The Story of Annie Gratitude and Faith

2018 ◽  
Author(s):  
David Wendell Moller
Keyword(s):  
Healthcare System ◽  
Vulnerable Populations ◽  
Life Experiences ◽  
Negative Impact ◽  
Medical System ◽  
Late Diagnosis ◽  
Advanced Stage ◽  
Low Literacy ◽  
Great Divide

The narrative of Bill Wheeler expresses his sense of betrayal and neglect. There was a great divide between the life experiences of Mr. Wheeler and his caregivers. He was angry that his late diagnosis was related to being poor and uninsured. He resented that his doctors did not communicate with him effectively. He felt they misrepresented things, failed to listen attentively, and disregarded his suffering and needs. The decision to treat his cancer aggressively despite its advanced stage initially provided hopeful expectations but ultimately led to shattered hope, greater anger, and late enrollment in hospice. The result is that Mr. Wheeler went to his death feeling neglected and uncared for. The negative impact of poor communication is magnified due to inadequate resources, low literacy, and mistrust of the medical system. Emotional handling of patients in vulnerable populations is crucial because these patients often mistrust physicians and the healthcare system at large.

“In Sorrow Thou Shalt Bring Forth Children”: Docu-Poetic Theatre in Israel

2019 ◽  
Vol 63 (3) ◽  
pp. 20-35
Author(s):  
Naphtaly Shem-Tov
Keyword(s):  
Healthcare System ◽  
Medical System ◽  
Jewish Children ◽  
The 1950S

Yoldot is a docu-poetic performance that critically presents the affair of the abduction of Jewish children from families that immigrated primarily from Yemen in the 1950s. Facilitated by the healthcare system, the abducted children were put up for illegal adoption. Yoldot frames the events as less of an exception and more a regular phenomenon enabled by the overall orientalist and racist nature of the Israeli medical system.

scholarly journals Radiológiai osztályon dolgozó szakdolgozók kiégési szintje Magyarországon

2019 ◽  
Vol 160 (27) ◽  
pp. 1070-1077 ◽  
Author(s):  
Dávid Sipos ◽  
Veronika Varga ◽  
Attila András Pandur ◽  
András Kedves ◽  
Melinda Petőné Csima ◽  
...  
Keyword(s):  
Healthcare System ◽  
Emotional Exhaustion ◽  
Negative Impact ◽  
Maslach Burnout Inventory ◽  
Three Dimensions ◽  
Radiology Department ◽  
Online Questionnaire ◽  
Descriptive Data ◽  
Cross Sectional ◽  
Work Related

Abstract: Introduction: Burnout can have a wide negative impact on the quality and the effectiveness of the health care system. The aim of our research was to assess the burnout level of the radiology department workers in Hungary. Method: Our quantitative, cross-sectional, descriptive data collection lasted from June to September 2018 using an online questionnaire. Simple, non-random sampling was carried out among radiology department workers in Hungary. In addition to our self-made questionnaire which included socio-demographic and work-related questions, an internationally validated Maslach Burnout Inventory questionnaire was sent out. Results: After data cleaning, a total number of 404 (n = 404) respondents were included in the statistical analysis. The majority of the respondents works in county hospital, the average year spent in the healthcare system was 18.3 (SD 13,7). The sample’s values at the depersonalization and emotional exhaustion dimension were slightly elevated in contrast to the average values. Educational level, age and years spent in the healthcare system had a significant influence on all the three dimensions of burnout (p≤0.05). The group of workers being 31–35 years old and the group of those who spent 16–20 years in the healthcare system are considered to be the most compromised groups in all the three dimensions of burnout. Respondents with master degree had significantly lower emotional exhaustion values than their colleagues. Conclusion: The increased value of the depersonalization and the emotional exhaustion can be an indicator for employers. Our results are similar like described in the international literature. Orv Hetil. 2019; 160(27): 1070–1077.

scholarly journals Atypical Presentation of Post-Kala-Azar Dermal Leishmaniasis in Bhutan

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Ambika Pradhan ◽  
Tashi Tobgay ◽  
Sithar Dorjee ◽  
Tenzin Wangdi ◽  
Guofa Zhou ◽  
...  
Keyword(s):  
Healthcare System ◽  
Negative Impact ◽  
Indian Subcontinent ◽  
Delayed Diagnosis ◽  
Disease Process ◽  
Health Coverage ◽  
Disease Elimination ◽  
Kala Azar ◽  
Increased Risk ◽  
The Government

This article describes an atypical case of post-kala-azar dermal leishmaniasis associated with complications due to delayed diagnosis and poor case management. The grave consequences of the prolonged disease process that continued for over 2 decades with eventual healing included facial disfigurement, visual impairment, and mental distress both to the patient and the family. The persistent infection within the skin over a lengthy period with likely increased risk of infection spread in the community highlights its potential negative impact on the ongoing leishmaniasis elimination program in the Indian subcontinent. Bhutan is a member of the leishmaniasis elimination network in Asia, and the government continues to invest in maintenance of the national healthcare system. The case study reveals the gaps in the healthcare system with hardships faced by a patient to access quality healthcare and poor patient outcome used as proxy indicators. It also points to the need to enhance access to healthcare to ensure early diagnosis and effective treatment for leishmaniasis patients including those who live in remote areas, in order to achieve the planned disease elimination targets. It also points towards the key challenges faced by a resource poor nation such as Bhutan in achieving universal health coverage and reaching the set goals for disease elimination. The findings underscore the need for a careful review of the national health care system and to address the deficiencies.

Mammography screening and detection of early stage breast cancer in Hispanic and African American women at a Minnesota safety net healthcare system.

2017 ◽  
Vol 35 (15_suppl) ◽  
pp. e18074-e18074
Author(s):  
Daniel Fellows Pease ◽  
David T. Gilbertson ◽  
Andres Wiernik
Keyword(s):  
Breast Cancer ◽  
African American ◽  
African American Women ◽  
Healthcare System ◽  
Early Stage ◽  
Screening Mammography ◽  
Advanced Stage ◽  
American Women ◽  
Younger Age ◽  
Caucasian Women

e18074 Background: Approximately 12% of breast cancer cases occur in women younger than 50 years, per SEER data from 2012. Hispanic women are known to present at a younger age and African American women with more advanced stage disease. In this study, we describe the impact of age and race on the initial presentation of breast cancer among minority women treated at the Hennepin Healthcare System (HHS) in the state of Minnesota. Methods: A single-institution retrospective analysis of data from our electronic health record of all breast cancer diagnoses from 2010-2015. Cases were compared by age ( < 50 or > 50 years), race (Caucasian, African American, Hispanic, other), stage (AJCC 7th edition), and method of diagnosis (self-reported mass or screening mammography). Results: A total of 315 breast cancer diagnoses occurred at HHS from 2010-2015. In our cohort, 29% of all breast cancer cases were diagnosed in women < 50yrs. Hispanic and African American women had higher rates of diagnosis at < 50yrs compared to Caucasian women (38.9% vs 37.1% vs 18.1 respectively, p < 0.05). Early stage cancer (stage 0 or I) accounted for most diagnoses in those > 50yrs (54.8%), while advanced stage (stage II-IV) was more prevalent in the < 50yrs age group (59.5%) (p < 0.05). Of all women diagnosed with breast cancer, 63% presented with a self-reported mass and 37% were diagnosed by screening mammography. Hispanics and African American women had a higher rate of presentation with a self-reported mass (74% and 66% respectively) compared to Caucasian women (55%). Women with breast cancer < 50yrs were more likely to present with a self-reported mass than women > 50yrs (80% vs 55%, p < 0.05). 92% of Hispanic and 80% of African American women < 50yrs presented with a self-reported mass, compared to 62% of Caucasian women (p = 0.095). Conclusions: At our institution, Hispanic and African American women are diagnosed at a significantly younger age than Caucasian women, and those diagnosed at a younger age have more advanced disease. Presenting with a self-reported mass is very common for young non-Caucasian women. Whether screening mammography can be better utilized to change these trends requires further study.

scholarly journals Education May Increase Emissions but Mitigate Human Cost of Climate Change

Eos ◽  
2020 ◽  
Vol 101 ◽  
Author(s):  
Jon Kelvey
Keyword(s):  
Climate Change ◽  
Economic Growth ◽  
Vulnerable Populations ◽  
Carbon Emissions ◽  
Developing World ◽  
Negative Impact ◽  
Modest Increase ◽  
Impact Of Climate Change ◽  
Human Cost

Increasing education in the developing world could lead to a modest increase in carbon emissions due to economic growth, but education could also reduce the negative impact of climate change on vulnerable populations.

scholarly journals Nurses as Immigrant Advocates: A Brief Overview

2020 ◽  
Vol 25 (2) ◽  
Author(s):  
Mary Biggerstaff ◽  
Taiyyeba Skomra
Keyword(s):  
United States ◽  
Social Justice ◽  
Healthcare System ◽  
Vulnerable Populations ◽  
The United States ◽  
Ethical Responsibility ◽  
Broad Overview

Nurses have both a professional and ethical responsibility to advocate for social justice and vulnerable populations. Immigrants are considered one of the most vulnerable populations in the United States and interact with nurses at all levels of the healthcare system. This article provides a broad overview of immigration and the immigration system in the United States and calls for nurses to practice individual advocacy for immigrant patients at the clinic. Included are practical ways that nurses can advocate for immigrant patients at the systems and state and federal levels.

Russian healthcare may pose Putin problems in 2016

2015 ◽  
Keyword(s):  
Healthcare System ◽  
Health Reform ◽  
Negative Impact ◽  
Economic Conditions ◽  
Medical Professionals ◽  
Content Type ◽  
National Healthcare ◽  
Reform Plan ◽  
News Outlet

Subject Russia's healthcare system. Significance By the end of 2017, Moscow's authorities plan to fire an additional 14,000 workers as part of the government's health reform plan, according to leaked documents seen by Russian news outlet RBC. As budgets are squeezed by the huge rearmament programme and low oil prices, the Kremlin is striving to cut expenditure, attempting to disguise this as health optimisation. Discontent is rising among medical professionals who are being over-stretched; hospitals are closing, numbers of beds decreasing and waiting lists growing. The reform of the Russian national healthcare system, undertaken in adverse economic conditions, threatens to decrease the quality and accessibility of healthcare. Impacts The working population's poor health has a direct negative impact on the economy, increasing paid sick days and reducing productivity. Health reforms have reduced doctor-patient appointments to around 12-15 minutes. The population's distrust of doctors will need to be addressed to improve the quality of the healthcare.

Using Ontologies in eHealth and Biomedicine

2010 ◽  
pp. 279-304
Author(s):  
Adriana Alexandru ◽  
Florin Gheorghe Filip ◽  
Alexandra Galatescu ◽  
Elena Jitaru
Keyword(s):  
Occupational Health ◽  
Healthcare System ◽  
System Performance ◽  
Medical System ◽  
Health Domain ◽  
Occupational Risks

The goal of the chapter is to enhancement the medical system performance and provides a overview of available healthcare system. It is also provide a idea for simulation of different results, activities, systems, groups, institutions, theories, the benefits ontologies bring to the e-Health and biomedicine domains and the effort already given in this respect. This system is seen as an application of ontologies in the occupational health domain and representation and integration of the semantic and modeling layers of a system based on ontologies for the prevention of occupational risks.

scholarly journals Magyarországi orvostanhallgatók külföldi munkavállalási szándékai

2018 ◽  
Vol 159 (1) ◽  
pp. 31-37
Author(s):  
Zsuzsa Győrffy ◽  
Zsuzsanna Szél
Keyword(s):  
Human Resources ◽  
Healthcare System ◽  
Working Conditions ◽  
Online Survey ◽  
Work Conditions ◽  
Medical System ◽  
Drop Out ◽  
Work Culture ◽  
Work Abroad ◽  
Medical University

Abstract: Introduction: Migration, drop-out and ageing of physicians are the most important challenges of the 21st century healthcare system. The young doctors’ willingness to work abroad will become a decisive issue of the human resources of healthcare in the following decades. Aim: To explore the willingness of migration among medical university students. Method: Quantitative and qualitative online survey of students from 4 Hungarian medical universities (n = 530). In the present study we investigated only the 5th- and 6th- year students’ answers (n = 165). Results: 40% of students plan to work abroad, mostly for a 2–5 year timeframe. The motivation of working abroad are the following: work conditions of medical system, inadequate pay and general living conditions in Hungary. The content analysis of open answers showed that the willingness to return depends mainly on family reasons and the objective working conditions (infrastructure, pay, abolition of the gratuity system). An equally important factor is the evolution of work culture. Conclusions: As opposed to previous studies, our results indicate a more prevalent willingness to work abroad while an unambiguous return is only possible with a drastic change in the healthcare system. Orv Hetil. 2018; 159(1): 31–37.

scholarly journals Communicating effectively with vulnerable populations during water contamination events

2008 ◽  
Vol 6 (S1) ◽  
pp. 63-75 ◽  
Author(s):  
Phyllis A. Nsiah-Kumi
Keyword(s):  
Public Health ◽  
Vulnerable Populations ◽  
Limited English Proficiency ◽  
Water Contamination ◽  
The Elderly ◽  
Health Messages ◽  
Health Concern ◽  
Low Literacy ◽  
Contamination Event ◽  
Contamination Events

Water contamination events are a public health concern worldwide with significant potential to impact the global community. When communicating with the public during these crisis situations, it is vital to consider the multiple audiences who receive the messages. Before developing or delivering messages to a particular community, it is essential to be familiar with the community's characteristics, needs, concerns, and who is considered credible to that community. Vulnerable populations are those with difficulties in comprehension or accessibility that may limit their full understanding of risks and may mitigate the effectiveness of public health strategies. Vulnerable populations include, but are not limited to, the urban/rural poor, those who are mentally ill, intellectually disabled, medically vulnerable, at the extremes of age (children and the elderly), racial/ethnic minorities, and those with low literacy or limited English proficiency. A water contamination event poses a unique opportunity to work with diverse populations to effectively convey important health messages. Each population needs to receive appropriate public health messages. Becoming familiar with vulnerable populations and their needs prior to a water contamination event will help in identifying barriers and developing and refining effective messages in such a crisis. In water contamination crises, our publics’ health depends on effective, targeted crisis communication.

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