A Global Approach to Evaluation of Health Services Utilization: Concepts and Measures

Silva, Roxane Borgès Da; Contandriopoulos, André‐Pierre; Pineault, Raynald; Tousignant, Pierre

doi:10.12927/hcpol.2011.22351

Cited by 39 publications

(43 citation statements)

References 12 publications

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“…For instance, the literature review revealed that access was referred to opportunities, whereas utilization to the manifestation of these opportunities [1]. Moreover, differences in utilization could be either due to acceptable (e.g.…”

Section: The Pact Conceptual Framework For Mapping Access To Health Cmentioning

confidence: 99%

“…Although the terms access, utilization, availability and universal coverage are used interchangeably in the literature in an effort to illustrate whether the health need of a patient is covered in an effective and timely manner, they refer to different elements of access to health care. Utilization appertains to ‘the outcome of the interaction between health professionals and patients' [1], while availability to the actual presence of health services delivery in terms of infrastructure, health personnel and utilization [2]. The WHO [3] defined universal coverage as ‘ensuring that all people can use the promotive, preventive, curative, rehabilitative and palliative health services they need, of sufficient quality to be effective, while also ensuring that the use of these services does not expose the user to financial hardship'.…”

Section: Introductionmentioning

confidence: 99%

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A Conceptual Framework of Mapping Access to Health Care across EU Countries: The Patient Access Initiative

Souliotis¹,

Hasardzhiev²,

Agapidaki³

2016

Public Health Genomics

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Research evidence suggests that access to health care is the key influential factor for improved population health outcomes and health care system sustainability. Although the importance of addressing barriers in access to health care across European countries is well documented, little has been done to improve the situation. This is due to different definitions, approaches and policies, and partly due to persisting disparities in access within and between European countries. To bridge this gap, the Patient Access Partnership (PACT) developed (a) the ‘5As' definition of access, which details the five critical elements (adequacy, accessibility, affordability, appropriateness, and availability) of access to health care, (b) a multi-stakeholders' approach for mapping access, and (c) a 13-item questionnaire based on the 5As definition in an effort to address these obstacles and to identify best practices. These tools are expected to contribute effectively to addressing access barriers in practice, by suggesting a common framework and facilitating the exchange of knowledge and expertise, in order to improve access to health care between and within European countries.

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Section: The Pact Conceptual Framework For Mapping Access To Health Cmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A Conceptual Framework of Mapping Access to Health Care across EU Countries: The Patient Access Initiative

Souliotis¹,

Hasardzhiev²,

Agapidaki³

2016

Public Health Genomics

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“…Health care utilization is the result of the intercommunication between health care professionals and patients . More specifically, it is measured by the volume of services provided by health care professionals . Health care expenditure is defined as the costs associated with health services .…”

Section: Introductionmentioning

confidence: 99%

Economic burden of cutaneous infections in children and adults with atopic dermatitis

Sandhu

Salame

Ehsani‐Chimeh

et al. 2019

Pediatric Dermatology

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Background/Objectives: Atopic dermatitis (AD) is a chronic, inflammatory disease affecting both children and adults. AD is associated with multiple comorbidities and complications. In particular, AD patients are susceptible to developing cutaneous infections. Studies show that comorbidities have contributed significantly to increased health care utilization and costs in AD. However, evidence regarding the degree to which this increased health care utilization and expenditure in AD is attributable to cutaneous infections is lacking. The aim of this study was to assess the impact of skin infections on health care utilization and expenditures among patients with atopic dermatitis. Methods: This cross-sectional study examined health care utilization and expenditures for AD patients of all ages with and without skin infections in the United States using the nationally representative 1996-2015 Medical Expenditure Panel Survey (MEPS) data.Results: In this study, a total of 4 825 668 (weighted) patients had a diagnosis of AD (mean age 5.7). Of these, 776 753 patients (16%) experienced skin infections (mean age 4.4). Compared to AD patients without skin infections, those with skin infections had more frequent visits to ambulatory clinics (P = 0.001) and the emergency department (P = 0.011), and increased hospitalization (P = 0.010), after adjustments for demographic and clinical factors. AD patients with skin infections were also given 3.3 more prescriptions (P < 0.0001). AD patients with skin infections incurred significantly greater health care costs, which included an additional $351/patient/year for ambulatory visits (P < 0.0001) and an additional $177/patient/year for prescription medications (P < 0.0001). Conclusions: Atopic dermatitis patients with cutaneous infections incurred significantly greater health care utilization and expenditures than those without cutaneous infections. K E Y W O R D S atopic dermatitis, cost, eczema, expenditures, health care utilization, infections, skin infections Pediatric Dermatology SANDHU et Al.

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“…Health service utilization is an important issue in public health, and has been discussed in various fields, such as: health problems in developing countries; health economic issues, including health insurance; and health-care policy-making for health-care protection and health status. 5,6 Health disparities at the global, regional, and local scale can provide information about health problems and help improve health and well-being. Geographies of patients and health services are the main sources of information, being essential components of geographic information system (GIS) applications in public health.…”

mentioning

confidence: 99%

Spatial analysis for regional behavior of patients with mental disorders in Japan

Takahashi

Tachimori

Kan

et al. 2017

Psychiatry Clin Neurosci

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A Global Approach to Evaluation of Health Services Utilization: Concepts and Measures

Cited by 39 publications

References 12 publications

A Conceptual Framework of Mapping Access to Health Care across EU Countries: The Patient Access Initiative

A Conceptual Framework of Mapping Access to Health Care across EU Countries: The Patient Access Initiative

Economic burden of cutaneous infections in children and adults with atopic dermatitis

Spatial analysis for regional behavior of patients with mental disorders in Japan

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