scholarly journals Police brutality, medical mistrust and unmet need for medical care

2021 ◽  
pp. 101361
Author(s):  
Sirry Alang ◽  
Donna McAlpine ◽  
Malcolm McClain ◽  
Rachel Hardeman
Keyword(s):  
Medical Care ◽  
Unmet Need ◽  
Police Brutality ◽  
Medical Mistrust

Police brutality and unmet need for mental health care

2021 ◽  
Author(s):  
Sirry Alang ◽  
Taylor B. Rogers ◽  
Lillie D. Wiliamson ◽  
Cherrell Green ◽  
April J. Bell
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Unmet Need ◽  
Police Brutality

UNMET NEED FOR ADDITIONAL MEDICAL CARE FOR SICK CHILDREN IN MOTHER’S VIEW IN RURAL BANGLADESH: IMPLICATIONS FOR IMPROVING CHILD HEALTH SERVICES

2007 ◽  
Vol 39 (5) ◽  
pp. 769-778 ◽  
Author(s):  
NURUL ALAM
Keyword(s):  
Health Services ◽  
Medical Care ◽  
Unmet Needs ◽  
Unmet Need ◽  
Chronic Illnesses ◽  
Rural Bangladesh ◽  
Medical Needs ◽  
Poor Households ◽  
Sick Children ◽  
Unmet Medical Needs

SummaryWhile a country’s health policy aims to provide health services to all who need them, very little in known about unmet need for additional medical care from users’ perspectives in Bangladesh. This study examined unmet medical need (defined as whether a mother felt that, to manage sickness, her child had required medical care that was not available, regardless of reasons and medical care sought) of 2123 under-15 sick children by illness and child’s socioeconomic characteristics in rural Bangladesh. The 1996 Health and Socioeconomic Survey conducted in Matlab recorded children’s chronic (a disease or a condition lasting 3 months or more) and acute (a disease or a condition with a rapid onset and a short, severe course) morbidity, medical care sought to combat illness and unmet needs for additional medical services in mothers’ views to manage the illness. The survey also recorded household socioeconomic data. Logistic regression was used to examine the data. The results reveal that unmet needs for additional medical care were 5·4% for children with acute illnesses, and 30·2% for children with chronic illnesses. For chronic illnesses, seeking medical care to manage illness from any health provider outside the home reduced unmet medical needs. Economic inequalities existed for both acute and chronic illnesses: the odds ratio of unmet medical needs for sick children of the least poor households was 0·42 (95% CI: 0·28–0·64) times that for sick children of the very poor households. The critically high unmet needs for children’s chronic morbidity reveal that the chronic disease control programme in Bangladesh needs urgent revisiting and strengthening.

Estimation of Unmet Need for HIV Primary Medical Care: A Framework and Three Case Studies

2005 ◽  
Vol 17 (Supplement B) ◽  
pp. 26-38 ◽  
Author(s):  
Kathryn Ikard ◽  
Jays Janney ◽  
Ling Chin Hsu ◽  
Deborah J. Isenberg ◽  
M. Beth Scalco ◽  
...  
Keyword(s):  
Medical Care ◽  
Case Studies ◽  
Unmet Need ◽  
Primary Medical Care

scholarly journals Perceived treatment and unmet need for medical care among people of foreign origin in Finland

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L Somersalo ◽  
P Kankkunen ◽  
H Kuusio
Keyword(s):  
Medical Care ◽  
Unmet Need ◽  
Well Being ◽  
Sociodemographic Factors ◽  
Equal Treatment ◽  
International Studies ◽  
Related Factors ◽  
Medical Settings ◽  
Foreign Origin ◽  
Gp Services

Abstract Background Previous international studies show that perceived unjust treatment is relatively common among people with foreign background (PFB) in medical services. This study examines the association between unjust treatment in medical settings and unmet need for general practitioner's (GP) services among PFB in Finland. Methods The data for this study were drawn from Survey on work and well-being among people of foreign origin (UTH) (N = 5449, response rate 66%), conducted in 2014-2015. Respondent characteristics were weighted and summarized, and multivariable logistic regressions were performed to assess the adjusted odds ratios (OR) of association between self-assessed unjust treatment and unmet need for medical care. The analyses were conducted in a three-step process where the first model tested the association between unjust treatment in medical care settings and unmet need for GP services, second model adjusted this association by sociodemographic factors, and the third model further adjusted the previous models by migration related factors. Results PFB reporting unjust treatment were significantly more likely to experience unmet need for GP services, even after controlling for other tested factors (OR = 8.73, 95% CI 6.18-12.33, p<.001). Besides unjust treatment, only employment status was associated with unmet need for GP services (OR = 1.43, 95% CI 1.08-1.89, p = 0.123) in the final model. Immigration related factors were not associated with unmet need for care in this model. Conclusions Perceived unjust treatment in medical settings is strongly associated with unmet need for GP services. Key messages Cultural sensitive treatment could affect the inequities in unmet need for GP services between PFB and overall population. Ensuring cultural competence throughout organizational structures, and not just for individual employees, could create an environment to promote equal treatment of all clients.

scholarly journals COVID-19 Recommendations for Assisted Living: Implications for the Future

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 57-57
Author(s):  
Andrew Vipperman ◽  
Sheryl Zimmerman ◽  
Philip Sloane
Keyword(s):  
Health Care ◽  
Social Work ◽  
Nursing Homes ◽  
Medical Care ◽  
Social Workers ◽  
Assisted Living ◽  
Unmet Need ◽  
Group Activities ◽  
Integrate Health Care ◽  
The Future

Abstract Similar to nursing homes, COVID-19 has challenged assisted living (AL), given its congregate nature and vulnerable residents. However, COVID-19 recommendations have not consistently recognized differences between nursing homes and AL, and in so doing present implications for the future of AL. This project examined COVID-19 recommendations from six key organizations and compared them across nursing homes and AL. Differences include recommending more flexible visitation and group activities for AL, while similarities suggest that AL may best integrate health care into offered services (e.g., work with consulting clinicians who know residents and the AL community). Primary points to be discussed are that COVID-19 may accelerate the closer coordination of social work and medical care into AL, because recommendations suggest AL would benefit from the services and expertise of nurses, social workers, and physicians. There seems to be an unmet need to mitigate loneliness in AL, which warrants specific attention moving forward.

scholarly journals The Impact of COVID-19 on Routine Medical Care and Cancer Screening

2022 ◽  
Author(s):  
Neil S. Wenger ◽  
Annette L. Stanton ◽  
Ryan Baxter-King ◽  
Karen Sepucha ◽  
Lynn Vavreck ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Cancer Screening ◽  
Medical Care ◽  
Death Rate ◽  
Unmet Need ◽  
Medical Conditions ◽  
Physical And Mental Health ◽  
Cross Sectional ◽  
Medical Visits ◽  
The Impact

Abstract Background COVID-19 restrictions and fear dramatically changed the use of medical care. Understanding the magnitude of cancelled and postponed appointments and associated factors can help identify approaches to mitigate unmet need. Objective To determine the proportion of medical visits cancelled or postponed and for whom. We hypothesized that adults with serious medical conditions and those with higher anxiety, depressive symptoms, and avoidance-oriented coping would have more cancellations/postponements. Design Four nationally representative cross-sectional surveys conducted online in May, July, October, and December 2020. Participants 59,747 US adults who completed 15-min online surveys. 69% cooperation rate. Measures Physical and mental health visits and cancer screening cancelled or postponed over prior 2 months. Plan to cancel or postpone visits over the next 2 months. Relationship with demographics, medical conditions, local COVID-19 death rate, anxiety, depressive symptoms, coping, intolerance of uncertainty, and perceived COVID-19 risk. Key Results Of the 58% (N = 34,868) with a medical appointment during the 2 months before the survey, 64% had an appointment cancelled or postponed in May, decreasing to 37% in December. Of the 41% of respondents with scheduled cancer screening, 20% cancelled/postponed, which was stable May to December. People with more medical conditions were more likely to cancel or postpone medical visits (OR 1.19 per condition, 95% CI 1.16, 1.22) and cancer screening (OR 1.20, 95% CI 1.15, 1.24). Race, ethnicity, and income had weak associations with cancelled/postponed visits, local death rate was unrelated, but anxiety and depressive symptoms were strongly related to cancellations, and this grew between May and December. Conclusions Cancelled medical care and cancer screening were more common among persons with medical conditions, anxiety and depression, even after accounting for COVID-19 deaths. Outreach and support to ensure that patients are not avoiding needed care due to anxiety, depression and inaccurate perceptions of risk will be important.

scholarly journals Sources of Distress for Residents With Chronic Critical Illness and Ventilator Dependence in Long-Term Care

2020 ◽  
pp. 104973232097637
Author(s):  
A. Fuchsia Howard ◽  
Sarah Crowe ◽  
Laura Choroszewski ◽  
Joe Kovatch ◽  
Adrianne J. Haynes ◽  
...  
Keyword(s):  
Critical Illness ◽  
Medical Care ◽  
Quality Care ◽  
Unmet Need ◽  
Physical Symptoms ◽  
Term Care ◽  
Ventilator Dependence ◽  
Chronic Critical Illness ◽  
Sense Of Home

Limited understanding of the psychological challenges experienced by individuals with chronic critical illness hampers efforts to deliver quality care. We used an interpretive description approach to explore sources of distress for individuals with chronic critical illness in residential care, wherein we interviewed six residents, 11 family members, and 21 staff. Rather than discuss physical symptoms, sources of distress for residents were connected to feeling as though they were a patient receiving medical care as opposed to an individual living in their home. The tension between medical care and the unmet need for a sense of home was related to care beyond the physical being overlooked, being dependent on others but feeling neglected, frustration with limited choice and participation in decision making, and feeling sad and alone. Efforts to refine health care for individuals with chronic critical illness must foster a sense of home while ensuring individuals feel safe and supported to make decisions.

scholarly journals Identity, stigma, and HIV risk among transgender women: a qualitative study in Jiangsu Province, China

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Zi-Han Yan ◽  
Jessica Lin ◽  
Wen-Jing Xiao ◽  
Keh-Ming Lin ◽  
Willi McFarland ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Qualitative Study ◽  
Mental Health Care ◽  
Medical Care ◽  
Mental Health Problems ◽  
Unmet Need ◽  
Social Rejection ◽  
Transgender Women ◽  
Sti Prevention

Abstract Background Transgender women have multiple disparities globally, including social rejection and stigma, HIV infection and untreated mental health problems. However, few data on transgender women are available in China. Therefore, this study aimed to explore transgender women’s experiences on gender identity, disclosure, discrimination, transgender-specific medical care, and perceptions of HIV and sexually transmitted infections (STI) risk in China. Methods A qualitative study was conducted in Nanjing and Suzhou city, China in 2018. Key informant interviews (n = 14) and focus group discussions (n = 2) with diverse transgender women were implemented. Text was transcribed and translated, and Dedoose™ software was used for coding, analysis and interpretation by the research team. Results Chinese transgender women share experiences with transgender women worldwide, including a long and challenging identity search, stigma and discrimination, poor access to trans-specific services and unmet needs for mental health care. Features unique to them include terms used for self-identification, culturally-shaped expectations for reproduction, and ideals of placing the familial and societal welfare over personal fulfillment. Social networks of this population appear sparse, scattered, and underground. Familial rejection was experienced by nearly all respondents. Perceptions of HIV and STI risk and history of HIV testing were notably low. Conclusions Transgender women in China face high social rejection and discrimination along with unmet need for various types of healthcare. Scaling up transgender-specific services including gender-affirming medical care, mental health care and HIV/STI prevention are warranted to address the social, medical and mental health of transgender women in China.

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