From public health to population medicine: the contribution of public health to health care services

Due to the limitations in the verifiability of individual identity, migrant workers have encountered some obstacles in access to public health care services. Residence permits issued by the Chinese government are a solution to address the health care access inequality faced by migrant workers. In principle, migrant workers with residence permits have similar rights as urban locals. However, the validity of residence permits is still controversial. This study aimed to examine the impact of residence permits on public health care services. Data were taken from the China Migrants Dynamic Survey (CMDS). Our results showed that the utilization of health care services of migrant workers with residence permits was significantly better than others. However, although statistically significant, the substantive significance is modest. In addition, megacities had significant negative moderating effects between residence permits and health care services utilization. Our research results emphasized that reforms of the household registration system, taking the residence permit system as a breakthrough, cannot wholly address the health care access inequality in China. For developing countries with uneven regional development, the health care access inequality faced by migrant workers is a structural issue.

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Prison Health as Public Health in Ontario Corrections

Journal of Community Safety and Well-Being ◽

10.35502/jcswb.122 ◽

2020 ◽

Vol 5 (1) ◽

pp. 19

Author(s):

Yoko Murphy ◽

Howard Sapers

Keyword(s):

Public Health ◽

Health Care ◽

Health Care Services ◽

Care Needs ◽

Term Care ◽

Care Services ◽

Prison Health ◽

Independent Review ◽

Recent Reform ◽

The Government

The majority of incarcerated individuals in Canada, and especially in Ontario provincial correctional institutions, are released into the community after a short duration in custody. Adult correctional populations have generally poor health, including a heightened prevalence of mental health and substance use disorders. There are legal and ethical obligations to address health care needs of incarcerated individuals, and also public health benefits from ensuring adequate, appropriate, and accessible health services to individuals in custody. The Independent Review of Ontario Corrections recommended the transformation of health care in Ontario provincial corrections in 2017, including transferring health service responsibilities to the Ministry of Health and Long-Term Care. The Correctional Services and Reintegration Act, 2018, would affirm the provincial government’s obligation to provide patient-centred, equitable health care services for individuals in custody. We encourage the Government of Ontario to proclaim the Act and continue the momentum of recent reform efforts in Ontario.

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Access and fees in public health care services for the poor: Bangladesh as a case study

Oxford Development Studies ◽

10.1080/13600818.2021.2004392 ◽

2021 ◽

pp. 1-16

Author(s):

Wahid Abdallah ◽

Shyamal Chowdhury ◽

Kazi Iqbal

Keyword(s):

Public Health ◽

Health Care ◽

Health Care Services ◽

Public Health Care ◽

Care Services ◽

The Poor

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2. The Provision of HealthCare Services: The NHS, Resource Allocation, and Public Health

Medical Law ◽

10.1093/he/9780198825845.003.0002 ◽

2019 ◽

pp. 37-120

Author(s):

Emily Jackson

Keyword(s):

Public Health ◽

Health Care ◽

Resource Allocation ◽

Health Care Services ◽

Healthcare Services ◽

Health Law ◽

Care Services ◽

Role Of The State ◽

Healthy Behaviour

All books in this flagship series contain carefully selected substantial extracts from key cases, legislation, and academic debate, providing able students with a stand-alone resource. This chapter examines the provision of health care services. It first considers the way in which NHS services are commissioned. Secondly, it covers the issue of resource allocation or rationing. It examines different rationing strategies, and considers the role of the National Institute of Health and Care Excellence, and the use of judicial review to challenge funding decisions. Finally, it examines public health law, and role of the state in encouraging healthy behaviour and addressing health inequalities.

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Maternity and Child Health Care Services Delivered by Public Health Centers Compared to Health Cooperatives: Iran`s Experience

Journal of Medical Sciences(Faisalabad) ◽

10.3923/jms.2006.352.358 ◽

2006 ◽

Vol 6 (3) ◽

pp. 352-358 ◽

Cited By ~ 2

Author(s):

Alireza Nikniyaz ◽

Mostafa Farahbakhsh . ◽

Kazem Ashjaei . ◽

Djafarsadegh Tabrizi . ◽

Homayoun Sadeghi-Baz . ◽

...

Keyword(s):

Public Health ◽

Health Care ◽

Child Health ◽

Health Care Services ◽

Health Centers ◽

Child Health Care ◽

Care Services ◽

And Child Health

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Perceived risks and barriers to care for international migrants in transit through Mexico

European Journal of Public Health ◽

10.1093/eurpub/ckz186.018 ◽

2019 ◽

Vol 29 (Supplement_4) ◽

Author(s):

S Larrea ◽

R Leyva-Flores ◽

N Guarneros-Soto ◽

C Infante-Xibille

Keyword(s):

Public Health ◽

Health Care ◽

Health Services ◽

Health Personnel ◽

Health Care Services ◽

Barriers To Care ◽

Human Security ◽

Public Health Services ◽

Care Services ◽

In Transit

Abstract Background Mexico has implemented policies seeking to reduce barriers to care for migrants in transit; however, it is estimated that only 3% of migrants use public health services when needed. The main purpose of this study was to identify the barriers to access public health services faced by migrants in transit through Mexico. Methods Under the human security perspective, in 2018, a qualitative study was carried out in Mexican communities with high migrant mobility. 34 semi-structured interviews were conducted with migrants in transit, and personnel from public health services and migrant shelters (NGOs). Values and meanings related to risks, health problems, barriers to care, experiences of health services utilization, and opinions on facilitating elements to diminish these barriers were identified. Results Migrants in transit through Mexico face risks that affect all dimensions of human security. Perceived anti-migratory and discriminative attitudes during the journey were constantly mentioned in the interviews. Barriers to care were found in the four stages of health care access, classified according to the Tanahashi framework, with the majority related to accessibility and acceptability. The following facilitating elements were also identified: political willingness of local government, knowledge and talent management of health personnel, and strategies implemented for adapting local health care services to migrants. Conclusions Social and political conditions in Mexico disrupt any effort to reduce social risks and barriers to care for migrants in transit. Non-governmental actors are key players for facilitating interactions between migrants and local governmental health care institutions. However, the general anti-migratory context negatively affects access to health care and influence the perspectives of migrants, NGOs, and health personnel. Key messages The predominant perceived barriers to care are in counterpoint to local governmental pro-migrant rights perspectives. NGOs are key actors to promote access to public health care services.

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An estimation of willingness to pay for secondary health care services in Tamil Nadu, India

International Journal of Health ◽

10.14419/ijh.v5i1.6542 ◽

2016 ◽

Vol 5 (1) ◽

pp. 12

Author(s):

K Ramu

Keyword(s):

Public Health ◽

Health Care ◽

Willingness To Pay ◽

Tamil Nadu ◽

Health Care Services ◽

Public Health Care ◽

The Public ◽

Care Services ◽

Secondary Health Care ◽

User Fee

The present study has estimated the willingness to pay (WTP) for secondary health care services (SHCS) in rural and urban environment of three districts in the state of Tamil Nadu during 2009-2011. Since the governments are struggling to mobilise additional financial resources to provide essential health care services to the deprived population in the country, assessing the WTP for utilising the public health care services are realised as very important at this juncture. In realizing the importance of augmentation of resources, it has been decided to introduce contingent valuation method (CVM) for WTP of SHCS. A disproportionate systematic random sampling method has been adopted for the selection of 720 households; representing 240 respondents from each of the three districts represent 120 from rural and 120 from urban. A major portion (92%) of the surveyed respondents’ gender was male, literacy was high (90%) and they belonged to productive age group. They generally involve themselves in the farm and non - farm activities and avail employment. Their per capita income is Rs.17871, and it is lower than the India’s PCI. The SHCS are classified into 26 categories as per the guidelines provided by public health medical officers in the state of Tamil Nadu. The different health care services started with entry fee to dental problem. The 98.6 per cent of the total surveyed respondents are ready to pay for SHCS in a public hospital and the remaining 2.4 per cent of them are not willing to pay for the same. The range of WTP for 26 SHCS is Rs. 2 - 7000; the range of mean value is Rs. 6 - 5008 and the range of SD is 2 - 2854. Considering the view of majority of the respondents, this study prescribes to introduce the range of user fee for the identified major public health care services. Since the range is differed significantly, it is suggested to follow the minimum amount initially and in a phased manner, the policy makers may prescribe to enhance the user fee after assessing the ground realities and loopholes. The estimated R2 value for SHCS is 20 per cent, which indicates that the selected 12 independent variables have low influence on WTP for SHCS. The study reports that the other exogenous factors like intensity of disease, accessibility of services, quality, urgency, need and perception are the predominant determinants of WTP for SHCS. The present research contends that constitution of district level co-ordination committee for fixing and implementing user fee for SHCS. Introduction of nominal fee (user fee) for SHCS may be fixed for affordable population, free services for BPL population and it would improve the efficiency and equity of the public health care services for the marginalised population. Finally, it is of utmost importance for health professionals to follow ethics in their profession.

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