factors that affect health care utilizationfactors that affect health care utilization

In fact, after controlling for all factors measurable within the data used for the analysis, much of the variation remains unexplained. Factors affecting dental service utilisation among - BMC Public Health experience low health care access and utilization. Discover the world's research. A. Lee. In 20092010, people of all racial and ethnic groups who were 1864 years old and had a family income below 200 percent of the poverty level were more likely than those who had higher family income to delay seeking or not to receive needed medical care because of cost (NCHS, 2012). Underinsurance in the United States: An interaction of costs to consumers, benefit design, and access to care. Prevalence and predictors of underinsurance among low-income adults. Health, United States. During that period, the trend in lack of coverage varied by racial and ethnic group. Washington, DC: National Academy Press. Switch between the Original Pages, where you can read the report as it appeared in print, and Text Pages for the web version, where you can highlight and search the text. or use these buttons to go back to the previous chapter or skip to the next one. Therefore, in order to bridge treatment gap and shorten the treatment lag, it is essential to determine and pinpoint factors affecting mental health service utilization. People who have unmet social needs are more likely to be frequent ED users, to have repeat no-shows for medical appointments, and to have poorer glycemic and cholesterol control than those who are able to meet their needs (Thomas-Henkel and Schulman, 2017). During that period, the percentage who had unmet needs for medical care decreased as family income increased from below 200 percent of the poverty level to 400 percent or more of the poverty level. Physical environments can affect health because of pollutants or other environmental health hazards. https://www.census.gov/content/dam/Census/library/publications/2016/demo/p60-257.pdf (accessed November 7, 2017). Traveling towards disease: Transportation barriers to health care access. https://www.healthypeople.gov/2020/about/foundation-health-measures/Determinants-of-Health (accessed December 27, 2017). Factors Affecting Primary Health Care Utilization. October 1984; Family Practice 1(3) . Up to 84 percent of rural physicians accept new Medicaid patients compared with 65 percent of urban physicians (UnitedHealth Center for Reform & Modernization, 2011). The greatest racial and ethnic diversity was found in central counties of large metropolitan areas. The urbanization pattern of the supply of physicians and other providers depends on specialty. The Effect of Health Insurance on Health Care Utilization in the https://www.cdc.gov/ncbddd/disabilityandhealth/documents/obesityfactsheet2010.pdf (accessed October 31, 2017). For example, more-urban counties tend to have more health-care providers per capita, and residents of more-rural counties often live farther from health-care resources. 2013. A systematic review of studies of language barriers in health care for Latino populations showed that access to care, quality of care, and health status all suffer as a result of language barriers. County level numeracy and health care access 0 500 1000 1500 2000 2500 3000 3500 Other studies have shown that women make more primary care visits and receive more diagnostic services, screening services, diet and nutrition counseling, and sexual health care than men even though men generally have higher rates of obesity and cardiovascular problems (Salganicoff et al., 2014). However, physician supply generally decreases steadily as rurality increases both nationally and regionally. Share a link to this book page on your preferred social network or via email. There are many ways to think of access, and the term access is often used to describe factors or characteristics that influence ones initial contact with or use of services. The World Health Organization states that health is determined by a persons individual characteristics and behaviors, physical environment, and socioeconomic environment (WHO, 2017). In the United States, black and Hispanic people have disproportionately lower income and higher rates of uninsurance, which might result in poorer health outcomes and different health-care utilization trends. Access to Health Care in America. 2014. Economic: Factors that affect the economy, such as steady employment, interest rates, policies, and governmental activities. (2013) studied issues of cost, availability of transit, distance to healthcare providers, and travel burden by time and distance. The Milbank Quarterly 93(1):112138. Health Spending How has U.S. spending on healthcare changed over time? Factors Affecting Health Care Utilization in OEF/OIF Veterans: The Impact of PTSD and Pain Katie P. Lang, MS, Katherine Veazey-Morris, PhD, Kristoffer S. Berlin, PhD, Frank Andrasik, PhD Military Medicine, Volume 181, Issue 1, January 2016, Pages 50-55, https://doi.org/10.7205/MILMED-D-14-00444 Published: 01 January 2016 PDF Split View Cite Disabilities can be temporary, progressive, or intermittent. What factors affect patients' access to healthcare? Protocol for an The difference between the highest and lowest percentages of people. Ideally, utilization of health-care services reflects a need for care, but that is not the case, for several reasons. The most significant predictor for health care utilization is the individual's health status. The average retirement agean update. We performed repeated cross-sectional analyses with data from the National Survey of Drug Use and Health. 2014. Menlo Park, CA: The Henry J. Kaiser Family Foundation. Factors influencing utilisation of maternal health services by (2015) conducted a literature review of the provision of health care and access in rural areas of the United States. Data on factors affecting the health services demand were collected in five categories: economic factors, characteristics of the health institute, attitudes and behaviors of the. Health Affairs (Millwood) 36(10):17621768. Factors associated with healthcare utilization among community - PLOS 2013. The social determinants of health: It's time to consider the causes of the causes. They are more likely to classify themselves as white. Do you want to take a quick tour of the OpenBook's features? Factors influencing access and utilization of health services among 2014. Health Services Research Journal 46(5):14521472. Douthit et al. Exposing some important barriers to health care access in the rural USA. WHO (World Health Organization). This study aimed to identify the priorities of the factors affecting family planning practices in Ethiopia, with the ultimate aim of providing evidence to the Ethiopian government and international organizations for establishing family planning policies or family planning-related project plans. 2015. However, it is relatively independent of the percentage of income spent on OOP costs, so the percentage of income spent on OOP costs by itself is a poor measure of health-care unaffordability. From 2000 to 2010, the percentage of people 1864 years old who did not get or delayed seeking needed medical care during the preceding 12 months because of cost increased in all family income groups. 2016. 2 Depression, anxiety, and post-traumatic stress disorder, among others, have . Background Antenatal care (ANC) is a health care intervention intended to ensure the safety of pregnancy. People who spend a small percentage of their income on health care might be extremely burdened by their health-care plan when financial concerns prevent access to health care (Kielb et al., 2017). . ODPHP. Blumenthal, D., B. Chernof, T. Fulmer, J. Lumpkin, and J. Selberg. Some diseases or conditions associated with disability are common; others are rare. But types of impairment also differ substantially and might more or less limit a persons ability to function. IOM (Institute of Medicine). Many factors facilitate and hinder access to needed health care. Black people, people of Hispanic origin, American Indians, Pacific Islanders, and some Asian Americans might be disproportionately represented in the lower socioeconomic ranks, in lower-quality schools, and in poorer-paying jobs (IOM, 2002). Current evidence also suggests that high-deductible health plans are associated with lower health-care costs as a result of a reduction in the use of health-care services, including appropriate services (Agarwal et al., 2017). An effective factor for access to health services is universal health insurance. The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. Finally, health-care utilization by people who have disabilities is discussed. Implementation and factors affecting the nursing process among nurses There is no question that increased functional limitations and consequent health-care utilization occurs in people as they age; that is true for working-age people and for older adults (NCHS, 2017b). Factors affecting health services utilization in the medicare Without adjustment, population rates of seven selected disabilities among all adults (not limited to working-age adults) increased substantially from 1998 to 2011. PLoS ONE 12(9):e0181970. Our findings underline the importance of need factors for health care use. Economic resources (such as income and wealth) enable access to material goods and services, including health-care services. More than half the measures3 show that poor and low-income households had worse care than high-income households; more than 40 percent of the measures. Few clinicians receive training in working with interpreters; only 23 percent of US teaching hospitals provide any such training, and most of them make it optional (Flores, 2006). Therefore, the need for greater insight into the relationship between . Dartmouth, NH: The Dartmouth Atlas of Health Care. Results: Regarding to the finding, the most important factors affected on utilization were age, income level and deciles, job status, household dimension and insurance coverage. 2012. New England Journal of Medicine 370(19):18471851. To examine the impact of health insurance coverage on utilization of outpatient, hospital, and emergency department care among justice-involved individuals in the United States. In general, central counties of large metropolitan areas often have the most adverse health measures in the Northeast and Midwest, and nonmetropolitan counties tend to fare the worst in the South and West (Meit et al., 2014). 2011. Levesque, J.-F., M. F. Harris, and G. Russell. Utilization of maternal health services and its determinants: a cross The difficulty varied by region: people in the South and the Midwest had the most difficulty, and those in the Northeast and West had the least (NCHS, 2017b). (2016) examined racial and ethnic disparities in health-care access and utilization after the ACA health insurance mandate was fully implemented in 2014. Washington, DC: US Government Printing Office. 2014. The main mission of health insurance is to remove major obstacles toward access to health care, especially for vulnerable groups in the community. Issue Brief (Commonwealth Fund) 15:115. MyNAP members SAVE 10% off online. Methods Psychosocial Care in Cardiovascular Medicine: A Necessary Paradigm A number of databases and electronic journal collections were searched for articles published in 19952012 (including Medline, CINAHL, PsycInfo, and Sociological Abstracts). Menlo Park, CA: Kaiser Family Foundation. B. Frakt, Z. M. Lyon, X. Zhou, and A. K. Jha. Factors Affecting Primary Health Care Utilization | Family Practice Not a MyNAP member yet? Poor education, poverty, and unemployment remained associated with disability (Iezzoni et al., 2014). http://www.unitedhealthgroup.com/~/media/UHG/PDF/2011/UNH-Working-Paper-6.ashx (accessed November 7, 2017). 2013. Proper utilization of antenatal and postnatal care services plays an important role in reducing the maternal mortality ratio and infant mortality rate. The ability to access careincluding whether it is available, timely and convenient, and affordableaffects health care utilization. Rates of self-reported disability among working-age adults and mental illness among all people 18 years and older have remained stable in recent years (Ahrnsbrak et al., 2017; NCHS, 2017b). This report analyzes health care utilizations as they relate to impairment severity and SSAs definition of disability. Multiple chronic conditions among adults aged 45 and over: Trends over the past 10 years. Washington, DC: The National Academies Press. Background Healthcare in China has significantly improved, meanwhile many socio-economic risk factors and health conditions factors affect accessibility and utilization of health services in rural areas. Factors That Affect Health-Care Utilization The committee was tasked with identifying factors that influence a person's use of health-care services, including poverty and level of urbanization. In chronic disease, the impact of mental health is underappreciated by both those caring for the chronic disease and those caring for the mental health disorder. Squires, D., and C. Anderson. They include poverty and its correlates, geographic area of residence, race and ethnicity, sex, age, language spoken, and disability status. Health-care utilization is determined by the need for care, by whether people know that they need care, by whether they want to obtain care, and by whether care can be accessed. They saw access as the opportunity to identify health-care needs; to reach, obtain, or use health-care services; and to have the need for services fulfilled. Nonelderly Hispanic, black, American Indian, and Alaska Native adults remain much more likely than whites to be uninsured despite coverage gains under the ACA. 2016 National Healthcare Quality and Disparities Reports. In 2010, the population of central counties nationwide was 27 percent Hispanic origin, 17 percent non-Hispanic black, 9 percent non-Hispanic Asian or Pacific Islander, 2 percent people identifying with multiple races, and less than 1 percent non-Hispanic or American Indian or Alaska Native (AI/AN) origin. https://www.kff.org/womens-health-policy/report/women-and-health-care-in-the-early-years-of-the-aca-key-findings-from-the-2013-kaiser-womens-health-survey (accessed February 5, 2018). Those findings indicate that although women utilize health-care resources at greater rates, health-care needs go unmet. OMH (US Department of Health and Human Services, Office of Minority Health). International Journal for Equity in Health 12(1):18. Bailey, J. https://ruralhealth.und.edu/projects/health-reform-policy-research-center/pdf/2014-rural-urban-chartbook-update.pdf (accessed December 27, 2017). Princeton, NJ: Rural Policy Research Institute. Journal of Community Health 38(5):976993. 2016. PDF Family Factors Affecting Servicewomen's Wellness, Readiness and Retention New and improved, and less invasive, procedures are available to treat a number of previously untreatable conditions in a variety of new sites of care, or even in physicians offices. Access to Health Services - Healthy People 2030 | health.gov The lack of health insurance has been identified as an important driver of health-care disparities (IOM, 2002). For example, white women are much more likely to have outpatient surgery than women of other races or ethnicities (Salasky et al., 2014) and. It concluded that black people received less effective care than white people for each disease studied even after matching for socioeconomic factors and insurance status. 2017. Fang, J., G. Zhao, G. Wang, C. Ayala, and F. Loustalot. The intersection of disability and healthcare disparities: A conceptual framework. The coverage gaps in rural America exist in large part because rural Americans have less access to private insurance. In recent weeks, COVID-19 hospitalizations have begun to trend upward again in part due to the Delta variant. 2015. About 4 percent of people who were 1844 years old had self-reported heart disease compared with about 12 percent of people 4564 years old; corresponding rates of cancer were 2 percent and 7 percent, respectively. Bias, black lives, and academic medicine. Rural areas in particular have been identified as lacking a sufficient supply of specialty physicians and, in particular, mental health-care providers (Meit et al., 2014; Douthit et al., 2015). Trends in the overuse of ambulatory health care services in the United States. Their findings indicate a reluctance to seek health care because of cultural and financial constraints, which are often compounded by a scarcity of services, a lack of trained physicians, insufficient public transportation, and poor availability of broadband Internet services. Among people 1864 years old, women have higher rates of disability and self-reported fair or poor health status. In Health, United States, 2015: With special feature on racial and ethnic health disparities. Racial and ethnic disparities in health care access and utilization under the Affordable Care Act. Factors Affecting Primary Health Care Utilization - ResearchGate Access, affordability, and insurance complexity are often worse in the United States compared to ten other countries. A systematic review of the extent and measurement of healthcare provider racism. Almost one-fourth of people 1844 years old reported low back pain compared with 35 percent of people 4564 years old (NCHS, 2017b). Restrict participation in normal daily activities, such as working, engaging in social and recreational activities, and obtaining health-care and preventive services (. Rural residents were found to have poorer health than urban residents, and rural areas had more difficulty in attracting and retaining physicians than their urban counterparts. In the South, 20082010 IHD death rates were lowest in fringe counties of large metropolitan areas and more than 25 percent higher in the most rural counties. Healthy People 2020 topics and objectives: Disability and health. Excessive wait times to obtain appointments or to see providers at their places of service might also deter use (MACPAC, 2016; NCHS, 2016). Women and health care in the early years of the Affordable Care Act: Key findings from the 2013 Kaiser womens health survey. The prevalence of such jobs as farming and contracting means that self-employment is more prevalent in rural America. Financial barriers to care, particularly among low-income people and the uninsured, have been greater in the United States than in other high-income countries (Davis and Ballreich, 2014; Squires and Anderson, 2015).