Inquiry-The Journal of Health Care Organization Provision and Financing最新文献

{"title":"Resilience Among Undocumented Migrants: An Analysis of the Likelihood to Participate in a Panel Study Among Undocumented Migrants Amidst the COVID-19 Pandemic.","authors":"Jan-Erik Refle, Yves Jackson, Claudine Burton-Jeangros","doi":"10.1177/00469580251324378","DOIUrl":"10.1177/00469580251324378","url":null,"abstract":"<p><p>Undocumented migrants, known for their particularly vulnerable living conditions, were deeply affected by the COVID-19 pandemic. Despite the challenges, some demonstrated resilience, successfully remaining in their host countries. Drawing on insights from the Parchemins study, which examined the experiences of undocumented and newly regularized migrants in Geneva, Switzerland, this paper details on undocumented migrants that faced accumulated difficulties during different moments of data collection amid the pandemic. Based on empirical findings, we observe that only a specific group among undocumented migrants continued to participate in the study post-pandemic. This paper undertakes a comparative analysis of \"remainers\" and those who dropped out. This indicator serves as a proxy for understanding resilience among the most vulnerable in times of crisis. Through regression models, we identify the factors influencing the likelihood of remaining in the panel as undocumented even in the face of a major crisis that negatively impacted various life domains. Our analysis reveals that the chance of remaining in Geneva amidst the pandemic was influenced by solidarity bonds, prior migration experience, as well as income developments and housing situations.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251324378"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11912169/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk Factors for Narcotic Use in Street Children: A Cross-Sectional Analysis From a Low-Middle-Income Country.","authors":"Anum Waheed, Mariyam Sarfraz, Amna Mahfooz, Tahira Reza, Faran Emmanuel","doi":"10.1177/00469580251324047","DOIUrl":"10.1177/00469580251324047","url":null,"abstract":"<p><p>Worldwide, indulgence in high-risk behaviors such as substance abuse is on the rise in street children. Though substance abuse among street children has been investigated and reported in Pakistan, few studies have explored the relationship between narcotic use and its associated factors. This study was conducted to determine factors associated with narcotic use among street children in Islamabad Capital Territory. An analytical cross-sectional survey of a probability-based sample of 443 (males) street children aged 12 to 18 years, was conducted in Islamabad in March 2022. Using self-reported measures, the relationship between narcotic use and associated factors was determined using multivariate regression analysis. Out of 443 street children, with a mean age of 16.3 ± 1.6 years, 244 (55%) were between 17 and 18 years old. 119 (26.9%) worked as garbage collectors and 76 (17.2%) worked as car washers. The most common substance used was cigarettes in 285 (64.3%), naswaar in 172 (38.8%), hashish in 144 (32.5%), and alcohol in 63 (14.2%) street children. There were 164 (37%) street children who admitted having used narcotics (hashish, heroin, and bhang). On multivariate analysis, age > 16 years (OR: 2.3), sleeping on the streets (OR: 2.4), higher monthly income > Rs.18,000 (OR: 1.6), use of drugs by friends (OR: 5), and involvement in the selling of drugs (OR: 10.3) were independently associated with narcotic use. Substance abuse is a concerning trend among street children in Islamabad. When certain high-risk factors are present, these children are prone to narcotic use.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251324047"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11898026/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Health Effects of Long-Term Care Insurance.","authors":"Qinghong He, Shuai Wang, Lijin Chen, Yaoguang Zhang","doi":"10.1177/00469580251325503","DOIUrl":"10.1177/00469580251325503","url":null,"abstract":"<p><p>The increasing elderly population has led to a rise in the demand for long-term care services, prompting the adoption of long-term care insurance (LTCI) as a crucial solution. Since 2012, China has been conducting a pilot LTCI program, gradually expanding its coverage. Utilizing the survey data from China Health and Retirement Longitudinal Study (2011-2018), we employ the difference-in-differences method to examine the health effects of LTCI. We find that LTCI significantly decreases the probability of outpatient visit by 7.1 percentage points, the number of outpatient visits by 0.208 times, and outpatient expenditure by 65.8%. Additionally, LTCI improves self-reported health and life satisfaction, and reduces the probability of smoking. LTCI results in health benefits, particularly notable for individuals with more than 2 chronic diseases, lower household consumption, females aged over 62, or those enrolled in more generous programs.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251325503"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11954454/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association Between Childhood Adversities and Intimate Partner Violence in Women During Adulthood: Insights from Urban Bangladesh-A Cross Sectional Study.","authors":"Anika Tasnim, Khandakar Fatema, Sharmin Islam, Md Atiqul Haque","doi":"10.1177/00469580251332057","DOIUrl":"10.1177/00469580251332057","url":null,"abstract":"<p><p>Intimate Partner Violence (IPV) constitutes a significant public health crisis worldwide, with profound social and economic implications. This cross-sectional study explores the linkage between childhood adversities and IPV among married women in urban Bangladesh. From January to December 2018, the research involved 230 female participants from 3 urban sub-districts of Dhaka city. Utilizing the Adverse Childhood Experiences (ACE) questionnaire alongside an IPV questionnaire from the modified version of the Abuse Assessment Screen, this study examined the prevalence and severity of physical, sexual, and psychological abuse. Multiple linear regression analysis was employed to identify predictors of IPV. Findings reveal a strikingly high prevalence of IPV, with 91.7% of participants reporting experiences of some form of IPV. The frequency of IPV varied, with substantial portions experiencing multiple forms of abuse. The regression analysis indicated that higher ACE scores (<i>B</i> = 0.24, <i>P</i> < .05), inability to pay utility bills (<i>B</i> = 0.41, <i>P</i> < .05), and smoking at home (<i>B</i> = 0.53, <i>P</i> < .05) significantly contributed to increased IPV scores. The study underscores the profound impact of childhood adversities on the likelihood of experiencing IPV in adulthood, advocating for comprehensive public health strategies that address the prevention of violence across the lifespan. It emphasizes the need for targeted interventions that not only address the immediate factors contributing to IPV but also the broader socioeconomic issues that underpin such behaviors.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251332057"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12035076/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Mixed-Methods Usability Pilot of a Value-Goal Elicitation Tool in the Inpatient Setting for Older Adults Anticipating Post-Acute Care.","authors":"Kirstin M Piazza, Caroline Pascal, Syama R Patel, Caroline Sefcik, Marilyn M Schapira, Caroline Madrigal, Katherine C Ritchey, Longyi Yip, Aanand D Naik, Robert E Burke","doi":"10.1177/00469580251332131","DOIUrl":"10.1177/00469580251332131","url":null,"abstract":"<p><p>Age-Friendly Health Systems (AFHS) emphasize aligning care with \"What Matters\" most to older adults. Hospitalization represents a critical period where value-based goals could shape key decisions about post-acute care transitions. However, few tools designed for eliciting such goals have been adapted for use in the inpatient setting, where the acute nature of care poses unique challenges. This mixed-methods study evaluates the usability of the Health Priorities Primer Tool (HPPT) in older hospitalized adults who anticipate needing post-acute care, aiming to identify necessary adaptations for the inpatient setting. We conducted interviews, observations, and surveys with older hospitalized patients to understand their experiences using the HPPT. We combined thematic analysis with descriptive statistics to analyze the data. Of the 26 participants, 73% expressed positive views toward completing a value-goal elicitation tool while hospitalized, with 53% supporting the HPPT. For open-ended questions, many participants shared broad goals like \"getting better\" without providing specific outcomes to achieve. For pre-determined checkbox-based questions, some participants found response options overwhelming or irrelevant. Most participants (85%) preferred facilitated administration of the tool over self-administration. Key Recommendations include simplifying the tool's format, personalizing content, and improving framing about how and why values and goals would be used. Our findings highlight the potential usability of value-goal elicitation tools like HPPT to guide post-acute care planning for hospitalized adults. Key adaptations, including facilitated administration and clinician involvement, may enhance usability. Early user engagement and tailoring are essential for successful implementation in busy inpatient settings.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251332131"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12034956/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Differences in Healthcare Services Utilization Between Urban and Rural Older Persons in Vietnam: Evidence from a National Survey.","authors":"Thuy Tien Ngoc Doan, Long Thanh Giang","doi":"10.1177/00469580251332404","DOIUrl":"10.1177/00469580251332404","url":null,"abstract":"<p><p>This research compared healthcare services utilization among older persons living in urban and rural Vietnam and determined the key factors contributing to their differences. A nationally representative sample of 3,049 older Vietnamese people in 2019 was used with multivariate logistic regressions and Poisson regressions to identify factors influencing the probability and frequency of service utilization. The standard concentration index (CI) and Erreygers concentration index (EI) were applied to measure the differences. The extension of the Oaxaca-Blinder decomposition was used to examine the rural-urban differences in healthcare services utilization and quantify factors contributing to the differences. CIs and EIs were relatively small and nearly zero, meaning that both inpatient service utilization and outpatient service utilization were equally distributed across all household wealth quintiles, regardless of their residence of living. Oaxaca-Blinder decomposition analysis results revealed statistically significant differences between rural and urban older persons in outpatient service utilization, in terms of its probability and frequency. Rural persons had 4.9% lower in the probability of outpatient services utilization than their urban counterparts. Similarly, rural residents had 3.033 times lower in the frequency of outpatient services utilization than urban residents. The use of health insurance during medical treatments and poor health status were two significant determinants explaining the urban-rural differences in healthcare utilization among older adults. Based on the crucial findings, continual development of the health insurance scheme and investment is recommended to support the rural older population in accessing healthcare. Future research opportunities include exploring a more comprehensive understanding of this field, such as examining the factors influencing the choice of healthcare facilities, reimbursement rates, and out-of-pocket expenses for older individuals in urban and rural areas. Additionally, longitudinal studies are recommended to investigate causal relationships in healthcare service utilization among older Vietnamese.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251332404"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12035215/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychosocial Impacts of Non-Fatal Firearm Injuries on Youth: Findings from a Qualitative Study.","authors":"Annalyn S DeMello, Jeff R Temple, Liam de Vassal, Irma Alvarado, Angela Waguespack, Monique R Pappadis, Jong O Lee, Leila G Wood","doi":"10.1177/00469580251339075","DOIUrl":"10.1177/00469580251339075","url":null,"abstract":"<p><p>Most adolescents and young adult victims of firearm violence survive, yet the mental and behavioral health outcomes associated with these incidents remain understudied. Given the potential for recurrent violence victimization and long-term psychosocial sequela after being shot, understanding the experiences of firearm injury survivors is a critical area for development. We conducted a qualitative study to explore the development of attitudes, describe psychosocial consequences, and contextualize behavioral and social outcomes among young, gunshot wounded (GSW) patients from a Level 1 trauma center in southeast Texas. A retrospective chart review and prospective recruitment of GSW patients aged 15 to 29 years old was conducted between January 2019 and February 2023. A semi-structured, individual interview was conducted via Zoom with 11 participants (8 interpersonal assault survivors and 3 survivors of unintentional/accidental self-shootings). Most participants were shot 1 to 2 years prior to the interview. Themes included: (1) post-traumatic stress symptoms persisted, marked by flashbacks, paranoia, distrust, and anxiety. This led to sleep loss, marijuana use, and loss of enjoyment in activities; (2) loneliness and social isolation were directly related to the injuries and common among young adults who incurred body image alterations; and (3) fervor for firearm ownership, carriage, and gun use increased post-injury. Healthcare systems and the larger community have important roles to play in promoting mental healing and enhancing societal safety through research and practice.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251339075"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12126664/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144192550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating Community Violence Intervention Programs: A Scoping Review Synthesizing Methods and Measures.","authors":"Meron Girma, Julia Schleimer, Astrid Aveledo, Ayah Mustafa, Camerin Rencken, Carolyn Thurston, Deepika Nehra, Kris Torset, Kristian Jones, Laura Johnson, Lauren Polansky, Olivia McCollum, Orlando Ames, Rachel Ross, Sam Decker, Stephanie Taylor, Tarrell Harrison, Vivian Lyons, Zaheed Lynch, Ali Rowhani-Rahbar","doi":"10.1177/00469580251361742","DOIUrl":"10.1177/00469580251361742","url":null,"abstract":"<p><p>Community violence intervention (CVI) is a promising strategy to reduce community violence, but research on CVI programs remains underdeveloped. While prior reviews have examined the effectiveness of certain CVI models, we lack a comprehensive synthesis of how CVI research is done and what measures are used. We conducted a scoping review of CVI evaluation measures and methods in the United States, reviewing both peer-reviewed and gray literature from 1996 through 2023. We summarized characteristics of CVI program evaluations, including evaluation measures used, units of analysis, and involvement of external partners-including community members-in the evaluation. Of 1763 articles screened, 149 were included. A plurality of studies examined both outcome and process measures (38.9%), and use of process measures increased over time. Most outcome evaluations used only deficit-based measures (76.4%), with variation across CVI model/approach. Authors of studies included in this review reported that CVI practitioners contributed to evaluations in various ways, but only 10.7% of evaluations included CVI practitioners as authors. Process measures were most often collected at the individual level (84.2%), while outcome measures were collected relatively equally at the individual (56.6%) and community level (53.8%) though with notable variation across CVI models/approaches. Community partners working in CVI were part of our authorship team and offered critical insights into interpreting the findings from this scoping review. Findings underscore the need for a more comprehensive approach to CVI evaluation. By including process and outcome measures, including community-level units of analysis in addition to the typical individual-level ones, employing asset-based frameworks, and actively involving community voices, future research can more effectively assess the implementation and impacts of CVI programs.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251361742"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12334825/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Increasing Equity Through Technology: A Comparison of Opinion Leader Identification Methods in Primary Care.","authors":"Alan Kunz-Lomelin, Rebecca L Mauldin, Thomas Valente","doi":"10.1177/00469580251370512","DOIUrl":"10.1177/00469580251370512","url":null,"abstract":"<p><p>Identifying low-cost implementation strategies to facilitate the uptake of technological innovations can help low-resource community clinics mitigate health disparities. Using a social network approach to identify organizational opinion leaders (OLs) can facilitate the adoption of innovations. To fill knowledge gaps related to alternative methods of identifying OLs, we identify and compare OLs in a low-resource community clinic using theoretically based techniques using Phi correlations and a binary logistic regression. Results showed that OLs identified through 3 out of 4 non-network identification methods (self-identification, positional, and staff selection) were significantly positively correlated with OLs identified using a social network approach. In addition, combining positional and staff selection methods was also found to be significantly associated with OLs identified using the social network approach. Implications for public health include the potential for non-network identification techniques to identify OLs to increase the uptake of technological innovations in low resource community clinics.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251370512"},"PeriodicalIF":2.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12420978/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parental Support by Highly Educated Offspring: Disparities Across Urban-Rural Contexts and Parental Health Dimensions.","authors":"Jiaxing Li, Jianyu Chen, Lihua Zhu, Li Luo","doi":"10.1177/00469580251344181","DOIUrl":"10.1177/00469580251344181","url":null,"abstract":"<p><p>With rising life expectancy, older adults' dependency on children for care increases, though the level of support varies based on children's individual capabilities. In multi-child households, highly educated offspring are often considered to prioritize personal utility, opting to substitute caregiving with financial assistance. However, as parental health declines, their support evolves to stronger reciprocal motivations. Employing a fixed-effects model clustered at the family level and data from the 2018 China Family Panel Studies, this study analyzes intergenerational support within multi-child households, specifically examining how parental health mediates support from highly educated offspring to older adults across urban and rural contexts. Findings highlight the substantial impact of 2 dimensions of parental health on intergenerational support patterns, with highly educated children in urban and rural areas exhibiting different responses. In urban settings, highly educated children tend to provide less caregiving support, increasing their involvement only in response to severe parental depression. In contrast, children of rural areas face greater expectations of reciprocity, offering both financial and caregiving support when their parents' health deteriorates. This study once again provides empirical support for the health benefits of parental investment in children's education. Moreover, these findings offer insights for formulating public policies aimed at addressing inequalities in care for older individuals.</p>","PeriodicalId":54976,"journal":{"name":"Inquiry-The Journal of Health Care Organization Provision and Financing","volume":"62 ","pages":"469580251344181"},"PeriodicalIF":1.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12166245/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}