Geographical accessibility to permanent care centers of family doctors from Bihor County, Romania

Abstract Accessibility (geographic or spatial) to health services is a component of health care services access that through measurement can assess inequities in health. Geographical accessibility can be measured using a geographic information system (GIS) where travel time is calculated from the patient’s home to the place where a service is delivered. Permanent care centers of family doctors (PCCs) are units providing family medicine services (consultations, injections, solving minor emergencies) outside the work schedule of family doctors (night and holiday), for overloading prevention of emergency hospitals services by direct addressing or by calling to the unique emergency number 112. Bihor County has 617118 inhabitants in the 101 administrative-territorial units (458 localities), 334 family medicine practices, and there were 34 PCCs. We intended to identify the number of localities in more than 10, 20 or 30 minutes of travel by car from the PCC (based on end-2018 data). A GIS was created using the QGIS application, which includes layers: the county border, the 454 localities and the georeferenced addresses of PCC. Using the ORS Tools plug-in, the appropriate isochrones were created. Then overlapping isochrones and localities (points), the number of localities for which the travel time to the nearest PCC is greater than 10, 20 and 30 minutes, respectively, was obtained. The time needed for the inhabitants to reach the PCC is: more than 10 minutes for 247 localities; more than 20 minutes for 81 localities and over 30 minutes for 10 localities. The results are presented in the form of maps and in tabular form (localities). Using GIS, accessibility to medical services in a territory (city, county, country) can be measured. The application of free GIS software, QGIS, requires hardware, staff training, procedures (for work and decision-making) to research and improve population access to health services. Key messages Access to health services can be assessed using geographic information systems. The use of appropriate maps facilitates decision making to optimize health services.

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Indicating Fields of Inequalities Regarding the Access to Health Benefits

International Journal of Reliable and Quality E-Healthcare ◽

10.4018/ijrqeh.2012040104 ◽

2012 ◽

Vol 1 (2) ◽

pp. 41-54 ◽

Cited By ~ 1

Author(s):

Krzysztof Landa ◽

Karolina Skóra

Keyword(s):

Health Care ◽

Health Services ◽

Health Care System ◽

Health Care Services ◽

Health Care Systems ◽

Health Benefits ◽

Access To Health Services ◽

Web Portal ◽

Access To Health ◽

Care System

Restrictions to health services in Poland have been an inspiration to establish Watch Health Care Foundation (WHC). The fundamental disease of the system is namely the disproportion between the amount of the funds and the contents of the package. It causes everywhere the same ’symptoms’ and leads to the same pathological phenomena: queues and other forms of rationing (’guaranteed’) health benefits, corruption, making use of privileges. Foundation uses the potential of information society and available infrastructure (web portal http://www.watchealthcare.eu) and all activities are presented on the website with the aim of influencing the health care system. On the basis of reports of limited access to health services, a ranking is created at WHC web portal, which aims to show what the biggest gaps in access to health services are - this is the way of showing the patient and health care system needs and also one possible approach of continuous education of the health care services consumers targeted at health care systems improvement.

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Barriers to accessing health care services: A qualitative study of migrant construction workers in a Southwestern Indian city

10.21203/rs.3.rs-16097/v2 ◽

2020 ◽

Author(s):

Maija Santalahti ◽

Kumar Sumit ◽

Mikko Perkiö

Keyword(s):

Health Care ◽

Health Services ◽

Health Care Access ◽

Access To Health Care ◽

Health Care Services ◽

Construction Workers ◽

Access To Health Services ◽

Care Access ◽

Care Services ◽

Access To Health

Abstract Background: This study examined access to health care in an occupational context in an urban city of India. Many people migrate from rural areas to cities, often across Indian states, for employment prospects. The purpose of the study is to explore the barriers to accessing health care among a vulnerable group – internal migrants working in the construction sector in Manipal, Karnataka. Understanding the lay workers’ accounts of access to health services can help to comprehend the diversity of factors that hinder access to health care. Methods: Individual semi-structured interviews involving 15 migrant construction workers were conducted. The study applied theory-guided content analysis to investigate access to health services among the construction workers. The adductive analysis combined deductive and inductive approaches with the aim of verifying the existing barrier theory in a vulnerable context and further developing the health care access barrier theory. Results: This study’s result is a revised version of the health care access barriers model, including the dimension of trust. Three known health care access barriers – financial, cognitive and structural, as well as the new barrier (distrust in public health care services), were identified among migrant construction workers in a city context in Karnataka, India. Conclusions: Further qualitative research on vulnerable groups would produce a more comprehensive account of access to health care. The socioeconomic status behind access to health care, as well as distrust in public health services, forms focal challenges for any policymaker hoping to improve health services to match people’s needs.

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Derecho a una salud y libertad de decisiones. Posibilidad de optar al uso de Terapias Complementarias Patients´ rights to access to health services and decision-making. The chance to choose Complementary Therapies

Saber & Educar ◽

10.17346/se.vol0.352 ◽

2020 ◽

Author(s):

María Lourdes Casillas Santana

Keyword(s):

Decision Making ◽

Health Services ◽

Complementary Therapies ◽

Access To Health Services ◽

Patients Rights ◽

Access To Health

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Healthcare challenges of incarcerated women in Australia: An integrative review

International Journal of Healthcare ◽

10.5430/ijh.v7n1p10 ◽

2020 ◽

Vol 7 (1) ◽

pp. 10

Author(s):

Christine Stewart ◽

Sharon L Bourke ◽

Janet A Green ◽

Elianna Johnson ◽

Ligi Anish ◽

...

Keyword(s):

Health Services ◽

Health Outcomes ◽

Health Care Services ◽

Prison Population ◽

Incarcerated Women ◽

Health Needs ◽

Integrative Review ◽

Access To Health Services ◽

Care Services ◽

Access To Health

Background: Despite the rise in numbers of incarceration women, disparities between health care services and access exist. The health needs of incarcerated women is complex and influenced by multiple social determinants of health.Purpose: Explore the healthcare issues of incarcerated women within Australian Prisons.Methods: Integrative review of the literature.Results: Incarcerated women represent a small proportion of the prison population within Australia, however, health outcomes are significantly impacted. Socioeconomic status, abuse (physical, emotional, sexual), previous incarceration, generational factors are some of the factors impeding the health of incarcerated women. Mental health, chronic disease conditions, maternal and child factors are significant health concerns of this vulnerable population. There is a disparity in health access and programs to improve their health outcomes. This paper explores the challenges impacting the health of incarcerated women.Conclusions: Significant disparities exist in the access of health services available to incarcerated women. There needs to be more focus upon improving access to health services and health support programs to meet the complex health needs of incarcerated in Australia. Furthermore, there is a need for more primary health nurses to prevent and address the healthcare issues of this population.

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GEO-SPATIAL MODELING OF TRAVEL TIME TO MEDICAL FACILITIES IN MUNA BARAT DISTRICT, SOUTHEAST SULAWESI PROVINCE, INDONESIA

Public Health of Indonesia ◽

10.36685/phi.v4i1.167 ◽

2018 ◽

Vol 4 (1) ◽

pp. 19-24

Author(s):

Nelson Sula ◽

Ramadhan Tosepu ◽

Iradaf Mandaya

Keyword(s):

Health Services ◽

Travel Time ◽

Geospatial Analysis ◽

Infrastructure Development ◽

Access To Health Services ◽

Raster Data ◽

Digital Elevation ◽

Access To Health ◽

Medical Facilities ◽

Regional Topography

Background: Health services are strongly influenced by regional topography. Road infrastructure is a key in access to health services. The geographic information system becomes a tool in modeling access to health services.Objective: To analyze geospatial data of the travel time to medical facilities in Muna Barat district, Southeast Sulawesi Province, Indonesia.Methods: This research used geospatial analysis with classification of raster data then overlaid with raster data such as Digital Elevation Modeling (DEM), Road of Vector data, and the point of Public Health Center (Puskesmas).Results: The result of geospatial analysis showed that the travel time to Puskesmas in Napano Kusambi and Kusambi sub districts is between 90-120 minutes, and travel time to the hospital in Kusambi sub district is required more than 2 hours. Conclusion: The output of this geospatial analysis can be an input for local government in planning infrastructure development in Muna Barat District, Indonesia.

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Barriers to accessing health care services: A qualitative study of migrant construction workers in a Southwestern Indian city

10.21203/rs.3.rs-16097/v3 ◽

2020 ◽

Author(s):

Maija Santalahti ◽

Kumar Sumit ◽

Mikko Perkiö

Keyword(s):

Health Care ◽

Health Services ◽

Health Care Access ◽

Access To Health Care ◽

Health Care Services ◽

Construction Workers ◽

Access To Health Services ◽

Care Access ◽

Care Services ◽

Access To Health

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Pathways to healthcare for migrants and vulnerable people inclusion: the experience of Genti di Pace

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.757 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

S Mancinelli ◽

E Buonomo ◽

F Mosaico ◽

G Biondi ◽

A Zampa ◽

...

Keyword(s):

Health Care ◽

Health Services ◽

Access To Health Care ◽

Health Care Services ◽

Access To Health Services ◽

Public And Private ◽

Care Services ◽

Access To Health ◽

Vulnerable People ◽

Improve Health

Abstract Issue Chronic and acute diseases affects migrants and vulnerable people who often face barriers in accessing health care services. Here is the description of an innovative health center (HC) developed for identifying barriers and facilitating access to health care services of hard-to-reach (HTR) people in Rome. Description of the Problem The Community of Sant'Egidio together with the “Migrant Health Unit” of ASL Roma 1 has established an innovative HC program aimed to improve health outcomes in HTR urban population. One of the main Public Health challenge is to reduce inequalities among migrants and vulnerable people through improving access to health services. Data here analysed were collected during 2019. Results 897 migrants and vulnerable people received heath care assistance. 52.4% were females, mean age 40.7±21.4 ds, 16.3% aged under 18 years and 69.6% were between 18-64 years. Countries of provenance: 56.8% Eastern Europe (Bosnia and Romania), 16.8% South America and 15.2% North Africa. 3.2% were refugees. Among 1986 health interventions 56.3% were general medical visits, 35.4% prescriptions and free drugs distribution, 4.1% children growth controls and baby milk supplies, 3.6% specialist visits and only 0.3% were sending to the Emergency Room. Lessons Improving the access to health care services of migrants is both a public health and an economic goal. The increase in chronic-degenerative diseases underlines the need to facilitate access to health services, also through collaboration networks between public and private social. This allows continuity in treatment, which has great meaning of secondary prevention, as well as rationalization of resources, reducing an improper use of the Emergency Room, which provides occasional intervention, but does not integrate into an efficient/effective therapeutic path. Key messages Promoting health care services like this can reduce barriers, improve health outcomes in migrants and increase sustainability of the NHS. Improving access to public and private social health services is important especially in presence of chronic-diseases which require continuous therapies and examinations.

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