scholarly journals A health impact assessment (HIA) on a new motorway bypass in Strasbourg, France

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
D Christie ◽  
G Dardier ◽  
F Jabot ◽  
A Roué-LeGall ◽  
N Cantoreggi ◽  
...  
Keyword(s):  
Air Pollution ◽  
Health Services ◽  
Rural Area ◽  
Road Safety ◽  
Living Environment ◽  
City Centre ◽  
Health Determinants ◽  
Access To Health Services ◽  
The Public ◽  
Access To Health

Abstract Issue In 2018-2019, HIA was carried out on a projected 24-km north-south motorway bypass in a rural area west of Strasbourg, intended to alleviate pressure on a pre-existing motorway that cuts through the city centre. Although transport is a major source of impacts on health, HIA is rarely performed on new road construction projects, globally. Description The HIA included the screening, scoping, assessment and recommendations phases. Assessed health determinants were outdoor air quality, noise, mobility/access to health services, road safety, urban planning and the living environment. Methods included a literature review, the AirQ+ air pollution model, cartography and an NVivo analysis of answers to a public enquiry. Results Noise was set to increase for 1-4% of the population in the study area, but impacts related to air pollution appeared to be negligible and road safety did not change substantially. Mobility and access to health services were to improve, with strong local differences (inequalities): some areas benefitted from access to the new motorway without being affected by noise or traffic, while for others it was the opposite. Stakeholders who participated in the public enquiry were concerned about the loss of agriculturally and environmentally valuable land, viewed as a collective cultural asset. Those living in the vicinity of the bypass expressed anger at the reduction of the quantity and quality of green areas, which was experienced as an injustice given their choice to live in a rural area. Our recommendations related mainly to the pre-existing urban motorway, where reducing traffic volumes and speeds, as well as diverting trucks onto the new bypass, had the most promising effects on health. Lessons Due to its rural localization, the new road had limited health effects through air pollution, which is the focus of many transport-related HIAs. Through the analysis of the public enquiry, the HIA showed that the project generated anger and distress. Key messages The substantial investment represented by the new bypass did not solve pre-existing problems related to environmental health but generated new ones linked to social and mental health issues. Many HIAs miss out on valuable qualitative information because interviews or focus groups cannot be carried out with local stakeholders. Secondary analysis of public consultations can fill this gap.

scholarly journals Exploring Accessibility of Community Pharmacy Services

2015 ◽  
Vol 6 (3) ◽  
Author(s):  
Sarah E. Kelling
Keyword(s):  
Health Care ◽  
Health Services ◽  
Community Pharmacy ◽  
Health Care Professionals ◽  
Community Pharmacists ◽  
Access To Health Services ◽  
The Public ◽  
Access To Health ◽  
Accessibility Of Health Services ◽  
System Access

Objective: To use selected literature to describe strengths and opportunities for improvement related to accessibility of health services in the community pharmacy setting. Summary: Pharmacists have been described as one of the most accessible health care professionals, particularly as nearly 90% of Americans live within 5 miles of a community pharmacy. However, geography alone does not provide access to health services. Individuals must be able to gain entry into the health care system, access a health care location where needed services are provided, and find a health care provider with whom the patient can communicate and trust. Current and potential opportunities for community pharmacists to increase access via each step are described. Conclusion: Community pharmacists are highly accessible health care professionals who are trusted by patients. Opportunities exist to further increase access to dispensing and non-dispensing services in order to better meet the needs of the public.   Type: Commentary

Patterns of Health Services Utilization in Rural Canada

2011 ◽  
Vol 31 (supplement 1) ◽  
pp. 1-36 ◽  
Author(s):  
RW Pong ◽  
M DesMeules ◽  
D Heng ◽  
C Lagacé ◽  
JR Guernsey ◽  
...  
Keyword(s):  
Public Health ◽  
Rural Communities ◽  
Health Services ◽  
Descriptive Analysis ◽  
Health Agency ◽  
Public Health Agency ◽  
Health Determinants ◽  
Access To Health Services ◽  
Research Project ◽  
The Public

Canadians value ease of access to their health services. Although many studies have focused on accessibility to health services in Canada, few have examined rural-urban differences in this aspect, particularly from a national perspective. Yet disparities in access to health services exist between rural and urban populations, as do the challenges of delivering health care to more remote areas or to those with small populations. “Canada’s Rural Communities: Understanding Rural Health and Its Determinants” is a three-year research project co-funded by the Canadian Population Health Initiative (CPHI) of the Canadian Institute for Health Information (CIHI) and the Public Health Agency of Canada (PHAC). It involves investigators from the Public Health Agency of Canada, the Centre for Rural and Northern Health Research (CRaNHR) at Laurentian University, and other researchers. The first publication of the research project was How Healthy Are Rural Canadians? An Assessment of Their Health Status and Health Determinants;Footnote 1a1a this, the second publication, is a descriptive analysis of the utilization patterns of a broad range of health services by rural residents compared to their urban counterparts.

Trends in access to health services and financial protection in China between 2003 and 2011: a cross-sectional study

The Lancet ◽  
2012 ◽  
Vol 379 (9818) ◽  
pp. 805-814 ◽  
Author(s):  
Qun Meng ◽  
Ling Xu ◽  
Yaoguang Zhang ◽  
Juncheng Qian ◽  
Min Cai ◽  
...  
Keyword(s):  
Health Services ◽  
Cross Sectional Study ◽  
Financial Protection ◽  
Sectional Study ◽  
Access To Health Services ◽  
Cross Sectional ◽  
Access To Health

scholarly journals Are nurses meeting the needs of men in primary care?

2017 ◽  
Vol 23 (4) ◽  
pp. 319
Author(s):  
Del Lovett ◽  
Bodil Rasmussen ◽  
Carol Holden ◽  
Patricia M. Livingston
Keyword(s):  
Health Services ◽  
Healthcare Access ◽  
Men’S Health ◽  
Men's Health ◽  
Service Access ◽  
Access To Health Services ◽  
Financing System ◽  
Healthcare Needs ◽  
Comprehensive Primary Health Care ◽  
Access To Health

Meeting men’s health needs by improving healthcare service access is a key objective of comprehensive primary health care. The aims of this qualitative study were to explore the perception of nurses in men’s health services and to describe men’s expectation of the nurse. The comparative component identifies the barriers and facilitators to improved access to health services. A purposive sample of 19 nurses and 20 men was recruited from metropolitan and regional settings in the state of Victoria, Australia, and each participant was interviewed individually or as part of three focus groups. The main findings were: nurses and men were unclear on the role of the nurse in men’s health; and health promotion provided by nurses was predominantly opportunistic. Both participant groups indicated barriers to healthcare access related to: the culture and environment in general practice; limitation of Australia’s Medicare healthcare financing system; out-of-pocket costs, waiting time and lack of extended hours; and men not wanting to be perceived as complainers. Facilitators related to: positive inter-professional relations; effective communication; personal qualities; and level of preparedness of nurse education. The findings demonstrate a need for the role to be better understood by both men and nurses in order to develop alternative approaches to meeting men’s healthcare needs.

scholarly journals Medical Ethnobiology and Indigenous Knowledge System Found In Darai Ethnic Group of Chitwan, Nepal

2016 ◽  
Vol 21 (1) ◽  
pp. 103-111 ◽  
Author(s):  
Manisha Poudel ◽  
Nanda Bahadur Singh
Keyword(s):  
Health Services ◽  
Indigenous Knowledge ◽  
Ethnic Group ◽  
Animal Species ◽  
Knowledge System ◽  
Easy Access ◽  
Access To Health Services ◽  
Medicinal Purpose ◽  
Indigenous Knowledge System ◽  
Access To Health

The present study focuses on traditional usages of animals and plants species for medicinal purpose and indigenous knowledge system existent in Darai ethnic group of Mangalpur VDC, Chitwan, Nepal. A total of 28 animal species and 76 plant species were found to be used by Darai people to treat 22 and 36 different ailments, respectively. Darai people have their own indigenous knowledge for making various bamboo products and fishing equipments and local drink (moat/muna). The existence of knowledge associated with animals and plants and their medicinal utility is currently threatened mainly due to modernization, easy access to health services, lack of interest of youngsters, few local healers and fading of ethnic characters of Darai ethnic group. Thus, documentation of such knowledge has become an urgent need.Journal of Institute of Science and TechnologyVolume 21, Issue 1, August 2016, page: 103-111

scholarly journals Access to health services in Western Newfoundland, Canada: Issues, barriers and recommendations emerging from a community-engaged research project

2014 ◽  
Vol 7 (1) ◽  
Author(s):  
Janelle Hippe ◽  
Victor Maddalena ◽  
Sara Heath ◽  
Beulah Jesso ◽  
Marion McCahon ◽  
...  
Keyword(s):  
Health Services ◽  
Nurse Practitioners ◽  
Maternal Child Health ◽  
Access To Health Services ◽  
Rural And Remote ◽  
Research Project ◽  
Community Engaged Research ◽  
Kitchen Table ◽  
Access To Health ◽  
Health Services Access

Research indicates that people living in rural and remote areas of Canada face challenges to accessing health services. This article reports on a community-engaged research project conducted by investigators at Memorial University of Newfoundland in collaboration with the Rural Secretariat Regional Councils and Regional Partnership Planners for the Corner Brook–Rocky Harbour and Stephenville–Port aux Basques Rural Secretariat Regions of Newfoundland and Labrador. The aim of this research was to gather information on barriers to accessing health services, to identify solutions to health services’ access issues and to inform policy advice to government on enhancing access to health services. Data was collected through: (1) targeted distribution of a survey to communities throughout the region, and (2) informal ‘kitchen table’ discussions to discuss health services’ access issues. A total of 1049 surveys were collected and 10 kitchen table discussions were held. Overall, the main barriers to care listed in the survey included long wait times, services not available in the area and services not available at time required. Other barriers noted by survey respondents included transportation problems, financial concerns, no medical insurance coverage, distance to travel and weather conditions. Some respondents reported poorer access to maternal/child health and breast and cervical screening services and a lack of access to general practitioners, pharmacy services, dentists and nurse practitioners. Recommendations that emerged from this research included improving the recruitment of rural physicians, exploring the use of nurse practitioners, assisting individuals with travel costs,  developing specialist outreach services, increasing use of telehealth services and initiating additional rural and remote health research.Keywords: rural, remote, healthcare, health services, social determinants of health

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