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Related Concept Videos

Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

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The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
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Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

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Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
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Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

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At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
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Introduction To Health Care Delivery System01:18

Introduction To Health Care Delivery System

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The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
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Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

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Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
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Traditional Level Of Health Care System01:26

Traditional Level Of Health Care System

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The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
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Updated: Oct 18, 2025

Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
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No Healthcare Utilization and Death.

Sho Katsuragawa1,2, Atsushi Goto2, Yuya Tsurutani1

  • 1Endocrinology and Diabetes Center, Yokohama Rosai Hospital, Yokohama, Japan.

Journal of General Internal Medicine
|September 30, 2021
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Summary

Skipping healthcare visits increases mortality risk, particularly for cardiovascular causes. This highlights the importance of regular medical check-ups for overall health and longevity.

Keywords:
Access to healthcare servicesCardiovascular mortalityHealthcare accessHealthcare utilizationMortality

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Area of Science:

  • Public Health
  • Epidemiology
  • Health Services Research

Background:

  • Low healthcare utilization is linked to poor chronic disease management and health disparities.
  • Limited evidence exists on the direct association between complete lack of healthcare utilization and mortality.
  • Understanding this association is crucial for public health strategies and healthcare access initiatives.

Purpose of the Study:

  • To investigate the association between zero healthcare utilization and all-cause, cardiovascular, and cancer mortality.
  • To examine these risks within the general adult population of the United States.
  • To identify potential demographic or insurance-related differences in this association.

Main Methods:

  • A prospective cohort study utilizing data from the National Health and Nutrition Examination Survey (NHANES) 1999-2014.
  • Participants (n=39,067) aged ≥20 years were linked to national mortality data through December 2015.
  • Cox hazard regression models estimated adjusted hazard ratios (aHR) for mortality, stratifying by healthcare visit frequency (none, 1-3, 4-9, ≥10 visits).

Main Results:

  • Individuals with no healthcare visits in the past year exhibited significantly higher risks of all-cause mortality (aHR=1.16) and cardiovascular mortality (aHR=1.62) compared to those with 1-3 visits.
  • No significant association was found between zero healthcare visits and cancer mortality.
  • The increased risk of all-cause mortality was more pronounced in males and uninsured individuals, indicating potential interaction effects.

Conclusions:

  • Absence of healthcare provider visits over a year is associated with elevated risks for all-cause and cardiovascular mortality.
  • These findings underscore the critical role of consistent healthcare access in mitigating mortality risks.
  • Further research is needed to elucidate the mechanisms driving higher mortality among those with no healthcare utilization.