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Harvard Pilgrim Health Plan offers some beneficiaries an app that allows them to stay in contact with the health plan's nurse practitioners. It seems tailored-made for patients with chronic conditions, but it can be applied to almost everything a person might need to go to the hospital for.
The questions of urban living, mental health and well-being are complex issues correlated to many interacting factors. The purpose of this review is to provide data on mental health challenges of urban life and perspectives to address these challenges.
In recent years, studies on health literacy of the population have been conducted in many countries. Most of them show that health literacy levels are worse than expected and that large parts of the population have low health literacy levels. National strategies and action plans to promote health literacy have been developed in many countries to address these results. Following these examples, a National Action Plan on Health Literacy was also developed for Germany. A panel of 15 experts was involved in the...
Nearly half of the countries in the world are in the process of reforming and strengthening their health care systems. More recently, even low-income and middle-income countries such as Mongolia have focused increasing attention on achieving universal health coverage (UHC). At this critical point, it is necessary to track recent progress and adjust health care strategies and planning. Therefore, this study analyzed changes in the health sector toward achieving UHC based on relevant literature, government do...
This study examined rural-urban differences in health visits among older Thais utilizing Andersen's model. Data were drawn from the 2011 Survey of Older Persons in Thailand of adults 50 years and older (N = 56,435). Logistic regression models examine individuals' predisposing, enabling, and health need factors for explaining older adults' health care use. Approximately 50% of older adults sought health care but urban dwellers were more likely than rural dwellers to seek health care (54.8% vs. 49.7%). Pr...
Obesity is a critical public health issue, affecting over one-third of all Americans, and is an underlying cause of numerous health issues across the lifespan. For older adults, obesity is linked to premature declines in physical and mental health and cognitive functioning. The occurrence of obesity and related health behaviors and chronic diseases are higher in rural areas than in urban areas. Furthermore, rural areas of the United States have a higher proportion of older adults than urban areas. Few studi...
Although residential geographic health disparities have been noted in the previous literature, studies are specifically lacking on intra-group health comparisons of African American older adults by residential geography. The purpose of this study was to determine if health-related characteristics of African American older adults varied by residential geography. Socioeconomic demographics, medical conditions, primary care use, and self-ratings of general health, social activity, and physical activity were co...
Temperature-related mortality risks have mostly been studied in urban areas, with limited evidence for urban-rural differences in the temperature impacts on health outcomes.
In this study, the trend of PM concentrations and its adverse health effects in China from 2001 to 2017 are estimated utilizing 1-km high-resolution annual satellite-retrieved PM data. PM concentrations for most of the provinces/cities remained stable from 2001 to 2012; however, following the issue of the Air Pollution Prevention and Control Action Plan (APPCAP) by the central government of China, a dramatic decrease in PM concentrations from 2013 to 2017 occurred. Premature mortality caused by PM dropped f...
Disabilities are not evenly distributed across geography or age, yet few studies on disability have considered these factors. The purpose of this study was to explore rural-urban differences in disability rates, particularly related to gender and race, and what other rural-urban disparities help explain these differences.
To determine barriers and opportunities to health insurance enrollment among an undergraduate students at a large urban university.
To describe and compare the sociodemographic and lifestyle characteristics of urban and rural residents in Atlantic Canada.
To evaluate the sampling plan of the Health Survey of the City of São Paulo (ISA-Capital 2015) regarding the accuracy of estimates and the conformation of domains of study by the Health Coordinations of the city of São Paulo, Brazil.
Rural adolescents engage in higher smoking and smokeless tobacco use rates than those from urban communities; urban adolescents are more likely to use e-cigarettes. The study investigated whether place of residence (rural vs urban) is associated with tobacco use prevalence and change in prevalence among middle and high school students over time.
The purpose of this study was to explore environmental health perspectives among urban youth. A total of 12 focus groups with 64 youth were conducted. Youth defined environmental health in a multidimensional manner which integrated aspects of the physical, social, and built environment and concentrated on the neighborhood context. A theme of environmental health resilience factors and sub-themes of safety, trust, engagement, leadership, and representation were identified and described. A second theme of und...
This statewide survey sought to understand the adoption level of new health information and medical technologies, and whether these patterns differed between urban and rural populations.
The increasing incidence of skin cancer is a global health issue. In order to identify at-risk populations in Texas, we compared sun protection behaviors and sunburn history across rural and urban counties.
This paper presents a perspective we find lacking in the general discussion on urban transformative capacity, as well as the discourse on children's environmental experiences and their participation in urban planning processes. Children contribute to the building of urban transformative capacity in several ways. Firstly, they contribute with new perspectives on the environment that broaden existing perspectives on human-environment relations in urban planning. Secondly, children's participation in planning ...
Molina Healthcare of Texas isn't the only insurer to give physicians prompt-pay problems, and it won't be the last. Some of the practices trying to recover payments blame not just the health plan, but also the extended response time from the state regulator overseeing insurance products and conduct: the Texas Department of Insurance, which says it's hiring staff and making other changes to improve that response.
Incentives motivate individuals to act in a certain way. Incentives are everywhere and in everything; they are woven into the very fabric of our lives. To address the issue of spiraling health care costs, incentive programs must be put into place to discourage the behaviors driving the growth of these costs. With nearly 75% of all health care costs associated with chronic diseases, most of which are preventable, the value of incentives must be recognized in policy and practice. Incentives can drive behavior...
The health insurance Marketplaces established by the Affordable Care Act include features designed to simplify the process of choosing a health plan in the individual, or nongroup, insurance market. While most individual health insurance enrollees purchase plans through the federal and state-based Marketplaces, millions also purchase plans directly from an insurance carrier (off Marketplace). This study was a descriptive comparison of the decision-making processes and shopping experiences of consumers in tw...
Elderly people are susceptible to develop multiple chronic diseases and are thus likely to utilize the emergency department (ED). Access to health care and health outcomes may differ between rural and urban areas. This study aims to compare the frequency and outcome of geriatric ED utilization between urban and rural areas.
Urbanization is a global trend, and consequently the quality of urban environments is increasingly important for human health and wellbeing. Urban life-style is typically associated with low physical activity and sometimes with high mental stress, both contributing to an increasing burden of diseases. Nature-based solutions that make effective use of ecosystem services, particularly of cultural ecosystem services (CES), can provide vital building blocks to address these challenges. This paper argues that, t...
In recent years, there has been growing interest in the use of fitness trackers and smartphone applications for promoting physical activity. Most of these applications use accelerometers to measure the level of activity that users engage in and provide descriptive, interactive reports of a user's step counts. While these reports are data-driven and personalized, any recommendations, if provided, are limited to popular health advice. In our work, we develop an approach for providing data-driven and personali...
In this study, we used data from the National Immunization Survey-Teen (NIS-Teen) to examine HPV vaccination uptake by rural and urban residence defined by ZIP code.