scholarly journals The Biopsychosocial Model and the Sex-Positive Approach: an Integrative Perspective for Sexology and General Health Care

2021 ◽  
Author(s):  
Filippo Maria Nimbi ◽  
Roberta Galizia ◽  
Roberta Rossi ◽  
Erika Limoncin ◽  
Giacomo Ciocca ◽  
...  
Keyword(s):  
Health Care ◽  
Sex Education ◽  
Health Care Professionals ◽  
Biopsychosocial Model ◽  
Policy Implications ◽  
Cochrane Library ◽  
Positive Approach ◽  
Practical Applications ◽  
The Individual ◽  
Sex Positive

Abstract Introduction The Biopsychosocial model (BPS) represents a comprehensive paradigm of consolidated practices. Although it has been outlined as the gold standard in sexology, its implementation is often challenging. The sex-positive approach is a ground-breaking movement that is gaining popularity all over and is focused on the recognition of different sexual expressions as valid, consensual, healthy, and meaningful. However, a pragmatic implementation of this approach is still missing. Methods A critical review was conducted based on bibliographic research on Medline, PubMed, EBSCO, Cochrane Library, Scopus and Web of Science on relevant articles published from January 2011 to July 2021. Results A total of 116 papers were included in the following review, indicating an increasing body of research about BPS and sex-positive frameworks during the last 10 years. One of the main limitations in the BPS is the scarce attention paid to socio-cultural factors involved in sexual expressions, such as the role of negative attitudes towards sexuality that may affect health care professionals’ work. An application of the sex-positive approach to the BPS model may bring greater attention to the needs, values and desires of the individual, as well as allow a new knowledge and understanding of sexuality within a broader spectrum, including diversities and pleasures. Conclusions The sex-positive approach represents a viable path that entails the willingness of health care professionals to get involved actively; criticize their personal attitudes, beliefs, and knowledge about sex and work hard to improve their practice in sexology. Policy Implications A discussion of the possible fruitful integration between the BPS and the sex-positive approach is presented, highlighting practical applications in research, clinical practice, training and sex education and giving possible directions for future studies and policies.

Navigating the health care system: perceptions of patients with chronic pain

2009 ◽  
Vol 29 (4) ◽  
pp. 162-168
Author(s):  
AL Dewar ◽  
K Gregg ◽  
MI White ◽  
J Lander
Keyword(s):  
Health Care ◽  
Chronic Pain ◽  
Health Care System ◽  
Health Care Professionals ◽  
Primary Care Physicians ◽  
Treatment Compliance ◽  
Care Utilization ◽  
Semistructured Interviews ◽  
The Individual ◽  
Care System

A new framework is needed for patients with chronic pain and their primary care physicians that acknowledges the individual’s experiences and provides evidence-informed education and better linkages to community-based resources. This study describes the experience of 19 chronic-pain sufferers who seek relief via the health care system. Their experiences were recorded through in-depth semistructured interviews and analyzed through qualitative methods. The participants reported early optimism, then disillusionment, and finally acceptance of living with chronic pain. Both individuals with chronic pain and their health care professionals need evidence-informed resources and information on best practices to assist them to manage pain. Empathetic communication between health care professionals and individuals with chronic pain is crucial because insensitive communication negatively affects the individual, reduces treatment compliance and increases health care utilization.

The Globalization of Health Law: The Case of Permissibility of Placebo-based Research

2000 ◽  
Vol 26 (2-3) ◽  
pp. 175-186
Author(s):  
Timothy S. Jost
Keyword(s):  
Health Care ◽  
Medical Practice ◽  
Health Care Professionals ◽  
Global Markets ◽  
Health Law ◽  
Cross Border ◽  
Internet Pharmacies ◽  
The Individual ◽  
Global Communications ◽  
National Borders

If any trend can be confidently predicted for the next millennium (or, more modestly, for our lifetimes) it is the globalization of health law. We live in an age of global markets and global communications. While care of the individual patient has remained largely local, national borders are quite porous to health care professionals. The cross-border flow of patients is a significant factor in some regions, and the development of telemedicine and internet pharmacies is radically expanding the possibility of cross-border medical practice.

scholarly journals A new programme of sex education and counselling for spinal cord injured adults and health care professionals

Spinal Cord ◽  
1973 ◽  
Vol 11 (2) ◽  
pp. 111-124 ◽  
Author(s):  
Theodore M Cole ◽  
Richard Chilgren ◽  
Pearl Rosenberg
Keyword(s):  
Health Care ◽  
Spinal Cord ◽  
Sex Education ◽  
Health Care Professionals ◽  
Spinal Cord Injured

Mobility in Multiple Sclerosis: More than just a Physical Problem

2000 ◽  
Vol 2 (1) ◽  
pp. 51-61 ◽  
Author(s):  
A Chan ◽  
CS Heck
Keyword(s):  
Multiple Sclerosis ◽  
Health Care ◽  
Population Health ◽  
Health Care Professionals ◽  
Physical Disability ◽  
Physical Problem ◽  
Societal Issue ◽  
Individual Level ◽  
Mobility Devices ◽  
The Individual

Abstract Mobility restriction is a common physical disability among individuals with multiple sclerosis (MS). Psychological, sociocultural, environmental, political, and economic influences are among the factors that affect the mobility of a person with MS. These factors have also been identified as elements of the determinants of individual and population health. Health care professionals providing services to the MS population often prescribe appropriate mobility devices for those with mobility restrictions. The goal is to enhance activities and participation in all domains of the individual's life. In addition to directing their services at the individual level, health care professionals addressing mobility issues of individuals with MS should include the additional factors and other determinants of health at the population and societal levels. Therefore, mobility is not only an individual's physical problem, but it is also a population health issue and a societal issue.

scholarly journals Education and Social Support as Key Factors in Osteoarthritis Management Programs: A Scoping Review

Arthritis ◽  
2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Shabana Amanda Ali ◽  
Kristina M. Kokorelias ◽  
Joy C. MacDermid ◽  
Marita Kloseck
Keyword(s):  
Social Support ◽  
Health Care ◽  
Scoping Review ◽  
Health Care Professionals ◽  
Management Strategies ◽  
Self Management ◽  
Cochrane Library ◽  
Group Settings ◽  
Management Interventions ◽  
Positive Social Interaction

Systematic reviews of self-management programs for osteoarthritis suggest minimal evidence of benefit and indicate substantial heterogeneity in interventions. The purpose of this scoping review was to describe the nature of self-management interventions provided to patients with osteoarthritis focusing on the inclusion and type of education and social support components. We searched PsycINFO, EMBASE, MEDLINE, and Cochrane Library databases from 1990 to 2016 to identify studies addressing community-based management strategies for osteoarthritis that included aspects of disease-specific education and ongoing social support. Results are presented as a narrative synthesis to facilitate integration of diverse evidence. Data were extracted from 23 studies that met our inclusion and exclusion criteria, describing complex, multicomponent interventions for osteoarthritis. All studies included education components, and 18 of these were osteoarthritis-specific. Social support was most often offered through peers and health care professionals, but also through exercise trainers/instructors and researchers, and lasted between 5 and 52 weeks. We charted positive social interaction offered by peers in group settings and emotional/informational support offered by health care professionals. Overall, descriptions of self-management provided limited documentation of the rationale or content of the programs. This suggests that more precise definitions of the theoretical underpinnings, components, and mechanisms would be useful for greater insight into best practices for osteoarthritis self-management programs.

scholarly journals A critical frame analysis of the various perspectives on recent policy changes to refugee health care in Canada.

2021 ◽  
Author(s):  
Brittney Emslie
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Asylum Seekers ◽  
Federal Court ◽  
Policy Implications ◽  
Holistic View ◽  
Study Approach ◽  
Conservative Government ◽  
Wide Range ◽  
Refugees And Asylum Seekers

This paper explores the Federal Court of Appeal’s (FCA) decision from July 4, 2014 that opposed the changes to the Interim Federal Health Program that traditionally provided a wide range of health care coverage for refugees and asylum seekers in Canada. Using a case-study approach, I will explore the various perspectives, outline policy implications and analyze what changes still need to be made from both federal and provincial governments. I will argue that Canada’s current conservative government is using a neoliberal lens to justify their harsh, decision-making regarding this issue and it is an approach that disregards fundamental human rights. However, it is clear that the humanitarian approach that is used by both the advocates as well as Justice MacTavish is the most popular amongst refugees, asylum seekers, academics, health care professionals and many Canadian citizens who oppose these changes. In my analysis, I use both critical frame and discourse analysis to unpack the various perspectives on this debate and explain how the stakeholders have framed their argument to offer a holistic view for understanding this unprecedented court ruling.

scholarly journals Health Care Professionals and Family Perspectives of Youth’s Trauma: Suggestions for Coaching and Self-Leadership

2015 ◽  
Vol 7 (1) ◽  
pp. 48-57
Author(s):  
Karien Jooste ◽  
Jeanette Maritz
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Social Institution ◽  
Qualitative Approach ◽  
Ripple Effect ◽  
Family Perspectives ◽  
Field Notes ◽  
The Individual ◽  
Social Turmoil ◽  
Healthy Community

Family forms the first and most important social institution in every society. Although traumatised families may be the root of much personal and social turmoil, a healthy community and family is the most vital way to deal with social change and challenges. In the light of increasing violence and trauma in South Africa, youths adverse exposures to violence and trauma have been identified as a distressing health care problem globally and for our communities and families at large. This study sought to explore and describe community and family perspectives of youth’s trauma in order to propose a holistic support approach. A qualitative approach was followed and participants (health care professionals and parents) were purposefully selected. Data were gathered through interviews, a focus group and field notes. Data were analysed thematically. Health care professionals and parents shared similar experiences and concerns relating to their perceptions of youths’ experiences of trauma. Parents however had a more negative regard of the youth and their capabilities to deal with trauma. The trauma experience was seldom contained to the individual but had a traumatising ripple effect on the parents, and community. This often left the entire system feeling helpless and depleted of resources to cope.

Links Between Perceptions and Practices in Patient Education: A Systematic Review

2019 ◽  
Vol 46 (6) ◽  
pp. 1001-1011 ◽  
Author(s):  
Sandrine Roussel ◽  
Mariane Frenay
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Patient Education ◽  
Health Care Professionals ◽  
Quality Criteria ◽  
World Health ◽  
Health Organization ◽  
The Individual ◽  
Meta Analyses

Background. Two decades after “patient education” was defined by the World Health Organization, its integration in health care practices remains a challenge. Perceptions might shed light on these implementation difficulties. This systematic review aims to investigate links between perceptions and patient education practices among health care professionals, paying particular attention to the quality of practices in order to highlight any associated perception. Method. PubMed, PsycINFO, and Scopus were searched using the following search terms: “perceptions,” “patient education,” “health care professionals,” and “professional practices.” PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines were used. Results. Twenty studies were included. Overall findings supported the existence of links between some perceptions and practices. Links were either correlational or “causal” (generally in a single direction: perceptions affecting practices). Four types of perceptions (perceptions of the task including patient education, perceptions about the patient, perceptions of oneself as a health care professional, and perceptions of the context) were identified as being linked with educational practices. Links can although be mediated by other factors. Results concerning links should, however, be considered with caution as practices were mostly assessed by prevalence measurements, were self-reported and concerned exclusively individual education. When analyzing the quality of practices, the two retained studies highlighted their changing nature and the central role of perceptions with respect to the individual patient. Conclusions. This literature review led us to specify the quality criteria for further research: covering the entire spectrum of patient education, operationalizing variables, exploring specific practices, measuring the quality of practices, developing designs that facilitate causation findings, and considering a bidirectional perspective.

Creonization of Health Care

1990 ◽  
Vol 6 (2) ◽  
pp. 297-303
Author(s):  
Roger J. Bulger
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Greek Tragedy ◽  
Large Data ◽  
The Self ◽  
Data Bases ◽  
Definition Of Health ◽  
Definition Of ◽  
The Individual ◽  
Contemporary Health Care

AbstractAs prefigured in the Greek tragedy Antigone, one of the primary conflicts in contemporary health care is that between humane concern for the individual and concern for society at large and administrative rules. The computerization of the health care system and development of large data bases will create new forms of this conflict that will challenge the self-definition of health care and health care professionals.

Comparing retrieval of systematic review searches in health sciences areas using two major databases

2016 ◽  
Vol 30 (8) ◽  
pp. 1-5 ◽  
Author(s):  
Arian Abdulla ◽  
Mangala Krishnamurthy
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Systematic Reviews ◽  
Health Care Professionals ◽  
Cochrane Library ◽  
Content Type ◽  
English Only ◽  
Literature Searches ◽  
Clinical Topic ◽  
Key Terms

Purpose Effective literature searches are critical to researchers and health care professionals. To conduct literature searches, clinicians, researchers and nurses rely primarily on a few major databases (PubMed, Cochrane, CINAHL, etc.) to retrieve information. However, there is a lack of literature on the comparative efficiencies of major databases for systematic review results on a clinically related topic. This paper aims to fill that gap in the literature. Design/methodology/approach Cochrane Handbook (2011) defines systematic review as a review of a clearly formulated question that uses systematic and explicit methods to identify, select and critically appraise relevant research and to collect and analyze data from the studies that are included in the review. In this paper, search results of systematic reviews on a clinical topic between two major databases – PubMed and Cochrane Library – are compared. Findings Searching within PubMed for key terms in the titles and abstracts of articles is important to include in any systematic review, in addition to searching Medical Subject Heading terms. After applying filters, PubMed retrieved 130 systematic reviews that matched the criteria. In Cochrane Library, the searches were performed on the chosen topic using Boolean and phrase searching: text field searches resulted in 251 reviews. The search was further narrowed by subject, which yielded 20 reviews. It is strongly recommended to use multiple health-care specialty databases, check for duplicate reviews in the results and not limit results to English-only publications. Practical implications This paper can be used to introduce new researchers and/or students to methods for conducting systematic reviews using two or more databases on a chosen topic. Originality/value This paper fills a gap in the literature regarding comparative efficiencies of major databases for systematic review results on clinically related topics.

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