Deficient Health Care Services as Barriers to Meet Care Needs of Gynecological Cancer Survivors in Indonesia: A Qualitative Inquiry

2021 ◽  
pp. 151206
Author(s):  
Yati Afiyanti ◽  
Ariesta Milanti ◽  
Meyke Rosdiana ◽  
Dyah Juliastuti
Keyword(s):  
Health Care ◽  
Cancer Survivors ◽  
Health Care Services ◽  
Gynecological Cancer ◽  
Qualitative Inquiry ◽  
Care Needs ◽  
Care Services ◽  
Gynecological Cancer Survivors

Needs assessment for gender sensitive reproductive health services for adolescents

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Fatemeh Rahmanian ◽  
Soheila Nazarpour ◽  
Masoumeh Simbar ◽  
Ali Ramezankhani ◽  
Farid Zayeri
Keyword(s):  
Health Care ◽  
Reproductive Health ◽  
Health Services ◽  
Health Care Providers ◽  
Health Care Services ◽  
Care Providers ◽  
Reproductive Health Services ◽  
Care Needs ◽  
Reproductive Health Care ◽  
Care Services

AbstractBackgroundA dimension of reproductive health services that should be gender sensitive is reproductive health services for adolescents.ObjectiveThis study aims to assess needs for gender sensitive reproductive health care services for adolescents.MethodsThis was a descriptive cross-sectional study on 341 of health care providers for adolescents in health centers and hospitals affiliated to Shiraz University of Medical Sciences in Iran in 2016. The subjects of the study were recruited using a convenience sampling method. The tools for data collection were: (1) a demographic information questionnaire and; (2) a valid and reliable questionnaire to Assess the Needs of Gender-Sensitive Adolescents Reproductive Health Care Services (ANQ-GSARHS) including three sections; process, structure and policy making for the services. Data were analyzed using SPSS 21.ResultsThree hundred and forty-one health providers with an average working experience of 8.77 ± 5.39 [mean ± standard deviation (SD)] years participated in the study. The results demonstrated the highest scores for educational needs (92.96% ± 11.49%), supportive policies (92.71% ± 11.70%) and then care needs (92.37% ± 14.34%) of the services.ConclusionsProviding gender sensitive reproductive health care services for adolescents needs to be reformed as regards processes, structure and policies of the services. However, the gender appropriate educational and care needs as well as supportive policies are the priorities for reform of the services.

scholarly journals Prison Health as Public Health in Ontario Corrections

2020 ◽  
Vol 5 (1) ◽  
pp. 19
Author(s):  
Yoko Murphy ◽  
Howard Sapers
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Services ◽  
Care Needs ◽  
Term Care ◽  
Care Services ◽  
Prison Health ◽  
Independent Review ◽  
Recent Reform ◽  
The Government

The majority of incarcerated individuals in Canada, and especially in Ontario provincial correctional institutions, are released into the community after a short duration in custody. Adult correctional populations have generally poor health, including a heightened prevalence of mental health and substance use disorders. There are legal and ethical obligations to address health care needs of incarcerated individuals, and also public health benefits from ensuring adequate, appropriate, and accessible health services to individuals in custody. The Independent Review of Ontario Corrections recommended the transformation of health care in Ontario provincial corrections in 2017, including transferring health service responsibilities to the Ministry of Health and Long-Term Care. The Correctional Services and Reintegration Act, 2018, would affirm the provincial government’s obligation to provide patient-centred, equitable health care services for individuals in custody. We encourage the Government of Ontario to proclaim the Act and continue the momentum of recent reform efforts in Ontario.

scholarly journals THE HEALTH-CARE NEEDS AMONG OLDER PERSONS IN AN INDONESIAN URBAN SETTING

2017 ◽  
Vol 10 (7) ◽  
pp. 233
Author(s):  
Setiawan E ◽  
Poedjibudojo J K ◽  
Tondok Ms
Keyword(s):  
Health Care ◽  
Older Persons ◽  
Health Care Services ◽  
Capital City ◽  
Urban Setting ◽  
Health Care Needs ◽  
Care Needs ◽  
Care Services ◽  
Unmet Health Care Needs ◽  
The Government

Objective: The unmet health-care needs among older persons population should be identified and anticipated due to hideous potential impacts. Ironically, no published study regarding this phenomenon was found in Indonesia. Derived from the Indonesian population and civil data, this study was conducted to identify the health-care needs of urban older people living on Java Island, the most populated island in Indonesia.Methods: A qualitative study was conducted in 3 subdistricts in Surabaya, the capital city of East Java, namely, Rungkut, Kenjeran, and Tenggilis. There were 9 focus group discussions (FGDs) conducted during March-August 2015. Participants in this study were recruited purposively, i.e., person in charge of “Karang Werda,” and the discussion explored thematically various topics in the area of unmet health needs phenomena related to: (1) Availability, (2) accessibility, and (3) acceptability. A FGD guide was developed to ensure in-depth discussion.Results: There were 90 older persons serving as volunteers who participated in this study. The unmet health-care needs addressed by participants in this study were (1) Integrated and specialized health-care services for older persons and (2) skillful yet age-friendly health-care personnel were needed by participants. Our findings pointed out that the unmet health-care needs in Indonesian urban settings were classified as primarily availability, accessibility, and acceptability issues.Conclusion: The government needs to take actions to solve the challenges related to the fulfillment of health-care needs among older persons in Indonesia. Further study of the health care personnel’s beliefs and attitudes in providing care among older persons needs to be conducted to provide a more holistic picture of the phenomena before making any strategy for the future Indonesia’s health-care system.

scholarly journals Health and healthcare in the year 2040 – Facts for planning a complex and uncertain future

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
T Funk ◽  
B Forsberg
Keyword(s):  
Health Care ◽  
Burden Of Disease ◽  
Health Care Services ◽  
Disease Burden ◽  
Health Planning ◽  
Health Care Planning ◽  
Care Needs ◽  
Future Health ◽  
Care Services ◽  
Future Health Care

Abstract Background In the Stockholm region, a regional political assembly is responsible for health care services for a population of 2.3 million. In November 2017, the political leadership decided on a programme to project health and healthcare developments in the Stockholm region until 2040 as a basis for a longterm health plan. This presentation aims to describe the methodology used, share some results and raise some questions for further work. Through the presentation we also seek collaboration with European partners involved in similar health planning work. Methodology Six perspectives for analysis were defined and under each a set of areas for deeper analysis identified. It was agreed that the planning should be fact-driven. Under the constraint of availability, data covering the period 2000 to 2017 was collected for around 90 variables. Data was gathered from various publicly available databases and was analysed in Microsoft Excel. Results Stockholm’s population increased continuously since the millennial shift and could increase by another 28% until 2040. Since 2000, life expectancy increased by 2 years for women and 3 years for men. More than 85% of the burden of disease is caused by chronic diseases. However, the overall disease burden per 100 000 population has been decreasing over the years. In 2017, more than 21 million outpatient care visits were done. Extrapolations of these trends show that the disease burden per capita will continue to decrease, but the total burden of disease as well as demand for health care will continue to increase. Discussion A fact-based analysis of future health and healthcare proved to be an efficient base for planning and discussions of future health care services. Results confirmed some well-established perceptions of developments but also pointed to some misconceptions and established “facts” that proved to be false. New digital services make prediction of the future health service mix dynamic and challenging. Key messages To meet future health care needs, future health and health care trends should be planned for and considered in decision making processes. Forecasts and health care planning should be fact-based to have an as accurate picture of future health and health care trends as possible.

scholarly journals Health Care Needs and Services for Elder and Disabled Population: Findings from a Barcelona Study

2020 ◽  
Vol 17 (21) ◽  
pp. 8071
Author(s):  
Jessica Rodriguez-Pereira ◽  
Jesica de Armas ◽  
Lorenzo Garbujo ◽  
Helena Ramalhinho
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Modern Society ◽  
Health Care Needs ◽  
Health Care Demand ◽  
Care Needs ◽  
Care Services ◽  
Health Care Infrastructure ◽  
The Relationship ◽  
Population Segment

Health care is a pillar of modern society. This study focuses on the use of descriptive analytics to provide demographic and territorial insights that will be of strategic importance in planning subsequent projects meant to improve health care services. We especially focus on the assessment of the elder and disabled population health care needs in Barcelona, and evaluate to what extent the current health care infrastructure is successful in covering the demand of these fragile population segment. This work is developed around three main assessments in the municipality of Barcelona: the elder and disabled health care demand, the available health care services, and the relationship between demand and services, showing that territorial and demographic aspects are relevant in assessing the health needs of the population.

scholarly journals Correction to: Health care services use among long-term breast cancer survivors: a systematic review

2019 ◽  
Vol 13 (3) ◽  
pp. 494-494
Author(s):  
Anna Jansana ◽  
Margarita Posso ◽  
Inmaculada Guerrero ◽  
Alexandra Prados-Torres ◽  
Maria Isabel Del Cura ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Systematic Review ◽  
Health Care ◽  
Cancer Survivors ◽  
Health Care Services ◽  
Breast Cancer Survivors ◽  
Care Services ◽  
Services Use

Perspectives on Health Care of Adults With Developmental Disabilities

2008 ◽  
Vol 46 (6) ◽  
pp. 411-426 ◽  
Author(s):  
Susan L. Parish ◽  
Kathryn Moss ◽  
Erica L. Richman
Keyword(s):  
Health Care ◽  
Developmental Disabilities ◽  
Health Care Services ◽  
Policy Implications ◽  
Care Needs ◽  
Focus Group Study ◽  
Health Promotion Behaviors ◽  
Care Services ◽  
Excellent Health ◽  
Access To Medical Care

Abstract A focus group study was conducted with individuals with developmental disabilities to understand their perspectives on their health status, health promotion behaviors, and health care services they receive. The majority of participants reported good to excellent health, and all had some form of medical insurance. However, participants reported notable gaps in dental and reproductive health care and age-specific cancer screening. Some adults had good access to medical care, particularly those with a family member or friend who served as their health advocate. Some adults had a sound understanding of their health and health care needs. Program and policy implications are discussed and recommendations are presented to ensure adequate health care for adults with disabilities, including health advocacy training for caregivers.

Meeting the Health Care Needs of Elderly Métis Women in Buffalo Narrows, Saskatchewan

2013 ◽  
Vol 4 (1) ◽  
pp. 34
Author(s):  
Brigette Krieg ◽  
Diane Martz
Keyword(s):  
Health Care ◽  
Health Research ◽  
Policy Development ◽  
Health Care Services ◽  
Elderly Women ◽  
Health Care Service ◽  
Health Care Needs ◽  
Care Needs ◽  
Community Based Research ◽  
Care Services

There is limited data, including health data, specific to the Métis population in Canada. As a result, the health issues and concerns of Métis communities—in particular Métis women—have largely been ignored in health research and in program and policy development. To address this dearth of information, a community-based research committee made up of Métis women initiated the Buffalo Narrows Métis Women’s Health Research Project. The goals of the project were to investigate the health care needs of elderly women and their caregivers in a northern and remote Saskatchewan Métis community. The project looked at barriers to health care service access in terms of accessibility, affordability, availability, acceptability and accommodation. Results showed that elderly Métis women experienced multiple, interconnected barriers to accessing health care services, making it difficult to isolate one variable as being more important than another. However, the Métis women interviewed did identify a number of recommendations to help in meeting the complex service needs of elderly women in the community. If implemented, these recommendations would help to ease the pressure put on extended family members who act as informal caregivers to elderly residents as well as giving elderly patients more independence and improving elderly women’s access to primary health care services.

scholarly journals Vouchers for chronic disease care

2008 ◽  
Vol 32 (3) ◽  
pp. 451 ◽  
Author(s):  
Jennifer J Watts ◽  
Leonie Segal
Keyword(s):  
Health Care ◽  
Chronic Disease ◽  
Consumer Choice ◽  
Health Care Services ◽  
Policy Instrument ◽  
Care Needs ◽  
Economic Implications ◽  
Care Services ◽  
Equity And Efficiency ◽  
Attractive Option

This paper explores the economic implications of vouchers for chronic disease management with respect to achieving objectives of equity and efficiency. Vouchers as a payment policy instrument for health care services have a set of properties that suggest they may address both demand-side and supply-side issues, and contribute to equity and efficiency. They provide a means whereby health care services can be targeted at selected groups, enabling consumer choice of provider, and encouraging competition in the supply of health services. This analysis suggests that, when structured appropriately, vouchers can support consumers to choose services that will meet their health care needs and encourage competition among providers. Although they may not be appropriate across the entire health care system, there are features of vouchers that make them a potentially attractive option, especially for the management of chronic disease.

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