Medical neglect in Ontario: Implications for health care provision

2021 ◽  
Author(s):  
Kate Allan ◽  
Nicolette Joh-Carnella ◽  
Barbara Fallon ◽  
Ashley Vandermorris ◽  
Emmaline Houston
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Social Supports ◽  
Binary Logistic Regression ◽  
Health Issues ◽  
Care Providers ◽  
Universal Health Care System ◽  
Medical Neglect ◽  
Parental Refusal ◽  
Case Characteristics

Abstract Objectives This study explores child welfare investigations for medical neglect in Ontario, Canada, focusing on household, family and child characteristics of such investigations and factors associated with substantiated victimization. Methods This analysis used data from the Ontario Incidence Study of Reported Child Abuse and Neglect 2018. Bivariate analyses compared medical neglect with other neglect investigations to create a profile of medical neglect investigations in Ontario, and a binary logistic regression determined which case characteristics were associated with substantiation of medical neglect. Results Compared with other neglect investigations, medical neglect investigations were more likely to involve children less than 1 year old and caregivers under 21 years old, households that had run out of money in the past 6 months for basic necessities, primary caregivers with few social supports, mental health issues or drug/solvent abuse concerns, and children with at least one functioning concern. Medical neglect investigations in which the primary caregiver had few social supports were almost four times more likely to be substantiated (OR=3.698, P<0.05). Conclusions While the public’s perception of medical neglect tends to focus on parental refusal of treatment due to philosophical/religious beliefs, this Ontario sample indicates that medical neglect is often driven by financial constraints and a lack of social support. Implications for health care providers within a universal health care system are discussed.

Health seeking behaviour and health awareness among rural and urban adolescents in Dehradun District, Uttarakhand, India

2017 ◽  
Vol 29 (2) ◽  
Author(s):  
Tuhin Kumar ◽  
Piyalee Pal ◽  
Prabhdeep Kaur
Keyword(s):  
Health Care ◽  
Public Sector ◽  
Health Care Providers ◽  
Rural Areas ◽  
Health Care Services ◽  
Health Issues ◽  
Care Providers ◽  
Health Seeking ◽  
Care Services ◽  
Public Sector Health

Abstract Background: Adolescents constituted 19% population of India in 2011. Adolescents have health seeking behaviour different from that of adults. We estimated the utilisation of available health care services by adolescents and awareness regarding various health issues in the urban and rural Dehradun District, Uttarakhand, India. We also described knowledge and practices of public sector health care providers. Methodology: We conducted a cross-sectional survey among adolescents 10–19 years in the urban Dehradun and rural Chakrata block of the Dehradun District. We used cluster sampling with sample size 680 each in urban and rural areas. We collected data from adolescents using semi structured questionnaire on health awareness and utilisation of health care services. Public sector health care providers were surveyed about their knowledge and practices regarding adolescents health. Results: We surveyed 1463 adolescents. The overall mean age was 14.4 (2.6) years, about half being females. Half of the adolescents who had any illness used the public sector. Awareness about anaemia was 48% in urban and 12% in rural areas. A higher proportion of females (Rural: 89%, Urban: 76%) were aware of condoms as contraceptives than males (Rural: 68%, Urban: 12%). Only 62% of doctors and 49% of paramedical staff had knowledge regarding services under Adolescents Reproductive and Sexual Health (ARSH). Conclusion: Awareness regarding various health issues was low among males as compared to females, especially in rural areas. School based health promotion programs should be carried out to increase awareness among adolescents. Health facilities should be strengthened to provide adolescent friendly health services to enhance utilisation.

Discrimination and mental health among lesbian, gay and bisexual adults

2017 ◽  
Vol 41 (S1) ◽  
pp. S734-S734
Author(s):  
M.A. Dos Santos
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Health Care ◽  
Health Care Providers ◽  
Public Health Problem ◽  
Health Concern ◽  
Health Issues ◽  
Care Providers ◽  
Mental Health Issues ◽  
And Bisexual

IntroductionMental health care is indispensable, has an essential role in development, but mental health issues are a major public health concern worldwide. Sexual minorities, lesbian, gay and bisexual, suffer from prejudice and it determines health inequities, especially for their mental health.ObjectiveTo show the relation between discrimination and mental health issues in lesbian, gay and bisexual (LGB) people and to increase understanding of this serious neglected public health problem.MethodsThe search was conducted using Science Direct and Scopus, using the following keywords: “discrimination” and “mental health” and “lesbian” and “gay” and “bisexual”. Using the review of literature, documents in English (articles, official documents, editorial, reviews, clinical trials).DiscussionNumerous studies have identified highest risk behavior, as illicit drug use, sexual risk-taking behaviors and mental health issues among LGB people. Some previous studies propose that health and risk disparities between heterosexual and LGB identifying or behaving people are due to minority stress–that is, that the stigma, discrimination, and violence experienced, leading to stress, thus predisposing illness, disease (worse mental and physical health outcomes) and potentially substance use, which may be used to relieve or escape stress.ConclusionHealth professionals and healthcare organizations must cover these unmet mental health needs if they move to more integrated, coordinated models of care. Health educators should attend to the unique needs of each sexual orientation group when presenting sexual health information and health care providers should undergo diversity and sensitivity training to work more effectively with those groups.Disclosure of interestThe author has not supplied his/her declaration of competing interest.

Resource Pharmacist at Kinburn Pharmasave

2009 ◽  
Vol 142 (3) ◽  
pp. 135-135
Author(s):  
Susan Beresford
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Chronic Illnesses ◽  
Professional Service ◽  
Health Issues ◽  
Care Providers ◽  
Over The Counter ◽  
Health Choices ◽  
Counter Medication ◽  
Depth Recording

Objective: To provide and measure the effects of having a resource pharmacist committed to the front store for his or her work shift. Clients could use this service to access individualized, timely, professionally provided information to guide them in their health choices. Methods: A resource pharmacist was scheduled to be located in the front of the store for his or her whole shift. An immediate record of interventions was kept in a pocket notebook, with more in-depth recording done later on a standardized form. Clients were greeted by the pharmacist and counted, with a goal of showcasing pharmacists' accessibility. Clients who required counselling were counted separately and categorized. Our highest number day had 82 clients greeted and 32 counselled — a total of 114 clients; our lowest had 15 greeted and 10 counselled — a total of 25 clients. Promotion, signage and mailout were done to increase awareness of the new service. The key message promoted was of the benefits of a one-on-one consult with the resource pharmacist on the client's health concerns and counselling for over-the-counter medication. Results: This has proven to be a successful professional service that can be easily implemented into any community pharmacy. Professional satisfaction with the process was high. The dispensing pharmacist could focus on prescriptions, while the resource pharmacist was able to provide a patient-centred and individualized service. The clients had ready access to information that clarified their choices; gave them immediate, individualized health information; and sometimes ended with a referral to other health care providers. An example of some of the health issues addressed were cancer, suicide, depression and various chronic illnesses. The resource pharmacist was able to provide a service that will increase the efficiency of the health care system by empowering clients to take charge of their health and making professionally advised decisions.

Public health issues in control of tuberculosis. Surveillance techniques and the role of health care providers

CHEST Journal ◽  
1985 ◽  
Vol 87 (2) ◽  
pp. 135S-138 ◽  
Author(s):  
T. J. Kearns ◽  
C. H. Cole ◽  
L. S. Farer ◽  
A. R. Leff ◽  
R. J. Reza ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Providers ◽  
Health Issues ◽  
Care Providers

scholarly journals Modelling healthcare access for migrants and refugees in Europe: identifying the major health issues

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A Gil-Salmerón ◽  
E Riza ◽  
P Karnaki ◽  
D Zota ◽  
A Linos
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Host Country ◽  
Healthcare Access ◽  
Migrant Health ◽  
Access To Healthcare ◽  
Maternal Child Health ◽  
Health Issues ◽  
Care Providers ◽  
Care Services

Abstract The Mig-HealthCare systematically searched to identify the key health areas of refugee/migrant health in order to facilitate interventions that help access to care services for migrants and refugees. The literature review was carried out in March 2018 using 3 large scientific databases using a combination of search terms following the PRISMA methodology and a standard set of items used to report on systematic reviews. Based on the predefined inclusion and exclusion criteria, a total of 118 publications were used for data extraction. It is important to note, that in almost all of the sources identified, the following cross-cutting factors were described as influencing access to healthcare: Continuity of Information, how it relates to policy, how it differs between health services and across-borders. Furthermore, the organizational coordination among social and health care providers in the host country determinates the successful access to healthcare of migrants/refugees.Language & Communication takes into consideration both the healthcare service and its provision of translators and cultural mediators, and the host country language proficiency of the migrant/refugee.Organizational improvement of access and delivery of health care services for migrants and refugees in addition to Cultural Competence of the healthcare providers meaning the ability to maximize their sensitivity in the service of care to culturally diverse groups.Health literacy understood as the motivation and competences of the migrant population to access, understand, appraise, and apply health information. Additionally, the health issues of particular importance for migrants/refugees as emerged from the systematic review, including mental health, maternal/child health, health promotion, NCDs and chronic diseases, Oral/|Dental health, and Vaccinations should be included in planning future needs and healthcare access.

scholarly journals First 28: Design of a Mobile App for Neonatal Health Risk Assessment and Support for New Mothers (Preprint)

2018 ◽  
Author(s):  
Andy Pham ◽  
Elsie F Bluett ◽  
Priyanka Puthran ◽  
Sayantani Sarkar ◽  
Katherine K Kim ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Mobile Apps ◽  
Pragmatic Trial ◽  
Newborn Health ◽  
Mobile App ◽  
Evidence Based ◽  
Health Issues ◽  
Care Providers ◽  
New Mothers

BACKGROUND Factors like dehydration and respiratory infection pose risks to infant survival in the critical first 28 days of life. UNICEF reported the 2016 global rate of neonatal death was 19 per 1000 live births. Typically, women manage multiple household and family responsibilities in addition to care of a new baby and often feel overwhelmed by the demands of new motherhood. The American College of Obstetricians and Gynecologists recommends that support to new mothers be an ongoing process, rather than a single postnatal visit. However, in low-resource environments such as developing countries and remote communities, access to ongoing support for breastfeeding, health education, and infant check-ups from a professional health care provider or health worker may not be possible. Numerous examples exist of successful mobile health interventions in low-resource environments. However, existing mobile apps for newborn health often focus on single issues that are disconnected from health care providers. There is a need to comprehensively address multiple newborn health issues, with evidence-based and personalized interventions that support new mothers. OBJECTIVE This study aims to design and build a prototype of a mobile app to comprehensively identify early signs and symptoms of common newborn illnesses, access relevant evidence-based health information, and support decision-making with the overall goal of enhancing new mothers’ ability to improve newborn health outcomes. The prototype will be used in a future pragmatic trial. METHODS An interdisciplinary and international team including nursing, medicine, dietary, health informatics, and public health collaborated on this study. First, a literature review was conducted to supplement the team’s existing knowledge on common neonatal problems, generate the evidence base for appropriate in-home interventions, and identify best practices in breast feeding. Second, a review of current mobile apps available in neonatal risks was conducted to assess gaps with attention to comprehensiveness of health issues, interface/integration with clinical decision support systems, and application of user-centered design and state of the art design principles and standards. RESULTS Our app, First 28, works offline for easy accessibility and displays evidence-based best practices and guidelines, personalized for mothers based on risks. Using a tailored symptoms list and computerized data entry to gather information, the mobile app performs analysis using a decision table algorithm to identify the risks the baby might encounter and suggests best solutions based on the outcomes. Mothers can submit images or crucial information about their baby and track growth through the app’s data visualization tools. Data is stored on a FHIR server for integration with health care services and electronic health records. Future plans include automated data and image analytics of the uploaded information to alert health care providers of any abnormalities that may provide critical early evidence for potential neonatal risks and complications. CONCLUSIONS First 28 empowers mothers with the knowledge and resources to maintain proper breastfeeding techniques, assess newborn health risks, and improve health outcomes within the crucial first 28 days of life. In the next phase, the prototype will be evaluated by users with a plan to utilize it in a pragmatic trial.

Malpractice & Negligence: Cal. Supreme Court Clarifies Negligence Provisions under State’s Elder Abuse Act

1999 ◽  
Vol 27 (2) ◽  
pp. 203-203
Author(s):  
Kendra Carlson
Keyword(s):  
Health Care ◽  
Supreme Court ◽  
Health Care Providers ◽  
Elder Abuse ◽  
Skilled Nursing Facility ◽  
Pressure Sores ◽  
Care Providers ◽  
Nursing Facility ◽  
Skilled Nursing ◽  
The Supreme Court

The Supreme Court of California held, in Delaney v. Baker, 82 Cal. Rptr. 2d 610 (1999), that the heightened remedies available under the Elder Abuse Act (Act), Cal. Welf. & Inst. Code, §§ 15657,15657.2 (West 1998), apply to health care providers who engage in reckless neglect of an elder adult. The court interpreted two sections of the Act: (1) section 15657, which provides for enhanced remedies for reckless neglect; and (2) section 15657.2, which limits recovery for actions based on “professional negligence.” The court held that reckless neglect is distinct from professional negligence and therefore the restrictions on remedies against health care providers for professional negligence are inapplicable.Kay Delaney sued Meadowood, a skilled nursing facility (SNF), after a resident, her mother, died. Evidence at trial indicated that Rose Wallien, the decedent, was left lying in her own urine and feces for extended periods of time and had stage I11 and IV pressure sores on her ankles, feet, and buttocks at the time of her death.

Using Technology to Improve Access to Health Care for Culturally and Linguistically Diverse Populations

2012 ◽  
Vol 19 (3) ◽  
pp. 71-76 ◽  
Author(s):  
Pauline A. Mashima
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Access To Health Care ◽  
Underserved Populations ◽  
Linguistically Diverse ◽  
Care Providers ◽  
Department Of Health ◽  
Use Of Technology ◽  
Access To Health ◽  
Improve Access

Important initiatives in health care include (a) improving access to services for disadvantaged populations, (b) providing equal access for individuals with limited or non-English proficiency, and (c) ensuring cultural competence of health-care providers to facilitate effective services for individuals from diverse racial and ethnic backgrounds (U.S. Department of Health and Human Services, Office of Minority Health, 2001). This article provides a brief overview of the use of technology by speech-language pathologists and audiologists to extend their services to underserved populations who live in remote geographic areas, or when cultural and linguistic differences impact service delivery.

Interdisciplinary Therapy Assessments for the Older Adult

2012 ◽  
Vol 17 (1) ◽  
pp. 11-16
Author(s):  
Lynn Chatfield ◽  
Sandra Christos ◽  
Michael McGregor
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Standardized Testing ◽  
Health Care Providers ◽  
Outcome Measurement ◽  
Care Providers ◽  
Patient Centered ◽  
Screening Process ◽  
Evidenced Based ◽  
Changing Economy

In a changing economy and a changing industry, health care providers need to complete thorough, comprehensive, and efficient assessments that provide both an accurate depiction of the patient's deficits and a blueprint to the path of treatment for older adults. Through standardized testing and observations as well as the goals and evidenced-based treatment plans we have devised, health care providers can maximize outcomes and the functional levels of patients. In this article, we review an interdisciplinary assessment that involves speech-language pathology, occupational therapy, physical therapy, and respiratory therapy to work with older adults in health care settings. Using the approach, we will examine the benefits of collaboration between disciplines, an interdisciplinary screening process, and the importance of sharing information from comprehensive discipline-specific evaluations. We also will discuss the importance of having an understanding of the varied scopes of practice, the utilization of outcome measurement tools, and a patient-centered assessment approach to care.

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