Health-Care Utilization as a Proxy in Disability Determination

Health-Care Utilization as a Proxy in Disability Determination PDF

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2018-04-02

Total Pages: 161

ISBN-13: 030946921X

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The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.

Equity in the Utilization of Healthcare Services in India

Equity in the Utilization of Healthcare Services in India PDF

Author: Soumitra Ghosh

Publisher:

Published: 2014

Total Pages: 10

ISBN-13:

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Background: The pursuit of equity in health and healthcare has been the key feature of health policy in India. However, despite the policy significance, the volume of literature available on this issue is scarce. Therefore, this paper is an attempt to examine the horizontal inequities in healthcare utilization, consisting of outpatient and inpatient care in 15 major states and north-eastern region of India.Methods: Cross-sectional data were taken from the National Sample Survey Organization (NSSO) 60th round (2004), the survey on 'morbidity and healthcare'. While outpatient care was assessed using the probability of outpatient visit 15 days prior to the survey date, the indicators of inpatient care utilization were based on the following variables: the probability of hospital admission and length of stay in hospital over a 12-month period. All these measures of healthcare utilization were standardized for need differences and controlled for socio-economic factors. Need standardized concentration indices were used to measure interstate and intrastate income-related inequities in healthcare utilization.Results: Absolute inequalities were found between states in the proportion of the population reporting a visit to an outpatient provider, in the range of 4.42% to 21.72%. Similarly, inpatient care varied from 1% to 10%. The magnitude of inequity for both outpatient and inpatient care was pro-rich across rural and urban areas of India and in majority of the states. In fact, in majority of the states, the horizontal inequity across types of curative care was noticeably higher within the rural population than in the urban population. The analysis demonstrated that high per capita government health spending was significantly associated with low inequity in utilization of inpatient care.Conclusion: The study concludes that it would be necessary to address the prevailing inequities in healthcare by substantially scaling up the public spending on health, and achieving effective universal coverage of healthcare in India.

Aging in Asia

Aging in Asia PDF

Author: National Research Council

Publisher: National Academies Press

Published: 2012-07-31

Total Pages: 486

ISBN-13: 0309254094

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The population of Asia is growing both larger and older. Demographically the most important continent on the world, Asia's population, currently estimated to be 4.2 billion, is expected to increase to about 5.9 billion by 2050. Rapid declines in fertility, together with rising life expectancy, are altering the age structure of the population so that in 2050, for the first time in history, there will be roughly as many people in Asia over the age of 65 as under the age of 15. It is against this backdrop that the Division of Behavioral and Social Research at the U.S. National Institute on Aging (NIA) asked the National Research Council (NRC), through the Committee on Population, to undertake a project on advancing behavioral and social research on aging in Asia. Aging in Asia: Findings from New and Emerging Data Initiatives is a peer-reviewed collection of papers from China, India, Indonesia, Japan, and Thailand that were presented at two conferences organized in conjunction with the Chinese Academy of Sciences, Indian National Science Academy, Indonesian Academy of Sciences, and Science Council of Japan; the first conference was hosted by the Chinese Academy of Social Sciences in Beijing, and the second conference was hosted by the Indian National Science Academy in New Delhi. The papers in the volume highlight the contributions from new and emerging data initiatives in the region and cover subject areas such as economic growth, labor markets, and consumption; family roles and responsibilities; and labor markets and consumption.

Utilization of Health Services in Urban Kerala

Utilization of Health Services in Urban Kerala PDF

Author: K. Gangadharan

Publisher: Serials Publications

Published: 2005

Total Pages: 372

ISBN-13: 9788186771921

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As An Interdisciplinary Work, This Book Utilization Of Health Services In Urban Kerala A Socio-Economic Study Focuses On The Problems And Determinants Of Urban Health. It Identifies The Basic Problem Faced By The Urban Slum Dwellers With Respect To The Utilization Of Public Health Care Service System, Utilization Pattern Of Health Care Services, The Perception Of Urban And Slum Dwellers With Regard To Various Health Problems And Above All The Linkage Of Morbidity Pattern And Socio-Economic Status Of The Urban And Slum Dwellers. The Book Reveals That Rapid Urbanization Is The Root Cause Of All Urban Health Problems. The Problem Of Accessibility Of Public Medical Facilities Is An Important Hurdle In The Urban Health Environment Of Kerala. As The Major Chunk Of Government Health Budget Has Been Earmarked For Paying Salary And Allowances, Very Meager Amount Is Left For Purchasing Medicines. In These Circumstances The Government Hospitals And Health Centres Are Not Able To Meet Even The Requirements Of People Of The Lowest Socio-Economic Class. The Poverty Related Health Hazards Is Increasing In The Urban Set Up. The Bad Living Environment Accounts For The Hike In Urban Morbidity In Kerala Which Is Estimated As The Highest In India. The Socio-Economic Status Is An Important Determinant In The Utilization Of Health Services And Its Impact On Urban Morbidity Is Very Severe In Kerala

Slum Health

Slum Health PDF

Author: Jason Corburn

Publisher: Univ of California Press

Published: 2016-06-07

Total Pages: 337

ISBN-13: 0520962796

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Urban slum dwellers—especially in emerging-economy countries—are often poor, live in squalor, and suffer unnecessarily from disease, disability, premature death, and reduced life expectancy. Yet living in a city can and should be healthy. Slum Health exposes how and why slums can be unhealthy; reveals that not all slums are equal in terms of the hazards and health issues faced by residents; and suggests how slum dwellers, scientists, and social movements can come together to make slum life safer, more just, and healthier. Editors Jason Corburn and Lee Riley argue that valuing both new biologic and “street” science—professional and lay knowledge—is crucial for improving the well-being of the millions of urban poor living in slums.

Trends of Economic Inequalities in RCH Services Utilization in India

Trends of Economic Inequalities in RCH Services Utilization in India PDF

Author: Bal Govind Chauhan

Publisher: LAP Lambert Academic Publishing

Published: 2014-05-20

Total Pages: 104

ISBN-13: 9783659544675

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Globally estimates of maternal mortality indicate that more than half a million women died due to pregnancy related causes and these deaths are unjust and can be avoided with key health interventions, like provision of antenatal care and medically assisted delivery. The prime objective of book is to examine the trend of economic inequalities in utilization of RCH services in India and to quantify the contribution of selected factors explaining the rural-urban gap in use of RCH care utilization by using the NFHS-1,2,3 data. To fulfill the aforesaid objectives concentration index and non-linear decomposition technique have been used. The study reveals a sluggish increase in the utilization of RCH services in India with respect of place of residence. The trends of economic inequalities in utilization of RCH services are decreasing in both urban and rural areas but the pace of declining is more in rural areas than urban areas during the study period. Decomposition results indicates that economic status of the household is the main contributor in urban-rural differential in receiving the reproductive and child health care services followed by mother education level and media exposure.