Combined Healthy Behaviors and Healthcare Services Use in Older Adults

Hernández-Aceituno, Ana; Pérez-Tasigchana, Raúl F.; Guallar‐Castillón, Pilar; López-Garcı́a, Esther; Rodríguez‐Artalejo, Fernando; Banegas, José R.

doi:10.1016/j.amepre.2017.06.023

Cited by 20 publications

(15 citation statements)

References 43 publications

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“…This fi nding supports the study in Northern Nigeria which reported that 75% of hypertensive patients were females [14]. This deduction suggests that women exhibit more health caring attitude and have enough time to visit the clinic than men, this was further supported by cross sectional studies in Spain and the US where similar fi ndings were reported [21,22]. Mean MA Score ± SD 5.7 ± 2.1 subjects in this study were in monogamous marriage.…”

Section: Discussionsupporting

confidence: 89%

“…This corroborates earlier work done by Lee in China which that women were reported to have higher odds of medication adherence when compared with the men [35]. Several reasons that could probably explain this are that women are more likely to receive fi nancial support from their spouses to cater for themselves among other things and so much so because they utilise health care services more than men [21,22]. However, this fi nding is in contrast with the work done by Shah which found that males are more likely to adhere to antihypertensive medications [36].…”

Section: Discussionsupporting

confidence: 89%

“…Furthermore, 126 (42.3%) of the subjects perceived that their spouses were extremely helpful in reminding them to use their medications and less than one-quarter of the respondents,22.5% achieved high medication adherence and overall, 61.1% were adherent (medium and high adherence).Overall, there was a statistically signifi cant relationship between perceived spousal social support and medication adherence (2 = 17.93, p < 0.001). It was found that the stronger the PSSS, the better the medication adherence.…”

mentioning

confidence: 99%

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Role of perceived spousal social support in medication adherence among hypertensive patients attending family medicine clinic in federal teaching hospital, ido-ekiti, Nigeria

Oo¹,

Ot²,

Oe³

et al. 2020

Arch Community Med Public Health

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Background: There abound many strategies to control hypertension, however, many patients still have diffi culty adhering to medications and this results to poor Blood Pressure (BP) control. And because the condition requires lifelong treatment, many patients need additional effort from their spouses. The spouse shares intimacy with patient and is the chief source of social support that provides fi nancial assistance, reminds and encourages medication use, shows concern and interest by discussing issues related to the disease. Therefore, exploring the role of perceived spousal social support in medication adherence will help the physician and other stakeholders harness the gains of this association to achieving BP control, prevent complications and death. Objectives: To determine the relationship between Perceived Spousal Social Support (PSSS) and Medication Adherence (MA) among hypertensive patients attending

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Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 89%

mentioning

confidence: 99%

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Role of perceived spousal social support in medication adherence among hypertensive patients attending family medicine clinic in federal teaching hospital, ido-ekiti, Nigeria

Oo¹,

Ot²,

Oe³

et al. 2020

Arch Community Med Public Health

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“…19 Personal health practices (particularly lifestyle behaviors) are equally important predictors of future health care utilization. 63 In this study, a high level of compliance with Australian dietary guidelines was shown to predict CM service use among participants. This is similar to findings from other studies, 44 and it supports the view that CM users are more likely to be active participants in their health care and to demonstrate greater health awareness behaviors than non-CM users.…”

Section: Discussionmentioning

confidence: 74%

Determinants of Complementary Medicine Service Utilization in a Regional South Australian Population: A Cross‐Sectional Study

Leach

2020

The Journal of Rural Health

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The dearth of accessible and appropriate conventional health care services in regional areas may drive many people to seek care provided by complementary medicine (CM) practitioners. Understanding the drivers of CM service use in this population may help inform future health services planning. This study set out to examine the determinants of CM service utilization in a regional South Australian population. Methods: Adults residing in regional South Australia between April 2017 and March 2018 were invited to complete the 44-item consumer utilization, expectations, and experiences of health care instrument. The questionnaire was available in print and online, and was promoted using a multimodal recruitment campaign. Independent predictors of CM service use were determined using multivariate logistic regression. Findings: Completing the questionnaire were 3,926 adults (56.7% aged 50+ years; 52.5% females). Forty-seven percent of participants reported using a CM service within the last 12 months. Univariate analyses revealed a statistically significant association between 13 factors and CM service use. When these factors were forced into a multivariate logistic regression model, the number of predictors of CM service utilization was reduced to 10, which included 6 predisposing factors, 3 enabling factors, and 1 personal health practice. This model was able to explain 23.1% (Nagelkerke R 2 = 0.231) of the variation in CM service use in this sample. Conclusions: A high level of CM service use was reported among participants living in regional South Australia. The findings highlight the degree to which the appropriateness of health services impacts health-seeking behavior in regional communities.

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“…Tackling the drivers of HCE is an enduring policy concern. Known drivers of overall growth in HCE include behaviours and lifestyle factors such as smoking, diet or physical activity [4], wealth and income effects [5] and prices [6]. There is evidence that demographic factors such as population ageing [7] are associated with rises in HCE.…”

Section: Introductionmentioning

confidence: 99%

Trends in and drivers of healthcare expenditure in the English NHS: a retrospective analysis

Santana¹,

Aragon

Rice

et al. 2020

Health Econ Rev

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Background: In England, rises in healthcare expenditure consistently outpace growth in both GDP and total public expenditure. To ensure the National Health Service (NHS) remains financially sustainable, relevant data on healthcare expenditure are needed to inform decisions about which services should be delivered, by whom and in which settings. Methods: We analyse routine data on NHS expenditure in England over 9 years (2008/09 to 2016/17). To quantify the relative contribution of the different care settings to overall healthcare expenditure, we analyse trends in 14 healthcare settings under three broad categories: Hospital Based Care (HBC), Diagnostics and Therapeutics (D&T) and Community Care (CC). We exclude primary care and community mental health services settings due to a lack of consistent data. We employ a set of indices to aggregate diverse outputs and to disentangle growth in healthcare expenditure that is driven by activity from that due to cost pressures. We identify potential drivers of the observed trends from published studies. Results: Over the 9-year study period, combined NHS expenditure on HBC, D&T and CC rose by 50.2%. Expenditure on HBC rose by 54.1%, corresponding to increases in both activity (29.2%) and cost (15.7%). Rises in expenditure in inpatient (38.5%), outpatient (57.2%), and A&E (59.5%) settings were driven predominately by higher activity. Emergency admissions rose for both short-stay (45.6%) and long-stay cases (26.2%). There was a switch away from inpatient elective care (which fell by 5.1%) and towards day case care (34.8% rise), likely reflecting financial incentives for same-day discharges. Growth in expenditure on D&T (155.2%) was driven by rises in the volume of high cost drugs (270.5%) and chemotherapy (110.2%). Community prescribing grew by 45.2%, with costs falling by 24.4%. Evidence on the relationship between new technologies and healthcare expenditure is mixed, but the fall in drug costs could reflect low generic prices, and the use of health technology assessment or commercial arrangements to inform pricing of new medicines. Conclusions: Aggregate trends in HCE mask enormous variation across healthcare settings. Understanding variation in activity and cost across settings is an important initial step towards ensuring the long-term sustainability of the NHS.

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Combined Healthy Behaviors and Healthcare Services Use in Older Adults

Cited by 20 publications

References 43 publications

Role of perceived spousal social support in medication adherence among hypertensive patients attending family medicine clinic in federal teaching hospital, ido-ekiti, Nigeria

Role of perceived spousal social support in medication adherence among hypertensive patients attending family medicine clinic in federal teaching hospital, ido-ekiti, Nigeria

Determinants of Complementary Medicine Service Utilization in a Regional South Australian Population: A Cross‐Sectional Study

Trends in and drivers of healthcare expenditure in the English NHS: a retrospective analysis

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