Gender Differences in Outpatient Utilization: A Pooled Analysis of Data from the Korea Health Panel

Noh, Jin‐Won; Kim, Kyoung-Beom; Park, Hyunchun; Kwon, Young Dae

doi:10.1089/jwh.2016.5771

Cited by 21 publications

(14 citation statements)

References 53 publications

(59 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These results may be due to differences in healthcare utilization between men and women in Korea. Although oldest-old women with less severe conditions use more medical resources than men with the same conditions, they tend to use intensive services less ( Noh et al, 2017 ). In rural areas, oldest-old women have higher untreated rates for acute diseases, fewer hospital treatments, and shorter hospital stays ( Shin et al, 2009 ).…”

Section: Discussionmentioning

confidence: 99%

A 10-year trend in income disparity of cardiovascular health among older adults in South Korea

Lee

Yang

McConnell

et al. 2020

SSM - Population Health

View full text Add to dashboard Cite

Objectives Although cardiovascular disease (CVD) risk has lessened in Korea, it is unclear whether older adults in all socioeconomic strata have benefited equally. This study explored trends in income disparities in CVD risk among older adults in Korea. Methods This was a secondary analysis of Korean National Health and Nutrition Examination Survey data (2008–2017), targeting 14,836 older adults (≥65 years). Socioeconomic position, defined as income and use of welfare benefits, was the primary indicator. The outcome was binary for predicted CVD risk (<90th vs. ≥ 90th). The Slope Index of Inequality (SII) and Relative Index of Inequality (RII) were used to assess trends in disparities. Results The percentage of older adults with a predicted CVD risk of 90% or more declined over time, but this was due to a decrease among the more affluent. Disparities have persisted since 2012, with a worsening trend seen for Medicaid recipients. We found significant absolute and relative disparities among men over 75 years of age in recent years (SII > 0.19, RII > 7). Conclusions These results may inform and improve policies regarding income disparity reduction and cardiovascular health.

show abstract

Section: Discussionmentioning

confidence: 99%

A 10-year trend in income disparity of cardiovascular health among older adults in South Korea

Lee

Yang

McConnell

et al. 2020

SSM - Population Health

View full text Add to dashboard Cite

show abstract

“…Interactions were noted, whereby the association between DOAC versus warfarin usage and healthcare utilization was weaker in patients with VTE who were older and female. Women [34][35][36][37] and older individuals 37,38 have greater healthcare utilization than their male and younger counterparts. The simplest explanation for the weaker associations in women and older individuals is that these individuals have greater healthcare utilization for reasons independent of their VTE events and treatment, which may mute differences in healthcare utilization specifically related to the OAC prescribed.…”

Section: Discussionmentioning

confidence: 99%

Impact of oral anticoagulation choice on healthcare utilization for the primary treatment of venous thromboembolism

et al. 2020

View full text Add to dashboard Cite

Little is known about the impact of oral anticoagulation (OAC) choice on healthcare encounters during venous thromboembolism (VTE) primary treatment. Among anticoagulant-naïve patients with VTE, we tested the hypotheses that healthcare utilization would be lower among users of direct OACs (DOACs; rivaroxaban or apixaban) than among users of warfarin. MarketScan databases for years 2016 and 2017 were used; healthcare utilization was identified in the first 6 months after initial VTE diagnoses. The 23,864 patients with VTE had on average 0.2 ± 0.5 hospitalizations, spent 1.3 ± 5.2 days in the hospital, had 5.7 ± 5.1 outpatient encounters, and visited an emergency department 0.4 ± 1.1 times. As compared to warfarin, rivaroxaban and apixaban were associated with fewer hospitalizations, days hospitalized, outpatient office visits, and emergency department visits after accounting for age, sex, comorbidities, and medications. Hospitalization rates were 24% lower (incidence rate ratio (IRR): 0.76; 95% CI: 0.69, 0.83) with rivaroxaban and 22% lower (IRR: 0.78; 95% CI: 0.71, 0.87) with apixaban, as compared to warfarin (IRR: 1.00 (reference)). Healthcare utilization was similar between apixaban and rivaroxaban users. Patients with VTE prescribed rivaroxaban and apixaban had lower healthcare utilization than those prescribed warfarin, while there was no difference when comparing apixaban to rivaroxaban. These findings complement existing literature supporting the use of DOACs over warfarin.

show abstract

“…The possible reasons could be that apart from family planning services, most CHPS services such as ANC, CWC, PNC, and skilled delivery, are female-focused. Additionally, research has shown that females by nature exhibit better health-seeking behaviour than males and this may be due to gender role differentiations including social class, education, and vulnerability to ill-health [28].…”

Section: Discussionmentioning

confidence: 99%

“…Our findings show that NHIS subscribers were more likely to utilise CHPS services than non-subscribers. This might be due to the financial protection which the scheme offers its subscribers [ 28 , 29 , 30 ]. This is because once subscribers pay affordable annual premiums, they can utilise health services covered by the scheme without paying anything at the point of service delivery [ 26 , 29 ].…”

Section: Discussionmentioning

confidence: 99%

Community utilisation and satisfaction with the community-based health planning and services initiative in Ghana: a comparative study in two system learning districts of the CHPS+ project

Kweku

Amu

Adjuik

et al. 2020

BMC Health Serv Res

View full text Add to dashboard Cite

Background To strengthen the implementation of the Community-based Health Planning and Services (CHPS) programme which is Ghana’s key primary health care delivery strategy, the CHPS+ Project was initiated in 2017. We examined community utilisation and satisfaction with CHPS services in two System Learning Districts (SLDs) of the project. Methods This community-based descriptive study was conducted in the Nkwanta South Municipality and Central Tongu District of Ghana. Data were collected from 1008 adults and analysed using frequency, percentage, chi-square, and logistic regression models. Results While the level of utilisation of CHPS services was 65.2%, satisfaction was 46.1%. Utilisation was 76.7% in Nkwanta South and 53.8% in Central Tongu. Satisfaction was also 55.2% in Nkwanta South and 37.1% in Central Tongu. Community members in Nkwanta South were more likely to utilise (AOR = 3.17, 95%CI = 3.98–9.76) and be satisfied (AOR = 2.77, 95%CI = 1.56–4.90) with CHPS services than those in Central Tongu. Females were more likely to utilise (AOR = 1.75, 95%CI = 1.27–2.39) but less likely to be satisfied [AOR = 0.47, 95%CI = 0.25–0.90] with CHPS services than males. Even though subscription to the National Health Insurance Scheme (NHIS) was just 46.3%, NHIS subscribers were more likely to utilise (AOR = 1.51, 95%CI = 1.22–2.03) and be satisfied (AOR = 1.45, 95%CI = 0.53–1.68) with CHPS services than non-subscribers. Conclusion Ghana may not be able to achieve the goal of universal health coverage (UHC) by the year 2030 if current levels of utilisation and satisfaction with CHPS services persist. To accelerate progress towards the achievement of UHC with CHPS as the vehicle through which primary health care is delivered, there should be increased public education by the Ghana Health Service (GHS) on the CHPS concept to increase utilisation. Service quality should also be improved by the GHS and other stakeholders in Ghana’s health industry to increase satisfaction with CHPS services. The GHS and the National Health Insurance Authority (NHIA) should also institute innovative strategies to increase subscription to the NHIS since it has implications for CHPS service utilisation and satisfaction.

show abstract

Gender Differences in Outpatient Utilization: A Pooled Analysis of Data from the Korea Health Panel

Abstract: Unlike males, females with higher household incomes used outpatient services more. This suggests that females are at greater risk of medical inequality based on economic circumstances.

Cited by 21 publications

References 53 publications

A 10-year trend in income disparity of cardiovascular health among older adults in South Korea

A 10-year trend in income disparity of cardiovascular health among older adults in South Korea

Impact of oral anticoagulation choice on healthcare utilization for the primary treatment of venous thromboembolism

Community utilisation and satisfaction with the community-based health planning and services initiative in Ghana: a comparative study in two system learning districts of the CHPS+ project

Contact Info

Product

Resources

About