Socioeconomic status and prevalence of congenital heart defects: Does universal access to health care system eliminate the gap?

2011 ◽  
Vol 91 (12) ◽  
pp. 1011-1018 ◽  
Author(s):  
Mohammad M. Agha ◽  
Richard H. Glazier ◽  
Rahim Moineddin ◽  
Aideen M. Moore ◽  
Astrid Guttmann
Keyword(s):  
Health Care ◽  
Socioeconomic Status ◽  
Health Care System ◽  
Congenital Heart Defects ◽  
Access To Health Care ◽  
Congenital Heart ◽  
Universal Access ◽  
Heart Defects ◽  
Access To Health ◽  
Care System

scholarly journals How do caregivers of children with congenital heart diseases access and navigate the healthcare system in Ethiopia?

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sugy Choi ◽  
Heesu Shin ◽  
Jongho Heo ◽  
Etsegenet Gedlu ◽  
Berhanu Nega ◽  
...  
Keyword(s):  
Health Care ◽  
Cardiac Surgery ◽  
Health Care System ◽  
Low Income ◽  
Congenital Heart ◽  
Heart Diseases ◽  
Heart Defects ◽  
Care Facility ◽  
Long Distance ◽  
Care System

Abstract Background Surgery can correct congenital heart defects, but disease management in low- and middle-income countries can be challenging and complex due to a lack of referral system, financial resources, human resources, and infrastructure for surgical and post-operative care. This study investigates the experiences of caregivers of children with CHD accessing the health care system and pediatric cardiac surgery. Methods A qualitative study was conducted at a teaching hospital in Ethiopia. We conducted semi-structured interviews with 13 caregivers of 10 patients with CHD who underwent cardiac surgery. We additionally conducted chart reviews for triangulation and verification. Interviews were conducted in Amharic and then translated into English. Data were analyzed according to the principles of interpretive thematic analysis, informed by the candidacy framework. Results The following four observations emerged from the interviews: (a) most patients were diagnosed with CHD at birth if they were born at a health care facility, but for those born at home, CHD was discovered much later (b) many patients experienced misdiagnoses before seeking care at a large hospital, (c) after diagnosis, patients were waiting for the surgery for more than a year, (d) caregivers felt anxious and optimistic once they were able to schedule the surgical date. During the care-seeking journey, caregivers encountered financial constraints, struggled in a fragmented delivery system, and experienced poor service quality. Conclusions Delayed access to care was largely due to the lack of early CHD recognition and financial hardships, related to the inefficient and disorganized health care system. Fee waivers were available to assist low-income children in gaining access to health services or medications, but application information was not readily available. Indirect costs like long-distance travel contributed to this challenge. Overall, improvements must be made for district-level screening and the health care workforce.

Change in health perceptions during immigration process a group of Syrian refugee women: analysis within the framework of transition theory of meleis

2019 ◽  
Vol 2 ◽  
pp. 6-12
Author(s):  
M. Korkmaz ◽  
IA. Avci
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Access To Health Care ◽  
Health Perception ◽  
Transition Theory ◽  
Health Perceptions ◽  
Refugee Women ◽  
Immigration Process ◽  
Access To Health ◽  
Care System

<b>Purpose:</b> Migration is a complex situational transition that rarely occurs in isolations. Use of the transitions framework allows for recognition of the complex, longitudinal, and iterative components and processes of migration. Refugees experience a long and anduous transition. Refugees may experience significant changes in health status. The study purpose to investigate the change in health perception of refugee women within the framework of transition theory. <br><b>Materials and methods:</b> This study is a qualitative study. Data were collected with a semi-structured interview form at in-depth interviews. Obtained data were analyzed with inductive content analysis. Analysis of interview data provided by thirty Syrian refugee women. <br><b>Results:</b> The refugee women’s changing in health perception were found to comprise the following themes "pre-migration access to health care system and medical practise", " experiences of immigration process", "access to health care system in Turkey and medical practice,” and “change in health perception" and subthemes. <br><b>Conclusions:</b> Health perception for Syrian refugees women is status of well-being or not. Health status of refugees women got worse during immigration process and postmigration process. Because of refugee women in the face of some problems such as language barriers, lack of socio-economic situation, inadequacy of access to health care system all of these cause to be negatively change in health perceptions.

scholarly journals P1.06-020 Unequal Access to Health Care System Have a Higher Impact in Upgrading Staging for 8th TNM Ed

2017 ◽  
Vol 12 (11) ◽  
pp. S1993
Author(s):  
M.T. Ruiz Tsukazan ◽  
A. Vigo ◽  
L. Lago ◽  
G. Lenz ◽  
V. Duval Da Silva ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Access To Health Care ◽  
Access To Health ◽  
Unequal Access ◽  
Care System

A Nation of Uninsured Immigrants

2017 ◽  
Author(s):  
Patricia Illingworth ◽  
Wendy E. Parmet
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Health Care System ◽  
Access To Health Care ◽  
Developed Countries ◽  
The United States ◽  
Public Benefits ◽  
Access To Health ◽  
Treat All ◽  
Care System

The United States is unique among developed countries in not providing health insurance to all of its citizens. But newcomers, both legal and undocumented, are far more likely to be uninsured than natives. This chapter reviews US law, including the Affordable Care Act, regarding immigrants’ access to health insurance, exposing the conflicting and inconsistent policies towards including immigrants within the nation’s health care system. These policies not only reduce immigrants’ access to health care, they add significant complexity to the US health care system, and create a range of health and economic costs to immigrants and natives alike. The chapter focuses in particular on the practice of medical repatriation, whereby hospitals send seriously ill immigrants to their countries of origin, explaining how the conflicting edicts of US health law encourage the practice by requiring hospitals to treat all emergency patients regardless of citizenship or insurance status, while denying many immigrants public benefits for nonemergency care.

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