scholarly journals Are the Sick Left Behind at the Peripheries? Health Selection in Migration to Growing Urban Centres in Finland

2020 ◽  
Author(s):  
Maria Vaalavuo ◽  
Mikko-Waltteri Sihvola
Keyword(s):  
Health Care Services ◽  
Multinomial Logistic Regression ◽  
Multilevel Modelling ◽  
Urban Migration ◽  
Long Distance ◽  
Health Selection ◽  
Special Health Care ◽  
Left Behind ◽  
Care Services ◽  
Health Differences

Abstract We study health selection in rural–urban migration in Finland using register data. Specifically, we ask whether ‘movers’ differ from ‘stayers’ in their use of special health care services prior to moving. We focus on migration to twelve growing urban centres in different sub-groups of the population as well as in different regions, using multinomial logistic regression and multilevel modelling and by distinguishing between short- and long-distance moves. The results show that urban centres attract healthier individuals, while people with health problems are also prone to move, but not to urban centres. The results were similar when looking only at psychiatric diagnoses. The findings suggest that it is important to distinguish between different types of moves when studying health-selective migration. Studying the patterns of migration according to health enables us to understand drivers of regional health differences. Moreover, such evidence will help in projecting future demand for healthcare across the country.

Bridging the Gaps with Nonprofits

2016 ◽  
pp. 233-256
Author(s):  
Laura Caccioppoli
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Service Delivery ◽  
Case Studies ◽  
Current Literature ◽  
Quantitative Data ◽  
Health Care Services ◽  
Demographic Trends ◽  
Left Behind ◽  
Care Services

This chapter will examine how nonprofits are both bridging the gaps left behind from health policy, and are at the intersection of institutions, interests, and the policy process. Using cultural competency as a theoretical lens, the chapter will make use of the current literature, demographic trends, and other qualitative and quantitative data to situate three case studies. As the Affordable Care Act, and other health policies tout themselves as solutions to gaps in health care services for minorities, this chapter offers an overview and evaluation of these policies as well as an explanation of the role nonprofits have in filling necessary service delivery and advocacy.

scholarly journals People's Perspective on Access to Health Care Services in a Rural District of Nepal

2012 ◽  
Vol 52 (185) ◽  
Author(s):  
R Paudel ◽  
T Upadhyaya ◽  
D P Pahari
Keyword(s):  
Health Care ◽  
Health Facility ◽  
Access To Health Care ◽  
Health Care Services ◽  
Long Distance ◽  
Government Health Facility ◽  
Government Health ◽  
Care Services ◽  
Access To Health ◽  
Drug Problems

Introduction: Over the past several decades, Nepal has attempted to increase the access of health care services, however progress toward achieving high coverage of health care services in rural communities is still low. Therefore this study attempts to provide a perspective on access to basic healthcare services in government health facility. Methods: Descriptive cross-sectional study with quantitative and qualitative methods was designed and applied to identify the access to health care services. The study population were people who were sick within three months prior to the study where basic sampling unit was household. Total sample size was 96 through the application of simple random sampling method. Bivariate analysis with 95% confidence interval was used to identify the association of variables with access to health care services. Results: Among the total population, 28% of households in the study area received health care services at government health facility. The reasons for not accessing health care were insufficient drugs (61%), distance (22%), staff unavailability (19%), sickness (9%), money (7%), and facility hours (4%). Sex, ethnicity and distance were found significantly associated with access to health care services. Conclusions: Less than one third of households had access to health careservices in government health facility. Addressing the important factors such as drug problems, staff unavailability, long distance to health institutions and inconvenient health facility hours may help to increase access to health care services at government health facility. Keywords: Access, government health facility, health care services, perspective.

Children's Special Health Care Services Program: Impact of Administrative Changes on Rural Needs

2000 ◽  
Vol 29 (4) ◽  
pp. 295-311 ◽  
Author(s):  
Terrell W. Zollinger ◽  
Robert M. Saywell ◽  
Mark A. Smith ◽  
Rebecca L. Robinson ◽  
Nancy E. Knudson
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Special Health Care ◽  
Program Impact ◽  
Care Services ◽  
Special Health

scholarly journals Youth with Special Health Care Needs: Transition to Adult Health Care Services

2012 ◽  
Vol 17 (10) ◽  
pp. 1744-1752 ◽  
Author(s):  
Donald P. Oswald ◽  
Donna L. Gilles ◽  
Mariel S. Cannady ◽  
Donna B. Wenzel ◽  
Janet H. Willis ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Special Health Care Needs ◽  
Adult Health ◽  
Health Care Needs ◽  
Care Needs ◽  
Special Health Care ◽  
Care Services ◽  
Special Health ◽  
Adult Health Care

scholarly journals Experiences of Family Members in Caring of Stroke Patients: A Case Study in the Border Provinces of the Upper Northeast of Thailand

2021 ◽  
Vol 9 (G) ◽  
pp. 172-179
Author(s):  
Arunrat Utaisang ◽  
Chatkane Pearkao ◽  
Khunphitha Junsevg ◽  
Amornrat Sangsaikaew ◽  
Duangjai Boonkong ◽  
...  
Keyword(s):  
Health Care ◽  
Family Caregivers ◽  
Home Health Care ◽  
Health Care Services ◽  
Care Service ◽  
Health Care Service ◽  
Phenomenological Approach ◽  
Stroke Patients ◽  
Long Distance ◽  
Care Services

BACKGROUND: Stroke patients require continued care, which makes stroke family caregivers unlikely to anticipate the end of home health-care service. AIM: The objectives of this study aimed, therefore, to seek understanding of stroke family caregivers in relation to caring experience, problems and barriers, and needs of family caregivers in the context of border provinces of the upper northeast of Thailand. METHODS: The current study was based on the phenomenological approach. The study samples included 16 informants. Data collection, conducted between February and August 2020, was performed using in-depth interviews. The collected data then were analyzed using the van Manen’s approach. RESULTS: Experiences of the stroke family caregivers were reflected and fell in van Manen’s 4 points under 12 thematic categories: (1) Lived body including lack of knowledge, fatigue, and sense of obligation; (2) lived time including paying gratitude, uncertainty, and paying retribution; (3) lived space including just long distance, being isolated in the wide world and living in a remote area; and (4) lived relation including blood thicker than water, community network, and needs from health-care services. CONCLUSION: The findings may be exploited to develop health service preparedness for health outcome promotion for stroke patients and stroke family caregivers.

Bridging the Gaps With Nonprofits

2018 ◽  
pp. 293-310
Author(s):  
Laura Caccioppoli
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Service Delivery ◽  
Case Studies ◽  
Current Literature ◽  
Quantitative Data ◽  
Health Care Services ◽  
Demographic Trends ◽  
Left Behind ◽  
Care Services

This chapter will examine how nonprofits are both bridging the gaps left behind from health policy, and are at the intersection of institutions, interests, and the policy process. Using cultural competency as a theoretical lens, the chapter will make use of the current literature, demographic trends, and other qualitative and quantitative data to situate three case studies. As the Affordable Care Act, and other health policies tout themselves as solutions to gaps in health care services for minorities, this chapter offers an overview and evaluation of these policies as well as an explanation of the role nonprofits have in filling necessary service delivery and advocacy.

scholarly journals Have we forgotten about the Person with Disabilities for COVID 19 Vaccination – A need of the hour!!!

2021 ◽  
Vol 33 (1) ◽  
pp. 1-2
Author(s):  
Abhijit Vinodrao Boratne ◽  
Karthikayini Sasinthar
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Face Mask ◽  
Health Care Facilities ◽  
Nursing Facilities ◽  
Persons With Disabilities ◽  
Left Behind ◽  
Care Services ◽  
Increased Risk ◽  
The Times

Persons with disabilities (PwDs) are less likely to access health care facilities, education, and employment in their day-to-day life. They are more likely to experience higher rates of neglect and abuse. The present COVID-19 pandemic situation has further affected the PwDs in terms of physical and social neglect. Moreover, the concept of social distancing, using a face mask, and following cough hygiene, which is fundamental in controlling the spread of COVID 19, is likely to be followed by the person with an intellectual impairment since they are highly dependent on their caretakers for their day to day activities. This scenario is even worse with PwDs who are living in congregate settings like residential camps, nursing facilities, and psychiatric institutions where infectivity is very higher. Thus a pronged approach is needed to assure that PwDs are not left behind during the times of pandemic. This paper argues that PwDs, because of their increased risk for exposure to COVID-19 and its consequences of developing morbidity and even possible deaths, should be prioritized in vaccination strategies. Otherwise, they will be left behind, experiencing disproportionate loss of lives and livelihoods, inaccessible health care services, and disconnection from society.

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