Producing Health, Consuming Health Care

Evans, Rachel; Stoddart, Greg L.

doi:10.4324/9781315135755-3

Cited by 172 publications

(75 citation statements)

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“…The somewhat paradoxical finding that preventive care utilization was not associated with lower outpatient and inpatient health‐care expenses might suggest that older adults who used preventive care services reported better health‐related measurements in China, given that they accessed more health‐care services than their peers who did not access preventive care services. This is based on Evans and Stoddart's observation that healthier individuals have more opportunities for health‐care seeking . Further, it has been noted that Chinese older adults rate increasing accessibility of health care as a top priority .…”

Section: Discussionmentioning

confidence: 99%

Is preventive care utilization associated with lower outpatient and inpatient health‐care expenses among Chinese older adults? A longitudinal analysis

Lee

Chang

Shelley

2019

Health Planning & Management

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Background: China has made major improvements to its health-care system since the early 21st century. However, the effectiveness of preventive care utilization on healthcare costs remains limited. This study seeks to understand the effect of preventive care utilization on outpatient and inpatient health-care expenses. Methods: With the use of the Chinese LongitudinalHealthy Longevity Survey with older adults who were 65 years old or above (n = 2828), Tobit regression models were estimated to examine the association of preventive care utilization and expenses with medical treatments.Preventive care utilization in the previous wave was used to predict health-care costs for treatments in the next wave. Propensity score matching was used to reduce potentially confounding factors. Findings:Results indicated that preventive care utilization was positively associated with outpatient health care among Chinese older adults (β = 231.8, standard error [SE] = 71.5, P < .01). The association between preventive care utilization and inpatient health-care expenses was not significant. Conclusions: Despite the results from previous studiessuggesting that preventive care utilization can help reduce health-care expenses, this study does not support such a claim among Chinese older adults. The long-term association between preventive care utilization and health-care expenses for treatment should be studied further.

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Section: Discussionmentioning

confidence: 99%

Is preventive care utilization associated with lower outpatient and inpatient health‐care expenses among Chinese older adults? A longitudinal analysis

Lee

Chang

Shelley

2019

Health Planning & Management

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“…In most of cases, the supply side of the health care system shows several shortcomings-ranging from diseconomies of scale to disintegration in the provision of health services-which impoverish the effectiveness of health services' provision and do not allow to meet the evolving needs of the population served [42]. In addition, policy decisions about the allocation of available financial resources may prioritize current basic levels of care, overlooking the need for investing in innovative technologies, organizational change, and advanced infrastructures; however, missing innovation and change are expected to generate in the future increased costs for health services' provision [43]. What is even more relevant is that the recent financial crisis impaired the ability of National Health Services to afford the historical health expenditure and to meet the growing health needs of the community.…”

Section: The Conventional Shade: Financial and Economic Sustainabilitymentioning

confidence: 99%

Framing the Shades of Sustainability in Health Care: Pitfalls and Perspectives from Western EU Countries

et al. 2018

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Sustainability is momentous for the appropriate functioning of health care systems. In fact, health and sustainability are two strictly related values, which could not be separately sought. While studies discussing the contextualization of this issue with respect to the distinguishing attributes of health care systems are rapidly blooming, there is still little agreement about what is ultimately meant by sustainability in the health care arena. On the one hand, attention is primarily focused on the proper use of available financial resources; on the other hand, people engagement and empowerment are gradually arising as a crucial step to enhance the viability of the health care system. This paper tries to identify, from a conceptual point of view inspired by the European integrative movement, the different shades of sustainability in health care and proposes a recipe to strengthen the long-term viability of health care organizations. The balanced mix of financial, economic, political, and social sustainability is compelling to increase the ability of health care organizations to create meaningful value for the population served. However, the focus on a single dimension of sustainability is thought to engender several side effects, which compromise the capability of health care organizations to guarantee health gains at the individual and collective levels. From this standpoint, further conceptual and practical developments are envisioned, paving the way for a full-fledged understanding of sustainability in the health care environment.

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“…. Rather, we are trying to construct an analytic framework within which such evidence can be fitted” (1,16). Likewise, our goal for this essay is not to present a comprehensive framework for well-being as an end point of policy but rather to present a compelling enough argument that, if well-being is the end point, additional progress toward population health and well-being might occur.…”

Section: The Words We Use Influence Our Thinkingmentioning

confidence: 99%

“Well-Being in All Policies”: Promoting Cross-Sectoral Collaboration to Improve People’s Lives

Kottke¹,

Stiefel²,

Pronk³

2016

Prev. Chronic Dis.

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Producing Health, Consuming Health Care

Cited by 172 publications

References 0 publications

Is preventive care utilization associated with lower outpatient and inpatient health‐care expenses among Chinese older adults? A longitudinal analysis

Is preventive care utilization associated with lower outpatient and inpatient health‐care expenses among Chinese older adults? A longitudinal analysis

Framing the Shades of Sustainability in Health Care: Pitfalls and Perspectives from Western EU Countries

“Well-Being in All Policies”: Promoting Cross-Sectoral Collaboration to Improve People’s Lives

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