scholarly journals Access and participation: What factors influence the provision and utilisation of health care services by children with learning disabilities?

2017 ◽  
Vol 41 (S1) ◽  
pp. S452-S452
Author(s):  
A. Rebowska
Keyword(s):  
Health Care ◽  
Learning Disabilities ◽  
Young People ◽  
Intellectual Disabilities ◽  
Health Care Services ◽  
Healthcare Services ◽  
Children And Young People ◽  
Care Services ◽  
Healthcare Needs ◽  
Wide Range

AimsThe aim of this literature review is to explore the range of factors that influence the degree of access to health care services by children and young people with learning disabilities.BackgroundChildren with learning disabilities are at increased risk of a wide range of health conditions comparing with their peers. However, recent reports by UK government as well as independent charities working with children and young people with learning disabilities demonstrated that they are at risk of poor health outcomes as a result of barriers preventing them from accessing most appropriate services.MethodsComprehensive searches were conducted in six databases. Articles were also obtained through review of references, a search of the grey literature, and contacting experts in the field. The inclusion criteria were for studies evaluating access to healthcare services, identification and communication of health needs, organisational aspects impacting on access and utilisation, staff attitudes where they impacted on access, barriers, discrimination in patients with intellectual disabilities age 0–18. The literature search identified a sample of 36 papers. The marked heterogeneity of studies excluded conducting a meta-analysis.ResultsBarriers to access included problems with identification of healthcare needs by carers and healthcare professionals, communication difficulties, the inadequacy of facilities, geographical and physical barriers, organisational factors such as inflexible appointment times, attitudes and poor knowledge base of healthcare staff.ConclusionThe factors identified can serve as a guide for managers and clinicians aiming to improve access to their healthcare services for children and young people with intellectual disabilities.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Comprehensive health care services for people with learning disabilities

2002 ◽  
Vol 8 (2) ◽  
pp. 138-147 ◽  
Author(s):  
Mary Patricia Lindsey
Keyword(s):  
Health Care ◽  
Learning Disabilities ◽  
Health Care Services ◽  
Well Being ◽  
Access To Health Services ◽  
Comprehensive Health Care ◽  
Care Needs ◽  
Care Services ◽  
Wide Range ◽  
Comprehensive Health

Comprehensive health care services respond effectively to the needs of their patients not just in terms of treatment of health problems but also by addressing overall well-being by understanding, informing, involving, counselling and respecting the individual. By contrast, the history of health care for people with learning disabilities has been characterised by a lack of communication and poor understanding of their ordinary and special needs. There have been many barriers to access to health services that most members of the population take for granted. In addition, people with learning disabilities have many special health care needs that also have to be addressed. Therefore, person-centred services must be aware of the wide range of needs to which they must be able to respond while treating each person as an individual (see Box 1).

Supporting Young People at School With High Mental Health Needs

2005 ◽  
Vol 15 (2) ◽  
pp. 137-155 ◽  
Author(s):  
Debra Rickwood
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Primary Health Care ◽  
Young People ◽  
School Environment ◽  
Health Care Services ◽  
Mental Health Problems ◽  
School Setting ◽  
Care Services ◽  
Primary Health

AbstractFor young people still at school, the school setting is vital to their mental health and wellbeing. Not only does the school environment have a direct and indirect impact on mental health, it provides an opportunistic setting in which to identify and respond to emerging mental health problems. To do this effectively, schools and school staff must work in collaboration with the young people themselves, their families, and other support services within the community, particularly primary health care services, including general practice. The importance of developing effective partnerships and care pathways between schools and the primary health care sector is being increasingly acknowledged, and initiatives such as MindMatters Plus GP have advanced our understanding in this area.

Current situation and capacity to deliver healthcare services at grassroots level in Minh Hoa district, Quang Binh province

2021 ◽  
Vol 30 (4) ◽  
pp. 27-34
Author(s):  
Dang Thanh Nam ◽  
Nguyen Thi Thuy Duong ◽  
Phan Le Thu Hang ◽  
Tham Chi Dung
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Healthcare Services ◽  
Current Situation ◽  
Health Care Facilities ◽  
National Standard ◽  
Health Examination ◽  
Care Services ◽  
Disease Pattern ◽  
Grassroots Level

Strengthening the health care system at grassroots level is a top priority of the Vietnam Government agenda at the present. Recently, the overall system has been improved, however the capacity to deliver healthcare services, especially primary health care was still facing to many shortcomings. The study aimed to assess the current situation and capacity to deliver health care services at grassroots level. All health care facilities in the Minh Hoa district, Quang Binh province in 2018 were selected, included Minh Hoa District Hospital (DHs) and 16 Commune Health Center (CHCs). The results showed that the disease patterns tended to primarily concentrate on the illness which weres related to the human lifestyle and health behaviors such as living habits, eating unhealthy food, stress and also natural environment. Utilization of the curative services increased over the year, especially the laboratory testing and health examination services. However, the facility infrastructures did not meet the national standard. The function rooms in the facilities being degraded and damaged remained at high proportion which were required to renovate. The facilities lacked of large number of essential equipment and materials. In order to strengthen the capacity to deliver the health care services, the study recommended to invest to standardize infrastructure, provision of essential equipment, materials and drugs in correspondent to the disease pattern.

Umowy o udzielanie świadczeń opieki zdrowotnej zawierane przez Narodowy Fundusz Zdrowia (leczenie w ramach ubezpieczenia zdrowotnego) a leczenie na zasadach komercyjnych. Implikacje prawne i praktyczne

2021 ◽  
pp. 141-151
Author(s):  
Paweł Lipowski
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Health Care Providers ◽  
Health Care Services ◽  
Legal Status ◽  
Healthcare Services ◽  
Care Providers ◽  
Care Services ◽  
Public Payer ◽  
Universal Health

The aim of this study is to identify the legal characteristics of contracts for the health care services provided by a public payer, i.e. the National Health Fund (NFZ) as part of treatment covered by universal health insurance, as compared to those provided by the health care providers with public or private legal status. This issue is discussed in relation to the legal conditions for the treatment of patients on a commercial basis in those institutions (private or public) which have contracts for the provision of healthcare services under the general health insurance (so-called contracts). The discussion is presented based on author’s own observations, resulting both from his scientific studies in the field of medical law and his work in various entities operating in the health care system.

scholarly journals Trudności w realizacji ról rodzicielskich rodziców dzieci z niepełnosprawnością intelektualną

2016 ◽  
pp. 231-248
Author(s):  
Dorota Tomczyszyn
Keyword(s):  
Health Care ◽  
Intellectual Disabilities ◽  
Health Care Services ◽  
Parental Roles ◽  
Care Services ◽  
The Disabled ◽  
Child With A Disability ◽  
The Way

The paper presents the results of research on difficulties in realization of parental roles of parents of children with intellectual disabilities. The au­thor has surveyed 222 parents of chil­dren with intellectual disabilities, includ­ing 111 mothers and 111 fathers. The re­search was completed in 2013 and 2014 in the Lublin Province. On the basis of parents’ declarations it can be seen that most respondents did not encounter dif­ficulties in the professional sphere or the sphere of marriage, but in tasks connect­ed with raising a child with a disability. Problems that appear in parenting chil­dren with disabilities concern most of­ten health care services, rehabilitation and the way the disabled are treated by others.

The evolution of health care services: guidelines and prospects

2010 ◽  
pp. 154-167
Author(s):  
Maurizio Fea
Keyword(s):  
Health Care ◽  
Young People ◽  
Health Care Services ◽  
Strong Influence ◽  
Epidemiological Data ◽  
Good Practices ◽  
Care Services

The paper describes history and evolution of out patient's departments for alcoholism, with reference to national and regional norms and laws. Cultural and epistemic factors has been very important toward the develop of department's system, and made a strong influence on their organization. Epidemiological data shows that young people don't approach out patient's department and get little intake with therapeutic network. It is necessary therefore to improve specific opportunities for young people, particularly for those who are harmful and hazardous consumers. It suggests some useful criteria to identify good practices for young people's approach and treatment.

2. The Provision of HealthCare Services: The NHS, Resource Allocation, and Public Health

Medical Law ◽  
2019 ◽  
pp. 37-120
Author(s):  
Emily Jackson
Keyword(s):  
Public Health ◽  
Health Care ◽  
Resource Allocation ◽  
Health Care Services ◽  
Healthcare Services ◽  
Health Law ◽  
Care Services ◽  
Role Of The State ◽  
Healthy Behaviour

All books in this flagship series contain carefully selected substantial extracts from key cases, legislation, and academic debate, providing able students with a stand-alone resource. This chapter examines the provision of health care services. It first considers the way in which NHS services are commissioned. Secondly, it covers the issue of resource allocation or rationing. It examines different rationing strategies, and considers the role of the National Institute of Health and Care Excellence, and the use of judicial review to challenge funding decisions. Finally, it examines public health law, and role of the state in encouraging healthy behaviour and addressing health inequalities.

scholarly journals Chronic Kidney Disease Diagnosis Model Based on Case Based Reasoning

2019 ◽  
Vol 9 (2) ◽  
pp. 2738-2743
Keyword(s):  
Health Care ◽  
Human Resources ◽  
Health Care Services ◽  
Kidney Diseases ◽  
Disease Diagnosis ◽  
Case Based Reasoning ◽  
Highly Qualified ◽  
Care Services ◽  
Healthcare Needs ◽  
The One

Provision of health care services is still a major challenge for developing countries. To mention some of the challenges: Lack of highly qualified medical human resources, financial as well as the ability of manage and transform scare resources to meet healthcare needs. In particular, In Ethiopia health care management related to the kidney disorder suffers from the following challenges: lack of highly qualified medical human resources, financial as well as the ability to manage and transform scarce resources to meet healthcare needs.On the one hand, Artificial Intelligence (AI) helps the medical sciences. Hence, in this paper we proposed a framework for CBR system to facilitate and support the diagnosis of chronic kidney diseases with domain expert’s advice. Interview and techniques have been employed on this study to acquire the necessary information required to develop intended CBR system. Finally, we evaluate the performance of the developed framework using recall and precision.

scholarly journals What Are the Potential Advantages and Disadvantages of Merging Health Insurance Funds? A Qualitative Policy Analysis from Iran

2020 ◽  
Author(s):  
Mohammad Bazyar ◽  
Vahid Yazdi-Feyzabadi ◽  
Nouroddin Rahimi ◽  
Arash Rashidian
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Health Care Services ◽  
Health Care Expenditures ◽  
Advantages And Disadvantages ◽  
Care Services ◽  
Wide Range ◽  
Insurance Funds ◽  
Rich Data ◽  
Health Insurance Funds

Abstract Background:In countries with health insurance systems, the number and size of insurance funds along with the amount of risk distribution among them are a major concern. One possible solution to overcome problems resulting from fragmentation is to combine risk pools to create a single pool. This study aimed to investigate the potential advantages and disadvantages of merging health insurance funds in Iran. Methods:In this qualitative study, a purposeful sampling with maximum variation was used to obtain representativeness and rich data. To this end, sixty-seven face-to-face interviews were conducted. Moreover, a documentary review was used as a supplementary source of data collection. Content analysis using the 'framework method' was used to analyze the data. Four trustworthiness criteria, including credibility, transferability, dependability, and confirmability, were used to assure the quality of results. Results:The potential consequences were grouped into seven categories, including stewardship, financing, population, benefit package, structure, operational procedures, and interaction with providers. According to the interviewees, controlling total health care expenditures; improving strategic purchasing; removing duplication in population coverage; centralizing the profile of providers in a single database; controlling the volume of provided health care services; making hospitals interact with single insurance with a single set of instructions for contracting, claiming review, and reimbursement; and reducing administrative costs were among the main benefits of merging health insurance funds. The interviewees enumerated the following drawbacks as well: the social security organization’s unwillingness to collect insurance premiums from private workers actively as before; increased dissatisfaction among population groups enjoying a generous basic benefits package; risk of financial fraud and corruption due to gathering all premiums in a single bank; and risk of putting more financial pressure on providers in case of delay in reimbursement with a single-payer system. Conclusion:Merging health insurance schemes in Iran is influenced by a wide range of potential merits and drawbacks. Thus, to facilitate the process and lessen opponents’ objection, policy makers should act as brokers by taking into account contextual factors and adopting tailored policies to respectively maximize and minimize the potential benefits and drawbacks of consolidation in Iran.

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