Service Delivery and the Challenges of Providing Service to People Who Are Transgender

2015 ◽  
Vol 25 (2) ◽  
pp. 59-65 ◽  
Author(s):  
Christella Antoni
Keyword(s):  
Health Care ◽  
Service Delivery ◽  
Clinical Experience ◽  
Private Practice ◽  
Health Care Systems ◽  
Gender Diverse ◽  
Recent Developments ◽  
Communication Work ◽  
Care Systems ◽  
And Gender

An increasing number of speech-language pathologists (SLPs) are working with individuals who are transgender (TG) and gender diverse people. This trend likely reflects a growing number of TG and gender diverse patients seeking treatment. Whilst voice and communication outcomes can be highly satisfying for both the client and the therapist, there can be many challenges associated with service delivery to the transgender population. This article will discuss the challenges for SLPs, both in public state-funded health care systems, and clinicians in private practice. This discussion is informed by my 15 years of clinical experience in both systems and by recent developments in the field of TG voice and communication work.

scholarly journals Trans*Forming Access and Care in Rural Areas: A Community-Engaged Approach

2021 ◽  
Vol 18 (23) ◽  
pp. 12700
Author(s):  
Megan E. Gandy ◽  
Kacie M. Kidd ◽  
James Weiss ◽  
Judith Leitch ◽  
Xavier Hersom
Keyword(s):  
Health Care ◽  
Mixed Methods ◽  
Rural Areas ◽  
Health Care Systems ◽  
Community Advisory Board ◽  
Care Needs ◽  
Gender Diverse ◽  
Care Systems ◽  
Quantitative Results ◽  
And Gender

Research indicates that rural transgender and gender diverse (TGD) populations have a greater need for health services when compared with their urban counterparts, face unique barriers to accessing services, and have health disparities that are less researched than urban TGD populations. Therefore, the primary aim of this mixed-methods study (n = 24) was to increase research on the health care needs of TGD people in a rural Appalachian American context. This study was guided by a community-engaged model utilizing a community advisory board of TGD people and supportive parents of TGD children. Quantitative results indicate that travel burden is high, affirming provider availability is low, and the impacts on the health and mental health of TGD people in this sample are notable. Qualitative results provide recommendations for providers and health care systems to better serve this population. Integrated mixed-methods results further illustrate ways that rural TGD people and families adapt to the services available to them, sometimes at significant economic and emotional costs. This study contributes to the small but growing body of literature on the unique needs of rural TGD populations, including both adults and minors with supportive parents, by offering insights into strategies to address known disparities.

Social Health Insurance in Europe: Basic Concepts and New Principles

2019 ◽  
Vol 44 (4) ◽  
pp. 665-677
Author(s):  
Claus Wendt
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Social Insurance ◽  
Health Care Systems ◽  
Social Health Insurance ◽  
Social Health ◽  
Traditional Values ◽  
The Public ◽  
Recent Developments ◽  
Care Systems

Abstract This article discusses recent developments in and new principles of European social health insurance (SHI). It analyses how privatization policies and competition have altered social insurance and whether financial difficulties are caused by social insurance features not evident in other types of health care systems. There is little if any evidence that SHI causes higher cost increases than other types of systems. The comparison of five European SHI systems demonstrates that despite cost containment policies these countries do not experience a trust crisis in health care or loss in support among the public. The author shows that SHI has moved toward universal health care and that the traditional values of solidarity and social security have even been strengthened over the past decades.

scholarly journals Haemophilia: Its Types and Prevalence in Pakistan

2021 ◽  
Vol 11 (2) ◽  
Author(s):  
Kiran Fatima ◽  
Rabeea Irfan ◽  
Laraib Azmat
Keyword(s):  
Health Care ◽  
Research Study ◽  
Health Care Systems ◽  
Age Groups ◽  
Health Resources ◽  
Bleeding Disorder ◽  
Care Systems ◽  
Limited Health ◽  
And Gender ◽  
Set Up

Background: Haemophilia; classified by the inefficacy of blood to clot appropriately, is a genetic bleeding disorder. As a developing country, Pakistan has limited health resources and very little awareness of hemophilia among its people. Objectives: This research study is designed to identify the prevalence of the disease and to report the types of haemophilia common in Pakistan in order to propose suitable treatments for the prevention and cure of the disease. Methodology: A survey questionnaire was designed and executed by the group members. Data was collected from registered Haemophilia Centers in Pakistan. Number of reported cases based on types of haemophilia, age groups, and gender were identified separately. Results: It was evaluated that Pakistan continues to have a growing number of hemophilia cases at an alarming rate. The research study also showed how there is a lack of affordable and proper health care in the country, due to which several cases go unreported and untreated. Conclusion: For the containment of this bleeding disorder, time for taking proper action is passing. Proper health care systems should be set up which are accessible to the majority of the population. Awareness programs should be designed and people should be encouraged for regular laboratory tests to prevent late diagnosis.

The cost of being transgender: where socio-economic status, global health care systems, and gender identity intersect

2019 ◽  
Vol 11 (1-2) ◽  
pp. 103-119 ◽  
Author(s):  
Julie M. Koch ◽  
Chris/tine McLachlan ◽  
Cornelius J. Victor ◽  
Jess Westcott ◽  
Christina Yager
Keyword(s):  
Health Care ◽  
Global Health ◽  
Gender Identity ◽  
Economic Status ◽  
Health Care Systems ◽  
Socio Economic Status ◽  
Care Systems ◽  
Global Health Care ◽  
And Gender ◽  
The Cost

Reliable service delivery in Tele-health care systems

2018 ◽  
Vol 115 ◽  
pp. 86-93 ◽  
Author(s):  
Majdi Rawashdeh ◽  
Mohammed GH. AL Zamil ◽  
M. Shamim Hossain ◽  
Samer Samarah ◽  
Syed Umar Amin ◽  
...  
Keyword(s):  
Health Care ◽  
Service Delivery ◽  
Health Care Systems ◽  
Reliable Service ◽  
Care Systems

Health care governance, user involvement and medical regulation in Europe

2018 ◽  
pp. 17-38
Author(s):  
Mike Dent
Keyword(s):  
Health Care ◽  
Medical Profession ◽  
Health Care Systems ◽  
User Involvement ◽  
European Countries ◽  
Medical Regulation ◽  
Recent Developments ◽  
Care Systems ◽  
European Health ◽  
Health Care Governance

This chapter reviews recent developments in user involvement practices across a range of European health care systems in terms of their implications for the medical profession and regulation of its practitioners. It will review the dominant models of user involvement, from Arnstein (1969) ‘ladder of participation’ onwards within Europe. The chapter will be particularly concerned with the growing linkages between user involvement in its various guises and the governance and regulation of European health care and medicine. The analysis will critically examine the variations in user involvement from ‘choice’ to ‘co-production’ and the range of ways they have been implemented in various European countries, with particular attention to England, Italy and Denmark. The discussion will focus on the implications for the medical profession as much as for the patients themselves.

scholarly journals A New Paradigm for Health Economics? We Have Three Already!

2012 ◽  
Vol 1 (1) ◽  
Author(s):  
Robert G. Evans
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Health Status ◽  
Health Economics ◽  
Service Delivery ◽  
Health Care Systems ◽  
New Paradigm ◽  
Financial Flows ◽  
Anatomical Changes ◽  
Care Systems

Figure I depicts a set of inter-sectoral financial flows that represent central features of the organization and financing of health care systems. But It is primarily a set of accounting relationships, a gross anatomical description that provides no “physiology” explaining how the various components interact, or how those interactions might change in response to anatomical changes.  What difference does it make, in terms of patterns of service delivery and cost, of distribution of burdens and benefits among the population, or of population health status, if the mixes of financing and funding flows in Figure 1 are re-arranged?  These questions, sometimes overt, often covert, are everywhere at the heart of debates over health policy.

160: Cost-Effectiveness of Medical Management Strategies of Nephrolithiasis in Different Health Care Systems

2004 ◽  
Vol 171 (4S) ◽  
pp. 42-43 ◽  
Author(s):  
Yair Latan ◽  
David M. Wilhelm ◽  
David A. Duchene ◽  
Margaret S. Pearle
Keyword(s):  
Health Care ◽  
Cost Effectiveness ◽  
Medical Management ◽  
Health Care Systems ◽  
Management Strategies ◽  
Care Systems
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