What makes it easy or hard to receive, recommend and/or provide breast health screening to women with physical disabilities? Insights from women and health care providers

2009 ◽  
Vol 2 (1) ◽  
pp. e4
Author(s):  
Ellen Lopez ◽  
Eva Egensteiner ◽  
Elena Andresen ◽  
Melissa Lanzone ◽  
Vijay Vasudevan ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Physical Disabilities ◽  
Health Screening ◽  
Breast Health ◽  
Care Providers ◽  
To Receive ◽  
Women With Physical Disabilities

Dignity and palliative end-of-life care

2015 ◽  
Author(s):  
Harvey Max Chochinov ◽  
Susan E. McClement ◽  
Maia S. Kredentser
Keyword(s):  
Health Care ◽  
End Of Life ◽  
Health Care Providers ◽  
End Of Life Care ◽  
Vulnerable Groups ◽  
Clinical Settings ◽  
Life Care ◽  
Care Providers ◽  
Key Aspects ◽  
To Receive

The concept of dignity continues to receive attention in health care, with particular implications for end-of-life care. This chapter reviews current conceptualizations of dignity, integrating medical, philosophical, and ontological perspectives. The centrality of dignity to palliative care is discussed, exploring empirical findings, which examine what dignity means to patients and families in the context of illness and end-of-life care. The chapter provides an overview of validated tools, evidence-based therapies, and practical ‘everyday’ communication skills that health-care providers in diverse clinical settings can use to enhance patient dignity. Suggestions are provided for extending existing research into the notion of dignity as it relates to vulnerable groups, and how interventions aimed at supporting patient dignity can impact family members. Dignity subsumes many key aspects of comprehensive care, which can guide health-care providers towards improving end-of-life experiences for patients and families.

scholarly journals Predicting Consumer Effort in Finding and Paying for Health Care: Expert Interviews and Claims Data Analysis (Preprint)

2017 ◽  
Author(s):  
Sandra Long ◽  
Karen A. Monsen ◽  
David Pieczkiewicz ◽  
Julian Wolfson ◽  
Saif Khairat
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Care Providers ◽  
Health Care Information ◽  
Medical Claims ◽  
Effort Level ◽  
Care Information ◽  
Claims Data Analysis ◽  
To Receive ◽  
Level Of Effort

BACKGROUND For consumers to accept and use a health care information system, it must be easy to use, and the consumer must perceive it as being free from effort. Finding health care providers and paying for care are tasks that must be done to access treatment. These tasks require effort on the part of the consumer and can be frustrating when the goal of the consumer is primarily to receive treatments for better health. OBJECTIVE The aim of this study was to determine the factors that result in consumer effort when finding accessible health care. Having an understanding of these factors will help define requirements when designing health information systems. METHODS A panel of 12 subject matter experts was consulted and the data from 60 million medical claims were used to determine the factors contributing to effort. RESULTS Approximately 60 million claims were processed by the health care insurance organization in a 12-month duration with the population defined. Over 292 million diagnoses from claims were used to validate the panel input. The results of the study showed that the number of people in the consumer’s household, number of visits to providers outside the consumer’s insurance network, number of adjusted and denied medical claims, and number of consumer inquiries are a proxy for the level of effort in finding and paying for care. The effort level, so measured and weighted per expert panel recommendations, differed by diagnosis. CONCLUSIONS This study provides an understanding of how consumers must put forth effort when engaging with a health care system to access care. For higher satisfaction and acceptance results, health care payers ideally will design and develop systems that facilitate an understanding of how to avoid denied claims, educate on the payment of claims to avoid adjustments, and quickly find providers of affordable care.

Communication Training for Health Care Providers to Improve Military Mental Health Screening

2013 ◽  
Author(s):  
Susan Rae Douglas ◽  
Ana Regina V. De Andrade ◽  
Stephanie D. Boyd ◽  
Nicole L. Frazer ◽  
Lynn Webb ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Care Providers ◽  
Health Screening ◽  
Mental Health Screening ◽  
Communication Training ◽  
Care Providers ◽  
Military Mental Health

Assessment of knowledge, attitude and practice and associated factors towards palliative care among health care providers to the pediatric oncology patients in southern Philippines.

2019 ◽  
Vol 37 (15_suppl) ◽  
pp. e21536-e21536
Author(s):  
Jayson Cagadas Pasaol
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Pediatric Oncology ◽  
Associated Factors ◽  
Care Providers ◽  
Oncology Patients ◽  
Cancer Centers ◽  
Attitude And Practice ◽  
To Receive ◽  
Knowledge Attitude And Practice

e21536 Background: Palliative care (PC) aims to prevent, relieve and manage the symptoms of cancer and the adverse effects of cancer treatment; however, lack of education is among the biggest challenges facing PC in Philippines. Education and Awareness are dismal, especially in Southern Philippines. This study aimed to assess the level of knowledge, attitude, and practice of Health Care Provider towards pediatric PC. And to discover associated factors that limits the pediatric oncology patients to receive PC and identify the barriers in providing PC by the cancer centers to the pediatric oncology patients. Methods: A cross-sectional study design, conducted at tertiary care hospital that offers PC to pediatric oncology patients at Southern Philippines. Structured questionnaire was circulated to identify the barriers of PC, and assess the Knowledge, Attitude and Practices (KAP) of health care provider using a systematic random sampling method. The data was entered, cleaned and analyzed using excel and SPSS version 19.0 software. The chisquare test was employed to assess the association between variables. A p-value of less than 0.05 was considered as statistically significant. Results: From the total of 508 health care providers selected, a response rate of 500 (98.4%) were registered. Among the respondents 287(57.4%) had good knowledge and 259 (58.1%) had favorable attitude towards pediatric PC. In contrast, the level of practice showed that the majority 384 (76.8%) of health care providers had poor practice towards PC. Results showed that 94% to 99% of health care providers believed that the inadequate research evidence base to guide and measure the quality of life and lack of staff training in pediatric PC were the major barriers in providing PC by the cancer centers to the pediatric oncology patients. And 100% health care providers affirmed that the ignorance and lack of awareness about the existing program and resources of PC were the major factors that limits the pediatric oncology patients to receive pediatric PC in Southern Philippines. Conclusions: The health care providers had poor training and knowledge aspect of practice, but their attitude towards PC was favorable. Recommendations are the needs to be incorporated in the Department of Health through Continuing Professional Development to promote regular training for PC. Also, Educational awareness to assist healthcare professionals and pediatric oncology patients involved in PC needs to be regulated and provide.

Vaccinate-or-mask: Ethical duties and rights of health care providers in obtaining or refusing the influenza vaccination

2016 ◽  
Vol 11 (4) ◽  
pp. 182-189 ◽  
Author(s):  
Stephanie Richardson ◽  
Kathryn Weaver
Keyword(s):  
Health Care ◽  
Immanuel Kant ◽  
Influenza Vaccination ◽  
Health Care Providers ◽  
Best Practice ◽  
Well Being ◽  
Health Providers ◽  
Care Providers ◽  
Health Institutions ◽  
To Receive

There is much controversy over the effectiveness of the influenza vaccination; yet, globally, many health institutions are implementing policies that require health providers to either receive the influenza vaccination or wear a surgical mask. This vaccinate-or-mask policy has caused great hullabaloo among health care providers and the institutions wherein they work. In light of the limitations to best practice evidence, we conducted an analysis of the policy and its implications based first on the bioethical principles of beneficence, nonmaleficience, respect for autonomy, and justice and then on the ethical theories of Immanuel Kant and John Stuart Mill. The most important ethical issue was threat to patient safety and welfare in the event of receiving care from a health provider who chose to forego the influenza vaccination and surgical mask requirement. We concluded that policies requiring health care providers to receive the influenza vaccination or wear a surgical mask are only partially supported by the bioethical principle approach; however, they are clearly justified from a deontological standpoint. That is, Kant would argue the rightness of the policy as a moral imperative for health care providers to not impose a health risk to those they serve and for health care institutions to ensure professional care giver vaccination. In further considering the vaccinate-or-mask policy in terms of the utilitarian “greatest good for the greatest number”, we determined that Mill would argue that this type of policy is ethically right and just, but also that policies solely requiring immunization would be ethical as public well-being is promoted.

Influenza and Intentions to Vaccinate in an Underserved Hispanic Population: The Role of Theoretically Derived Constructs

2018 ◽  
Vol 33 (3) ◽  
pp. 326-333 ◽  
Author(s):  
Margie E. Padilla ◽  
Gabriel Frietze ◽  
Jessica M. Shenberger-Trujillo ◽  
Melissa Carrillo ◽  
Amanda M. Loya
Keyword(s):  
Health Care ◽  
Influenza Vaccine ◽  
Health Care Providers ◽  
Past Research ◽  
Care Providers ◽  
Vaccine Acceptance ◽  
Perceived Safety ◽  
Flu Vaccine ◽  
Acceptance Rates ◽  
To Receive

Background: Past research has focused on understanding influenza vaccine acceptance in non-Hispanic white populations; however, research on the social causes of influenza vaccine acceptance rates in Hispanic populations is slowly developing. Objective: The purpose of this study was to assess theoretically driven predictors (i.e. attitudes, perceptions, behaviors, etc.) on influenza and the intention to vaccinate. Methods: A survey was administered to assess predictors of intentions to receive the influenza vaccine. The survey included items adapted from the National Flu Survey. Results: Key constructs common in models of health behaviors emerged as predictors of behavioral intentions to receive the flu vaccine. Recent vaccination within the past year ( P < 0.001), perceived effectiveness of the flu vaccine ( P < 0.004), and perceived safety of the flu vaccine ( P = 0.009) were predictors of intentions to vaccinate. Exploratory analyses revealed that government distrust was a statistically significant predictor of intentions to vaccinate ( P = 0.044). Conclusion: The above results have important implications for health-care providers and public health educators. The better we understand the relationship between theoretically driven predictors and vaccine behaviors, the more educators and health-care providers can focus on meaningful, culturally sensitive, targeted-vaccine education.

Disparities in Health Care and Medical Evaluations by Gender: A Review of Evidence and Mechanisms

2021 ◽  
Vol 111 ◽  
pp. 159-163
Author(s):  
Marika Cabral ◽  
Marcus Dillender
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Social Insurance ◽  
New Work ◽  
Care Providers ◽  
Disability Benefit ◽  
Gender Gaps ◽  
Male And Female ◽  
To Receive

Male and female patients often receive different medical evaluations and treatment even when they have the same symptoms, and relative to men, women are less likely to receive benefits within social insurance programs that rely on medical evaluations. This article reviews evidence from prior research that documents the existence of these gender gaps in health care and disability benefit receipt. The article then describes potential mechanisms underlying these gender gaps. The article concludes by discussing new work on the role of health-care providers in contributing to gender gaps.

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