scholarly journals Age Differences in Anticipated Use of Virtual Healthcare Services After the Pandemic

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 999-999
Author(s):  
Matthew Murphy ◽  
William Hills ◽  
Karen Hills

Abstract Healthcare has undergone a significant transformation during the pandemic, with virtual services being rapidly developed and implemented to keep pace with societal needs. This study documented this change in healthcare by examining access and use of video-based, virtual service use before and during the pandemic. Participants for the study (n = 685) included three groups, including retirement-aged persons, middle-aged adults, and traditional college-aged students. Measures for the study included access to and utilization of physical and mental health services, satisfaction with services accessed, and anticipated access and use of virtual services following the pandemic. Results showed that most participants (94.2%) believed that virtual healthcare would persist after the pandemic; three-quarters of adults (75.2%) but only half of college-aged (52.8%) and retirement-aged (57.6%) participants anticipated using virtual healthcare in the future. Prior use and satisfaction with virtual healthcare services mediated anticipated future use for retirement-aged participants (p < .001), but only satisfaction with virtual healthcare was a marginal predictor for college-aged participants (p = .051), and neither were predictors for adult-aged participants. These results support that people believe virtual healthcare will persist after the end of the pandemic, but that there are age-related differences in who anticipates using these services in the future, and which factors will make the most difference in attracting clients. These differences can impact how healthcare providers market and develop further tele-health services to increase the likelihood of use by retirement-aged participants, and suggests that client satisfaction is a key mediator for different age groups.

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
P Lindfors ◽  
L Lahti ◽  
J Kinnunen ◽  
A Rimpelä

Abstract Background Adolescents' images of the future emerge from knowledge built on experiences of the past and present and their age-related developmental tasks. Images of the future direct adolescents' decision-making, choices, and behavior. The images of the future can act as a mirror of our times, reflecting the political values and ethos of society. The aim of this study was to examine the fears for the future among Finnish adolescents in the era of climate change. Methods Data from a nationwide survey on the health and health behavior of 12-, 14-, 16-, and 18-year-olds (n = 3520, the response rate 37 %) in 2019 in Finland. An open-ended question on fears for the future was employed as a final question on the survey. The data was analyzed first by inductive content analysis and then by statistical methods. Altogether 7829 fears were reported. These were constructed into 12 main categories. Results Fears for the social relationships and loneliness were the most common (35 %). Fears related to death (33 %), physical health and wellbeing (25 %), life management and success (19 %) and working life (17 %) were next common. Only 9 % of the adolescents reported climate and the environment related fears. In age group comparisons, 12-14-year-olds reported more global and social fears, while 16-18-year-olds reported more personal fears, such as study, working life and relationships. The most common fears among boys and girls were similar in all age groups. Conclusions The most common fears among Finnish adolescents are related to personal life and less to global issues. Against our hypothesis, climate and environmental related fears were not among the top fears, even these topics are figured prominently in media and other research has also reported high proportions of climate change related fears among adolescents. The inconsistencies might be explained by the differences in the research methodologies: whether open-ended questions or structured questions are used. Key messages Most common fears for the future are related to personal issues like relationships, health and work. Fears for climate change were not among the most common ones when open-ended questions were used.


2018 ◽  
Vol 33 (1) ◽  
pp. 39-46 ◽  
Author(s):  
Dianna T Kenny ◽  
Tim Driscoll ◽  
Bronwen J Ackermann

BACKGROUND: The physical and psychological demands of playing a musical instrument are likely to be affected by age-related decline in function, including physical, cognitive, psychological, and organ-related changes. However, the complex neurophysiological demands of playing a musical instrument may delay many normal aging-related changes. AIM: This study compared professional classical musicians of different ages, using a range of physical and psychological measures, to discover how increasing age might affect work performance and to identify possible risk and protective factors for physical and psychological health as the musicians age. SUBJECTS: 377 professional orchestral musicians from eight Australian orchestras (70% response rate), ages 18 to 68 yrs (mean 42.1). Multiple standardized physical and psychological tools were used to evaluate the impact of age on a range of physical and mental health variables. RESULTS: Age was not statistically associated with frequency or severity of performance-related musculoskeletal disorders, ratings of perceived exertion, QuickDASH scores, use of beta-blockers, workplace satisfaction, and most psychological tests. Differences were observed on SPIN (social anxiety) scores, with lowest scores in the oldest age group (10.66 in 55+ yrs vs 17.83 in 18-30 yrs, p=0.016). Older musicians had higher BMIs and fewer practice sessions per day than younger musicians and also were more likely to consume alcohol on 5+ days/wk (44% vs 9%, p=0.003). CONCLUSION: Advancing age does not appear to exert undue negative impacts on physical and psychological health or performance capacity of professional orchestral musicians. However, dwindling numbers in the older age groups may suggest a "survivor" effect, whereby those who develop significant age-related decrements may cease professional performance at earlier ages. Longitudinal studies on the professional trajectories of professional orchestral musicians are needed to explore this question further.


Author(s):  
S. M. A. Hanifi ◽  
Aazia Hossain ◽  
Asiful Haidar Chowdhury ◽  
Shahidul Hoque ◽  
Mohammad Abdus Selim ◽  
...  

Abstract Background The government of Bangladesh initiated community clinics (CC) to extend the reach of public health services and these facilities were planned to be run through community participation. However, utilisation of CC services is still very low. Evidence indicates community score card is an effective tool to increase utilisation of services from health facility through regular interface meeting between service providers and beneficiary. We investigated whether community scorecards (CSC) improve utilisation of health services provided by CCs in rural area of Bangladesh. Methods This study was conducted from December 2017 to November 2018. Three intervention and three control CCs were selected from Chakaria, a rural sub-district of Bangladesh. CSC was introduced with the Community Groups and Community Support Groups in intervention CCs between January to October 2018. Data were collected through observation of CCs during operational hours, key informant interviews, focus group discussions, and from DHIS2. Utilisation of CC services was compared between intervention and control areas, pre and post CSC intervention. Results Post CSC intervention, community awareness about CC services, utilisation of clinic operational hours, and accountability of healthcare providers have increased in the intervention CCs. Utilisation of primary healthcare services including family planning services, antenatal care, postnatal care and basic health services have significantly improved in intervention CCs. Conclusion CSC is an effective tool to increase the service utilization provided by CCs by ensuring community awareness and participation, and service providers’ accountability. Policy makers and concerned authorities may take necessary steps to integrate community scorecard in the health system by incorporating it in CCs.


2021 ◽  
Author(s):  
Bafreen Sherif ◽  
Ahmed Awaisu ◽  
Nadir Kheir

Abstract Background The annual New Zealand refugee quota was increased to 1500 places from 2020 onwards as a response to the global refugee crisis. The specific healthcare needs of refugees are not clearly understood globally and communication between healthcare providers and refugees remains poor. Methods A phenomenological qualitative methodology was employed to conduct semi-structured interviews among purposively selected stakeholders who work in refugee organisations and relevant bodies in New Zealand. Results The participants indicated the need for a national framework of inclusion, mandating cultural competency training for frontline healthcare and non-healthcare personnel, creation of a national interpretation phone line, and establishing health navigators. Barriers to accessing health services identified included some social determinants of health such as housing and community environment; health-seeking behaviour and health literacy; and social support networks. Future healthcare delivery should focus on capacity building of existing services, including co-design processes, increased funding for refugee-specific health services, and whole government approach. Conclusion Policymakers and refugee organisations and their frontline personnel should seek to address the deficiencies identified in order to provide equitable, timely and cost-effective healthcare services for refugees in New Zealand.


2018 ◽  
Vol 6 (4) ◽  
pp. 638 ◽  
Author(s):  
Dialechti Tsimpida ◽  
Daphne Kaitelidou ◽  
Petros Galanis

Rationale, Aims and Objectives: To explore the issues related to the use of health services by deaf and hard of hearing adults in Greece.Method: The study population consisted of 140 adults with hearing loss (86 deaf and 54 hard of hearing). We gathered information about sociodemographic characteristics, use of health services characteristics, satisfaction from health providers and complaints during the use of health services.Results: A considerable percentage of the participants did not make appropriate use of healthcare services, as they made avoidable visits to emergency departments even for minor, short-term conditions (p=0.002) or used to just wait for the symptoms to pass in an illness occurrence (p=0.06). They also experienced major difficulties as part of the health visit (p=0.01) and the quality of communication with health providers (p=0.002). The absence of assistive technology, along with the lack of low availability of Sign Language interpreters, were important barriers for those that communicate in Sign Language. Regarding the engagement with healthcare providers, there were high rates of dissatisfaction from doctors, nurses and receptionists related to issues during the use of health services.Conclusions: Our results underscore the fact that deaf and hard of hearing persons constitute a minority population that experience major barriers during the use of health services and considerable difficulties in the healthcare provider-patient relationship. In light of these findings, a special effort must be made to ensure that deaf and hard of hearing individuals receive appropriate, ethical and person-centered healthcare.


2020 ◽  
Vol V (I) ◽  
pp. 30-39
Author(s):  
Abid Mehmood ◽  
Sajjad Ali

Health conditions in Pakistan are very bad. Government and non-governmental organizations are trying to meet international standard of health services. Some healthcare providers are educated, trained and certified from the government but some are unqualified and not certified. In this research two national newspapers are analyzed the daily Jang Urdu and the daily Dawn English. These newspapers cover healthcare services such as indoor patient, outdoor patient maternity and other health services in news stories. These services are also seen in the Literature Review. The researcher analyzed on coverage of healthcare in newspapers the daily Jang and the daily Dawn. This research has been performed by using content analysis technique under quantitative methodology. Media agenda setting theory was adopted in the theoretical framework as in the literature review. The statistical analyses of data analysis have been done in the form of frequency distribution and correlation analysis. SPSS is used to analyze the content of data. The results show that daily Jang is giving more coverage to health-related news stories than daily Dawn.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 1025-1025
Author(s):  
William Hills ◽  
Matthew Murphy ◽  
Karen Hills

Abstract Societal needs highlighted during the pandemic have led to significant changes in healthcare, including the rapid development and implementation of tele-care consumer options. This study examined video-based, virtual healthcare access and utilization before and during the pandemic. Participants included traditional college-aged students, middle-aged adults, and retirement-aged persons (n = 685); measures included access to physical and mental health services, consumer satisfaction with type of services accessed, and anticipated use of virtual healthcare following the pandemic. Results showed that approximately half of participants (49.2%) had experience with virtual healthcare, with most of these cases during the pandemic. Virtual healthcare was more often used for physical compared to mental healthcare services, with college-aged participants more likely to use mental healthcare services than adult and retirement-aged participants. Laptop computers were most widely used to access services, with smartphone use proportionally lower in retirement-aged participants (31.4%). Overall satisfaction with virtual services was high (Mdn = 5 on a 6-point Likert scale), but college-aged participants trended toward a lower satisfaction (Mdn = 4.25) than other age categories. These results support that virtual healthcare service development and access experienced significant growth during the pandemic. Age differences in the types of services, types of devices, and satisfaction with virtual services all suggest a similar theme for age-related considerations of life stage, life responsibilities, and comfort and familiarity with technology that must be addressed for virtual healthcare to reach its full potential and reach equitably across the lifespan.


Crisis ◽  
2016 ◽  
Vol 37 (4) ◽  
pp. 290-298 ◽  
Author(s):  
Samantha Gontijo Guerra ◽  
Helen-Maria Vasiliadis

Abstract. Background: Healthcare service use among suicide decedents must be well characterized and understood since a key strategy for preventing suicide is to improve healthcare providers' ability to effectively detect and treat those in need. Aims: To determine gender differences in healthcare service use 12 months prior to suicide. Method: Data for 1,231 young Quebec residents (≤ 25 years) who died by suicide between 2000 and 2007 were collected from public health insurance agency databases and coroner registers. Healthcare visits were categorized according to the setting (emergency department [ED], outpatient, and hospital) and their nature (mental health vs. non-mental health). Results: Girls were more likely than boys (82.5% vs. 74.9%, p = .011) to have used healthcare services in the year prior to death. A higher proportion of girls had used outpatient services (79.0% vs. 69.5%, p = .003), had been hospitalized (25.7% vs. 15.6%, p < .001) and had received a mental health-related diagnosis (46.7% vs. 33.1%, p < .001). However, no gender differences were observed in ED visits (59.5% vs. 54.5%, p = .150). Conclusion: There is an important proportion of suicide decedents who did not receive a mental health diagnosis and healthcare services in the year prior to death. Future studies should focus on examining gender-specific individual and health system barriers among suicide decedents as well as the quality of care offered regarding detection and treatment.


Author(s):  
Seema Biswas ◽  
Keren Mazuz ◽  
Rui Amaral Mendes

As e-healthcare becomes a reality for healthcare service provision across the world, challenges in acceptance, implementation, usage and effectiveness have begun to emerge. The infrastructure, readiness and literacy levels required for the effective delivery of e-healthcare services may be prohibitive in providing access to those most in need. As research brings to light the real effectiveness of e-healthcare programmes across the globe, this paper explores how e-healthcare has been implemented worldwide and how populations have been served by an innovation in Information Technology and healthcare that has sought to bring health services to remote areas, improve access to healthcare and narrow the divide between healthcare providers and patients. While notable achievements have seen real time clinical data captured and medical records digitalised, the very determinants responsible for actual health and social disparities are equally responsible for disparities is access to e-healthcare.


2007 ◽  
Vol 38 (10) ◽  
pp. 1465-1474 ◽  
Author(s):  
R. H. Striegel-Moore ◽  
L. DeBar ◽  
G. T. Wilson ◽  
J. Dickerson ◽  
F. Rosselli ◽  
...  

BackgroundThis study examined healthcare services used by adults diagnosed with an eating disorder (ED) in a large health maintenance organization in the Pacific Northwest.MethodElectronic medical records were used to collect information on all out-patient and in-patient visits and medication dispenses, from 2002 to 2004, for adults aged 18–55 years who received an ED diagnosis during 2003. Healthcare services received the year prior to, and following, the receipt of an ED diagnosis were examined. Cases were matched to five comparison health plan members who had a health plan visit close to the date of the matched case's ED diagnosis.ResultsIncidence of EDs (0.32% of the 104 130 females, and 0.02% of the 93 628 males) was consistent with prior research employing treatment-based databases, though less than community-based samples. Most cases (50%) were first identified during a primary-care visit and psychiatric co-morbidity was high. Health services use was significantly elevated in all service sectors among those with an ED when compared with matched controls both in the year preceding and that following the receipt of the incident ED diagnosis. Contrary to expectations, healthcare utilization was found to be similarly high across the spectrum of EDs (anorexia nervosa, bulimia nervosa, and eating disorders not otherwise specified).ConclusionsThe elevation in health service use among women both before and after diagnosis suggests that EDs merit identification and treatment efforts commensurate with other mental health disorders (e.g. depression) which have similar healthcare impact.


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