scholarly journals Sustainable healthcare within the strategy of regional development

2021 ◽  
Vol 250 ◽  
pp. 04013
Author(s):  
Michail Nekrasov ◽  
Svetlana Kalina ◽  
Svetlana Veprentsova ◽  
Yulia Kekteeva
Keyword(s):  
Regional Development ◽  
Insurance Coverage ◽  
Well Being ◽  
Health Insurance Coverage ◽  
Access To Health Services ◽  
Access To Health ◽  
Sustainable Regional Development ◽  
High Standards ◽  
Regional Development Strategies

This article has an aim of connecting the sustainable healthcare to the environmentally-friendly strategy of regional development. We describe how a growing interest in ways health organisations and systems measure and report on their sustainability is recorded in the recent years. In addition, we note the growing need for sustainability indicators in the health system, such as health insurance coverage, quality of care, and access to health services. Our results show that environmental pollution and other hazardous activities have a profound effect on human health and therefore create a burden for the healthcare system. In addition, we discuss the importance of sustainable healthcare for the health and well-being of patients and the environment. In the same time, we stress that high standards of healthcare should be preserved and maintained in spite of the reduction in health costs and environmental impacts as a part of the sustainable regional development strategies.

scholarly journals Analisa dan Aplikasi Konsep Risiko pada Populasi Wanita Hamil

2014 ◽  
Vol 6 (1) ◽  
pp. 28-34
Author(s):  
Wiwin Wiarsih
Keyword(s):  
At Risk ◽  
Maternal Mortality ◽  
Well Being ◽  
Personal Health ◽  
Access To Health Services ◽  
Lack Of Information ◽  
Access To Health ◽  
Health And Development ◽  
The Impact

Angka kematian ibu ditentukasn oleh tingkat kesejahteraan individu wanita hamil dalam keluarga. Kondisi ini akan menentukan tingkat kesehtan dan perkembangan anak sebagai satu faktor yang menentukan kesehatan dan menjadi satu indicator dari keejahteraan suatu Negara. Penyebab utama tingginya angka kematian ibu di Negara-negara berkembang adalah belum optimalnya penanganan kasus-kasus berisiko. Penatalaksanaan kasus-kasus berisiko dilakukan terlambat karena kurangnya kesadaran klien untuk mengatasi masalah-masalah kesehatannya, kurangnya informasi, kurangnya jangkauan pelayanan kesehata, dan kurang berkualitasnya sumber daya manusia khususnya pada petugas pelayan kesehatan. Wanita hamil adalah salah satu populasi yang seharusnya diberikan perhatian lebh karena setiap wanita hamil mempunyai kesempatan yang sama untuk mendapatkan penanganan masalah-masalah kesehatan. Faktor-faktor risiko memungkinkanseorang wanita hamil menjadi berisiko tinggi untuk mempunyai masalah-masalah kesehatan, termasuk status sosial ekonomi dan sosio demografi, stress dan gaya hidup, dan praktek kesehatan personal. Untuk menurunkan pengaruh label atau stigma “risiko’ dalam masyarakat adalah suatu tantangan untuk profesi kesehatan mengembangkan pendekatan yang efektif dalam pelayanan kesehatan sehingga akan didapatkab suatu hasil yang optimal. The level of individual well being in a family determines the maternal mortality rate. This condition will determine the level of child health and development as an important determinant of health that is an indicator of well being in a country. The main cause of high levels of of maternal mortality in developing countries as a lack of case management of the “at risk’ individual or population; management of “at risk” cases is too late. This is because of lack awareness of “at risk” client in overcoming the problems, lack of information, lack of access to health services, and lack of quality of human resource especially of health care every pregnant woman has the same probability of developing problems. The risk factors enable of pregnant women to become hig risk to have the health problems including socioeconomic status, sociodemographic status, life style and life events, and personal health practices. To decrease the impact of the “at risk” label or stigma in the community, a challenge for the health professional is to develop partnership and multisectoral approach with community so that an optimal outcome will be attained.

scholarly journals The regions in Bulgaria and the green economy - novelty or serious experience?

2021 ◽  
Vol 120 ◽  
pp. 01017
Author(s):  
Stanka Delcheva
Keyword(s):  
Regional Development ◽  
Development Policy ◽  
Descriptive Analysis ◽  
Well Being ◽  
Green Economy ◽  
Economic Sectors ◽  
Regional Development Policy ◽  
Transition Readiness ◽  
Programming Period

The report presents the regional development policy in Bulgaria after 2007 with focus of the stated and implemented support for application of a green economy transition’s instruments. The green economy is defined by relevant economic sectors and themes that add value to quality of life, reducing carbon emissions and creating jobs. Objective: to review the applying of instruments for transition to a green economy in the regions as part of regional development policy and promotion of the regions’ competitiveness. Methods: Descriptive analysis and review of documents were used; review of planning documents at regional and municipal level and analysis of the type of applied instruments for the transition to a green economy; comparative evaluation of the already applied instruments with the forecasts for the new programming period 2021-2027. Results: The applied in the period 2007 - 2020 instruments for supporting the transition to a green economy and their connection with the development of the regions in Bulgaria are traced. The results correlation of the already applied instruments with the approach envisaged in the programming period after 2021 has been assessed. Elements of the connection between transition readiness and the regions’ competitiveness are considered. Conclusions: Conclusions are drawn about the Bulgarian regions experience and capacities gained to exploit the potential and opportunities to increase competitiveness and well-being.

scholarly journals Socioeconomic inequalities in the access to and quality of health care services

2014 ◽  
Vol 48 (6) ◽  
pp. 968-976 ◽  
Author(s):  
Bruno Pereira Nunes ◽  
Elaine Thumé ◽  
Elaine Tomasi ◽  
Suele Manjourany Silva Duro ◽  
Luiz Augusto Facchini
Keyword(s):  
Health Care ◽  
Socioeconomic Status ◽  
Health Care Services ◽  
Access To Health Services ◽  
Socioeconomic Groups ◽  
Care Services ◽  
Access To Health ◽  
To Receive ◽  
Use Of Health Care

OBJECTIVE To assess the inequalities in access, utilization, and quality of health care services according to the socioeconomic status. METHODS This population-based cross-sectional study evaluated 2,927 individuals aged ≥ 20 years living in Pelotas, RS, Southern Brazil, in 2012. The associations between socioeconomic indicators and the following outcomes were evaluated: lack of access to health services, utilization of services, waiting period (in days) for assistance, and waiting time (in hours) in lines. We used Poisson regression for the crude and adjusted analyses. RESULTS The lack of access to health services was reported by 6.5% of the individuals who sought health care. The prevalence of use of health care services in the 30 days prior to the interview was 29.3%. Of these, 26.4% waited five days or more to receive care and 32.1% waited at least an hour in lines. Approximately 50.0% of the health care services were funded through the Unified Health System. The use of health care services was similar across socioeconomic groups. The lack of access to health care services and waiting time in lines were higher among individuals of lower economic status, even after adjusting for health care needs. The waiting period to receive care was higher among those with higher socioeconomic status. CONCLUSIONS Although no differences were observed in the use of health care services across socioeconomic groups, inequalities were evident in the access to and quality of these services.

Commercial Mhealth Apps and Exploitative Value Trade-Offs

2021 ◽  
Vol 66 (Special Issue) ◽  
pp. 148-148
Author(s):  
Leon Rossmaier ◽  
◽  
Keyword(s):  
Health Benefit ◽  
Well Being ◽  
Lifestyle Changes ◽  
Self Determination ◽  
Medical Decision ◽  
Access To Health Services ◽  
Trade Offs ◽  
Access To Health ◽  
Mhealth Apps ◽  
Insight Into

"Mobile health (mHealth) apps are becoming progressively important for primary care, disease prevention, and public health interventions. They promise to empower its users by offering them more independence, better access to health services, and more insight into their health status resulting in better informed medical decision-making and lifestyle changes. Disadvantages of mHealth apps often include a lack of privacy protection, a decrease in personal attachment, and the acceptance of a normative conception of health challenging the user’s self-determination. Privacy, attachment, and self-determination are, alongside health, linked to fundamental dimensions of human well-being. Users of mHealth apps can either accept those disadvantages or abstain from using this technology entirely. Users, therefore, have to trade-off fundamental dimensions of well-being to gain a certain health benefit if they want to use commercial mHealth apps. This presentation will clarify the values most relevant in this context, focusing on privacy, self-determination, and attachment. I claim that these values imply fundamental conditions of well-being that should not be undermined, especially in the context of health care. I will argue that the value trade-offs users must engage in are an instance of mutually advantageous agreements by which the provider of the app takes unfair advantage of the user. This renders such agreements exploitative. I will discuss the notion of exploitation that I think applies in this case and explain under what circumstances exploitative agreements that come with the use of commercial mHealth apps oppose the empowerment narrative. "

ICTS and Their Role in Health Promotion

2011 ◽  
pp. 1-15 ◽  
Author(s):  
Motshedisi B. Sabone ◽  
Keitshokile D. Mogobe ◽  
Tiny G. Sabone
Keyword(s):  
Health Promotion ◽  
Rural Communities ◽  
Health Services ◽  
Health Information ◽  
Rural Areas ◽  
Well Being ◽  
Specific Reference ◽  
Access To Health Services ◽  
Access To Health ◽  
Level Of Effort

This chapter presents findings of mini-survey that utilized an exploratory descriptive design to examine the accessibility, affordability, acceptability, and utility of ICTs with specific reference to health promotion for selected rural communities. Specifically, the study focused on access to radio, television, mobile phone, and Internet services at a level of effort and cost that is both acceptable to and within the means of a large majority in a given village. The findings indicate that ICTs gadgets explored have opened up possibility for health services and information to reach even people in the rural areas. Ultimately, access affects the general well-being of individuals. One of the major initiatives under the umbrella of health is improving access to health services and information; and this covers among other things, expanding the delivery of health information through the radio and television. This study confirms breakthrough in this respect. Challenges that accompany the use of these ICT gadgets include no connectivity in some areas and lack of training to use them.

Women with Disabilities

2019 ◽  
pp. 259-278
Author(s):  
Leslie Francis ◽  
Anita Silvers ◽  
Brittany Badesch
Keyword(s):  
Health Insurance ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Legal Issues ◽  
Structural Barriers ◽  
Women With Disabilities ◽  
Ability To Pay ◽  
Physician Competence ◽  
Access To Health ◽  
Reproductive Services

Women with disabilities face challenges related to their disabilities of access and accommodation for infertility care. This chapter explores the societal and structural barriers to infertility care these women experience, including legal issues, training and attitudes of physicians, ability to pay, lack of adaptive equipment, inexperience of providers in treating these patient populations, and lack of access to health insurance coverage for infertility care. Ethical arguments respond to providers’ concerns about offering reproductive care to women with disabilities, including concerns about physician competence, physician choice, risks to the woman, inability to consent, risks to any offspring, conscientious objection, and ability to pay. It concludes that there is at best limited and partial justification for many of these concerns, especially in the context of background injustice. The chapter ends with an account of reasonable modifications and accommodations to allow women with disabilities to enjoy reproductive services on equal terms with other women.

scholarly journals Factors associated with access to health services and quality of life in knee osteoarthritis patients: a multilevel cross-sectional study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Siriwan Choojaturo ◽  
Siriorn Sindhu ◽  
Ketsarin Utriyaprasit ◽  
Chukiat Viwatwongkasem
Keyword(s):  
Quality Of Life ◽  
Health Service ◽  
Health Services ◽  
Self Management ◽  
Access To Health Services ◽  
Patient Factors ◽  
Cross Sectional ◽  
Knee Oa ◽  
Access To Health

Abstract Background The main purpose of health service systems is to improve patients’ quality of life (QoL) and to ensure equitable access to health services. However, in reality, nearly half of knee osteoarthritis (OA) patients present to the health system do not have access to health services, and their QoL remains poor. These circumstances raise important questions about what (if any) factors can improve health care accessibility and QoL for knee OA patients. Methods A multicenter, cross-sectional survey was performed with 618 knee OA patients who received care at 16 hospitals in Thailand. Structural equation modeling (SEM) was conducted to investigate the association of health service factors and patient factors with access to health services and QoL. Results The QoL of knee OA patients was very poor (mean score = 33.8). Only 2.1% of the knee OA patients found it easy to obtain medical care when needed. Approximately 39.4% of them were able to access appropriate interventions before being referred for knee replacement. More than 85% of orthopedic health services had implemented chronic disease management (CDM) policy into practice. However, the implementation was basic, with an average score of 5.9. SEM showed that QoL was determined by both health system factors (β = .10, p = .01) and patient factors (β = .29, p = .00 for self-management and β = −.49, p = .00 for disease factors). Access to health services was determined by self-management (β = .10, p = .01), but it was not significantly associated with QoL (β = .00, p = 1.0). Conclusions This study provides compelling information about self-management, access to health services and QoL from the individual and health service system perspectives. Furthermore, it identifies a need to develop health services that are better attuned to the patient’s background, such as socioeconomic status, disease severity, and self-management skills.

Consumer-Level Perceived Access to Health Services and Its Effects on Vulnerability and Health Outcomes

2020 ◽  
Vol 39 (2) ◽  
pp. 240-255 ◽  
Author(s):  
Emily C. Tanner ◽  
Richard J. Vann ◽  
Elvira Kizilova
Keyword(s):  
Health Services ◽  
Well Being ◽  
Subjective Perception ◽  
Access To Health Services ◽  
Close Link ◽  
Perceived Vulnerability ◽  
Access To Health ◽  
Health Related ◽  
Perceived Access ◽  
The Relationship

Access to health services affects the well-being of millions of consumers. Although the topic of health-related access is regularly featured in popular and academic conversations, these conversations primarily concentrate on objective or situational access factors. This research focuses instead on consumers’ subjective perception of access to better appreciate how personally experienced service availability and ease of access jointly determine consumers’ access perceptions. The authors find that perceived access to health services (PAHS) offers insight into the relationships between access, perceived health vulnerability, and overall health. Through scale development and a series of three theory-testing studies, this work demonstrates the close link between PAHS and perceived vulnerability (Study 1), connects this relationship to overall health (Studies 1–3), and establishes behavioral changes associated with access-vulnerability concerns (Study 2). Moreover, Study 3 finds evidence for a “muting” effect of health system distrust on the relationship between PAHS and perceived vulnerability as well as an “amplifying” effect of health motivation on the relationship between perceived vulnerability and overall health. Together, these studies illustrate PAHS’s relevance for explaining consumer vulnerability and overall health.

scholarly journals Success or Waste of Taxpayer Money? Impact Assessment of Rural Development Programs in Hungary

2019 ◽  
Vol 11 (7) ◽  
pp. 2158
Author(s):  
Zoltán Bakucs ◽  
Imre Fertő ◽  
Zsófia Benedek
Keyword(s):  
Rural Development ◽  
Regional Development ◽  
Development Policy ◽  
Well Being ◽  
Development Programs ◽  
Perceived Quality Of Life ◽  
Development Support ◽  
Programming Period ◽  
The Impact

The effectiveness of support directed to less developed regions is a timely question more than halfway through the 2014–2020 programming period. We present an analysis of the impact of rural development support on the well-being of Hungarian LAU1 regions between 2008 and 2013. The aim was to measure the overall impact of all of the Rural Development Funds, covering all measures within the program. Two indices of local well-being were used: the multi-dimensional, local-variables-based Regional Development Index that measures the overall level of regional development and a simple, migration-based index as a proxy for perceived quality of life. Generalized propensity score matching, and difference-in-differences estimation techniques were employed to evaluate the impact of subsidies. Irrespective of how the amount of support was calculated, the measure of local well-being, or the methodology employed, the impact was not significant, and was sometimes even negative. This casts doubt on the effectiveness of Rural Development Policy in Hungary.

scholarly journals Measurement Error in Health Insurance Reporting

2008 ◽  
Vol 45 (4) ◽  
pp. 422-437 ◽  
Author(s):  
Joanne Pascale
Keyword(s):  
Health Insurance ◽  
Survey Methods ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
The United States ◽  
Household Level ◽  
Testing Protocol ◽  
Life Circumstances ◽  
Rich Data

In the United States, surveys serve as the only source of data for the number of uninsured people; they also provide rich data for exploring the relationships between health insurance coverage and individuals' life circumstances, such as employment, income, and health status, enabling researchers to assess the effectiveness of various aspects of the health care system. The Current Population Survey (CPS) is one of the most influential surveys measuring health insurance, but it is not without critics. To address outstanding questions about the data quality of the CPS health insurance questions, qualitative testing was conducted to assess various aspects of the questionnaire from the respondent's perspective. A testing protocol was developed largely based on previous health survey methods literature, and test subjects were probed about their comprehension of the questions, particular terms and phrases, and their strategies for formulating an answer. Several design features were identified as problematic, including the overall questionnaire structure, the calendar year reference period, the household-level design, and the wording of questions on public coverage.

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