Socioeconomic patterns in use of private and public health services in Spain and Britain: implications for equity in health care

2014 ◽  
Vol 25 ◽  
pp. 19-25 ◽  
Author(s):  
Lourdes Lostao ◽  
David Blane ◽  
David Gimeno ◽  
Gopalakrishnan Netuveli ◽  
Enrique Regidor
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Services ◽  
Public Health Services ◽  
Equity In Health ◽  
Private And Public ◽  
Socioeconomic Patterns ◽  
Equity In Health Care

scholarly journals Socioeconomic patterns in the use of public and private health services and equity in health care

2008 ◽  
Vol 8 (1) ◽  
Author(s):  
Enrique Regidor ◽  
David Martínez ◽  
María E Calle ◽  
Paloma Astasio ◽  
Paloma Ortega ◽  
...  
Keyword(s):  
Health Care ◽  
Health Services ◽  
Public And Private ◽  
Equity In Health ◽  
Socioeconomic Patterns ◽  
Equity In Health Care

scholarly journals The therapeutic journey of families of children with respiratory diseases in the public health service

2012 ◽  
Vol 20 (3) ◽  
pp. 453-461 ◽  
Author(s):  
Beatriz Rosana Gonçalves de Oliveira ◽  
Neusa Collet ◽  
Débora Falleiros de Mello ◽  
Regina Aparecida Garcia de Lima
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Services ◽  
Respiratory Diseases ◽  
Health Issues ◽  
Public Health Services ◽  
The Public ◽  
Primary Health ◽  
Therapeutic Encounters ◽  
Access To Medical Care

This study's purpose was to identify the therapeutic journey of families seeking health care for their children with respiratory diseases. This qualitative study had the participation of parents of children younger than five years old who were hospitalized with respiratory diseases. Path mapping was used as an instrument to collect data, which was analyzed through thematic analysis. The findings indicate that families sought the health services as soon as they perceived symptoms and had access to medical care, however such care was not decisive in resolving their health issues. Even though the families returned to the service at least another three times, the children had to be hospitalized. The attributes of primary health care were not observed in the public health services, while therapeutic encounters had no practical success.

scholarly journals Perceived risks and barriers to care for international migrants in transit through Mexico

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
S Larrea ◽  
R Leyva-Flores ◽  
N Guarneros-Soto ◽  
C Infante-Xibille
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Services ◽  
Health Personnel ◽  
Health Care Services ◽  
Barriers To Care ◽  
Human Security ◽  
Public Health Services ◽  
Care Services ◽  
In Transit

Abstract Background Mexico has implemented policies seeking to reduce barriers to care for migrants in transit; however, it is estimated that only 3% of migrants use public health services when needed. The main purpose of this study was to identify the barriers to access public health services faced by migrants in transit through Mexico. Methods Under the human security perspective, in 2018, a qualitative study was carried out in Mexican communities with high migrant mobility. 34 semi-structured interviews were conducted with migrants in transit, and personnel from public health services and migrant shelters (NGOs). Values and meanings related to risks, health problems, barriers to care, experiences of health services utilization, and opinions on facilitating elements to diminish these barriers were identified. Results Migrants in transit through Mexico face risks that affect all dimensions of human security. Perceived anti-migratory and discriminative attitudes during the journey were constantly mentioned in the interviews. Barriers to care were found in the four stages of health care access, classified according to the Tanahashi framework, with the majority related to accessibility and acceptability. The following facilitating elements were also identified: political willingness of local government, knowledge and talent management of health personnel, and strategies implemented for adapting local health care services to migrants. Conclusions Social and political conditions in Mexico disrupt any effort to reduce social risks and barriers to care for migrants in transit. Non-governmental actors are key players for facilitating interactions between migrants and local governmental health care institutions. However, the general anti-migratory context negatively affects access to health care and influence the perspectives of migrants, NGOs, and health personnel. Key messages The predominant perceived barriers to care are in counterpoint to local governmental pro-migrant rights perspectives. NGOs are key actors to promote access to public health care services.

scholarly journals Where are we short and who are we short of? A review of the human resources for health in South Africa

2012 ◽  
Vol 17 (1) ◽  
Author(s):  
Gavin George ◽  
Timothy Quinlan ◽  
Candice Reardon ◽  
Jean-François Aguilera
Keyword(s):  
Public Health ◽  
South Africa ◽  
Health Care ◽  
Health Services ◽  
Human Resources ◽  
Nursing Care ◽  
Human Resources For Health ◽  
Health Care Personnel ◽  
Public Health Services ◽  
The Public

This review showed that thinking about the shortage of health care personnel merely in terms of insufficient numbers prevents sound strategic interventions to solve the country’s human resources for health (HRH) problem. It revealed that the numbers shortage was one facet of a broader problem that included the mal distribution of HRH, production of the wrong skills in the nursing care, the attrition of staff from the public health services and, contextually, the ever-changing demands on the health services. The challenge in South Africa was furthermore to train and retain health care personnel with skills and expertise that are commensurate with the changing demands on the public health services.Uit hierdie oorsig het dit duidelik geblyk dat die tekort van gesondheidsorgpersoneel slegs in terme van ontoereikende getalle val en ’n omvattende strategiese ingryping om die land se menslike gesondheidshulpbron krisis op te los, belemmer. Dit het aangedui dat die getalletekort  maar slegs een fasset van ’n groter probleem uitmaak, wat onder andere die volgende insluit: die oneweredige verspeiding van menslike gesondheidshulpbronne, ’n fokus op ontoepaslike vaardighede in die opleiding van verpleegpersoneel, die behoud van personeel in die openbare gesondheidsektor, asook die konstant-veranderlike eise van die gesondheidsdienste. Verder was die uitdaging in Suid Afrika die opleiding en behoud van gesondheidsorgpersoneel met kennis en vaardighede wat tred hou met die veranderlike eise van die openbare gesondheidsdienste.

scholarly journals Trends in horizontal inequity in access to public health care services by immigrant condition in Spain (2006–2017)

2019 ◽  
Vol 18 (1) ◽  
Author(s):  
Jaime Pinilla ◽  
Miguel A. Negrín ◽  
Ignacio Abásolo
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Services ◽  
Health Care Services ◽  
Public Health Care ◽  
Specialist Care ◽  
Public Health Services ◽  
Horizontal Inequity ◽  
Latin Americans ◽  
Care Services

Abstract Background The objective of this research is to analyse trends in horizontal inequity in access to public health services by immigration condition in Spain throughout the period 2006–2017. We focus on “economic immigrants” because they are potentially the most vulnerable group amongst immigrants. Methods Based on the National Health Surveys of 2006–07 (N = 29,478), 2011–12 (N = 20,884) and 2016–17 (N = 22,903), hierarchical logistic regressions with random effects in Spain’s autonomous communities are estimated to explain the probability of using publicly-financed health care services by immigrant condition, controlling by health care need and other socioeconomic and demographic variables. Results Our results indicate that there are several horizontal inequities, though they changed throughout the decade studied. Regarding primary care services, the period starts (2006–07) with no global evidence of horizontal inequity in access (although the analysis by continent shows inequity that is detrimental to Eastern Europeans and Asians), giving way to inequity favouring economic immigrants (particularly Latin Americans and Africans) in 2011–12 and 2016–17. An opposite trend happens with specialist care, as the period starts (2006–07) with evidence of inequity that is detrimental to economic immigrants (particularly those from North of Africa) but this inequity disappears with the economic crisis and after it (with the only exception of Eastern Europeans in 2011–12, whose probability to visit a specialist is lower than for natives). Regarding emergency care, our evidence indicates horizontal inequity in access that favours economic immigrants (particularly Latin Americans and North Africans) that remains throughout the period. In general, there is no inequity in hospitalisations, with the exception of 2011–12, where inequity in favour of economic immigrants (particularly those from Latin America) takes place. Conclusions The results obtained here may serve, firstly, to prevent alarm about negative discrimination of economic immigrants in their access to public health services, even after the implementation of the Royal Decree RD Law 16/2012. Conversely, our results suggest that the horizontal inequity in access to specialist care that was found to be detrimental to economic immigrants in 2006–07, disappeared in global terms in 2011–12 and also by continent of origin in 2016–17.

scholarly journals Comparative quality of private and public health services in rural Vietnam

2005 ◽  
Vol 20 (5) ◽  
pp. 319-327 ◽  
Author(s):  
Tran Tuan ◽  
Van Thi Mai Dung ◽  
Ingo Neu ◽  
Michael J Dibley
Keyword(s):  
Public Health ◽  
Health Services ◽  
Public Health Services ◽  
Private And Public

scholarly journals Exploring the interaction of activity limitations with context, systems, community and personal factors in accessing public health care services: A presentation of South African case studies

2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Gubela Mji ◽  
Stine H. Braathen ◽  
Richard Vergunst ◽  
Elsje Scheffler ◽  
Janis Kritzinger ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Services ◽  
Case Studies ◽  
Health Care Services ◽  
Public Health Care ◽  
Activity Limitations ◽  
Personal Factors ◽  
Access To Health Services ◽  
Public Health Services

Background: There are many factors that influence access to public health services, such as the context people live in, the existing health services, and personal, cultural and community factors. People with disabilities (activity limitations), through their experience of health services, may offer a particular understanding of the performance of the health services, thus exposing health system limitations more clearly than perhaps any other health service user.Aim: This article explores how activity limitations interact with factors related to context, systems, community and personal factors in accessing public health care services in South Africa.Setting: We present four case studies of people with disabilities from four low-resource diverse contexts in South Africa (rural, semi-rural, farming community and peri-urban) to highlight challenges of access to health services experienced by people with activity limitations in a variety of contexts.Methods: One case study of a person with disabilities was chosen from each study setting to build evidence using an intensive qualitative case study methodology to elucidate individual and household experiences of challenges experienced by people with activity limitations when attempting to access public health services. In-depth interviews were used to collect data, using an interview guide. The analysis was conducted in the form of a thematic analysis using the interview topics as a starting point.Results: First, these four case studies demonstrate that equitable access to health services for people with activity limitations is influenced by a complex interplay of a variety of factors for a single individual in a particular context. Secondly, that while problems with access to public health services are experienced by everyone, people with activity limitations are affected in particular ways making them particularly vulnerable in using public health services.Conclusion: The revitalisation of primary health care and the introduction of national health insurance by the Health Department of South Africa open a window of opportunity for policy makers and policy implementers to revisit and address the areas of access to public health services for people with activity limitations.

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