Abstract:
BACKGROUND:Adherence to screening guidelines has been widely accepted to reduce morbidity, mortality, and cost outcomes. The aim of this study was to identify predictors of adherence to screening guidelines for chronic diseases of lifestyle (CDL), cancers, and HIV in a health-insured population in South Africa, some of whom voluntarily opt into a wellness program that incentivizes screening. METHOD:A cross-sectional study for the period 2007-2011 was conducted using a random sample of 170,471 health insurance members from a single insurer. Adherence to screening guidelines was calculated from medical claims data. RESULTS:Adherence to screening guidelines ranged from 1.1% for colorectal cancer to 40.9% for cholesterol screening. Members of the wellness program were up to three times more likely to screen for diseases (odds ratio [OR] = 3.2 for HIV screening, confidence interval [CI] = 2.75-3.73). Plan type (full comprehensive plan) was most strongly associated with cholesterol screening (OR = 3.53, CI = 3.27-3.80), and most negatively associated (hospital-only core plan) with cervical cancer screening (OR = 0.44, CI = 0.28-0.70). Gender was a negative predictor for glucose screening (OR = 0.88, CI = 0.82-0.96). Provincial residence was most strongly associated with cervical cancer screening (OR = 1.89, CI = 0.65-5.54). CONCLUSION:Adherence to screening recommendations was <50%. Plan type, gender, provincial residence, and belonging to an incentivized wellness program were associated with disproportionate utilization of screening services, even with equal payment access.
journal_name
Glob Health Actionjournal_title
Global health actionauthors
Adonis L,Basu D,Luiz Jdoi
10.3402/gha.v7.23807subject
Has Abstractpub_date
2014-03-14 00:00:00pages
23807eissn
1654-9716issn
1654-9880pii
23807journal_volume
7pub_type
杂志文章abstract:BACKGROUND:A woman's satisfaction with childbirth services can have a significant impact on her mental health and ability to bond with her neonate. Knowing postnatal women's opinions and satisfaction with services makes the services more women-friendly. Indian women's satisfaction with childbirth services has been expl...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2017.1386932
更新日期:2017-01-01 00:00:00
abstract::The objective of this study is to critically assess the possible roles of information and communications technology (ICT) in supporting global health goals. This is done by considering privilege and connectibility. In short, ICT can contribute by providing health information via four different kinds of access, each wi...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2017.1321904
更新日期:2017-06-01 00:00:00
abstract:BACKGROUND:Having a child with a disability is a heavy burden for mothers, especially in developing countries, where there is little available financial or other government support. Having a child with a disability is also linked to mental health problems and poor quality of life. Communities rich in social capital and...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v6i0.18886
更新日期:2013-02-11 00:00:00
abstract:BACKGROUND:Vietnam has achieved great improvements in maternal healthcare outcomes, but there is evidence of increasing inequity. Disadvantaged groups, predominantly ethnic minorities and people living in remote mountainous areas, do not gain access to maternal health improvements despite targeted efforts from policyma...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v8.27554
更新日期:2015-07-07 00:00:00
abstract:BACKGROUND:Migration of African-trained health workers to countries with higher health care worker densities adds to the severe shortage of health personnel in many African countries. Policy initiatives to reduce migration levels are informed by many studies exploring the reasons for the original decision to migrate. I...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v8.26125
更新日期:2015-03-17 00:00:00
abstract:OBJECTIVE:This study explores violence against women in a low-income setting in relation to residency and literacy. SETTING:The study was conducted within the Butajira Rural Health Programme (a Health and Demographic Surveillance Site), which includes rural and semi-urban settings in south-central Ethiopia. DESIGN:Th...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v3i0.2070
更新日期:2010-02-25 00:00:00
abstract:BACKGROUND:Madagascar today has one of the highest life expectancies in sub-Saharan Africa, despite being among the poorest countries in the continent. There are relatively few detailed accounts of the epidemiological transition in this country due to the lack of a comprehensive death registration system at the nationa...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v7.23237
更新日期:2014-05-15 00:00:00
abstract:BACKGROUND:In order to track progress towards the target of universal access to sexual and reproductive health care services of the post-2015 Sustainable Development Goals (SDGs), a measure (demand for family planning satisfied with modern contraceptive methods) and a benchmark (at least 75% by 2030 in all countries) h...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v8.29734
更新日期:2015-11-09 00:00:00
abstract:BACKGROUND:Diarrheal diseases are a major cause of child mortality and one of the main causes of medical consultation for children in sub-Saharan countries. This paper attempts to determine the risk factors and neighborhood inequalities of diarrheal morbidity among under-5 children in selected countries in sub-Saharan ...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v9.30166
更新日期:2016-05-11 00:00:00
abstract:BACKGROUND:A growing body of evidence points to the emission of greenhouse gases from human activity as a key factor in climate change. This in turn affects human health and wellbeing through consequential changes in weather extremes. At present, little is known about the effects of weather on the health of sub-Saharan...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v5i0.19078
更新日期:2012-11-23 00:00:00
abstract:BACKGROUND:There have been various consultations on the Millennium Development Goals (MDGs) by different groups. However, even if it is clear that the health sector has led the development success of the MDGs, only a few MDG reports consider public health experts' points of view and these are mainly government driven. ...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v7.24352
更新日期:2014-09-22 00:00:00
abstract:BACKGROUND:The burden of diabetes mellitus in Sub-Saharan Africa is growing rapidly, and yet the prevalence and patient characteristics are still largely unknown. OBJECTIVES:We analyzed clinical and demographic characteristics of Type 2 diabetes (T2DM) patients attending a diabetes clinic in Guinea-Bissau from Februar...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2020.1802136
更新日期:2020-12-31 00:00:00
abstract:BACKGROUND:Job satisfaction is an important determinant of health worker motivation, retention, and performance, all of which are critical to improving the functioning of health systems in low- and middle-income countries. A number of small-scale surveys have measured the job satisfaction and intention to leave of indi...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v6i0.19287
更新日期:2013-01-24 00:00:00
abstract:BACKGROUND:Disease-specific costing studies can be used as input into cost-effectiveness analyses and provide important information for efficient resource allocation. However, limited data availability and limited expertise constrain such studies in low- and middle-income countries (LMICs). OBJECTIVE:To describe a ste...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v7.23573
更新日期:2014-03-28 00:00:00
abstract:BACKGROUND:China has made impressive progress towards the Millennium Development Goal (MDG) for maternal and reproductive health, but ensuring that progress reaches all segments of the population remains a challenge for policy makers. The aim of this review is to map disadvantaged populations in terms of maternal healt...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v6i0.19542
更新日期:2013-04-03 00:00:00
abstract:BACKGROUND:A health system that provides equitable health care is a principal goal in many countries. Measuring horizontal inequity (HI) in health care utilization is important to develop appropriate and equitable public policies, especially policies related to non-communicable diseases (NCDs). DESIGN:A cross-sectiona...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v7.24919
更新日期:2014-08-04 00:00:00
abstract::One of the most pressing global health problems is that there is a mismatch between the health research and development (R&D) that is needed and that which is undertaken. The dependence of health R&D on market incentives in the for-profit private sector and the lack of coordination by public and philanthropic funders ...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v6i0.22450
更新日期:2013-10-10 00:00:00
abstract::Background: As called for by the Sustainable Development Goals, governments, development partners and civil society are working on anti-corruption, transparency and accountability approaches to control corruption and advance Universal Health Coverage.Objectives: The objective of this review is to summarize concepts, f...
journal_title:Global health action
pub_type: 杂志文章,评审
doi:10.1080/16549716.2019.1694744
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:Worldwide, there is an increased reliance on casual staff in the health sector. Recent policy attention in South Africa has focused on the interrelated challenges of agency nursing and moonlighting in the health sector. OBJECTIVE:This paper examines the potential health system consequences of agency nursing...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v8.26683
更新日期:2015-05-11 00:00:00
abstract:BACKGROUND:Noma is an infectious but opportunistic disease that often results in severe facial disfigurements and mortality if untreated. As noma progresses quickly, early detection and treatment are important to prevent its development. OBJECTIVES:The objective of this study was to investigate primary healthcare work...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2017.1340253
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Domestic violence during pregnancy has detrimental effects on the health of the mother and the newborn. Antenatal care provides a 'window of opportunity' to identify and assist victims of domestic violence during pregnancy. Little is known about the experience, needs, and expectations from the women's perspe...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v9.31838
更新日期:2016-12-14 00:00:00
abstract:BACKGROUND:Infants exposed to maternal HIV infection who remain HIV-uninfected (HIV-exposed/uninfected; HIV-EU) may be at increased risk of growth retardation, which could be due both to directly HIV-related effects and to socio-economic factors overrepresented among HIV-positive women. OBJECTIVE:To investigate growth...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2017.1296726
更新日期:2017-01-01 00:00:00
abstract:AIM:The Västerbotten Intervention Programme (VIP) addresses cardiovascular disease and diabetes in the middle-aged population of Västerbotten County, Sweden. Self-reported health (SRH) is one of the risk factors for both conditions. The aim of this study was to analyse the development patterns of SRH among the VIP part...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v4i0.5435
更新日期:2011-01-01 00:00:00
abstract::Average temperatures around the world are already increasing, and climate change projections suggest that global mean temperatures will continue to rise. As the effects, and projected effects, of climate change are becoming clearer, it is more apparent that the health effects of heat exposure will need further investi...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v3i0.5632
更新日期:2010-12-29 00:00:00
abstract:BACKGROUND:Clinical schistosomiasis in endemic countries is treated with a single dose of praziquantel per 40 mg/kg body weight. Treating according to weight, in resource-poor settings when thousands of doses are to be administered in mass treatment campaigns, is considered problematic. A calibrated dose-pole based on ...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v7.25351
更新日期:2014-12-03 00:00:00
abstract:BACKGROUND:A previous review of early infant diagnosis (EID) using polymerase chain reaction technology (PCR) under integrated HIV care (IHC) program in Myanmar revealed a low uptake of timely (within 6 to 8 weeks of babies' age) EID and a long turnaround time (TAT) of receiving results. OBJECTIVE:This study aimed to ...
journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2017.1395657
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:There is a dearth of empirical research illuminating possible connections between gender imbalances and sexual violence among married women in Tanzania. There is a need to generate in-depth information on the connectivity between gender imbalances (asymmetrical resource ownership, sexual decision making, rol...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v7.25346
更新日期:2014-12-05 00:00:00
abstract:BACKGROUND:Low-cost mobile devices, such as mobile phones, tablets, and personal digital assistants, which can access voice and data services, have revolutionised access to information and communication technology worldwide. These devices have a major impact on many aspects of people's lives, from business and educatio...
journal_title:Global health action
pub_type: 杂志文章,评审
doi:10.3402/gha.v7.25606
更新日期:2014-10-27 00:00:00
abstract:BACKGROUND:Migrant health workers fill care gaps in their destination countries, but they also actively engage in improving living conditions for people of their countries of origin through expatriate professional networks. This paper aims to explore the professional links that migrant health workers from sub-Saharan A...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v8.29210
更新日期:2015-12-09 00:00:00
abstract:BACKGROUND:Assessing the progress in achieving the United Nation's Millennium Development Goals in terms of population health requires consistent and reliable information on cause-specific mortality, which is often rare in resource-constrained countries. Health and demographic surveillance systems (HDSS) have largely u...
journal_title:Global health action
pub_type: 杂志文章
doi:10.3402/gha.v7.25581
更新日期:2014-10-29 00:00:00