Theoretical and Methodological Considerations in the Evaluation of Patients Leaving the Emergency Room Without Receiving Medical Attention

1995 ◽  
Vol 11 (1) ◽  
pp. 29-40 ◽  
Author(s):  
Enrique Rebolloso Pacheco
Keyword(s):  
Health Belief ◽  
Medical Attention ◽  
Medical Visit ◽  
Health Value ◽  
Medical Visits ◽  
Traditional Health ◽  
Medical Evaluation ◽  
Methodological Considerations ◽  
Belief Model ◽  
Methodological Aspects

The paper provides a thorough review of the major theories and empirical research on medical care looking at previous studies carried out with patients who leave the emergency department without medical evaluation. The model proposed by the author suggests that an association between traditional health belief model and patients' medical visits can be established. In the model it was hypothesized that whether or not a person goes to the office doctor depends upon two variables: 1) the degree to which a person perceives a personal health threat and 2) the degree to which the person perceives that this particular action reduces that threat. These two main variables affect the medical outcome (medical visit) through a series of intervening variables: general health value, health locus of control, severity of the symptoms, and benefits of the medical visit. Methodological aspects of the evaluative proposal and study limitations and implications are discussed.

Reproductive Healthcare Beliefs and Behaviours Among Displaced Tribal Communities in Odisha and Chhattisgarh: An Analysis Using Health Belief Model

2021 ◽  
pp. 2277436X2110059
Author(s):  
Madhulika Sahoo ◽  
Jalandhar Pradhan
Keyword(s):  
Health Belief Model ◽  
Cultural Distance ◽  
Indigenous Health ◽  
Belief Systems ◽  
Health Belief ◽  
Indigenous Communities ◽  
Tribal Communities ◽  
Traditional Health ◽  
Belief Model ◽  
Reproductive Healthcare

The modern healthcare system often experiences difficulties in understanding and providing care to indigenous communities. This is mainly because of the cultural distance between mainstream healing methods and indigenous health belief systems. The Lancet series (2006) on indigenous health discussed the integration of Western and traditional health practices and identified the importance of this integration for betterment of the human world. To understand what health and health care signify to tribal communities in India, it is necessary to examine the whole social system and the beliefs and behaviours related to their culture that provides meaning to people. This study examines the traditional medicinal practices and socio-cultural healthcare beliefs and behaviours of diplaced tribal communities in Odisha and Chattisgarh. The current study has used the health belief model (HBM) to examine the perceived susceptibility and severity of diseases among tribal communities, pertaining to their reproductive healthcare beliefs and practices.

scholarly journals Do Men Know Which Lower Bowel Symptoms Warrant Medical Attention? A Web-Based Video Vignette Survey of Men in Western Australia

2016 ◽  
Vol 10 (6) ◽  
pp. 474-486
Author(s):  
Devesh V. Oberoi ◽  
Moyez Jiwa ◽  
Alexandra McManus ◽  
Richard Parsons
Keyword(s):  
General Practitioner ◽  
Help Seeking ◽  
Public Awareness ◽  
Health Belief ◽  
Medical Attention ◽  
Early Presentation ◽  
Lower Bowel ◽  
Remote Areas ◽  
Bowel Symptoms ◽  
Belief Model

The current study aims to explor how men would advise other men about seeking help for lower bowel symptoms and also to determine the factors that may influence help seeking. A purposive sample of Western Australian men aged 18 years and older was recruited for the study. Participants completed 8 of the 28 randomly assigned video vignettes (video clips) displaying men (older or younger) with various combinations of one or more lower bowel symptoms. Participants were asked if the person in the vignette should seek health advice. Subsequently, the participants answered a set of questions based on the Health Belief Model. A total of 408 participants (response rate = 51%) answered 3,264 vignettes. Participants younger than 50 years, participants who were not tertiary educated and those who had lower incomes, or those living in regional or remote areas were less likely to advise help seeking from general practitioner (GP). Participants who visited their general practitioner less frequently were also less likely to advisehelp seeking. There was a trend to consider unintentional weight loss and diarrhea as minor symptoms not necessitating medical attention compared with rectal bleeding. The findings suggest for a need to improve public awareness among men about the need to seek timely medical advice for lower bowel symptoms in primary care. The importance of early presentation of persistent lower bowel symptoms must be specifically targeted at men younger than 50 years, those with lower incomes, or residing in regional or remote areas.

scholarly journals Community Perception about Children with Hydrocephalus in Lagos State, Nigeria

2020 ◽  
Vol 18 (1) ◽  
pp. 147-164
Author(s):  
Mistura A. Bakare
Keyword(s):  
Tertiary Education ◽  
Health Belief ◽  
Limiting Factors ◽  
Medical Attention ◽  
Community Perception ◽  
Community Members ◽  
Group Discussions ◽  
Key Informant ◽  
Belief Model ◽  
Depth Interviews

This study which was anchored in Health Belief Model and Functionalism investigated the perceived cause of hydrocephalus and the influence of socio-demographic characteristics on such perception. Data were collected through questionnaire survey, Focus group discussions (FDGs), In-depth Interviews (IDIs) and Key Informant Interviews (KIIs). Results indicate that perception about the cause of the condition included that it is a kind of punishment for sin (50%), spiritual attacks (27.3%), genetic (13.7%) and infection (9%). Community perception was higher especially with respondents age 42-47 (OR=1.32), female (OR=1.47), tertiary education (OR=0.69), punishment for sin (OR=0.61), spiritual attacks (OR=0.26) and infection (OR=0.48) than genetic factor. Community belief that hydrocephalus does not require medical attention negatively affected seeking medical help early. Other limiting factors were fear of surgical complications, inability of mothers to take responsibility; poor family social supports system and stigmatisation. There is need for stakeholders and agencies to enlighten community members on hydrocephalus and provide social support for children with the condition.

Kepatuhan Ibu Membawa Anak Imunisasi Dasar Diwilayah Kerja UPTD Puskesmas Sidomulyo Kota Bengkulu

2019 ◽  
Vol 2 (1) ◽  
pp. 72-80
Author(s):  
Sardaniah Sardaniah ◽  
Rosita Erawati ◽  
Ririn Zuhriati Oktavia
Keyword(s):  
Health Belief Model ◽  
Health Belief ◽  
Cross Sectional ◽  
Child Immunization ◽  
Cues To Action ◽  
Belief Model

Kepatuhan pada jadwal pemberian imunisasi dasar merupakan salah satu faktor untuk mencapai UCI (Universal Child Immunization). Selain itu, apabila ibu tidak mematuhi jadwal pemberian imunisasi dasar, maka akan berpengaruh terhadap kekebalan dan kerentanan bayi dari suatu penyakit. Faktor penentu yang mempengaruhi pemberian imunisasi di masyarakat adalah perilaku masyarakat tersebut. Salah satu teori perilaku dalam pelayanan kesehatan adalah HBM (Health Belief Model). HBM terdiri dari 3 kategori utama yaitu persepsi individu, faktor modifikasi (terdiri dari usia, pendidikan, sosial-budaya-agama, dan cues to action), dan kemungkinan tindakan (terdiri dari manfaat dan hambatan). HBM masuk dalam salah satu faktor konseptual pengambilan keputusan orang tua dalam pemberian imunisasi pada anaknya. Tujuannya adalah Untuk mengetahui Gambaran Kepatuhan Ibu Membawa Anak Imunisasi Diwilayah Kerja UPTD Puskesmas Sidumulyo Kota Bengkulu. Desain Penelitian yang digunakan yaitu deskriptif analitik dengan menggunakan rancangan cross sectional. Subjek dalam penelitian yang dilakukan adalah accidental sampling. Populasinya ibu yang mempunyai bayi usia 1-12 bulan di Wilayah Kerja Puskesmas Sidomulyo yang datang untuk imunisasi pada bulan Mei Tahun 2018. sebanyak 20 ibu. Pengambilan sampel dilakukan dengan total sampling yang memenuhi kriteria inklusi sebanyak 20 ibu dan yang tereksklusi adalah 3, sehingga tersisa sampel 17 ibu. Instrumen penelitian menggunakan kuesioner lembar observasi. Hasil penelitian ini, terdapat sebanyak 3 dari 17 (17.6%) ibu tidak patuh dalam pemberian imunisasi dasar pada bayinya. Faktor yang mempengaruhi kepatuhan ibu dalam pemberian imunisasi dasar pada bayi yaitu kondisi bayi karena 1 bayi sakit dan 2 jarak tempat tinggal dan tempat pelayanan imunisasi jauh (lagi ada acara keluarga) sejalan dengan penelitian yang telah dilakukan oleh Rachmawati (2016), tentang Faktor – faktor yang mempengaruhi Kepatuhan ibu dalam pemberian imunisasi Dasar pada Balita di dukuh Pilangbangau Desa sepat masaran Sragen, antara lain pengaruh oleh usia ibu, Pendidikan dan Keputusan orang tua dan jarak ketempat pelayanan Kesehatan. Dari penelitian ini dapat disimpulkan bahwa kepatuhan ibu membawa bayinya untuk imunisasi dipengaruhi oleh Usia ibu, pendidikan orang tua dan Keputusan orang tua untuk itu perlu kerjasam yang baik antara orang tua dan petugas Imunisasi Pusat kesehatan masyarakat (PKM) Sidomulyo Bengkulu. 

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