Perceptions of Need, Service Use, and Barriers to Service Access among Female Methamphetamine Users in Rural Appalachia

2013 ◽  
Vol 28 (2) ◽  
pp. 109-118 ◽  
Author(s):  
Samuel A. MacMaster
Keyword(s):  
Service Use ◽  
Service Access ◽  
Barriers To Service ◽  
Rural Appalachia

scholarly journals SERVICE USE AND BARRIERS TO SERVICE ACCESS AMONG FAMILY CAREGIVERS IN RURAL APPALACHIA

2018 ◽  
Vol 2 (suppl_1) ◽  
pp. 868-868
Author(s):  
A S Vipperman ◽  
J Savla ◽  
Karen A Roberto ◽  
A Harris ◽  
E Hoyt ◽  
...  
Keyword(s):  
Family Caregivers ◽  
Service Use ◽  
Service Access ◽  
Barriers To Service ◽  
Rural Appalachia

scholarly journals Dementia-Related Education and Support Service Availability, Accessibility, and Use in Rural Areas: Barriers and Solutions

2020 ◽  
Vol 39 (4) ◽  
pp. 545-585 ◽  
Author(s):  
Melanie Bayly ◽  
Debra Morgan ◽  
Amanda Froehlich Chow ◽  
Julie Kosteniuk ◽  
Valerie Elliot
Keyword(s):  
Scoping Review ◽  
Rural Areas ◽  
English Language ◽  
Service Use ◽  
Support Service ◽  
Service Access ◽  
Service Needs ◽  
Point Of Entry ◽  
Values And Beliefs ◽  
Barriers To Service

ABSTRACTThis scoping review mapped and synthesized published literature related to education and support services for individuals with dementia and their caregivers living rurally. Specifically, we investigated education and support service needs, availability and use of services, barriers to service access and use, and solutions to these barriers. Empirical, English-language articles (2,381) were identified within MEDLINE, CINAHL, PSYCINFO, and EMBASE. Articles were screened according to Arksey and O’Malley’s (2005) five-stage scoping review methodology and the recommendations of Levac et al. (2010). Findings suggest limited availability of rural dementia-related support and education services, particularly respite care and day programs. Service use varied across studies, with barriers including low knowledge regarding services, practicality, and resource issues (e.g., transportation, financial), values and beliefs, stigma, and negative perceptions of services. Solutions included tailored and person-centred services, technological service provision, accessibility assistance, inter-organization collaboration, education regarding services, and having a “point of entry” to service use.

scholarly journals Corrigendum To: A GIS APPROACH TO IDENTIFYING SERVICE ACCESS DISPARITIES IN RURAL APPALACHIA

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
A Harris ◽  
T Savla ◽  
S Borowski ◽  
A Vipperman ◽  
Ka Roberto ◽  
...  
Keyword(s):  
Service Access ◽  
Rural Appalachia

scholarly journals Carers’ experiences of timely access to and use of dementia care services in eight European countries

2019 ◽  
pp. 1-18 ◽  
Author(s):  
Hannah Jelley ◽  
Liselot Kerpershoek ◽  
Frans Verhey ◽  
Claire Wolfs ◽  
Marjolein de Vugt ◽  
...  
Keyword(s):  
Service Use ◽  
Study Participant ◽  
Formal Care ◽  
Structured Interviews ◽  
Care Services ◽  
People With Dementia ◽  
Timely Access ◽  
Mixed Feelings ◽  
Barriers To Service ◽  
Person With Dementia

AbstractTimely access to care services is crucial to support people with dementia and their family carers to live well. Carers of people with dementia (N = 390), recruited from eight countries, completed semi-structured interviews about their experiences of either accessing or not using formal care services over a 12-month period in the Access to Timely Formal Care (Actifcare) study. Participant responses were summarised using content analysis, categorised into clusters and frequencies were calculated. Less than half of the participants (42.3%) reported service use. Of those using services, 72.8 per cent reported timely access and of those not using services 67.2 per cent were satisfied with this situation. However, substantial minorities either reported access at the wrong time (27.2%), or feeling dissatisfied or mixed feelings about not accessing services (32.8%). Reasons for not using services included use not necessary yet, the carer provided support or refusal. Reasons given for using services included changes in the condition of the person with dementia, the service's ability to meet individual needs, not coping or the opportunity to access services arose. Facilitators and barriers to service use included whether participants experienced supportive professionals, the speed of the process, whether the general practitioner was helpful, participant's own proactive attitude and the quality of information received. To achieve timely support, simplified pathways to use of formal care services are needed.

A cohort study of desired services and barriers to service access among informal caregivers of patients with advanced cancer

2004 ◽  
Vol 22 (14_suppl) ◽  
pp. 8013-8013
Author(s):  
J. M. Ingham ◽  
J. Cullen ◽  
A. R. Ogdie ◽  
P. A. Mangan ◽  
K. L. Taylor
Keyword(s):  
Cohort Study ◽  
Advanced Cancer ◽  
Informal Caregivers ◽  
Service Access ◽  
Barriers To Service

Factors affecting access and use of preventive and weight management care: A public health lens

2019 ◽  
Vol 32 (3) ◽  
pp. 136-142 ◽  
Author(s):  
Stephanie Aboueid ◽  
Samantha B. Meyer
Keyword(s):  
Public Health ◽  
Weight Management ◽  
Service Use ◽  
Gynecological Cancer ◽  
Empirical Studies ◽  
Healthcare Access ◽  
Research Area ◽  
System Level ◽  
Service Access ◽  
Factors Affecting

Obesity is an important risk factor for various chronic diseases. While people with obesity use the health system more and incur higher costs, they may forego using preventive care services (e.g., gynecological cancer screenings) due to issues of service use and service access. The aim of this paper was to use a public health lens to elucidate system level factors that affect healthcare access and utilization for preventive and weight management care by patients with obesity. Some elucidated factors include lack of access to a Primary Care Provider (PCP) and multidisciplinary healthcare settings, gender of the PCP, duration of medical visits and health professionals' attitudes about obesity. We highlight potential strategies for leaders to use when improving access and use of health services by patients with obesity in Canada and the need for future empirical studies in this research area.

Healthcare Consumers' Need for Brain-injury Services: The Critical Importance of Timing in Planning Future Services

2012 ◽  
Vol 13 (3) ◽  
pp. 316-332 ◽  
Author(s):  
Anna O'Callaghan ◽  
Lindy McAllister ◽  
Linda Wilson
Keyword(s):  
Brain Injury ◽  
Service Provision ◽  
Brain Injuries ◽  
Service Evaluation ◽  
Service Access ◽  
Severe Brain Injury ◽  
Five Factors ◽  
Barriers To Service ◽  
The Right ◽  
Depth Interviews

Developing an awareness of the preferences of healthcare consumers is essential in determining the ‘reality’ of service provision, in planning the provision of brain-injury services and in service evaluation. Consumers should be given the opportunity to express satisfaction or dissatisfaction with the services they receive, offering their perceptions of barriers to service access, which could be removed once known. This article presents narratives of the healthcare journeys of three adults with a moderate to severe brain injury. The experiences of these participants were elicited through in-depth interviews. The aim of this article is to convey how the needs and experiences of adults with brain injury change throughout time, affecting their ability to access care over time. Previous research by the authors of this paper identified five factors that affect consumers’ experiences of care: acceptance and readiness, support, advocacy, the right service at the right time and mismatched expectations. The fluidity and interaction of these factors through time is demonstrated in this article as facilitating and impeding access to services. The implications for clinicians in considering these factors when planning services for adults with moderate to severe brain injuries are explored.

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