Gotowe bibliografie tematyczne / Health service utilisation

Gotowa bibliografia na temat „Health service utilisation”

Autor: Grafiati
Data publikacji: 4 czerwca 2021
Data aktualizacji: 26 stycznia 2023

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Artykuły w czasopismach na temat "Health service utilisation"

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Dotse-Gborgbortsi, Winfred, Andrew J. Tatem, Zoe Matthews, Victor A. Alegana, Anthony Ofosu i 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, nr 1 (styczeń 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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Darma, Azri, Hidayati Hidayati i 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, nr 2 (31.07.2018): 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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Areru, Hiwot Abera, Mesay Hailu Dangisso i Bernt Lindtjørn. "Large local variations in the use of health services in rural southern Ethiopia: An ecological study". PLOS Global Public Health 2, nr 5 (25.05.2022): 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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Andrews, Gavin, Cathy Issakidis i Greg Carter. "Shortfall in mental health service utilisation". British Journal of Psychiatry 179, nr 5 (listopad 2001): 417–25. http://dx.doi.org/10.1192/bjp.179.5.417.

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BackgroundTreatment coverage for mental disorders is poor in most developed countries.AimsTo explore some reasons for the poor treatment coverage for mental disorders in developed countries.MethodData were taken from Australian national surveys and from the World Health Report.ResultsOnly one-third of people with a mental disorder consulted. Probability of consulting varied by diagnosis: 90% for schizophrenia, which is accounted for by external factors; 60% for depression; and 15% for substance use and personality disorders. The probability of consulting varied by gender, age, marital status and disability, from 73% among women aged 25–54 years, disabled and once married to 9% among males without these risk factors. Those who did not consult but were disabled or comorbid said that they “preferred to manage themselves”. Data from five countries showed no evidence that overall health expenditure, out-of-pocket cost or responsiveness of the health system affected the overall consulting rates.ConclusionsSocietal, attitudinal and diagnostic variables account for the variation. Funding does not. Public education about the recognition and treatment of mental disorders and the provision of effective treatment by providers might remedy the shortfall.
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Chen, Jiaqi, Song Xu i Jing Gao. "The Mixed Effect of China’s New Health Care Reform on Health Insurance Coverage and the Efficiency of Health Service Utilisation: A Longitudinal Approach". International Journal of Environmental Research and Public Health 17, nr 5 (9.03.2020): 1782. http://dx.doi.org/10.3390/ijerph17051782.

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In 2009, China launched a new health care reform as it endeavoured to develop a tiered system of disease diagnosis and treatment to promote the integration of medical resources. This was important for improving service capacity and building medical alliances that would eventually lead to improved health service utilisation efficiency. However, while the 2009 reform aimed to provide universal health insurance coverage to all citizens, its overall effect on health service utilisation efficiency remains unclear. We aimed to examine the new health care reform’s mixed effect by applying a longitudinal study using China Health and Nutrition Survey (CHNS) data and the difference-in-difference (DID) method to estimate the health reform’s impact on health insurance coverage rate. Then, we studied whether the increase in health insurance coverage rate affected health service utilisation efficiency in China. Our results showed that the increase in insurance coverage rate has indeed made expensive medical services available to low-income individuals. However, it also increased the likelihood of use of hospitals rather than primary care facilities, since there is more insurance cover for outpatient visits, which has led to an increased demand for quality services. This effect has generated a negative impact on health care utilisation which directly pertains to systemic inefficiency. This study thus indicates that China’s latest health reform requires further policies to improve its overall efficiency.
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Xu, Jianqiang, Juan Zheng, Lingzhong Xu i Hongtao Wu. "Equity of Health Services Utilisation and Expenditure among Urban and Rural Residents under Universal Health Coverage". International Journal of Environmental Research and Public Health 18, nr 2 (12.01.2021): 593. http://dx.doi.org/10.3390/ijerph18020593.

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Worldwide countries are recognising the need for and significance of universal health coverage (UHC); however, health inequality continues to persist. This study evaluates the status and equity of residents’ demand for and utilisation of health services and expenditure by considering the three components of universal health coverage, urban-rural differences, and different income groups. Sample data from China’s Fifth Health Service Survey were analysed and the ‘five levels of income classification’ were used to classify people into income groups. This study used descriptive analysis and concentration index and concentration curve for equity evaluation. Statistically significant differences were found in the demand and utilisation of health services between urban and rural residents. Rural residents’ demand and utilisation of health services decreased with an increase in income and their health expenditure was higher than that of urban residents. Compared with middle- and high-income rural residents, middle- and lower-income rural residents faced higher hospitalisation expenses; and, compared with urban residents, equity in rural residents’ demand and utilisation of health services, and annual health and hospitalisation expenditures, were poorer. Thus, equity of health service utilisation and expenditure for urban and rural residents with different incomes remain problematic, requiring improved access and health policies.
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Banke-Thomas, Aduragbemi, Aline Semaan, Dinah Amongin, Ochuwa Babah, Nafissatou Dioubate, Amani Kikula, Sarah Nakubulwa i in. "A mixed-methods study of maternal health care utilisation in six referral hospitals in four sub-Saharan African countries before and during the COVID-19 pandemic". BMJ Global Health 7, nr 2 (luty 2022): e008064. http://dx.doi.org/10.1136/bmjgh-2021-008064.

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IntroductionIn sub-Saharan Africa, referral hospitals are important sources of key maternal health services, especially during a crisis such as the COVID-19 pandemic. This study prospectively assessed the effect of the COVID-19 pandemic on maternal health service utilisation in six large referral hospitals in Guinea, Nigeria, Tanzania and Uganda during the first year of the pandemic.MethodsMixed-methods design combining three data sources: (1) quantitative data based on routine antenatal, childbirth and postnatal care data collected March 2019–February 2021, (2) qualitative data from recurring rounds of semi-structured interviews conducted July 2020–February 2021 with 22 maternity skilled heath personnel exploring their perceptions of service utilisation and (3) timeline data of COVID-19 epidemiology, global, national and hospital-level events. Qualitative and quantitative data were analysed separately, framed based on the timeline analysis and triangulated when reporting.ResultsThree periods including a first wave, slow period and second wave were identified. Maternal health service utilisation was lower during the pandemic compared with the prepandemic year in all but one selected referral hospital. During the pandemic, service utilisation was particularly lower during the waves and higher or stable during the slow period. Fear of being infected in hospitals, lack of transportation, and even when available, high cost of transportation and service closures were key reasons affecting utilisation during the waves. However, community perception that the pandemic was over or insinuation by Government of the same appeared to stabilise use of referral hospitals for childbirth.ConclusionUtilisation of maternal health services across the continuum of care varied through the different periods and across countries. In crisis situations such as COVID-19, restrictions and service closures need to be implemented with consideration given to alternative options for women to access and use services. Information on measures put in place for safe hospital use should be communicated to women.
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Simpson, Grahame K., Mark Sabaz, Maysaa Daher, Robert Gordon i 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, nr 1 (maj 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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McCrone, Paul, Graham Thornicroft, Michael Phelan, Frank Holloway, Til Wykes i Sonia Johnson. "Utilisation and costs of community mental health services". British Journal of Psychiatry 173, nr 5 (listopad 1998): 391–98. http://dx.doi.org/10.1192/bjp.173.5.391.

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BackgroundThe costs and the effectiveness of mental health services need to be evaluated if provision is to be efficient. Service use and costs are described for two geographical areas in south London.MethodService use was measured comprehensively for clients in both sectors for two six-month time periods using the Client Service Receipt Interview This information was combined with unit costs to calculate service costs. The ‘hidden’ costs of informal care and unsupported accommodation were also calculated.ResultsAt baseline significantly more intensive sector clients had in-patient stays but by the follow-up this difference had disappeared. There was significantly more use of supported accommodation in the intensive sector during both time periods. Baseline and follow-up total service costs were significantly higher for the intensive sector. Costs were spread disproportionately and a small number of services accounted for a large proportion of cost.ConclusionsWhile the cost at Time 2 was significantly greater in the intensive sector, this was largely due to the high use of supported accommodation. There was some convergence in cost between the sectors over time.
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Zeng, Yanbing, Weiqian Xu i 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, nr 6 (czerwiec 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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Rozprawy doktorskie na temat "Health service utilisation"

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Xu, Fang, i 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
Master
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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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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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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Noor, Abdisalan Mohamed. "Developing spatial models of health service access and utilisation to define health equity in Kenya". Thesis, Open University, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.417576.

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Bhatti, J. V. "Acculturation, shame, & self-compassion : an examination of mental health service utilisation". Thesis, University of Liverpool, 2018. http://livrepository.liverpool.ac.uk/3027481/.

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MacRae, Jayden. "Using a natural experiment to assess the effect of spatial barriers on health service utilization". Thesis, University of Canterbury. Geography, 2014. http://hdl.handle.net/10092/9346.

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The closure of the Manawatu Gorge in August 2011 caused a change in the travel time for patients living in the eastern area of the MidCentral Health District to their main hospital and health services located in Palmerston North. This presented an opportunity to study the effect a change in travel time and spatial access had on a population before and after such an event. This study used a retrospective cohort design, using routinely collected data from general practice, emergency department, hospital admissions and outpatient services. The investigation was completed using novel geospatial information systems methods to produce high fidelity data for analysis with free and open source software by developing and validating two new methods of improving geocoding data quality and a new travel time prediction model. Potential and realised spatial accessibility measures were calculated for 101,456 patients over 3.5 years while the gorge was both open and closed. Catchment sensitivity analysis and two-step floating catchment area using distance decays presented complimentary evidence of accessibility change during the Manawatu Gorge closure. Analysis of utilisation measures in both primary and secondary care were correlated with travel time. Utilisation of general practice services appeared to be negatively impacted by increased travel time when comparing realised accessibility in a control and intervention group during the gorge closure. It appeared as though other factors affected access to health services to a greater degree than an increase of up to fifteen minutes travel time.
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Schlecht, Nicolas F. "Physiological and psychosocial determinants of health-care service utilisation in chronic obstructive pulmonary disease patients". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape9/PQDD_0024/MQ50872.pdf.

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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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Anskär, Eva. "Time flies in primary care : a study on time utilisation and perceived psychosocial work environment". Licentiate thesis, Linköpings universitet, Institutionen för medicin och hälsa, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-156119.

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Background: Time utilisation among primary care professionals has been affected by structural changes and reorganisation performed in Swedish primary care over several decades. The work situation is complex with a heavy administrative work load. The overall aim with this thesis was to describe time utilisation among staff in Swedish primary care and to investigate associations with perceived psychosocial work environment and legitimacy of work tasks. Methods: A multicentre, descriptive, cross-sectional study design was used including all staff categories in primary care i.e. registered nurses, primary care physicians, care administrators, nurse assistants and allied professionals (physiotherapists, occupational therapists, psychologists, counsellors, dieticians and chiropodists) at eleven primary care centres located in southeast Sweden. The data collection consisted of a questionnaire including a subjective estimate of workload, the Bern Illegitimate Tasks Scale (BITS) and the Copenhagen Psychosocial Questionnaire (COPSOQ). Also, a time study was performed, where the participants reported their work time based on three main categories; direct patient work tasks, indirect patient work tasks and other work tasks, each with a number of subcategories. The participants reported time spent on different work tasks, day by day during two separate weeks. Response rates were 75% for the questionnaire and 79% for the time study. Results: In paper I the time study revealed that health professionals at the primary care centres spent 37% of their work time with direct patient work tasks. All professions estimated a higher proportion of time spent directly with patients than they reported in the time study. Physicians scored highest on the psychosocial scales of quantitative demands, stress and role conflicts. The proportion of administrative work tasks was associated with role conflicts, the more administration the more role conflicts. Findings in paper II were that more than a quarter of physicians scored above the cut-off value for BITS regarding unnecessary work tasks, which was significantly more than the proportion observed in all other professions in the survey. Across all staff groups, a perception of having to perform illegitimate work tasks was associated with experiencing negative psychosocial work environment and with high proportion of administrative-related work tasks. Conclusions: Swedish primary care staff spend a limited proportion of their work time directly with patients and primary care physicians perceive the psychosocial work environment in negative terms to a greater extent than all other staff members. Allocation of work tasks has an influence on the perceived psychosocial work environment. The perception of having a large number of illegitimate work tasks affects the psychosocial work environment negatively, which might influence the perception the staff have of their professional roles. Perception of high proportion of unreasonable work tasks is associated with a high proportion of non-patient-related administration. This thesis illuminates the importance of decision makers thoroughly considering the distribution and allocation of non-patient related work tasks among staff in primary care, in order to achieve efficient use of personnel resources and favourable working conditions. Hopefully, the results of this study will contribute to further development of primary care so that medical competence will benefit patients as much as possible.
Bakgrund: Under de senaste decennierna har det i svensk primärvård varit omfattande omorganisationer, vilket har påverkat arbetstidens innehåll. Arbetssituationen är komplex och omfattningen av administration har ökat. Det övergripande syftet med föreliggande studie var att beskriva arbetstidens innehåll bland personal i svensk primärvård och att undersöka samband mellan upplevd psykosocial arbetsmiljö och arbetsuppgifternas legitimitet. Metod: Studien har genomförts som en deskriptiv multicenterstudie med tvärsnittsdesign och inkluderade sjuksköterskor, läkare, vårdadministratörer, undersköterskor och övriga professioner (fysioterapeuter, arbetsterapeuter, psykologer, kuratorer, dietister och fotvårdsspecialister) vid elva vårdcentraler i sydöstra Sverige. Studien inleddes med att deltagarna ombads att besvara ett frågeformulär vars första del bestod av en skattning av hur arbetsuppgifterna var fördelade. Frågeformuläret innehöll också frågor om illegitima arbetsuppgifter; Bern Illegitimate Tasks Scale (BITS) och psykosocial arbetsmiljö; Copenhagen Psychosocial Questionnaire (COPSOQ). Därefter gjordes en tidsstudie där deltagarna fick registrera tidsåtgången för olika arbetsuppgifter, varje dag under två separata veckor. Arbetsuppgifterna delades upp i tre huvudkategorier; direkt patientarbete, indirekt patientarbete och övrigt arbete. Varje huvudkategori hade flera underkategorier. Svarsfrekvensen var 75% för frågeformuläret och 79% för tidsstudien. Resultat: Resultatet från delarbete I visar att personal i primärvård ägnade 37% av arbetstiden direkt med patienter. Alla professioner skattade den direkta patienttiden till större andel än vad tidsstudien visade. Läkare upplevde sämst psykosocial arbetsmiljö avseende kvantitativa krav, stress och rollkonflikter. Det förelåg ett samband mellan andelen administrativa arbetsuppgifter och rollkonflikter, ju mer administration desto mer rollkonflikter. I delstudie II visade resultatet att mer än en fjärdedel av läkarna upplevde en hög nivå av illegitima arbetsuppgifter avseende onödiga arbetsuppgifter, vilket var signifikant mer jämfört med andra professioner. För personalgruppen som helhet framträdde ett samband mellan upplevelsen av att ha mycket illegitima arbetsuppgifter och upplevelse av negativ psykosocial arbetsmiljö samt med hög andel administrationsrelaterade arbetsuppgifter. Konklusion: Personal i primärvård ägnar en begränsad andel av arbetstiden åt direkt patientarbete och läkare upplever sämre psykosocial arbetsmiljö än övriga professioner. Arbetstidens fördelning mellan olika arbetsuppgifter påverkar den psykosociala arbetsmiljön. Upplevelsen av att utföra en stor andel illegitima arbetsuppgifter påverkar den psykosociala arbetsmiljön negativt, vilket kan ha inverkan på hur personalen uppfattar sin professionella roll. Upplevelsen av att ha mycket oskäliga arbetsuppgifter har samband med hög andel icke patientrelaterad administration. Avhandlingen belyser vikten av att beslutsfattare noga överväger fördelningen av icke patientrelaterade arbetsuppgifter bland personal i primärvård, för att möjliggöra effektiv användning av personalresurserna och för att främja goda arbetsförhållanden. Förhoppningen är också att studiens resultat ska bidra till fortsatt utveckling av primärvården så att den medicinska kompetensen kommer patienterna till nytta i så stor omfattning som möjligt.
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Książki na temat "Health service utilisation"

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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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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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Wilson, Richard Connor. Utilisation of routinely collected data in health services research: A study of their application across the West Midlands region of the national health service. Birmingham: University of Birmingham, 1998.

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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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Adrian, Renton, Petrou Stavros i Whitaker Luke, red. 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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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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Commander, Martin John. Mental health care and the inner city: An epidemiological study of psychiatric morbidity and service utilisation in a deprived multi-ethnic inner city area. Birmingham: University of Birmingham, 1995.

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Trent, Region Seminar on Health Service Developments in the Decade Ahead (7th 1988 Leicester England). Medicine and management: Proceedings of the seventh Trent Region Seminar on Health Service Developments in the Decade Ahead : screening for colo-rectal cancer; therapeutic vascular embolisation; utilisation modelling; risk limitation in anasethesia; pain services. [s.l.]: Published privately for the Trent Regional Health Authority, 1988.

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Health services utilisation in urban India: A study. Delhi, India: Mittal Publications, 1988.

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Nolan, Brian. The utilisation and financing of health services in Ireland. Dublin: Economic and Social Research Institute, 1991.

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Części książek na temat "Health service utilisation"

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Acheampong, George, i Solomon Yaw Agyeman-Boaten. "Utilisation and Pricing of Healthcare Services". W 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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Lovett, Raymond, i Katherine A. Thurber. "Health Conditions and Health Service Utilisation among Children in LSIC". W 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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Palmer, George R., i Maria Theresa Ho. "The Macroeconomics of Health Services: Health Expenditure, Financing and Utilisation". W Health Economics, 74–93. London: Macmillan Education UK, 2008. http://dx.doi.org/10.1007/978-1-137-06725-8_6.

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Bamisaiye, A. "Utilisation of child health services in developing countries". W 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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Andersen, Kristian Gjerrestad, Gbanaibolou Jombo, Sikiru Oluwarotimi Ismail, Yong Kang Chen, Hom Nath Dhakal i Yu Zhang. "Damage Characterisation in Composite Laminates Using Vibro-Acoustic Technique". W 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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Alam, Moneer. "Utilisation of Public Health Facilities: A Situational Assessment". W 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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Alam, Moneer. "Self-Reported Ailments and Hospitalisation: Differentials in Utilisation of Health Care". W Paying Out-of-Pocket for Drugs, Diagnostics and Medical Services, 79–83. New Delhi: Springer India, 2013. http://dx.doi.org/10.1007/978-81-322-1281-2_4.

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Rai, Bina. "Pattern and Utilisation of Maternal and Child Health Services in Nepal". W Population Dynamics in Contemporary South Asia, 87–110. Singapore: Springer Singapore, 2020. http://dx.doi.org/10.1007/978-981-15-1668-9_4.

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Madianos, M. G., C. N. Stefanis i D. Madianou. "Prevalence of Mental Disorders and Utilisation of Mental Health Services in Two Areas of Greater Athens". W Psychiatric Epidemiology, 372–86. London: Routledge, 2021. http://dx.doi.org/10.1201/9781003134831-33.

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Sidze, Estelle M., Martin K. Mutua i Hermann P. Donfouet. "Towards Achieving Equity in Utilisation of Maternal Health Services in Selected Sub-Saharan African Countries: Progress and Remaining Challenges in Priority Countries". W Women and Sustainable Human Development, 111–24. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-14935-2_7.

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Streszczenia konferencji na temat "Health service utilisation"

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Samuel, Liji. "TRANSFORMING THE HEALTHCARE SYSTEM: THE PUBLIC-PRIVATE HEALTHCARE DICHOTOMY IN INDIA IN THE ERA OF DIGITAL HEALTH". W 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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Mills, Mark, Elizabeth Johnson, Hamza Zafar, Andrew Horwood, Nicola Lax, Sarah Charlesworth, Anna Gregory i in. "31 Utilisation of an existing exercise-based cardiac rehabilitation programme for patients with atrial fibrillation in the national health service: putting current services to good use". W British Cardiovascular Society Annual Conference ‘Digital Health Revolution’ 3–5 June 2019. BMJ Publishing Group Ltd and British Cardiovascular Society, 2019. http://dx.doi.org/10.1136/heartjnl-2019-bcs.30.

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Migchelsen, Stephanie. "P80 The impact of the Covid-19 pandemic on sexual health service utilisation by men who have sex with men (MSM) in England". W BASHH 2022 Abstracts. BMJ Publishing Group Ltd, 2022. http://dx.doi.org/10.1136/sextrans-bashh-2022.125.

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Roland, Damian, Adam Gardiner, Darakhshan Razzaq, Katy Rose, Silvia Bressan, Katy Honeyford, Danilo Buonsenso i in. "663 Utilisation of children’s emergency care services during epidemics and pandemics: a systematic review". W Royal College of Paediatrics and Child Health, Abstracts of the RCPCH Conference, Liverpool, 28–30 June 2022. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2022. http://dx.doi.org/10.1136/archdischild-2022-rcpch.24.

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Creamer, AW, J. Dickson, C. Horst, S. Tisi, H. Hall, P. Verghese, R. Prendecki i in. "P100 Impact of the COVID-19 pandemic on health services utilisation in a lung cancer screening cohort". W British Thoracic Society Winter Meeting 2021 Online, Wednesday 24 to Friday 26 November 2021, Programme and Abstracts. BMJ Publishing Group Ltd and British Thoracic Society, 2021. http://dx.doi.org/10.1136/thorax-2021-btsabstracts.209.

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Mahapatro, Meerambika. "Barriers to Utilisation of Maternal HealthUtilisation of Maternal HealthUtilisation of Maternal HealthUtilisation of Maternal HealthUtilisation of Maternal HealthUtilisation of Maternal HealthUtilisation of Maternal Health Services among Rural Women in Orissa A Qualitative assessment". W 2nd Annual Global Healthcare Conference (GHC 2013). Global Science and Technology Forum Pte Ltd, 2013. http://dx.doi.org/10.5176/2251-3833_ghc13.55.

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He, Weijing, Liwu Wei i Simon Smith. "Intensive Validation of Computer Prediction of Welding Residual Stresses in a Multi-Pass Butt Weld". W ASME 2010 29th International Conference on Ocean, Offshore and Arctic Engineering. ASMEDC, 2010. http://dx.doi.org/10.1115/omae2010-20490.

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Welding and joining technology is fundamental to offshore engineering. The construction of engineering facilities and pipelines requires the extensive use of welding and associated structural integrity assessments of safety critical or heavily loaded sections. Proof of integrity is based upon the externally applied loads and in service stresses as well as the welding residual stresses. The level and distribution of residual stresses arises from the complex thermo-mechanical history of heat flow and thermal expansion at very high temperatures during welding, so it has not been possible to make very accurate assessments of these in the same way that service stresses can be defined. Conservative assumptions are therefore made and this often means that the as-welded stresses are assumed to be of yield magnitude. The peak values of stress may well be very high, but the shrinkage of the latter passes of multi-pass welds may compress earlier passes giving rise to much lower levels of stress. There is considerable engineering interest in the utilisation of lower levels of residual stress where they exist or of the design of welds with lower residual stresses in sensitive areas such as the weld root. Currently there is no single technique that can claim to provide cost effective, accurate distributions of residual stresses in welds. The current paper provides an important contribution to the understanding of measurement and prediction techniques. It describes an extensive set of measurements taken on a girth butt weld. The weld was made using submerged arc and was made in 18 passes. The pipe was X52 with a 32mm wall thickness and 910mm outside diameter. Temperature, strain and displacement values were measured throughout the production of the weld. The intermediate values between each pass were recorded as well as the time varying history during the production of individual passes. The final through thickness residual stress distribution was measured. Finite Element Analysis (FEA) modelling was undertaken to determine whether modelling could provide a satisfactory prediction of the final residual stresses. Intermediate results were also used to understand the behaviour of the weld and the model more clearly. The modelling used material properties measured on material from a separate specimen. The weld cross section was identified for each pass so that the heat input method could be developed to represent the actual melt pool conditions of the weld. The measured values of hoop residual stress were up to the yield stress magnitude just below the cap, but were 20% of yield in the root of the weld. The axial residual stresses were less than 50% of yield. Linear kinematic hardening provided the most accurate prediction of residual stress. The hoop stresses were predicted to an accuracy of 10% with this material model. Other hardening models were less accurate, but all models were conservative. The results provide a basis for the adoption of more accurate distributions of residual stresses in Engineering Critical Assessments (ECAs) and assessments of weld performance under fatigue and corrosive conditions.
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Lonia, B., N. K. Nayar, S. B. Singh i P. L. Bali. "Techno Economic Aspects of Power Generation From Agriwaste in India". W 17th International Conference on Fluidized Bed Combustion. ASMEDC, 2003. http://dx.doi.org/10.1115/fbc2003-170.

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The agricultural operations in India are suffering from a serious problem of shortage of electrical power on one side and economic and effective disposal of agriwaste stuff on the other. India being agriculture based country, 70% of its main income (share in GDP) comes from agriculture sector. Any enhancement of income from this sector is based upon adequate supply of basic inputs in this sector. Regular and adequate power supply is one such input. But, the position of power supply in our country defies both these characteristics. With a major portion of power produced being sent to the industrial and urban consumers, there is a perennial shortage of power in the agriculture sector. Consequently, there is an emergent need to produce more power in order to fulfil the needs of this sector effectively. One way of accomplishing this is setting up captive, preferably rural based, small power generation plants. In these power plants, instead of water-head, diesel oil or coal, we can use agri-residue to produce electricity. One such power plant (1–2 MW capacity) can satisfy the power need of 25 to 40 nearby villages. The agriwaste like rice straw, sugarcane-trash, coir-pith, peanut shells, wheat stalks & straw, cottonseed, stalks and husk, soyabean stalks, maize stalks & cobs, sorghum. Bagasse, wallnut shells, sunflower seeds, shells, hulls and kernels and coconut husk, wastewood and saw dust can be fruitfully utilized in power generation. This stuff is otherwise a waste and liability and consumes a lot of effort on its disposal; in addition to being a fire and health hazard. Agriwaste stuff which at present is available in abundance and prospects of its utilization in producing energy are enormous. This material can be procured at reasonably low rates from the farmers who will thus be benefited economically, apart from being relieved of the responsibility of its disposal. Agri-residue has traditionally been a major source of heat energy in rural areas in India. It is a valuable fuel even in the sub-urban areas. Inspite of rapid increase in the supply of, access lo and use of fossil fuels, agri-residue is likely to continue to play an important role, in the foreseeable future. Therefore, developing and promoting techno-economically-viable technologies to utilize agri-residue efficiently should be a persuit of high priority. Though there is no authentic data available with regard to the exact quantity of agricultural and agro-industrial residues, its rough estimate has been put at about 350 mt per annum. It is also estimated that the total cattle refuse generated is nearly 250 mt per year. Further, nearly 20% of the total land is under forest cover, which produces approximately 50 mt of fuel wood and with associated forest waste of about 5 mt.(1). Taking into account the utilization of even a portion (say 30%) of this agri-residue & agro-industrial waste as well as energy plantation on one million hectare (mha) of wastelands for power generation through bioenergy technologies, a potential of some 18000 MW of power has been estimated. From the foregoing, it is clear that there is an enormous untapped potential for energy generation from agri-residue. What is required is an immediate and urgent intensification of dedicated efforts in this field, with a view to bringing down the unit energy cost and improving efficiency and reliability of agri-waste production, conversion and utilisation, leading to subsequent saving of fossil fuels for other pressing applications. The new initiatives in national energy policy are most urgently needed to accelerate the social and economic development of the rural areas. It demands a substantial increase in production and consumption of energy for productive purposes. Such initiatives are vital for promoting the goals of sustainability. cleaner production and reduction of long-term risks of environmental pollution and consequent adverse climatic changes in future. A much needed significant social, economic and industrial development has yet to take place in large parts of rural India; be it North, West, East or South. It can be well appreciated that a conscious management of agri-residue, which is otherwise a serious liability of the farmer, through its economic conversion into electric power can offer a reasonably viable solution to our developmental needs. This vision will have to be converted into a reality within a decade or so through dedicated and planned R&D work in this area. There is a shimmering promise that the whole process of harvesting, collection, transport and economic processing and utilisation of agri-waste can be made technically and economically more viable in future. Thus, the foregoing paras amply highlight the value of agri-residue as a prospective source of electric power, particularly for supplementing the main grid during the lean supply periods or peak load hours and also for serving the remote areas in the form of stand-alone units giving a boost to decentralised power supply. This approach and option seems to be positive in view of its potential contribution to our economic and social development. No doubt, this initiative needs to be backed and perused rigorously for removing regional imbalances as well as strengthening National economy. This paper reviews the current situation with regards to generation of agriwaste and its prospects of economic conversion into electrical power, technologies presently available for this purpose, and the problems faced in such efforts. It emphasizes the need for an integrated approach to devise ways and means for generating electrical power from agriwaste; keeping in mind the requirements of cleaner production and environmental protection so that the initiative leads to a total solution.
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Raporty organizacyjne na temat "Health service utilisation"

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

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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, Christine McGarrigle, Belinda Hernández, Aisling O'Halloran, Siobhan Scarlett, Mark Ward, Charles Normand i 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, kwiecień 2020. http://dx.doi.org/10.38018/tildare.2020-04.

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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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Roe, Lorna, Aisling O'Halloran, Charles Normand i 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, wrzesień 2016. http://dx.doi.org/10.38018/tildare.2016-01.

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

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Dudley, Lilian D. Do maternity waiting homes improve maternal and neonatal outcomes in low-resource settings? SUPPORT, 2011. http://dx.doi.org/10.30846/110509.

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The poor utilisation of maternal health services and antenatal care by women living in rural areas has been associated with high maternal and neonatal mortality. Maternity waiting homes have been advocated as a way of overcoming geographical barriers in such settings and improving access to care and maternal and neonatal outcomes.
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Bahns, Carolin, Bettina Scheffler i Christian Kopkow. Guideline adherence in physiotherapy – protocol for a systematic review. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, maj 2022. http://dx.doi.org/10.37766/inplasy2022.5.0081.

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Review question / Objective: The objective of this systematic review is to summarise different approaches reported in studies to evaluate guideline adherence in physiotherapy care. Further, we aim to identify clinical and methodological factors that may explain the assumed heterogeneity of guideline adherence among physiotherapists. Condition being studied: Clinical practice guidelines are systematically developed statements that summarise the current state of knowledge from research and practice. They are intended to support clinicians and patients to make decisions about appropriate health care for specific clinical circumstances (2). Various studies show that evidence-based physiotherapy care can lead to improved patient outcomes (e.g. pain, function, quality of life) and at the same time contribute to a lower utilisation of medical services and a reduction in health care costs. The degree of agreement between medical or therapeutic care and the recommendations made in guidelines is often described in studies with the term "guideline adherence". However, the heterogeneous use of the term guideline adherence and the lack of a standardised research methods or operationalisation lead to limited comparability of the study results.
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