How access to healthcare affects population health

2021 ◽  
pp. 229-239
Author(s):  
Yvonne Inall ◽  
Rachel Lamdin Hunter ◽  
Stephen Leeder ◽  
Angela Beaton
Keyword(s):  
Human Rights ◽  
Social Justice ◽  
Health Services ◽  
Social Welfare ◽  
Primary Healthcare ◽  
Public Investment ◽  
Access To Healthcare ◽  
Focus Attention ◽  
Professional Health ◽  
Equity Of Access

This chapter explores access to healthcare—the timely availability of professional health services to prevent, diagnose, and treat illnesses and to preserve or improve the health of individuals—and its consequences. The ethical context in which access is considered includes the human rights and social justice concepts of ‘a right to healthcare’ and ‘equity of access’. Conscious that these concepts differ from country to country, we offer working definitions. Countries and their governments vary in their political and social attitudes to access. Those with a strong social welfare agenda might focus attention and budgets on social factors such as education and social welfare; these not only determine health, but also access to care. Others, regarding healthcare as the individual’s concern, might give these factors less weight. Despite this complexity and much national variation, access depends, in general, most often on good primary healthcare, public investment, and political will, availability of data to guide resourcing decisions, and the development of a well-trained, integrated workforce with appropriate supporting infrastructure.

Health-related needs and barriers in transgender populations: a systematic review study

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Yousef Moradi ◽  
Marzieh Mahboobi ◽  
Ghobad Moradi
Keyword(s):  
Systematic Review ◽  
Human Rights ◽  
Social Justice ◽  
Health Services ◽  
General Health ◽  
Service Providers ◽  
Freedom Of Expression ◽  
Screening Tests ◽  
Content Type ◽  
Health Related

Purpose Identifying the health-related needs in transgender (TG) people can help to formulate strategies for providing appropriate and accessible health services and promoting health and social justice, as well as human rights in these populations. This systematic review aims to determine health-related needs, problems and barriers, as well as ways to solve them in TG people from the viewpoint of TG individuals and health policymakers. Design/methodology/approach All international electronic databases such as PubMed (Medline), Embase, CINAHL, Scopus, Web of Sciences, Cochrane, PsycInfo and Google Scholar (Gray Literature) were searched from December 1990 to December 2019. After the search, the articles were screened based on their title, abstract and full text. The quality of articles was assessed using the Strengthening the reporting of observational studies in epidemiology (STROBE), Consolidated Standards of Reporting Trials (CONSORT) and Standards for Reporting Qualitative Research (SRQR) checklists. The search strategy, data extraction and quality evaluation of articles were independently performed by two researchers. Findings The general health-related needs identified in TG individuals from the viewpoint of themselves included access to legal hormone therapy, psychological and psychiatric counseling, privacy, health and hygiene needs, equality and freedom of expression. General health-related needs in TG individuals from the viewpoint of health policymakers included screening tests to detect sexually transmitted diseases, especially HIV, cancers and other diseases, as well as training service providers (physicians, nurses, health workers, etc.). Research limitations/implications One of the limitations of this study was nonreporting of health-related needs in initial articles by different TG groups because these groups have had different needs and different barriers to accessing health-care services. In this study, health-related needs and barriers to satisfy them were categorized from the viewpoint of TG populations and health policymakers around the world, which may influence future decisions to provide services to TG populations. The results of this systematic review can help to develop different strategies by considering all TGs from individual, family and social aspects to better provide services for this group. However, given the dynamics and changes in the existing communities and the limited studies on gender minorities in developing countries, further research is required to comprehensively address the subject. Originality/value The findings can be used as an incentive to improve existing conditions and to address problems and shortcomings. The results of this systematic review formulate strategies for providing appropriate and accessible health services and better lives for TGs, planning for more effective participation of these individuals in local communities, improving their physical problems and mental health through counseling, as well as promoting health and social justice, and human rights for these populations.

Is the Equity of Access to Healthcare a European Constitutional Standard? A Comparative Review

2017 ◽  
Vol 24 (4) ◽  
pp. 445-462
Author(s):  
Dawid Sześciło
Keyword(s):  
Health Services ◽  
Right To Health ◽  
Access To Healthcare ◽  
Special Focus ◽  
Healthcare It ◽  
Comparative Review ◽  
Accessibility Of Health Services ◽  
The Right ◽  
Equity Of Access

Abstract A welfare state crisis resulting from austerity policies creates risks to healthcare systems throughout Europe. It escalates the pressure to reduce State responsibilities and weakens the guarantees of accessibility and quality of health services. One of the most effective barriers to this tendency might be a strong constitutional standard of the right to health. This article reviews the constitutional acts of 28 European Union Member States in order to explore the scope of protection of the right to health, with a special focus on the various aspects of equity of access to healthcare. It also shows the absence of a universal European standard of the constitutional regulation of this matter, and describe major differences relating to formulation, level of protection guaranteed, and the material scope of regulation. In conclusion, a hypothesis is proposed on the potential role of constitutional guarantees in preventing the deterioration of accessibility of health services.

APA efforts in promoting human rights and social justice.

2017 ◽  
Vol 72 (8) ◽  
pp. 778-790 ◽  
Author(s):  
Frederick T. L. Leong ◽  
Wade E. Pickren ◽  
Melba J. T. Vasquez
Keyword(s):  
Human Rights ◽  
Social Justice

Towards an Archival Critique: Opening Possibilities for Addressing Neoliberalism in the Archival Field

2017 ◽  
Vol 1 (1) ◽  
Author(s):  
Marika Cifor ◽  
Jamie A. Lee
Keyword(s):  
Human Rights ◽  
Social Justice ◽  
Archival Studies ◽  
Ethical Practice ◽  
Political Practice ◽  
Starting Point ◽  
Hands On ◽  
Library And Information Studies ◽  
Information Studies ◽  
Contemporary Life

Neoliberalism, as economic doctrine, as political practice, and even as a "governing rationality" of contemporary life and work, has been encroaching on the library and information studies (LIS) field for decades. The shift towards a conscious grappling with social justice and human rights debates and concerns in archival studies scholarship and practice since the 1990s opens the possibility for addressing neoliberalism and its elusive presence. Despite its far-reaching influence, neoliberalism has yet to be substantively addressed in archival discourse. In this article, we propose a set of questions for archival practitioners and scholars to reflect on and consider through their own hands-on practices, research, and productions with records, records creators, and distinct archival communities in order to develop an ongoing archival critique. The goal of this critique is to move towards "an ethical practice of community, as an important mode of participation." This article marks a starting point for critically engaging the archival studies discipline along with the LIS field more broadly by interrogating the discursive and material evidences and implications of neoliberalism.

Ensuring Reproductive Rights of Women in Nepal: Law and Praxis

2020 ◽  
Vol 4 (1) ◽  
pp. 41-62
Author(s):  
D. N. Parajuli
Keyword(s):  
Human Rights ◽  
Reproductive Health ◽  
Health Services ◽  
Reproductive Rights ◽  
School Curriculum ◽  
Fundamental Rights ◽  
Reproductive Health Services ◽  
Women And Girls ◽  
The Right ◽  
Health Rights

 Reproductive rights are fundamental rights and freedoms relating to reproduction and reproductive health that vary amongst countries around the world, but have a commonality about the protection, preservation and promotion of a woman‘s reproductive health rights. Reproductive rights include the right to autonomy and self-determination , the right of everyone to make free and informed decisions and have full control over their body, sexuality, health, relationships, and if, when and with whom to partner, marry and have children , without any form of discrimination, stigma, coercion or violence. The access and availability of reproductive health services are limited due to geography and other issues, non-availability and refusal of reproductive health services may lead to serious consequences. The State need to ensure accessibility, availability, safe and quality reproductive health services and address the lifecycle needs of women and girls and provide access of every young women and girls to comprehensive sexuality education based on their evolving capacity as their human rights, through its inclusion and proper implementation in school curriculum, community-based awareness program and youth led mass media. It is necessary for strengthening compliance, in a time-bound manner, with international human rights standards that Nepal has ratified that protect, promote, and fulfill the basic human rights and reproductive health rights in Nepal and also need to review standards and conventions that Nepal has had reservations about or those that have been poorly implemented in the country.

Trust in a Polarized Age

2020 ◽  
Author(s):  
Kevin Vallier
Keyword(s):  
Human Rights ◽  
Civil War ◽  
Social Welfare ◽  
Liberal Democracy ◽  
Empirical Data ◽  
Political Trust ◽  
Vital Role ◽  
Welfare Programs ◽  
Social Welfare Programs ◽  
Downward Spiral

Americans today don’t trust each other and their institutions as much as they used to. The collapse of social and political trust arguably has fueled our increasingly ferocious ideological conflicts and hardened partisanship. But is the decline in trust inevitable? Are we caught in a downward spiral that must end in war-like politics, institutional decay, and possibly even civil war? This book argues that American political and economic institutions are capable of creating and maintaining trust, even through polarized times. Combining philosophical arguments and empirical data, the author shows that liberal democracy, markets, and social welfare programs all play a vital role in producing social and political trust. Even more, these institutions can promote trust justly, by recognizing and respecting our basic human rights.

Access to Healthcare in Europe

2020 ◽  
Author(s):  
André den Exter ◽  
Keith Syrett
Keyword(s):  
Health Services ◽  
Healthcare Systems ◽  
Access To Healthcare ◽  
Regulatory Framework ◽  
European Healthcare ◽  
Key Characteristics ◽  
To Receive ◽  
Delivery Of Health Services

This chapter describes the main features of European healthcare systems. The chapter identifies key characteristics of these systems: the organisation, financing, and delivery of health services, and the main actors. It then questions what the systems cover, who are eligible to receive healthcare, when patients receive healthcare, and the physician’s duty to provide care. In addition to highlighting the applicable regulatory framework, this chapter also describes some general trends.

scholarly journals Global mental health should engage with the ethics of involuntary admission

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Marisha N. Wickremsinhe
Keyword(s):  
Mental Health ◽  
Human Rights ◽  
Health Services ◽  
Clinical Ethics ◽  
Psychiatric Care ◽  
Global Mental Health ◽  
Mental Healthcare ◽  
Involuntary Admission ◽  
Persons With Disabilities ◽  
Psychosocial Disability

AbstractGlobal mental health, as a field, has focused on both increasing access to mental health services and promoting human rights. Amidst many successes in engaging with and addressing various human rights violations affecting individuals living with psychosocial disabilities, one human rights challenge remains under-discussed: involuntary inpatient admission for psychiatric care. Global mental health ought to engage proactively with the debate on the ethics of involuntary admission and work to develop a clear position, for three reasons. Firstly, the field promotes models of mental healthcare that are likely to include involuntary admission. Secondly, the field aligns much of its human rights framework with the UN Convention on the Rights of Persons with Disabilities, which opposes the discriminatory use of involuntary admission on the basis of psychosocial disability or impairment. Finally, global mental health, as a field, is uniquely positioned to offer novel contributions to this long-standing debate in clinical ethics by collecting data and conducting analyses across settings. Global mental health should take up involuntary admission as a priority area of engagement, applying its own orientation toward research and advocacy in order to explore the dimensions of when, if ever, involuntary admission may be permissible. Such work stands to offer meaningful contributions to the challenge of involuntary admission.

scholarly journals Diversity and citizenship in the curriculum

2008 ◽  
Author(s):  
Hugh Starkey
Keyword(s):  
Human Rights ◽  
Social Justice ◽  
Cultural Diversity ◽  
National Unity ◽  
Shared Humanity ◽  
Definition Of

This article comments on keynote speeches given by Keith Ajegbo and Audrey Osler. The programme of study for citizenship derived from the Crick report and did not emphasise race equality and national unity for security. Osler argues that the Ajegbo review addressed teaching of ethnic, religious and cultural diversity but did not confront the inadequacies of British democracy or reassert social justice, a sense of shared humanity and a commitment to human rights. Proposing, let alone imposing, a definition of Britishness is futile, but it is possible to promote cosmopolitan patriotism supported by explicit principles, concepts and values.

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