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Article
Publication date: 12 February 2018

Yen-Han Lee, Timothy Chiang and Ching-Ti Liu

China launched a comprehensive health reform in 2009 to improve healthcare quality. Because preventive care utilization in China has not been frequently discussed, the…

Abstract

Purpose

China launched a comprehensive health reform in 2009 to improve healthcare quality. Because preventive care utilization in China has not been frequently discussed, the purpose of this paper is to focus on the association between education level and preventive care before and after the initiation of the reform. Education has been referred to as the best health outcome indicator and China’s educational reform has been progressive, such as the health reform.

Design/methodology/approach

The authors analyzed data from four China Health and Nutrition Surveys (CHNS): 2004 (n=9,617); 2006 (n=9,527); 2009 (n=9,873); and 2011 (n=9,430). Variables were selected based on Andersen’s healthcare utilization model (predisposing, enabling and need factors). Multivariable logistic regression models, odds ratios (ORs) and 95 percent confidence intervals (95 percent CI) were conducted and reported.

Findings

In the adjusted multivariable logistic regression models, the authors found that general education was associated (p<0.05) with access to preventive care in 2004, 2009 and 2011, but not in 2006. Individuals with higher education had higher ORs for utilizing preventive care, compared with lower education (primary school education or none).

Practical implications

Policy implications include providing educational protocols regarding preventive care’s significance to residents educated at lower level schools, especially younger individuals.

Originality/value

To the authors’ knowledge, this is the first comparative assessment on education level and preventive care utilization before and after the implementation of the Chinese health reform.

Details

International Journal of Health Care Quality Assurance, vol. 31 no. 1
Type: Research Article
ISSN: 0952-6862

Keywords

Article
Publication date: 18 May 2015

Genevieve Elizabeth O'Connor

The purpose of this paper is to identify how need for service, enabling factors and pre-disposing characteristics influences access to service. In addition, the authors…

Abstract

Purpose

The purpose of this paper is to identify how need for service, enabling factors and pre-disposing characteristics influences access to service. In addition, the authors seek to examine the moderating influence of pre-disposing variables on the relationship between insurance and health services utilization.

Design/methodology/approach

The authors utilize data from a major metropolitan hospital in the USA to test and extend the behavioral model of health care.

Findings

Results indicate that insurance and pre-disposing variables have a direct impact on type of health service utilization. However, the insurance effect is found to vary by demographic factors.

Research limitations/implications

This paper is limited to secondary data. Future work can incorporate both attitudinal and behavioral measures to obtain a more comprehensive evaluation of services access.

Practical implications

The research offers a tactical framework for management to segment consumer markets more effectively.

Social implications

Through the framework, management will have the requisite knowledge to target segmented populations based on need, insurance, and pre-disposing variables which will help improve access to services and clinical outcome.

Originality/value

The findings of this paper will serve as a basis for future research exploring the influence of insurance on access to services.

Details

International Journal of Bank Marketing, vol. 33 no. 3
Type: Research Article
ISSN: 0265-2323

Keywords

Book part
Publication date: 4 November 2003

Gwyn C Jones and Phillip W Beatty

This study examined use of preventive health care services, for working-age adults with mobility limitations (uses mobility aids, has difficulty walking, difficulty…

Abstract

This study examined use of preventive health care services, for working-age adults with mobility limitations (uses mobility aids, has difficulty walking, difficulty standing for extended periods of time, or difficulty climbing steps) and for working-age adults reporting no mobility limitation, in order to identify similarities and disparities between the two populations. We analyzed data from the 1994 National Health Interview Survey Disability Supplement and NHIS Year 2000 file with cross-tabulation and logistic regression procedures to examine the relationship between mobility limitation and use of health screenings, immunizations, and health behavior counseling. Results were mixed, but disparities in preventive service use were identified.

Details

Using Survey Data to Study Disability: Results from the National Health Survey on Disability
Type: Book
ISBN: 978-0-76231-007-4

Article
Publication date: 22 June 2022

Farhan Sarwar, Hassan Imam, Hafiz Tahir Jameel, Siti Aisyah Panatik and Donald E. Brannen

Despite the established relationship between the public's trust in government and their adoption of preventive behaviour, lesser is known about the underlying mechanism…

Abstract

Purpose

Despite the established relationship between the public's trust in government and their adoption of preventive behaviour, lesser is known about the underlying mechanism that explains trust in government—preventive behaviour nexus. This study adopted the health belief model to propose five types of health perceptions as a mediator between trust in government and the public's voluntary adoption of recommended preventions for COVID-19.

Design/methodology/approach

To collect primary quantitative data, a web survey was conducted using snowball sampling from Malaysia (N = 343) and Pakistan (N = 321). Measures were adopted from the existing studies. Structural equation modelling-partial least square through SmartPLS was used to analyse the proposed framework and hypotheses testing.

Findings

Results revealed that trust is a significant predictor of perceived barriers, benefits and self-efficacy in both countries. Mediation analysis indicated that perceived benefits and self-efficacy to be mediators in both samples. In the Pakistani sample, perceived barriers were also a mediator. Importance-performance analysis showed that the Malaysian public has a greater trust in their government to tackle the pandemic issue, while the trust was a relatively more important predictor of voluntary precautionary behaviour in Pakistan. A full mediation model depicted that coping health belief are an imperative link between trust and prevention.

Originality/value

Although developing the public's trust is related to good governance and public opinion, during a health crisis, authorities can effectively utilize the communication media and design interventions to influence health appraisals leading to higher adoption of prevention.

Details

Kybernetes, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 0368-492X

Keywords

Article
Publication date: 16 August 2019

Jessica Mayer, Nadia Zainuddin, Rebekah Russell-Bennett and Rory Francis Mulcahy

The purpose of this paper is to understand the role of perceived threat, brand congruence, and social support on consumer coping strategies for a preventative health service.

Abstract

Purpose

The purpose of this paper is to understand the role of perceived threat, brand congruence, and social support on consumer coping strategies for a preventative health service.

Design/methodology/approach

An online survey of 570 women aged over 50 in one Australian state was conducted (users and non-users of the service). The data were analyzed using structural equation modeling.

Findings

A competing models approach reveals that threat on its own is associated with avoidance coping; however, when brand congruence is high, there is an association with active coping. Social support appears to have a buffering effect on threat and is associated positively with active coping and negatively with avoidance coping.

Originality/value

The study findings suggest that threat appeals should be used with caution in increasing participation in transformative preventative health services due to its double-edged sword effect (increasing both avoidance and active coping). When consumers have social support, this results in active coping and buffers avoidance coping. This research offers useful insights for social marketing and transformative service research.

Details

Journal of Service Theory and Practice, vol. 29 no. 3
Type: Research Article
ISSN: 2055-6225

Keywords

Article
Publication date: 9 April 2018

Amalia E. Maulana and Hadist Genta Pradana

The purpose of this paper is to investigate the factors that drive or impede the intention of Indonesian consumers to perform regular medical checkup (MCU).

Abstract

Purpose

The purpose of this paper is to investigate the factors that drive or impede the intention of Indonesian consumers to perform regular medical checkup (MCU).

Design/methodology/approach

This study begins with an ethnographic study to ascertain the determinant factors that motivate or hinder an individual from performing regular MCU. The study involved stakeholders in various health services providers, including patients and medical professionals. The quantitative part of this study focuses on “preventive” segment of consumers. A survey was conducted covering 303 respondents, consisting of two sub-segments of people labelled “healthy lifestyle” and “unhealthy lifestyle”.

Findings

Consumer behaviour with regards to needs for MCU must be categorised not based on demographics, but their health status – preventive or curative. The “preventive” group was found to have differences in triggers and barriers between the healthy vs unhealthy lifestyle subgroups. For the “healthy lifestyle” subgroup, the determining factors for a regular MCU are the perceived benefit of action, social deviance, and cost perception. For the “unhealthy lifestyle” subgroup, the determining factors for a regular MCU are the social deviance, disease heritage, belief in traditional medicine, no urgency and cost perception.

Research limitations/implications

The qualitative study part indicated the differences between two segments: preventive vs curative. The quantitative study part is only conducted in the preventive segment and not covering the curative segment. It would be interesting to see the differences between these two segments.

Practical implications

Implication of study: to create contextual marketing communication in each stakeholders/segments – to reach the marketing objectives. Different segment has different issues to handle and need a different marketing communication programme.

Originality/value

Previous studies have focused on analysing the differences in groups based on their demographics, which does not illustrate a homogenous need for an MCU. This study contributes by addressing that researchers must differentiate between “preventive” and “curative” groups. Additionally, the study of triggers and barriers has interestingly found that the determinant factors for healthy and unhealthy lifestyle are not the same.

Details

Asia Pacific Journal of Marketing and Logistics, vol. 30 no. 2
Type: Research Article
ISSN: 1355-5855

Keywords

Article
Publication date: 29 April 2020

Jacquie McGraw, Rebekah Russell-Bennett and Katherine M. White

The purpose of this paper is to investigate the role of masculine identity in generating value destruction and diminished well-being in a preventative health service.

Abstract

Purpose

The purpose of this paper is to investigate the role of masculine identity in generating value destruction and diminished well-being in a preventative health service.

Design/methodology/approach

This research used five focus groups with 39 Australian men aged between 50 and 74 years. Men’s participation in the National Bowel Cancer Screening Program informed the sample frame. In total, 12 Jungian male archetypes were used to identify different masculine identities.

Findings

Thematic analysis of the data revealed three themes of masculinity that explain why men destroy value by avoiding the use of a preventative health services including: rejection of the service reduces consumer disempowerment and emasculation, active rejection of resources creates positive agency and suppressing negative self-conscious emotions protects the self.

Research limitations/implications

Limitations include the single context of bowel cancer screening. Future research could investigate value destruction in other preventative health contexts such as testicular cancer screening, sexual health screening and drug abuse.

Practical implications

Practical implications include fostering consumer empowerment when accessing services, developing consumer resources to create positive agency and boosting positive self-conscious emotions by promoting positive social norms.

Originality/value

This research is the first known study to explore how value is destroyed in men’s preventative health using the perspective of gender identity. This research also is the first to explore value destruction as an emotion regulation strategy.

Details

Journal of Service Theory and Practice, vol. 30 no. 3
Type: Research Article
ISSN: 2055-6225

Keywords

Article
Publication date: 14 February 2022

Joe Cangelosi, Terry Stringer Damron and David Kim

As consumer health-care spending increases, so does the need for effective communication of preventive health-care information (PHCI) with the potential to prompt…

Abstract

Purpose

As consumer health-care spending increases, so does the need for effective communication of preventive health-care information (PHCI) with the potential to prompt lifestyle changes. Through proactive, effective dissemination of PHCI, health-care service providers can minimize and prevent costly health conditions while improving the efficiency of a traditionally reactive health-care system. Taking into account the considerable time consumers spend on social media and networks (SM&N) and hefty health-care spending among Baby Boomer and Generation X consumers, this study aims to address critical questions concerning the importance of SM&N for gathering PHCI, SM&N preferences for gathering PHCI and the types of behavioral changes consumers have pursued in response to PHCI.

Design/methodology/approach

Designed as a generational cohort analysis, this study is based on the responses of 936 Baby Boomer and Generation X respondents to a questionnaire containing 200 items related to PHCI and social/digital media as a vehicle for acquiring both general and preventive health information. Crosstab analysis was used to examine differences in the characteristics of the generational cohorts. Analysis of variance (ANOVA) was used to assess differences in the degree of importance Baby Boomer and Generation X health consumers assign to 28 SM&N sites as delivery systems of PHCI. The researchers used ANOVA to determine generational differences in behavioral changes associated with a healthier lifestyle as a result of exposure to PHCI.

Findings

There are significant differences in the characteristics of Baby Boomer and Generation X cohorts. Generation X health-care consumers assign greater importance to SM&N sites as PHCI delivery systems. Additionally, Generation X health-care consumers report greater behavioral change resulting from exposure to PHCI.

Research limitations/implications

New information is provided concerning health-care consumer perceptions of SM&N as a source of PHCI and the behavioral changes consumers pursue as a result of PHCI exposure.

Practical implications

This paper measures the effectiveness of interactive health-care marketing activities, explaining the role of SM&N as an effective source of PHCI and providing marketers with insights useful for PHCI content management and dissemination.

Social implications

Effective dissemination of PHCI via SM&N may help prevent illness among Baby Boomer and Generation X consumers and, accordingly, improve quality of life while easing the increasing pressure on the US health-care system.

Originality/value

Study results evidence the value of SM&N sites to health service providers as they endeavor to improve and extend consumer lives through dissemination of PHCI. Ideas and insights within this paper will inform and enhance social media marketing management practices within pharmaceutical and health-care organizations.

Details

International Journal of Pharmaceutical and Healthcare Marketing, vol. 16 no. 2
Type: Research Article
ISSN: 1750-6123

Keywords

Article
Publication date: 10 February 2022

Lan Lu and Jinlin Zhao

This paper aims to contribute to the literature investigating hotel customers’ preventive behavior during the COVID-19. Because there is no timely research discussing…

Abstract

Purpose

This paper aims to contribute to the literature investigating hotel customers’ preventive behavior during the COVID-19. Because there is no timely research discussing cleaning and disinfection services as a premium service in China, the authors conducted research to examine customers’ perceptions based on the information–motivation–behavioral skills (IMB) model and to explore potential marketing exits. Moreover, based on the price-sensitive measurement, this study reveals the price range and optimal price of the service, which could assess the feasibility of the service and balance the operation cost.

Design/methodology/approach

An internet-based, self-reported survey was designed to collect the data during the outbreak of COVID-19 in April 2020. The yield was 874 usable and valid responses, which were purposefully analyzed using confirmatory factor analysis and structural equation modeling.

Findings

The results indicate a significant influence of dimensions (information, motivation, health behavior skills) on hotel customers’ preventive behavior regarding purchase intention of cleaning and disinfection service. The optimal price of this service is 20% of the average room rate, and the range of acceptable prices is 15% of the average room rate.

Originality/value

The present study represents academic attempts to contribute to the literature by applying the IMB model to consumer behavior in a hotel industry context, emphasizing the importance of each dimension in behavioral intention during the current ongoing global issue. Additionally, the results indicate that the hotel industry could consider satisfying the needs of this market based on the suggested price.

Details

Consumer Behavior in Tourism and Hospitality, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 2752-6666

Keywords

Article
Publication date: 16 July 2018

Yam B. Limbu, C. Jayachandran, Christopher McKinley and Jeonghwan Choi

People living on poverty-level incomes in developing nations face unique health challenges as compared to those in developed nations. New insights emerge from a bottom of…

Abstract

Purpose

People living on poverty-level incomes in developing nations face unique health challenges as compared to those in developed nations. New insights emerge from a bottom of the pyramid context (India) where culture-based health notions, preventive orientation and health resources differ from developed western health orientations and resources. The purpose of this paper is to explore how structural and cognitive social capital indirectly influence preventive health behavior (PHB) through perceived health value.

Design/methodology/approach

The participants for this study include rural people from Tamil Nadu, a state of India who are classified as those living below poverty level based on a per capita/per day consumption expenditure of Rupees 22.50 (an equivalent of US$0.40 a per capita/per day) (Planning Commission, Government of India, 2012). The study included a total number of 635 participants (312 males and 323 females). Relatively a high response rate (79 percent) was achieved through personal contacts and telephone solicitation, cash incentive and multiple follow-ups. Participants completed a questionnaire assessing structural and cognitive social capital, preventative health behavior, perceived health value, and health locus of control (HLC).

Findings

The results show that perceived health value mediates the relationship between cognitive social capital and PHB. Specifically, cognitive social capital influences BoP people’s assessment of benefits of engaging in PHB, that, in turn, influences PHB. In addition, the findings showed that HLC moderates the effect of social capital on PHB. Social capital positively related to enhanced PHB only among those who believe that health outcomes are controllable.

Originality/value

The authors findings indicate that cognitive social capital has enormous potential in promoting health intervention and the health of poor communities, a sentiment shared by prior researchers (Glenane-Antoniadis et al., 2003; Fisher et al., 2004; Martin et al., 2004; Weitzman and Kawachi, 2000). Overall, from a theoretical, empirical and methodological perspective, the current study offers a unique contribution to the social capital and PHB literature. First, drawing from the HBM and HLC, the findings provide a more nuanced explanation of how distinct aspects of social capital predict PHB. Specifically, the relationship between social capital and PHB is qualified by the extent one perceives personal control over her health. In addition, the cognitive component of social capital influences PHB through perceptions of health value.

Details

Health Education, vol. 118 no. 5
Type: Research Article
ISSN: 0965-4283

Keywords

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