scholarly journals Editorial

2007 ◽  
Vol 31 (3) ◽  
pp. 449
Author(s):  
Deborah Yarmo-Roberts

INDIVIDUALS ARE LIVING longer than ever before, with a propensity to acquire debilitating conditions, often with comorbidities. This necessitates care delivered from many sectors of the service system. This issue?s featured Models of Care article, ?Integrated care facilitation for older patients with complex health care needs reduces hospital demand? on page 451 describes a model of care which aimed to coordinate health care services for older adults. One of the successes of this model was the employment of personal care facilitators, who assisted the patients in understanding their health condition, which promoted self-management in accessing required services.

Author(s):  
Setiawan E ◽  
Poedjibudojo J K ◽  
Tondok Ms

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.


Author(s):  
Jessica Rodriguez-Pereira ◽  
Jesica de Armas ◽  
Lorenzo Garbujo ◽  
Helena Ramalhinho

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.


2013 ◽  
Vol 4 (1) ◽  
pp. 34
Author(s):  
Brigette Krieg ◽  
Diane Martz

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.


Author(s):  
Kathleen Markey ◽  
Anne MacFarlane ◽  
Maria Noonan ◽  
Mairead Moloney ◽  
Susann Huschke ◽  
...  

There is a need to understand the specific perinatal mental health care needs of migrant subgroups who often have differing health care needs and specific barriers to accessing and engaging with health care services. It is important to have evidence about the WHO European context given the rising numbers of refugees and asylum seekers in the region. The aim of this scoping review is to map the factors that enable and prevent access and engagement of refugee and asylum-seeking women with perinatal mental health care services in the WHO European Region, from the perspectives of service providers and service users. The database search will include PsycINFO, Cochrane, Web of Science, MEDLINE, EMBASE, CINAHL complete, Scopus, Academic Search Complete, and Maternity and Infant Care (OVID). Search results will be exported to an online tool that provides a platform to help manage the review process, including title, abstract, and full-text screening and voting by reviewers independently. Data concerning access and engagement with health care services will be mapped on to the candidacy framework. Systematically searching evidence within the WHO European region and examining this evidence through the candidacy lens will help develop a more comprehensive and a deeper conceptual understanding of the barriers and levers of access and engagement with perinatal mental health care services, whilst identifying gaps in existing evidence. Exploring factors that influence access and engagement for refugee and asylum-seeking women from the perspective of key stakeholders in the service provision and/or service utilisation of perinatal mental health care services will add a more comprehensive understanding of the recursive relationship between service provision and use.


2019 ◽  
Vol 35 (1) ◽  
pp. 151-159
Author(s):  
Gerald Knesek ◽  
Thomas Hemphill

Summary The need for mental health care services is a growing concern around the world. This article proposes a conceptual model for the role a mental health care navigator to meet the growing needs of consumers who are seeking greater access to fragmented and confusing mental health care services. This conceptual model proposes integrating mental health into primary care with a more patient-centered approach to the care of the whole person. This approach is congruent with The Ottawa Charter for Health Promotion Charter calling for the reorienting of health services focusing on the total needs of the individual as a whole person. Although USA focused, the model has potential for sharing across countries to build capacity for mental health care in other countries around the world. The conceptual model focuses on matching consumer mental health care needs with the correct mental health care services. This would ensure that patients get the appropriate mental health care services while allowing the primary care physician to maintain the role of coordinator of care for all of the patient’s health care needs. The main intent of the model is to stimulate discussion and exploration around the role of a proposed mental health care navigator that can lead to creating models reflecting local need and adaptation. Successful models can lead to collaborative discussion encouraging capacity building in other countries. The authors maintain that coordination of health care, including mental, medical and surgical care, is the best approach to controlling costs and ensuring the health of the whole person.


2012 ◽  
Vol 17 (10) ◽  
pp. 1744-1752 ◽  
Author(s):  
Donald P. Oswald ◽  
Donna L. Gilles ◽  
Mariel S. Cannady ◽  
Donna B. Wenzel ◽  
Janet H. Willis ◽  
...  

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