scholarly journals Life with chronic pain during COVID-19 lockdown: the case of patients with small fibre neuropathy and chronic migraine

2020 ◽  
Author(s):  
Monica Consonni ◽  
Alessandra Telesca ◽  
Licia Grazzi ◽  
Daniele Cazzato ◽  
Giuseppe Lauria
Keyword(s):  
Public Health ◽  
Health Care ◽  
Chronic Pain ◽  
Physical Health ◽  
Chronic Migraine ◽  
Psychological Health ◽  
Public Health Care ◽  
Small Fibre Neuropathy ◽  
Small Fibre ◽  
The Impact

Abstract Objective We aimed at investigating the impact of COVID-19-related distress on patients with chronic pain, highlighting the effects of changes in individual habits and public health care reconfiguration on physical and psychological health. Methods During the pandemic, 80 participants (25 patients with small fibre neuropathy (SFN), 42 patients with chronic migraine (CM) and 13 patients’ healthy family members (HFM)) were asked to evaluate their COVID-19 complains, changes in habits and clinical management, behaviour, mood, loneliness, quality of life (QoL), physical and mental health and coping strategies. Data were analysed by Spearman rho correlations and Mann-Whitney U tests. Results Patients had lower QoL, lower physical health and higher catastrophizing attitude towards pain than HFM. During the pandemic, SFN patients referred greater decline in clinical symptoms, worries about contagion and discomfort for disease management changes than CM patients. In the SFN group, the higher levels of disability were associated with suffering from changes in neurologist-patient relationship. CM patients complained of agitation/anxiety that was related to feelings of loneliness, depressive mood and catastrophism. Discussion Despite similar complains of change in habits and worries about COVID-19 pandemic, SFN and CM patients had distinct reactions. In SFN patients, pandemic distress impacted on physical health with worsening of clinical conditions, especially suffering from changes in their care. In CM patients, pandemic distress affected behaviour, mainly with psychological frailty. This suggests the need to customize public health care for patients with distinct chronic pain conditions.

scholarly journals The Association of Residence Permits on Utilization of Health Care Services by Migrant Workers in China

2021 ◽  
Vol 18 (18) ◽  
pp. 9623
Author(s):  
Haochuan Xu ◽  
Han Yang ◽  
Hui Wang ◽  
Xuefeng Li
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Access ◽  
Migrant Workers ◽  
Health Care Services ◽  
Public Health Care ◽  
Chinese Government ◽  
Care Access ◽  
Care Services ◽  
The Impact

Due to the limitations in the verifiability of individual identity, migrant workers have encountered some obstacles in access to public health care services. Residence permits issued by the Chinese government are a solution to address the health care access inequality faced by migrant workers. In principle, migrant workers with residence permits have similar rights as urban locals. However, the validity of residence permits is still controversial. This study aimed to examine the impact of residence permits on public health care services. Data were taken from the China Migrants Dynamic Survey (CMDS). Our results showed that the utilization of health care services of migrant workers with residence permits was significantly better than others. However, although statistically significant, the substantive significance is modest. In addition, megacities had significant negative moderating effects between residence permits and health care services utilization. Our research results emphasized that reforms of the household registration system, taking the residence permit system as a breakthrough, cannot wholly address the health care access inequality in China. For developing countries with uneven regional development, the health care access inequality faced by migrant workers is a structural issue.

Using Art to Engage the Public in Hygiene and Sanitation Research

Utafiti ◽  
2019 ◽  
Vol 14 (1) ◽  
pp. 92-110
Author(s):  
Kiagho Kilonzo
Keyword(s):  
Public Health ◽  
Health Care ◽  
Cultural Practices ◽  
Health Care Research ◽  
Public Health Care ◽  
Health Records ◽  
The Public ◽  
Research Outcomes ◽  
The Arts ◽  
The Impact

Abstract The twentieth century saw a huge increase worldwide in the presence of the arts in organisations and institutions involved in healthcare activities, including public health care research conducting in various countries. This article shows the impact of using art to engage literate and non-literate people in the pro-active translation of research outcomes into their own cultural practices and their personal decisions affecting their health status. The study demonstrates that art can be of use changing social behaviour and therefore to improve public health records in statistically significant ways. This work also demonstrates that the term ‘art’ refers to more than a means of entertainment and passive appreciation of aesthetics; the effectiveness of art is tangible and its impact is measurable as a mode of education, and as providing a deeply needed instructive incentive for hygienic and sanitation transformation.

scholarly journals The Impact of Antipsychotic Polytherapy Costs in the Public Health Care in Sao Paulo, Brazil

PLoS ONE ◽  
2015 ◽  
Vol 10 (4) ◽  
pp. e0124791 ◽  
Author(s):  
Denise Razzouk ◽  
Monica Kayo ◽  
Aglaé Sousa ◽  
Guilherme Gregorio ◽  
Hugo Cogo-Moreira ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Sao Paulo ◽  
Public Health Care ◽  
São Paulo ◽  
The Public ◽  
The Impact

The Precautionary Saving Effect of Government Consumption

2018 ◽  
Vol 19 (1) ◽  
Author(s):  
Valerio Ercolani ◽  
Nicola Pavoni
Keyword(s):  
Public Health ◽  
Health Care ◽  
Negative Impact ◽  
Precautionary Saving ◽  
Public Health Care ◽  
Health Shocks ◽  
Government Consumption ◽  
Long Run ◽  
Saving Effect ◽  
The Impact

Abstract We study a largely neglected channel through which government expenditures can boost private consumption. We set up a dynamic model in which households are subject to health shocks. We take the model to the data and estimate a negative impact of public health care on household consumption dispersion, wealth and saving. According to our model, this result is explained by a change in the level of precautionary saving, with public health care acting as a form of consumption insurance. We compute the implied consumption multipliers by simulating the typical government consumption shock within a calibrated general equilibrium version of our model, with flexible prices. The impact consumption multiplier generated by the decrease in the level of precautionary saving is positive and sizable. When we include the effect of taxation, the sign of the impact multiplier depends on a few features of the model, such as the persistence of the health shocks. The long-run cumulative multiplier is negative across all calibrations.

Right to health and access to health-care services for refugees in Turkey

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
N. Ela Gokalp Aras ◽  
Sertan Kabadayi ◽  
Emir Ozeren ◽  
Erhan Aydin
Keyword(s):  
Public Health ◽  
Health Care ◽  
Institutional Theory ◽  
Access To Health Care ◽  
Health Care Services ◽  
Public Health Care ◽  
Content Type ◽  
Care Services ◽  
Access To Health ◽  
The Impact

Purpose This paper aims to provide a comprehensive understanding of factors that contribute to refugees’ exclusion from health-care services. More specifically, using institutional theory, this paper identifies regulative pillar-, normative pillar- and cultural/cognitive pillar-related challenges that result in refugees having limited or no access to health-care services. Design/methodology/approach The paper draws on both secondary research and empirical insights from two qualitative fieldwork studies totaling 37 semi-structured meso-level interviews, observations and focus groups in three Turkish cities (Izmir, Ankara and Edirne), as well as a total of 42 micro-level, semi-structured interviews with refugees and migrants in one large city (Izmir) in Turkey. Findings This study reveals that systematically stratified legal statuses result in different levels of access to public health-care services for migrants, asylum seekers or refugees based on their fragmented protection statuses. The findings suggest access to health-care is differentiated not only between local citizens and refugees but also among the refugees and migrants based on their legal status as shaped by their country of origin. Originality/value While the role of macro challenges such as laws and government regulations in shaping policies about refugees have been examined in other fields, the impact of such factors on refugee services and well-being has been largely ignored in service literature in general, as well as transformative service research literature in particular. This study is one of the first attempts by explicitly including macro-level factors to contribute to the discussion on the refugees’ access to public health-care services in a host country by relying on the institutional theory by providing a holistic understanding of cognitive, normative and regulative factors in understanding service exclusion problem.

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