scholarly journals New Zealand men’s health care: are we meeting the needs of men in general practice?

2009 ◽  
Vol 1 (4) ◽  
pp. 302 ◽  
Author(s):  
Eileen McKinlay ◽  
Marjan Kljakovic ◽  
Lynn McBain
Keyword(s):  
Health Care ◽  
General Practice ◽  
New Zealand ◽  
Focus Groups ◽  
Health Professionals ◽  
Care Delivery ◽  
Men’S Health ◽  
Men's Health ◽  
General Practice Care ◽  
Practice Care

AIM: To describe and compare how men and health professionals perceive men’s health and health care. METHOD: A qualitative study with an inductive thematic analysis of transcripts from three sequential sets of focus groups. The first set included groups totalling 21 general practitioners and 10 practice nurses; the second set with a group of 12 men under 25 years and a group of 10 older men over 35 years; and the third set with the original groups of health professionals. Datasets were analysed individually, sequentially and comparatively for men’s and health professionals’ beliefs about health and health care. RESULTS: In the initial focus groups, health professionals reported system, structural, and attitudinal barriers inhibiting men attending general practice. Men reported broad-based health beliefs and, despite reluctance to seek formal health care, men value general practice care and want recognition of their preferred consulting styles. In the final focus groups, researchers fed-back analysis of the health professionals’ and men’s focus group data with the aim of encouraging further focussed men’s health initiatives. However, there was a general lack of enthusiasm from health professionals to do more than what was being done already. CONCLUSIONS: Despite men and health professionals recognising the importance of men’s health, there is general unwillingness on the part of both men and health professionals, for different reasons, to engage with men’s health care in general practice. Understanding how men view health and health care delivery has the potential to inform alternative approaches in general practice care. KEYWORDS: New Zealand; men’s health; general practice; general practitioner; practice nurse

Developing the Discipline and Practice of Comprehensive Men’s Health

2013 ◽  
Vol 7 (4) ◽  
pp. 342-349 ◽  
Author(s):  
Salvatore J. Giorgianni ◽  
Demetrius J. Porche ◽  
Scott T. Williams ◽  
Janet H. Matope ◽  
Brandon L. Leonard
Keyword(s):  
United States ◽  
Health Care ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Core Curriculum ◽  
Care Delivery ◽  
Building Blocks ◽  
The United States ◽  
Men’S Health ◽  
Men's Health

Men of all ages in the United States experience disproportionately higher rates of morbidity and premature death than females. The reasons for this are complex and include biological, sociological, and health system–related issues, but this is also in part due to the fact that men and boys tend to lead more risky lifestyles and generally avoid preventive care when compared with women and girls. These disparities not only affect males but also their loved ones and can adversely affect their participation in the workforce and in their communities. Better understanding of the drivers of men’s health disparities is needed to enable health professionals to more effectively address this problem. One of the fundamental building blocks for changing health care delivery to males is to provide a core curricular framework for education and training of health professionals related to the specific health issues of men and boys. This article will present a study assessing what men’s health courses are available in the United States and identifying the content within such courses that will prepare health care professionals to deliver programs and care to this demographic. The study identified that as of 2012, there were only 21 courses in 18 institutions that address gender-appropriate health care for boys and men. The authors conclude that developing and incorporating an expert, consensus-based men’s health core curriculum in universities and colleges, particularly in health professional programs, is an extremely important cornerstone in advancing the science and practice of true and balanced gender-based care delivery.

scholarly journals Culturally and linguistically diverse patients' views of multimorbidity and general practice care

2015 ◽  
Vol 7 (3) ◽  
pp. 228 ◽  
Author(s):  
Eileen McKinlay ◽  
Stewart Graham ◽  
Pauline Horrill
Keyword(s):  
Health Care ◽  
General Practice ◽  
Focus Groups ◽  
Patient Group ◽  
Linguistically Diverse ◽  
Culturally And Linguistically Diverse ◽  
Long Term Conditions ◽  
Cook Island ◽  
General Practice Care ◽  
Practice Care

INTRODUCTION: It is recognised that patients who are culturally and linguistically diverse (CALD) have challenges in accessing health care and understanding health advice or instructions. Those with multimorbidity (MM) are likely to have additional difficulties. In New Zealand, little is known about how this patient group view their health and general practice health care. This study examined the views of multimorbid CALD patients about MM and the health care available in a Very Low Cost Access general practice. METHODS: This qualitative study recruited Samoan, Cook Island Maori, and Cambodian patients with diabetes and more than three other long-term conditions. Two individual interviews and two language-specific focus groups were undertaken to yield themes representing the experience of these CALD patients with MM. FINDINGS: Participants described MM as having considerable impact on their life. They reported feeling responsible for supporting their own health and many detailed self-management techniques. However, they also expressed confusion, lack of information and limited understanding of MM, in particular about managing medication. Not all patients were aware of the range of available general practice services and some described difficulties in accessing general practice care. CONCLUSION: Despite being motivated to self-manage, this patient group report challenges in understanding their conditions and how to manage them, which may also be influenced by health beliefs. Available general practice services are not well known by CALD patients with MM. There is likely to be value in developing a specific structured, yet patient-centred, model of care for this group of patients. KEYWORDS: Access to health care; ethnic groups; focus groups; general practice; health literacy; self care

scholarly journals Rural Men’s Health, Health Information Seeking, and Gender Identities: A Conceptual Theoretical Review of the Literature

2016 ◽  
Vol 12 (4) ◽  
pp. 863-876 ◽  
Author(s):  
Bradley Hiebert ◽  
Beverly Leipert ◽  
Sandra Regan ◽  
Jacquelyn Burkell
Keyword(s):  
Health Care ◽  
Health Information ◽  
Information Seeking ◽  
Care Delivery ◽  
Men’S Health ◽  
Men's Health ◽  
Healthy Population ◽  
Health Information Seeking ◽  
Gender Identities ◽  
Information Seeking Behaviors

Beginning as early as 2009, recent shifts in Canadian health care delivery indicate that access to health information is essential to promote and maintain a healthy population. It is important to understand how and where various populations, such as underresourced rural populations, access health information so that public health agencies can develop and deliver appropriate information with, for, and in these contexts. There is a paucity of research that specifically examines how rural Canadian men seek health information; therefore, this review aimed to conceptualize this process based on three dynamic key constructs: health patterns of rural Canadians, health information–seeking behaviors, and rural gender identities. This conceptual theoretical literature review included 91 articles at the intersection of these three constructs. Discussion focuses on how residing in a rural region influences men’s health and health care access. Health information–seeking behaviors are discussed in terms of social networks and framed with a rural context. Connell’s theory of masculinity provides a useful approach to dissecting how rural men’s gender identities influence their health attitudes, and how such attitudes are embedded in rural social and cultural norms. Each major construct—health in rural Canada, health information seeking, and rural gender identities—is discussed to highlight how specific embodiments of masculinity may promote and inhibit men’s health information–seeking and positive health behaviors.

2284 THE MEN'S HEALTH CENTER: AN EMERGING MODEL OF INTEGRATIVE HEALTH CARE DELIVERY FOR MEN

2013 ◽  
Vol 189 (4S) ◽  
Author(s):  
Jeremy T. Choy ◽  
Vidit Sharma ◽  
Puneet Masson ◽  
James M. Dupree ◽  
Brian Le ◽  
...  
Keyword(s):  
Health Care ◽  
Health Center ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Men’S Health ◽  
Men's Health ◽  
Integrative Health ◽  
Integrative Health Care

How can we ensure the success of specialised palliative home-care? A qualitative study (ELSAH) identifying key issues from the perspective of patients, relatives and health professionals

2021 ◽  
pp. 026921632110265
Author(s):  
Hannah Seipp ◽  
Jörg Haasenritter ◽  
Michaela Hach ◽  
Dorothée Becker ◽  
Lisa-R Ulrich ◽  
...  
Keyword(s):  
Home Care ◽  
Focus Groups ◽  
Health Professionals ◽  
Care Delivery ◽  
Death And Dying ◽  
Theory Approach ◽  
Palliative Home Care ◽  
Palliative Care Teams ◽  
Key Issues

Background: Specialised palliative home-care supports patients with life-limiting diseases in their familiar surroundings. The number of palliative care teams and patients being cared for is increasing worldwide. To assess and improve quality, it is needed to understand, how specialised palliative home-care can be provided successfully. For this purpose we examined the views of all involved stakeholders. Aim: To identify the issues that patients, their relatives and involved health professionals view as important in ensuring the success of specialised palliative home-care. Design: We used a qualitative design based on participant observations, interviews and focus groups following the principles of a Grounded Theory approach. Setting/participants: All specialised palliative home-care teams ( n = 22) caring for adults in Hesse, Germany, participated. We conducted participant observations ( n = 5), and interviewed patients ( n = 14), relatives ( n = 14) and health professionals working in or collaborating with specialised palliative home-care ( n = 30). We also conducted focus groups ( n = 4) with health professionals including a member check. Results: Successful specialised palliative home-care needs to treat complex symptoms, and provide comprehensive care including organisation of care, involving relatives and addressing issues of death and dying. Sense of security for patients and relatives is key to enable care at home. Care delivery preferences include a focus on the quality of relationships, respect for individuality and the facilitation of self-determination. Conclusions: Consideration of the identified key issues can help to ensure successful specialised palliative home-care. Knowledge of these should also be considered when researching and assessing quality of care. Trial registration: German Clinical Trials Register DRKS-ID: DRKS00012421; http://www.germanctr.de .

Predictors of men's health care utilization.

2010 ◽  
Vol 11 (2) ◽  
pp. 113-122 ◽  
Author(s):  
Erik K. O. Boman ◽  
Gordon A. Walker
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Men’S Health ◽  
Care Utilization ◽  
Men's Health
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