The demand for preventive care services and its relationship with inpatient services

Tian, Wei Hua; Chen, Chin Shyan; Liu, Tsai Ching

doi:10.1016/j.healthpol.2009.09.012

Cited by 35 publications

(49 citation statements)

References 39 publications

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“…We considered family-level variables in their analysis and found that presence of a spouse can significantly increase the probability of using blood pressure and cholesterol tests. More recent studies by Tian et al [22] and Cheah [23] share similar findings. In particular, they find that marriage is positively associated with a higher likelihood of using health screening.…”

Section: Discussionsupporting

confidence: 72%

“…For example, Hsieh and Lin [16] use data from the Taiwan Provincial Institute of Family Planning and find that older elderly people are more likely to use urine, blood pressure, and blood sugar tests than their younger peers. Tian et al [22] applied the 2003 Survey of Health and Living Status of the Elderly in Taiwan and observed a positive relationship between older individuals and use of preventive medical care services. The reasons for this outcome are straightforward.…”

Section: Discussionmentioning

confidence: 99%

“…Based on past studies that examine the factors associated with use of health screening [10,12,[15][16][17][18][19][20][21][22], the following socioeconomic and lifestyle factors were selected as explanatory variables: (1) age; (2) gender; (3) marital status; (4) ethnicity; (5) education; (6) income; (7) location of residence; (8) family history of diabetes; (9) smoking; and (10) body mass index (BMI). All these variables were formatted as categorical variables, except age, and the definitions of these variables are quite straightforward as shown in Table 1.…”

Section: Variablesmentioning

confidence: 99%

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Socioeconomic and lifestyle determinants of blood glucose screening in Malaysia

Cheah

Hock²

2015

Asian Biomedicine

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Background:The increase in prevalence of diabetes is a serious public health issue. It is well-documented that use of blood glucose screening can help to reduce the risk of developing diabetes. Objectives: To examine the socioeconomic and lifestyle factors associated with use of blood glucose screening among Malaysian adults. Methods: Nationally representative data from 2,415 survey respondents was used. The survey was a crosssectional population-based study previously conducted by the Ministry of Health Malaysia. A logistic regression model was developed to estimate the likelihood of using blood glucose screening. Results: Age, marital status, ethnicity, income, smoking, and body mass index were significantly associated with use of blood glucose screening. In particular, older individuals, married individuals, Malays, higher income earners, non-smokers, and being obese, overweight or of normal weight were correlated with a higher likelihood of using blood glucose screening. Conclusions: It is important to acquire a better knowledge of the factors that can influence the decision of people to adopt preventive measures. Having better information regarding which groups of individuals use or do not use blood glucose screening can assist governments in developing appropriate intervention programs.

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Section: Discussionsupporting

confidence: 72%

Section: Discussionmentioning

confidence: 99%

Section: Variablesmentioning

confidence: 99%

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Socioeconomic and lifestyle determinants of blood glucose screening in Malaysia

Cheah

Hock²

2015

Asian Biomedicine

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“…Wu et al (1994) found that self-reported disease and high educational levels play important roles in the use of outpatient services [28]. Other factors that may affect health service utilization are the urbanization level, preventive care, and regular health checkups [24][25][26][27]31,34].…”

Section: Conceptual Frameworkmentioning

confidence: 99%

“…A substantial body of literature has focused exclusively on analyzing demographic or family background factors affecting the utilization of healthcare services 5 [10][11][12][13][14][15][16][17][18][19][20], and numerous studies have demonstrated that physical health affects health service utilization [24][25][26][27][28][29][30][31][32][33][34]. However, definitions of good health address both physical and mental health.…”

Section: Introductionmentioning

confidence: 99%

The relationship between depressive symptoms and health service utilization for elderly people in Taiwan

Tian¹,

Liu²,

Chen³

et al. 2012

Health Policy

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Health Care Utilization Following Interventions to Improve Social Well-Being

et al. 2023

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ImportanceIt has been suggested that interventions that aim to improve social well-being may contribute to decreased health care use; however, such evidence has not been fully systematically synthesized.ObjectiveTo systematically review and meta-analyze available evidence on the associations between psychosocial interventions and health care utilization.Data SourcesMedline, Embase, PsycInfo, Cumulated Index to Nursing and Allied Health Literature, Cochrane, Scopus, Google Scholar, and reference lists of systematic reviews were searched from inception until November 31, 2022.Study SelectionIncluded studies were randomized clinical trials reporting on both health care utilization and social well-being outcomes.Data Extraction and SynthesisThe reporting of the systematic review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) reporting guideline. Full-text and quality assessments were conducted by 2 reviewers independently. Multilevel random-effects meta-analyses were used to synthesize the data. Subgroup analyses were conducted to examine the characteristics associated with decreased health care use.Main Outcomes and MeasuresThe outcome of interest was health care utilization, including primary, emergency, inpatient, and outpatient care services. Social well-being was measured as social support, social participation, social relationships, community support, social integration, or loneliness.ResultsA total of 41 studies were retrieved from 18 969 citations; 37 studies were eligible for meta-analysis. Data were analyzed for 7842 participants, including 2745 older adults, 1579 young women considered to be at risk of social and mental health disadvantages, 1118 people with chronic illnesses, 1597 people with mental illnesses, and 803 caregivers. The odds ratio (OR) random-effects model showed an overall reduction in health care use (OR, 0.75; 95% CI, 0.59 to 0.97), but the standardized mean difference (SMD) random effect model showed no association. An improvement in health care utilization was observed in association with social support interventions (SMD, 0.25; 95% CI, 0.04 to 0.45) but not in loneliness interventions. Subgroup analysis indicated a reduced length of inpatient visits (SMD, −0.35; 95% CI, −0.61 to −0.09) and number of emergency care visits (OR, 0.64; 95% CI, 0.43 to 0.96) following the intervention. However, an increase in outpatient care associated with psychosocial interventions was observed (SMD, 0.34; 95% CI, 0.05 to 0.62). The largest reductions in health care use were associated with interventions among caregivers (OR, 0.23; 95% CI, 0.07 to 0.71) and individuals with mental illnesses (OR, 0.31; 95% CI, 0.13 to 0.74).ConclusionsThese findings suggest that psychosocial interventions were associated with most measures of health care utilization. As the association differed by participant and intervention delivery characteristics, these characteristics should be considered in the design of future interventions.

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The demand for preventive care services and its relationship with inpatient services

Cited by 35 publications

References 39 publications

Socioeconomic and lifestyle determinants of blood glucose screening in Malaysia

Socioeconomic and lifestyle determinants of blood glucose screening in Malaysia

The relationship between depressive symptoms and health service utilization for elderly people in Taiwan

Health Care Utilization Following Interventions to Improve Social Well-Being

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