Health Services Marketing 1-3 Discussions
chynadll23
chapter4slides.pptChapter 4
Determinants of the
Utilization of Health Care Services
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LEARNING OBJECTIVES
What are the main factors driving people to seek health care?
How are people influenced by their personal characteristics (such as age, gender, race, income and education) in seeking health care?
What are the main factors and forces that reduce the demand for health care?
What are the main factors that tend to increase the demand for health care?
How do health care coverage and incidence vary geographically?
LO1. What are the main factors driving people to seek health care?
- Known illness, accident, or injury
- Symptoms
- Prevention/check-up
- Second opinion
- Legal
- Administrative
- Discretionary
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Key Words:
LO1. What are the main factors driving people to seek health care? (cont)
- It is important to identify
- what type of services is involved
- the reason the patient is seeking care
- the relevant stakeholders for the encounter
- the personal characteristics that influence the likelihood that an individual will seek care
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Key Words:
LO2. How are people influenced by their personal characteristics (such as age, gender, race, income and education) in seeking health care?
- Age
- First two years of life
- Women of childbearing years
- Elderly
- Gender
- Women more than men
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Key Words:
LO2. How are people influenced by their personal characteristics (such as age, gender, race, income and education) in seeking health care? (cont)
- Race
- Difficult category to define
- Differences can often be explained by basis of socioeconomic or education differences
- Cannot assume uniformity within any racial or ethnic group
- Income - helps determine which services are used
- Education - varied
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Key Words: culture
LO3. What are the main factors and forces that reduce the demand for health care?
- Consumer factors
- Driven by insurance payers, medical groups, and pharmaceutical benefits management companies
- Increase out-of-pocket expenses
- Disease prevention
- Elimination or reduction of risky behaviors
- Self-management and education
- End-of-life issues
- Promotion of healthier lifestyle
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Key Words: consumer-driven healthcare, social marketing, rationing, futility
LO4. What are the main factors that tend to increase the demand for health care?
- Provider factors
- Driven by profit(?), environmental and cultural events
- Ways to limit costs
- Decreasing fees
- Increasing or decreasing the number of providers
- Changing the payment method
- Reviewing utilization more carefully
- Implementing practice guidelines
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Key Words: provider-induced demand (PID)
LO5. How do health care coverage and incidence vary geographically?
- Extreme variations in patterns of care
- Not related to variation in illness patterns
- Can be related to
- Differences in health care systems
- Differences in physicians’ practice styles
- Physicians’ own beliefs about effectiveness of care
- Medical training
- Beliefs in own ability
- Differences in patient characteristics
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Key Words:
CONCLUSION
- Key factors affect people’s decision to seek health care.
- Demand is reduced by several factors, typically consumer driven.
- Yet, demand is increased by provider-induces activities.
- Geographical variations in health care utilization suggest provider-induced activities play a role
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