Introduction

Winters-Miner, Linda A.; Bolding, Pat S.; Hilbe, Joseph M.; Goldstein, Mitchell; Hill, Thomas E.; Nisbet, Robert; Walton, Nephi; Miner, Gary

doi:10.1016/b978-0-12-411643-6.00067-3

Cited by 2 publications

(2 citation statements)

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“…Socioeconomic position (SEP) is an economic and sociological combined total measure of an individual's or family's economic access to resources and social position in relation to others ( 15 , 16 ). When analyzing SEP, three variables, namely, income, education, and occupation are examined ( 17 ).…”

Section: Methodsmentioning

confidence: 99%

Impact of socioeconomic position on the utilization of rehabilitation services among the Chinese older adults disabled by injury

Luo

Fan

Fan³

et al. 2023

Front. Public Health

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AimThis study aimed to explore the utilization of rehabilitation services and associated socioeconomic position (SEP) factors among Chinese older adults disabled by injury.MethodsData from the second China National Sample Survey on Disability (CSSD) were used in this study. Chi-square test was used to analyze the significant differences between groups, and binary logistic regression model was used to calculate the odds ratios and 95% confidence intervals for socioeconomic factors associated with utilization of rehabilitation services among Chinese older adults disabled by injury.ResultsAmong the older adults disabled by injury in the CSSD, the gap between demand and utilization of medical treatment, assistive devices and rehabilitation training were around 38, 75, and 64%, respectively. This study revealed two relationship patterns (“high-low-high” and “low-high-low”) among SEP, prevalence of injury-caused disability and odds of utilization of rehabilitation services among the Chinese older adults disabled by injury, that is, the older adult with higher SEP have a lower prevalence of injury-caused disability, but a higher odds of utilization of rehabilitation services; conversely, the older adults with lower SEP have a relatively higher prevalence but a lower odds of utilization of rehabilitation services.ConclusionThere is a large gap between the high demand and low utilization of rehabilitation services among the Chinese older adults disabled by injury, especially for those living in the central or western regions or rural areas, without insurance or disability certificate, having the annual household per capita income lower than the national average or lower educational level. Strategies to improve the disability manage system, to strengthen the chain of “information discovery-information transmission-rehabilitation services supply-continuous health monitoring and management” for the older adults disabled by injury are warranted. In view of the poor and illiterate groups among the disabled older adults, to enhance medical aids and popularize the scientific information to compensate for the lack of affordability and awareness of rehabilitation services utilization is essential. In addition, it is necessary to further expand the coverage and improve the payment system of medical insurance for rehabilitation services.

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Section: Methodsmentioning

confidence: 99%

Impact of socioeconomic position on the utilization of rehabilitation services among the Chinese older adults disabled by injury

Luo

Fan

Fan³

et al. 2023

Front. Public Health

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“…are delivered to patients [ 4 ]. The POC have a direct impact on the following seven major system outcomes inferred from [ 3 , 5 , 6 ]: (1) timeliness (e.g., patient waiting time); (2) degree of utilization of healthcare services (e.g., overutilization, underutilization); (3) effectiveness of interventions and care provisions (e.g., health improvements, pain containment/management, etc. ); (4) (avoidance/occurrence of clinical) adverse events; (5) patients’ satisfaction/experience; (6) mortality; and (7) unplanned hospital readmissions.…”

Section: Introductionmentioning

confidence: 99%

Systemic Design Approach to a Real-Time Healthcare Monitoring System: Reducing Unplanned Hospital Readmissions †

Alkhaldi¹,

Alouani²

2018

Sensors

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Following hospital discharge, millions of patients continue to recover outside formal healthcare organizations (HCOs) in designated transitional care periods (TCPs). Unplanned hospital readmissions of patients during TCPs adversely affects the quality and cost of care. In order to reduce the rates of unplanned hospital readmissions, we propose a real-time patient-centric system, built around applications, to assist discharged patients in remaining at home or in the workplace while being supported by care providers. Discrete-event system modeling techniques and supervisory control theory play fundamental roles in the system’s design. Simulation results and analysis show that the proposed system can be effective in documenting a patient’s condition and health-related behaviors. Most importantly, the system tackles the problem of unplanned hospital readmissions by supporting discharged patients at a lower cost via home/workplace monitoring without sacrificing the quality of care.

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Introduction

Cited by 2 publications

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Impact of socioeconomic position on the utilization of rehabilitation services among the Chinese older adults disabled by injury

Impact of socioeconomic position on the utilization of rehabilitation services among the Chinese older adults disabled by injury

Systemic Design Approach to a Real-Time Healthcare Monitoring System: Reducing Unplanned Hospital Readmissions †

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