira, and Anibal T. de Almeida. "Management of storks and quality of Energy Service: Stork project." In 2011 11th International Conference on Electrical Power Quality and Utilisation - (EPQU). IEEE, 2011. http://dx.doi.org/10.1109/epqu.2011.6128891.

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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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Challiol, H. "Utilisation des outils de géolocalisation dans l’aptitude au service - application au réseau de transport de gaz industriels." In Congrès Lambda Mu 19 de Maîtrise des Risques et Sûreté de Fonctionnement, Dijon, 21-23 Octobre 2014. IMdR, 2015. http://dx.doi.org/10.4267/2042/56180.

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Johnstone, E., G. Cox, and D. Shrikrishna. "Community Non-Invasive Ventilation practitioner service utilisation for Motor Neurone Disease patients following the Covid-19 pandemic." In ERS International Congress 2022 abstracts. European Respiratory Society, 2022. http://dx.doi.org/10.1183/13993003.congress-2022.3059.

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Reports on the topic "Service utilisation"

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Leahy, Siobhan, Anne Nolan, Jean O'Connell, and Rose Anne Kenny. Obesity in an Ageing Society: Implications for health, physical function and health service utilisation. The Irish Longitudinal Study on Ageing, July 2014. http://dx.doi.org/10.38018/tildare.2014-01.

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Roe, Lorna, Christine McGarrigle, Belinda Hernández, Aisling O'Halloran, Siobhan Scarlett, Mark Ward, Charles Normand, and Rose Anne Kenny. Patterns in health service utilisation: Results from Wave 5 of The Irish Longitudinal Study on Ageing. The Irish Longitudinal Study on Ageing, April 2020. http://dx.doi.org/10.38018/tildare.2020-04.

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Ndhlovu, Lewis. Quality of care and utilisation of MCH and FP services at Kenyan health facilities. Population Council, 1999. http://dx.doi.org/10.31899/rh1999.1017.

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Quality of services is playing an increasingly important role in many family planning (FP) programs. In 1995, a national Situation Analysis Study of 254 health facilities was conducted in Kenya to assess the status and quality of FP services in the country. An in-depth survey of a subsample of 28 health facilities was conducted the following year. From these facilities, 1,834 women were interviewed about their experiences with services at facilities when they sought antenatal, child health, and FP services. The goal of the survey was to examine the links between quality of care in FP services and contraceptive behavior. A key focus was directed at information and counseling as elements of service quality. Further, the subject of quality was explored in the context of how women switched facilities for the same and different services of antenatal care, child health, and FP. As noted in this report, this study highlights the gap that exists in the provision of quality reproductive health services. Despite the call for client-centered services, there is evidence that a wide gap still remains in providing relevant information to clients.
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Roe, Lorna, Aisling O'Halloran, Charles Normand, and Catriona Murphy. THE IMPACT OF FRAILTY ON PUBLIC HEALTH NURSE SERVICE UTILISATION: Findings from The Irish Longitudinal Study on Ageing (TILDA). The Irish Longitudinal Study on Ageing, September 2016. http://dx.doi.org/10.38018/tildare.2016-01.

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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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Brick, Aoife, Conor Keegan, and Maev-Ann Wren. Utilisation of specialist disability services in Ireland - Baseline analysis for the Hippocrates model. ESRI, June 2020. http://dx.doi.org/10.26504/sustat89.

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Brick, Aoife, and Conor Keegan. Utilisation of public acute hospital services in Ireland — Baseline analysis for the Hippocrates model. ESRI, December 2020. http://dx.doi.org/10.26504/sustat100.

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Brick, Aoife, Conor Keegan, and Maev-Ann Wren. Utilisation of specialist mental health services in Ireland - Baseline analysis for the Hippocrates model. ESRI, June 2020. http://dx.doi.org/10.26504/sustat90.

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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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Henry, Edward, Aoife Brick, and Conor Keegan. Utilisation of dental and optical services in Ireland – Baseline analysis for the Hippocrates Model. ESRI, January 2021. http://dx.doi.org/10.26504/sustat99.

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