Hasil untuk "Insurance"

Dr Eleni Galanis, Dr. Eleni Galanis, Dimitra Panagiotoglou et al.

Introduction: One in eight Canadians experiences an enteric infection annually. In British Columbia (BC), Canada significant risks of sequelae and death following laboratory-confirmed, reported enteric infections exist, including a 30 times higher risk of acute kidney injury (AKI) and a 4 times higher risk of inflammatory bowel disease (IBD). However, reported infections do not represent everyone who seeks care for these infections. Thus, we aimed to determine whether individuals who sought care for enteric infections, but for whom no laboratory-confirmed infection was reported, were also at risk for kidney, gastrointestinal, and rheumatological sequelae and death, in BC, Canada. Methods: We conducted a retrospective cohort study of everyone registered in BC's health insurance program, 2005-2014 (n=5,819,344). The cohort was followed for ∼7.5 years/person, and included 40,523 individuals with 42,308 laboratory-confirmed, reported enteric infections. Individuals with a physician visit or hospitalization with an International Classification of Disease (ICD) code for enteric infection or non-specific acute gastroenteritis, but without a reported, laboratory-confirmed infection, were our case group. Sequelae and deaths (from all causes) were identified using administrative data and vital statistics. We estimated risks using adjusted hazard ratios (aHRs) from extended Cox regression models, adjusting for age, sex, comorbidities, and neighbourhood income. Our comparison group was those without any evidence of enteric infection, i.e., who never had a laboratory-confirmed reported enteric infection, nor any physician visits or hospitalizations with ICD codes for enteric infections, during the study. Results: From 2005-2014, 238,116 people experienced 298,577 separate episodes where they sought medical care with an ICD code for enteric infection, with no accompanying laboratory-confirmation reported. For these individuals, the risk of AKI was 21.4 times higher (95% confidence interval [CI]: 20.7, 22.1) in the 90 days after seeking care, and the risk of hemolytic-uremic syndrome was 40.9 times higher (95% CI: 20.5, 81.5) in the 1-45 days. Their risks of IBD (aHR: 4.73, 95%CI: 4.44, 5.05), celiac disease (aHR: 3.98; 95%CI: 3.72, 4.26), and irritable bowel syndrome (aHR: 4.91, 95%CI: 4.71, 5.13) in the six months after seeking care were also significantly higher. The risks of ankylosing spondylitis, reactive arthritis, and anterior uveitis were smaller, but also significant. The risk of dying was 8.75 times higher (95% CI: 8.38, 9.14) in the 30 days following a physician visit or hospitalization. Discussion: The risks of sequelae and mortality is comparable regardless of whether individuals had a laboratory-confirmed, reported infection. These findings are consistent with those reported by others, demonstrating the validity of using administrative health data to investigate sequelae of infections. Conclusion: The burden of illness related to enteric infections is greater than that related to the acute infection. Multisectoral public health actions and patient education are therefore important to prevent enteric infections and their sequelae.

Danielle Angeline Hoang, BVisSc, Yicong Liang, BMed, MD, Odette Pheiffer, DipPEC, MBChB et al.

Objective:. This narrative review examined factors contributing to the initiation and outcome of litigation of bile duct injury (BDI) in laparoscopic cholecystectomy (LC), with reference to case studies and legal precedents in Australasian and international jurisdictions. It also explored potential strategies to prevent BDI and subsequent malpractice litigation. Background:. Despite the advantages of minimally invasive surgery, the reported iatrogenic BDI rate in LC remains higher than that in some open cholecystectomy series. The resulting BDIs are also more complex and severe. BDI is a serious complication, and medicolegal costs are a substantial burden for healthcare and insurance systems. BDI persists as one of the most common reasons for malpractice lawsuits against general surgeons in the United States and United Kingdom. Methods:. PubMed, Ovid (Medline), Embase, Google Scholar, and Westlaw databases were searched for studies related to BDI in LC and its litigation. Results:. Reasons for initiation of claims after LC include inadequate informed consent and unexpected postoperative course, severe physical disability or death after BDI, belief of medical negligence, and plaintiff loss of income. Identifiable perioperative risk factors for BDI and its litigation should be addressed to minimize BDI, malpractice complaints, and medicolegal costs. Conclusions:. The narrative review of international literature suggested that BDI during the performance of LC and its associated litigation remains preventable. Implementation of heuristics training, navigation paradigms, and a universal culture of safety in the performance of LC is required to improve rates of BDI and medicolegal ramifications.

Lindy M. Reynolds, Rebecca Arend, Russell L. Griffin

Background/Objectives: Medroxyprogesterone acetate (MPA) is a synthetic contraceptive that can be used orally or as a once-every-three-month injection (i.e., depot MPA [dMPA]). Prior research has reported an increased association between dMPA and cerebral meningioma but has been limited in generalizability to meningioma cases treated with surgery or cases derived from an administrative database of commercial insurance enrollees. The current study builds upon prior research by examining the association among public insurance enrollees utilizing both a non-active and active comparator. Methods: Utilizing Alabama Medicaid data, cases of cerebral meningioma were matched to up to ten controls based on age and year of Medicaid enrollment. A conditional logistic regression estimated odds ratios (ORs) and 95% confidence intervals (CIs) for the association between MPA and dMPA exposure and cerebral meningioma were compared to both an active and non-active comparator. Results: Among 469 cases and 4690 matched controls, there was no association between oral MPA and cerebral meningioma. Associations for dMPA exposure were similar when using a non-active (OR 1.87, 95% CI 1.16–3.00) or active comparator (OR 1.93, 95% CI 01.01–3.69). These associations were strongest for prolonged exposure compared to a non-active (OR 3.80, 95% CI 1.88–7.68) and active comparator (OR 3.67, 95% CI 1.09–12.29). Conclusion: The current results are consistent with the prior literature that dMPA exposure is associated with an increased likelihood of meningioma for prolonged use. More research is needed to examine whether the association is limited to a certain histology or grade of meningioma. Clinicians should consider discussing with patients these reported associations prior to using dMPA.

Maksym Trotsko, Viktor Hudyma, Andrii Diadechko et al.

Мета роботи: розробити узагальнену математичну модель функціонування сектору безпеки і оборони України в умовах невизначеності та ризиків, притаманних впливу гібридних засобів противника, а також дослідити синергетичний ефект впливу взаємосумісності на спроможності сектору безпеки і оборони протидіяти стратегії застосування гібридної боротьби. Метод дослідження: методи комплексного аналізу та синтезу, метод нелінійного математичного моделювання. Результати дослідження: визначено, що існує взаємозв’язок між невизначеністю та ризиками гібридних загроз, а також доведене існування компенсуючого впливу з боку сектору безпеки та оборони держави на застосування противником заходів гібридного впливу. Теоретична цінність дослідження: теоретичні положення, висновки та рекомендації, викладені в роботі, можуть стати основою для подальших наукових досліджень й дискусій з питань підвищення можливостей сектору безпеки та оборони України протидіяти гібридним засобам противника. Практична цінність дослідження: реалізація  рекомендацій  і пропозицій,  обґрунтованих  у  роботі,  які спрямовані, на основі процесів військової стандартизації, на забезпечення взаємосумісності складових сектору безпеки і оборони України, а також міжнародних партнерів, дозволить протидіяти стратегії противника щодо застосування заходів гібридної боротьби. Цінність дослідження: в даному дослідженні моделювання процесів функціонування сектору безпеки та оборони України в умовах невизначеності та ризиків, притаманних впливу гібридних засобів противника ще не були предметом комплексного наукового дослідження.

Eva Vávrová, Lenka Přečková

This paper aims to analyze the evolution of the leading commercial insurance company Česká pojišťovna on the Czech insurance market in the years 1947–2021. Its evolution was closely linked to the processes of building socialism in the 1950s and the federalization of Czechoslovakia at the end of the 1960s. The paper uses qualitative research methods, methods of description and comparison, as well as local micro-historical analyses shall be applied. The main features of insurance products in the period of the totalitarian regime are characterized. Both the economic transformation in the 1990s and globalization in the last decades have had a radical effect on the further development of the analyzed company Česká pojišťovna. In the period after 1989, the development is marked by a focus on changes in the shareholder structure of the analyzed insurance company, and the development of its market share is shown. As a result of demonopolization, new companies could emerge, creating a competitive environment. The leading commercial insurance company Česká pojišťovna’s market share gradually began to decline. AcknowledgmentThis paper was supported by the project SGS/24/2022 “Financial stability determinants of the selected financial institutions”.

Olufemi Erinoso, Afolabi Oyapero, Oluwabukunmi Familoye et al.

Introduction Health insurance is a health-financing mechanism to protect people from catastrophic healthcare costs and limits out-of-pocket spending on healthcare, which is directly linked to poverty. This study assesses the extent of health-insurance uptake and associated factors in Lagos, Nigeria. Methods We conducted a cross-sectional survey of consenting adults residing in Lagos, Nigeria. Participants were enrolled at general outpatient clinics of four public health facilities in Lagos State. Sociodemographic characteristics and data on health-insurance uptake were obtained and grouped into uninsured, National Health- Insurance Scheme (NHIS) and Private Health-Insurance (PHI). Factors associated with health-insurance uptake was determined using chi-squared tests and logistic regression models. Statistical significance was placed at p<0.05. Results A total of 1000 respondents were enrolled in the study. Overall, 9.5% of participants had health-insurance: NHIS (5.6%) and PHI (3.9%). Males had a higher healthinsurance uptake than females (p=0.035). Respondents who were married had higher odds of health-insurance uptake than those that were single (AOR=2.23; 95% CI: 1.20–4.16; p=0.01). Similarly, respondents who had a secondary-school diploma had higher odds of having a health insurance compared to those with less than a secondary-school education (AOR=5.20; 95% CI: 1.14–23.68; p=0.03). Conclusions Our findings suggest a low rate of healthinsurance uptake in the population. Being male, married and possessing a secondary school diploma or higher were associated with higher odds of health insurance uptake. Policy measures should focus on expanding access to health insurance, particularly among the less educated and the informal employment sector.

Yosef Haile, Hanan Abdulkadir, Misgun Shewangizaw et al.

BackgroundDropout from community-based health insurance (CBHI) membership is a common problem in low-income countries, even if its implementation leads to substantial improvement in the utilization of essential health services. Few studies have addressed the factors contributing to dropout rates in southern Ethiopia. Therefore, the purpose of this study was to determine the rate of CBHI dropout in southern Ethiopia as well as any contributing factors.MethodsThis mixed-method cross-sectional study was conducted among 460 randomly selected CBHI-enrolled households at the Arba Minch Health and Demography Surveillance System site from November 1, 2021, to April 30, 2022. The quantitative data were collected by an open data kit (ODK). using an interviewer-based structured questionnaire and analyzed using Statistical Package for the Social Sciences (SPSS) version 25.0. Multivariable logistic regression was applied to identify significant variables. The qualitative data were used to support the quantitative findings and were gathered through in-depth interviews (by the CBHI coordinator and three purposively selected health extension workers) and focus group discussions (in two randomly selected villages). The qualitative data were analyzed using thematic analysis. Finally, triangulation was used to present both the quantitative and qualitative findings.ResultsThis study found that 92 (21.5%) people stopped their community-based health insurance membership. The presence of sick adults [AOR = 0.281, 95% CI (0.136–0.581)], trust of participants in the contracted health facilities [AOR = 0.227, 95% CI (0.121–0.436)], and poor knowledge of the participants [AOR = 5.518, 95% CI (1.526–19.950)] were significant predictors.ConclusionThe magnitude of the dropout rate was high in this study when compared with the national target. The absence of a sick adult, the absence of trust among participants, and the poor knowledge status of the participants were significant predictors. We suggest that the health facility managers, the CBHI coordinating office, and the district health office give priority to implementing a wide range of knowledge improvement activities and a transparent system in public health facilities. Studies with longitudinal research designs are called for at a wide range of national levels to address the limitations of this study.

Momoko Habu, Hiroshi Okada, Hiroshi Okada et al.

BackgroundDue to a lack of investigation on the association between the type of occupation and the development of type 2 diabetes among Japanese individuals, we aimed to assess this association in 98,935 Japanese individuals.MethodsThis long-term retrospective cohort study included participants selected from medical health checkup programs conducted at the Panasonic Corporation, Osaka, Japan, from 2008 to 2018. Cox regression analyses were used to evaluate the association between occupation type and the incidence of type 2 diabetes.ResultsFrom 2008 to 2018, 5,008 participants developed type 2 diabetes. The proportion of never smokers, those with slow eating speeds, and those working with a flextime system was higher in men with technical jobs than in salespersons, manufacturers, and office workers (p &lt; 0.0001). Cox regression analyses revealed that occupation type was associated with an increased probability of type 2 diabetes development in men but not in women. Multivariate analyses showed that the hazard ratios were 1.15 [95% confidence interval (CI), 1.05–1.26], 1.20 (95% CI, 1.10–1.30), and 1.11 (95% CI, 1.02–1.21) in men working as salespersons, manufacturers, and office workers, respectively (reference group: men with technical jobs). On the other hand, the occupation type was not associated with the development of type 2 diabetes in women.ConclusionsThis study demonstrated that occupation type might be an independent factor in the development of type 2 diabetes in Japanese men.

Yoon-Bo Shim, Joo-Young Byun, Ju-Yong Lee et al.

Brain metastases (BM) are common in patients with non-small cell lung cancer (NSCLC). However, the pure economic burden of BM is unknown. This study aimed to evaluate the impact of BM on healthcare costs and resource utilization in patients with NSCLC by comparing patients with and without BM. This was a retrospective cohort analysis of South Korean health insurance review and assessment claims data. Patients with stage IIIB or IV NSCLC were identified (March 1, 2013 to February 28, 2018). We compared their two-year and per-patient-per-month (PPPM) healthcare costs and resource utilization with 1:3 propensity score-matched patients without the condition. A generalized linear model was used to estimate the impact of BM and other covariates on healthcare costs. After propensity score matching with the 33 402 newly diagnosed cases of stage IIIB or IV NSCLC, 3435 and 10 305 patients were classified as having or not having BM, respectively. Mean healthcare costs were significantly greater in patients with BM for both the two years (US$ 44 692 vs. US$ 32 230, p < .0001) and PPPM (US$ 3510 vs. US$ 2573, p < .0001). The length of hospital stay was longer in patients with BM (79.15 vs. 69.41 days for two years, p < .0001; 7.69 vs. 6.86 days PPPM, p < .0001), and patients with BM had more outpatient visits (50.61 vs. 46.43 times for two years, p < .0001; 3.64 vs. 3.40 times PPPM costs, p < .0001). The costs of drugs, radiology/radiotherapy, and admission comprised the majority of PPPM costs and were higher in patients with BM. The generalized linear model analysis suggested that patients with BM had significantly increased healthcare costs (by 1.29-fold, 95% confidence interval 1.26–1.32). BM is a significant economic burden for patients with NSCLC. Therefore, it is important to prevent BM in patients with NSCLC to reduce their economic burden.

Elif Özlem Özçatal, Umur Aşkın

Out of the vulnerable and disadvantaged groups in the labor market, disabled employees make up one of the segments that is most exposed to mobbing in the workplace. In this study, we investigated mobbing processes against disabled employees and their effects on them. The research was conducted through faceto-face in-depth interviews with 10 disabled employees in the province of Tokat, between November 2019 and December 2020. The obtained data was analyzed using descriptive and content methods. We examined the characteristics of handicapped employees who had been victims of mobbing, the mobbing acts used against them, causes and types of mobbing and their effects on the victims. The findings show that disabled employees are subjected to acts of mobbing including scolding, mockery, shouting, humiliation, backbiting, overloading, disdain, and being given work below their qualifications. Negative prejudices and attitudes towards disability are among the causes of mobbing against disabled employees in the workplace. Mobbing affects the effective and equal participation of disabled people at work and hinders their permanent presence in the labor market. The psychological and physical health of disabled employees who are victims of mobbing worsen and their disability-related health problems deteriorate. Mobbing impairs the physical and mental health of disabled employees and reduces their productivity as well. Mobbing weakens and eventually breaks these people’s ties with the labor market and their working lives.

Yasuo Imai, Masanori Ichinose

Abstract Background Colorectal cancer (CRC) consists of several histological subtypes that greatly affect prognosis. Venous invasion (VI) has been implicated in the postoperative recurrence of CRC, but the relationship between the VI grade and postoperative recurrence in each histological subtype has not been clarified thus far. Methods A total of 323 CRCs without distant metastasis at surgery (pathologic stage III or lower), including 152 well-to-moderately differentiated adenocarcinomas (WMDAs), 98 poorly differentiated adenocarcinomas (PDAs), and 64 mucinous adenocarcinomas (MUAs), were analyzed. They were routinely processed pathologically, and VI was graded as follows irrespective of location by elastica van Gieson staining: v0 (none), no venous invasion; v1 (mild), 1–3 invasions per glass slide; v2 (moderate), 4–6 invasions per glass slide; and v3 (severe), ≥ 7 invasions per glass slide. Filling-type invasion in veins with a minor axis of ≥ 1 mm increased the grade by 1. The association of VI grade with prognosis was statistically analyzed. Results All recurrences occurred as distant metastases. Recurrence increased with VI grade in WMDA (v0 11.8%, v1 15.8%, v2 73.9%, v3 75.0%) and MUA (v0 15.2%, v1 30.8%, v2 40.0%). The recurrence rate was relatively high in PDA even with v0 and increased with VI grade (v0 27.8%, v1 32.7%, v2 33.3%, v3 60.0%). VI grade was a significant predictor of recurrence in WMDA but not in PDA and MUA by multivariate analysis. In node-negative (stage II or lower) CRC, the recurrence-free survival (RFS) rate exceeded 90% in v0 and v1 WMDA until postoperative day (POD) 2100 and v0 MUA until POD 1600 but fell below 80% in the other settings by POD 1000. In node-positive (stage III) CRC, the RFS rate fell below 80% in all histological subtypes by POD 1000. Conclusions VI grade v1 had a similar recurrence rate and RFS as grade v0 and may not warrant adjuvant chemotherapy in node-negative (stage II or lower) WMDA. In addition to node-positive (stage III) CRC, adjuvant chemotherapy may be indicated for node-negative (stage II or lower) CRC when it is WMDA with VI grade v2 or v3, MUA with VI, or PDA.

Tran Thu Ngan, Chris Jenkins, Hoang Van Minh et al.

<h4>Background</h4>This study examined current breast cancer (BC) screening practices among Vietnamese women and the factors associated with the uptake of clinical breast examination (CBE).<h4>Methods</h4>A total of 508 women aged 30-74 years in Hanoi completed a knowledge-attitude-practice (KAP) survey in 2019 including validated measures of breast cancer awareness (Breast-CAM) and health beliefs (Champion's Health Belief Model Scale). Descriptive statistics, χ2, and ANOVA tests were used to analyse KAP responses across groups with different sociodemographic characteristics. A logistic regression model assessed the associations of knowledge, beliefs, and sociodemographic characteristics with CBE uptake.<h4>Results</h4>Only 18% of respondents were aware of BC signs, risk factors, and screening modalities although 63% had previously received BC screening. CBE was the most common screening modality with an uptake of 51%. A significantly higher proportion of urban residents compared with rural residents (32% vs 18%, Chi-square test, p = 0.04) received mammography. Unlike mammography, CBE uptake was not associated with sociodemographic characteristics (i.e., residence area/education level/occupation/household monthly income/possession of health insurance). CBE uptake was associated with BC knowledge (OR = 2.44, 95%CI: 1.37-4.32), perceived susceptibility to BC (OR = 1.15, 95%CI: 1.05-1.25), and perceived barriers to accessing CBE (OR = 0.88, 95%CI: 0.84-0.92).<h4>Conclusion</h4>The study points to the need for public health education and promotion interventions to address low levels of awareness about BC and to increase uptake of BC screening in Vietnam in advance of screening programme planning and implementation. It also suggests that screening programmes using CBE are promising given current engagement and the absence of socio-demographic disparities.

Z. F. Sharifianova

Insurance in a dynamically changing political, legal and economic environment becomes a key factor in strengthening the stability of the business, social security of the population. With the help of insurance can significantly reduce risks and to compensate for possible damage. In other words, the obvious economic benefits of insurance, because it is the most flexible and perfect the mechanism of a full and prompt reparation from the occurrence of risk situations. At the same time it should be noted that our country has specific features of geographical and socio-economic nature, resulting from the administrative division of the state into separate entities (regions). The increasing independence of the regions contributes to increased competition between them, increasing differentiation of regional economies. Therefore, to find a way to survive the regional insurance companies an integrated comprehensive analysis of the socio-economic development, monitoring changes and strengthen competitive advantage.

Elinor Mualem, Abraham Zaks

Refik Kryeziu

In this study Tax System and Rates in the Republic of Kosovo and Their Comparison with the Balkan Countries. During the research, we have noticed that changes in tax rates, expansion of the taxable base, and creation of conditions for economic development which have constantly been changing in Kosovo and Balkan countries. Although the tax system in Kosovo is new, it is competitive not only in the region but even beyond it. In the new fiscal package of 2015, tax rates had changed. Personal Income Taxes have reduced some of the revenues, corporate taxation up to 10%, insurance companies 7% to 5%; VAT is applied with two tax rates 18% and 8%. Balkan states have significant differences in tax rates, but not in tax systems. In some taxes, high rates have already been set, while in some countries there are lower rates. It is characteristic and interesting that the tax systems of these countries have been constantly reformed, reducing tax rates and redefining the tax base.

Svitlana Tsymbaliuk, Tetiana Shkoda, Maryna Artiushyna

The aim of the research is to measure interrelation between VET quality and the level of teachers’ education and training and to identify directions for their improving. The working hypothesis of the research is the assumption that education and training of graduates from colleges (specialists) will be of high quality if competencies are developed in accordance with the employers’ demands. The working hypothesis was verified through a quantitative research (a sociological survey). The target group of the survey is 350 managers of financial and insurance companies in Ukraine, including human resources managers. The research has shown that the education and training of graduates from colleges do not adequately meet the needs of the labour market, and therefore must be improved, in particular, towards the development of appropriate competencies in accordance with the employers’ requirements. The interrelation between VET quality and the level of teachers’ education and training has been partially confirmed. More than a third of the surveyed employers saw the link between them. Based on the result of research, it was found that employers were not satisfied with the quality of college graduates’ education and training. The conducted research has demonstrated the contradiction between the vision of the education and training results in educational establishments and the employers’ expectations. This confirms the importance of their systematic collaboration in developing educational and professional training programmes and study plans. The results of the research are recommended to be used during the development of educational and professional programmes and study plans.

Ulfa Fauzia, Elsa P. Setiawati, Emma S. Surahman

Patient waiting time for healthcare services is identified by the World Health Organization (WHO) as one of the key measurements of a responsive health system. Waiting time for filing prescription can influence patient satisfaction on hospital pharmacy service. This study was conducted to analyze current condition of waiting time for filing precription and related parameters. This study was prospective cross-sectional study conducted for 10 days at a hospital pharmacy, in Indramayu, Indonesia. Data regarding distribution of patients flow was obtained. Statistical analysis was performed using Kolmogorov-Smirnov. We observed that this hospital uses single queue channel-single phase model in three counters, i.e., public health insurance (PHI), private/general, government insurance (GI). The rate of patients visit was (λ) 9.40 and the rate of service was (µ) 1.26 in PHI. In private/general counter, the rate of patients visit was (λ) 5.03 and the rate of service was (µ) 4.08. The rate of patients visit was (λ) 4.85 and the rate of service was (µ) 5.85 in GI. Data indicated that there was excessive work loads. Thus, several strategies should be performed to decrease waiting time, e.g., the use of computer-based queuing system and the improvement of quality and quantity of human resources in the hospital pharmacy. Keywords: waiting time, outpatient, queueing theory

Karen D. Davis

Abstract. Pain, by definition, is a subjective experience, and as such its presence has usually been based on a self-report. However, limitations of self-reports for pain diagnostics, particularly for legal and insurance purposes, has led some to consider a brain-imaging–based objective measure of pain. This review will provide an overview of (1) differences between pain and nociception, (2) intersubject variability in pain perception and the associated brain structures and functional circuits, and (3) capabilities and limitations of current brain-imaging technologies. I then discuss how these factors impact objective proxies of pain. Finally, the ethical, privacy, and legal implications of a brain-imaging–based objective measure of pain are considered as potential future technological developments necessary to create a so-called “painometer test.”

Vernic Raluca

Recently, nonhomogeneous claim sizes have been considered in the actuarial literature starting from the fact that the claims are seasonally influenced by the economic environment. In this context, Raducan et al. [8] obtained recursive formulas for the ruin probability at or before claim instants, and stated a conjecture that relates the order of the claims arrival to the magnitude of the corresponding ruin probability, conjecture supported by numerical examples. In this paper, we prove this conjecture in a particular case.

Jessica N. DiBari, Stella M. Yu, Shin M. Chao et al.

This study aimed to identify actual and perceived barriers to postpartum care among a probability sample of women who gave birth in Los Angeles County, California in 2007. Survey data from the 2007 Los Angeles Mommy and Baby (LAMB) study (N = 4,075) were used to identify predictors and barriers to postpartum care use. The LAMB study was a cross-sectional, population-based study that examined maternal and child health outcomes during the preconception, prenatal, and postpartum periods. Multivariable analyses identified low income, being separated/divorced and never married, trying hard to get pregnant or trying to prevent pregnancy, Medi-Cal insurance holders, and lack of prenatal care to be risk factors of postpartum care nonuse, while Hispanic ethnicity was protective. The most commonly reported barriers to postpartum care use were feeling fine, being too busy with the baby, having other things going on, and a lack of need. Findings from this study can inform the development of interventions targeting subgroups at risk for not obtaining postpartum care. Community education and improved access to care can further increase the acceptability of postpartum visits and contribute to improvements in women’s health. Postpartum care can serve as a gateway to engage underserved populations in the continuum of women’s health care.