scholarly journals ID/HIV Physician Ambassadors: Advancing Policy to Improve Health

2020 ◽  
Author(s):  
Maximo O Brito ◽  
Caitlin M Dugdale ◽  
Michelle Collins-Ogle ◽  
Jessica Snowden ◽  
David A Wheeler
Keyword(s):  
Public Health ◽  
Infectious Diseases ◽  
Access To Health Care ◽  
Healthcare Professionals ◽  
Access To Health ◽  
Adults And Children ◽  
Key Issues ◽  
Hiv Programs ◽  
The Impact ◽  
Improve Health

Abstract ID/HIV physicians and other healthcare professionals advocate within the healthcare system to ensure adults and children receive effective treatment. These advocacy skills can be used to inform domestic and global infectious diseases policies to improve healthcare systems and public health. ID/HIV physicians have a unique frontline perspective to share with federal policymakers regarding how programs and policies benefit patients and public health. Providing this input is critical to the enactment of legislation that will maximize the response to infectious diseases. This article discusses the advocacy of ID/HIV physicians and other healthcare professionals in federal health policy. Key issues include funding for ID/HIV programs; the protection of public health and access to health care; improving research opportunities; and advancing the field of ID/HIV, including supporting the next generation of ID/HIV clinicians. The article also describes best practices for advocacy and provides case studies illustrating the impact of ID/HIV physician advocacy.

scholarly journals ID/HIV Physician Ambassadors: Advancing Policy to Improve Health

2020 ◽  
Author(s):  
Maximo O Brito ◽  
Caitlin M Dugdale ◽  
Michelle Collins-Ogle ◽  
Jessica Snowden ◽  
David A Wheeler
Keyword(s):  
Public Health ◽  
Infectious Diseases ◽  
Access To Health Care ◽  
Healthcare Professionals ◽  
Access To Health ◽  
Adults And Children ◽  
Key Issues ◽  
Hiv Programs ◽  
The Impact ◽  
Improve Health

Abstract ID/HIV physicians and other healthcare professionals advocate within the healthcare system to ensure adults and children receive effective treatment. These advocacy skills can be used to inform domestic and global infectious diseases policies to improve healthcare systems and public health. ID/HIV physicians have a unique frontline perspective to share with federal policymakers regarding how programs and policies benefit patients and public health. Providing this input is critical to the enactment of legislation that will maximize the response to infectious diseases. This article discusses the advocacy of ID/HIV physicians and other healthcare professionals in federal health policy. Key issues include funding for ID/HIV programs; the protection of public health and access to health care; improving research opportunities; and advancing the field of ID/HIV, including supporting the next generation of ID/HIV clinicians. The article also describes best practices for advocacy and provides case studies illustrating the impact of ID/HIV physician advocacy.

scholarly journals Cardiovascular Disease Prevention and Implications of Coronavirus Disease 2019: An Evolving Case Study in the Crescent City

2020 ◽  
Vol 9 (13) ◽  
Author(s):  
Alexander C. Razavi ◽  
Tanika N. Kelly ◽  
Jiang He ◽  
Camilo Fernandez ◽  
Paul K. Whelton ◽  
...  
Keyword(s):  
Public Health ◽  
Cardiovascular Disease ◽  
Access To Health Care ◽  
Cardiovascular Health ◽  
Case Fatality ◽  
Noncommunicable Diseases ◽  
Lifestyle Behaviors ◽  
Public Health Perspective ◽  
Access To Health ◽  
The Impact

Abstract Medicine and public health have traditionally separated the prevention and treatment of communicable and noncommunicable diseases. The coronavirus disease 2019 ( COVID ‐19) pandemic has challenged this paradigm, particularly in the setting of cardiovascular disease ( CVD ). Overall, individuals with underlying CVD who acquire severe acute respiratory syndrome coronavirus 2 experience up to a 10‐fold higher case‐fatality rate compared with the general population. Although the impact of the pandemic on cardiovascular health continues to evolve, few have defined this association from a frontline, public health perspective of populations disproportionately affected by CVD and COVID ‐19. Louisiana is ranked within the bottom 5 states for cardiovascular health, and it is home to several parishes that have experienced among the highest COVID ‐19 case‐fatality rates nationally. Herein, we review CVD prevention and implications of COVID ‐19 in New Orleans, LA, a city holding a sobering yet resilient history with previous public health disasters. In particular, we discuss potential pandemic‐driven changes in access to health care, preventive pharmacotherapy, and lifestyle behaviors, all of which may adversely affect CVD prevention and management, while amplifying racial disparities. Through this process, we highlight proposed recommendations for how CVD prevention efforts can be improved in the midst of the current COVID ‐19 pandemic and future public health crises.

Right to health and access to health-care services for refugees in Turkey

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
N. Ela Gokalp Aras ◽  
Sertan Kabadayi ◽  
Emir Ozeren ◽  
Erhan Aydin
Keyword(s):  
Public Health ◽  
Health Care ◽  
Institutional Theory ◽  
Access To Health Care ◽  
Health Care Services ◽  
Public Health Care ◽  
Content Type ◽  
Care Services ◽  
Access To Health ◽  
The Impact

Purpose This paper aims to provide a comprehensive understanding of factors that contribute to refugees’ exclusion from health-care services. More specifically, using institutional theory, this paper identifies regulative pillar-, normative pillar- and cultural/cognitive pillar-related challenges that result in refugees having limited or no access to health-care services. Design/methodology/approach The paper draws on both secondary research and empirical insights from two qualitative fieldwork studies totaling 37 semi-structured meso-level interviews, observations and focus groups in three Turkish cities (Izmir, Ankara and Edirne), as well as a total of 42 micro-level, semi-structured interviews with refugees and migrants in one large city (Izmir) in Turkey. Findings This study reveals that systematically stratified legal statuses result in different levels of access to public health-care services for migrants, asylum seekers or refugees based on their fragmented protection statuses. The findings suggest access to health-care is differentiated not only between local citizens and refugees but also among the refugees and migrants based on their legal status as shaped by their country of origin. Originality/value While the role of macro challenges such as laws and government regulations in shaping policies about refugees have been examined in other fields, the impact of such factors on refugee services and well-being has been largely ignored in service literature in general, as well as transformative service research literature in particular. This study is one of the first attempts by explicitly including macro-level factors to contribute to the discussion on the refugees’ access to public health-care services in a host country by relying on the institutional theory by providing a holistic understanding of cognitive, normative and regulative factors in understanding service exclusion problem.

scholarly journals Standing order use in general practice: the views of medicine, nursing and pharmacy stakeholder organisations

2017 ◽  
Vol 9 (1) ◽  
pp. 47 ◽  
Author(s):  
Robyn Taylor ◽  
Eileen McKinlay ◽  
Caroline Morris
Keyword(s):  
General Practice ◽  
General Practitioner ◽  
Access To Health Care ◽  
Timely Manner ◽  
Face To Face ◽  
Standing Order ◽  
Access To Health ◽  
General Practices ◽  
Pharmacy Data ◽  
The Impact

ABSTRACT INTRODUCTION Standing orders are used by many general practices in New Zealand. They allow a practice nurse to assess patients and administer and/or supply medicines without needing intervention from a general practitioner. AIM To explore organisational strategic stakeholders’ views of standing order use in general practice nationally. METHODS Eight semi-structured, qualitative, face-to-face interviews were conducted with participants representing key primary care stakeholder organisations from nursing, medicine and pharmacy. Data were analysed using a qualitative inductive thematic approach. RESULTS Three key themes emerged: a lack of understanding around standing order use in general practice, legal and professional concerns, and the impact on workforce and clinical practice. Standing orders were perceived to extend nursing practice and seen as a useful tool in enabling patients to access medicines in a safe and timely manner. DISCUSSION The variability in understanding of the definition and use of standing orders appears to relate to a lack of leadership in this area. Leadership should facilitate the required development of standardised resources and quality assurance measures to aid implementation. If these aspects are addressed, then standing orders will continue to be a useful tool in general practice and enable patients to have access to health care and, if necessary, to medicines without seeing a general practitioner.

scholarly journals THE IMPACT OF GLOBAL WARMING ON THE PUBLIC HEALTH INCREASING THE BACTERIAL CAUSING INFECTIOUS DISEASES PERFORMED BY EXPERIMENT: VECTOR-BORNE DISEASES INSECTS, TAIF, KSA

2017 ◽  
Vol 5 (5) ◽  
pp. 42-53
Author(s):  
Sherifa Mostafa M. Sabra ◽  
Samar Ahamed
Keyword(s):  
Public Health ◽  
Global Warming ◽  
Infectious Diseases ◽  
Vector Borne Diseases ◽  
The Public ◽  
Colony Forming Unit ◽  
Tapinoma Sessile ◽  
Vector Borne ◽  
The Mean ◽  
The Impact

The search conducted on "The impact of global warming (GW) on the public health (PH) increasing the bacterial causing infectious diseases (IDs) performed by experiment: Vector-borne diseases (VBDs) insects, Taif, KSA", the experiment used ants (Taif Tapinoma sessile), prepared, arranged appropriate nests and adjusted the temperature at (20, 25, 30, 35, 40 and 45°C), for a week of each zone. It revealed the behaviour as (normal, semi-normal and ab-normal), the mean of mortality rates were between (0-53.3%). The bacterial contents measured by the turbidity indicated the presence of multiplication, were between (0.109-0.328). The bacterial growth degrees by sings were between (+ - +++++) and percent between (12-100%). Colony Forming Unit/ml (CFU/ml) confined between (1.8X102-15.0X102)/mL. Through this experiment it turned out the GW had a significant role on the PH, helped the proliferation of bacterial pathogens that caused IDS. The conclusion wiped from the experiment that the extent degrees of GW disadvantages on the PH. The PH workers must take the "Preventive Health Prophylaxis Measures" (PHPMs) to protect the individuals from IDs by eliminating the VBDs of various types, monitoring the immunological situation of individuals, provided the vaccinations of IDs and preparing for complete PHPMs against any changes in the PH.

scholarly journals “Ashamed, Silent and Stuck in a System”—Applying a Structural Violence Lens to Midwives’ Stories on Social Disadvantage in Pregnancy

2020 ◽  
Vol 17 (24) ◽  
pp. 9355
Author(s):  
Eva Neely ◽  
Briony Raven ◽  
Lesley Dixon ◽  
Carol Bartle ◽  
Carmen Timu-Parata
Keyword(s):  
Access To Health Care ◽  
Structural Violence ◽  
Current System ◽  
Social Disadvantage ◽  
Individual Responsibility ◽  
Human Needs ◽  
Aotearoa New Zealand ◽  
Access To Health ◽  
Vulnerability To Poverty ◽  
The Impact

Historical and enduring maternal health inequities and injustices continue to grow in Aotearoa New Zealand, despite attempts to address the problem. Pregnancy increases vulnerability to poverty through a variety of mechanisms. This project qualitatively analysed an open survey response from midwives about their experiences of providing maternity care to women living with social disadvantage. We used a structural violence lens to examine the effects of social disadvantage on pregnant women. The analysis of midwives’ narratives exposed three mechanisms by which women were exposed to structural violence, these included structural disempowerment, inequitable risk and the neoliberal system. Women were structurally disempowered through reduced access to agency, lack of opportunities and inadequate meeting of basic human needs. Disadvantage exacerbated risks inequitably by increasing barriers to care, exacerbating the impact of adverse life circumstances and causing chronic stress. Lastly, the neoliberal system emphasised individual responsibility that perpetuated inequities. Despite the stated aim of equitable access to health care for all in policy documents, the current system and social structure continues to perpetuate systemic disadvantage.

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