Family level drivers of access to healthcare among persons with disabilities in the Bosomtwe district of Ghana

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Enoch Acheampong ◽  
Alberta Nadutey ◽  
Peter Bredu-Darkwa ◽  
Peter Agyei-Baffuor ◽  
Anthony Kwaku Edusei
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Family Members ◽  
Access To Healthcare ◽  
Spiritual Support ◽  
Quality Of Data ◽  
Persons With Disabilities ◽  
Content Type ◽  
Access To Health ◽  
Family Level

Purpose The perceptions of disability conditions held by parents and immediate family members directly determine the types of treatments that are likely to opt for persons with disabilities whenever they are ill. Family level drivers of access to healthcare among persons with disabilities in the Bosomtwe district of Ghana. Design/methodology/approach A qualitative case study was conducted in which data were collected from 60 participants selected purposively. Face-to-face interviews were conducted, and the results were presented thematically. Findings The drivers identified have been categorized into positive and negative depending on how they influenced persons with disabilities’ access to health care. Payment of medical bills, physical access support, the narration of health condition to a health-care provider, spiritual support, care and love were the positives while perceived spiritual cause of disability, preference for alternative treatment centers, unwillingness to support reproductive and specialized health care. Research limitations/implications This study had some limitations, and one of such is the non-inclusion of disabled people who had not been registered by the department of social welfare but resided in the district who could have provided rich information to the study. However, their exclusion did not affect the quality of data obtained, as those who were registered and selected for the study gave adequate information about the issues that were considered during the study. Originality/value Family members of persons with disabilities play key roles in promoting their access to health care; therefore, there is the need for stakeholders to put in measures that will limit misconceptions about disability not only for the general public but also for individuals like parents and immediate family members of persons with disabilities.

Supporting older military veterans in the rural US

2018 ◽  
Vol 19 (4) ◽  
pp. 286-297
Author(s):  
Bret Hicken ◽  
Kimber Parry
Keyword(s):  
Health Care ◽  
Rural Areas ◽  
Access To Health Care ◽  
Veterans Health ◽  
Health Administration ◽  
Care Needs ◽  
Content Type ◽  
Access To Health ◽  
The Us

Purpose The purpose of this paper is to provide an overview of rural older veterans in the US and discuss how the US Department of Veterans Affairs (VA) is increasing access to health care for older veterans in rural areas. Design/methodology/approach This is a descriptive paper summarizing population and program data about rural veterans. Findings VA provides a variety of health care services and benefits for older veterans to support health, independence, and quality of life. With the creation of the Veterans Health Administration Office of Rural Health (ORH) in 2006, the needs of rural veterans, who are on average older than urban veterans, are receiving greater attention and support. ORH and VA have implemented several programs to specifically improve access to health care for rural veterans and to improve quality of care for older veterans in rural areas. Originality/value This paper is one of the first to describe how VA is addressing the health care needs of older, rural veterans.

scholarly journals “I was trying to speak to their human side” coping responses of Belgium’s undocumented migrants to barriers in health-care access

2020 ◽  
Vol 16 (3) ◽  
pp. 253-267
Author(s):  
Dirk Lafaut ◽  
Gily Coene
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Access ◽  
Access To Health Care ◽  
Undocumented Migrants ◽  
Care Providers ◽  
Content Type ◽  
Coping Responses ◽  
Care Access ◽  
Access To Health

Purpose Undocumented migrants experience major legal constraints in their health-care access. Little is known on how undocumented migrants cope with these limitations in health-care access as individuals. The purpose of this study is to explore the coping responses of undocumented migrants when they experience limited health-care access in face-to-face encounters with health-care providers. Design/methodology/approach The authors conducted multi-site ethnographic observations and 25 semi-structured in-depth interviews with undocumented migrants in Belgium. They combined the “candidacy model” of health-care access with models from coping literature on racism as a framework. The candidacy model allowed them to understand access to health care as a dynamic and interactive negotiation process between health-care workers and undocumented migrants. Findings Responses to impaired health-care access can be divided into four main strategies: (1) individuals can react with a self-protective response withdrawing from seeking further care; (2) they can get around the obstacle; (3) they can influence the health-care worker involved by deploying discursive or performative skills; or (4) they can seek to confront the source of the obstacle. Research limitations/implications These findings point to the importance of care relations and social networks, as well as discursive and performative skills of undocumented migrants when negotiating barriers in access to health care. Originality/value This study refines the candidacy model by highlighting how individuals respond on a micro-level to shifts towards exclusionary health policies and, by doing so dynamically, change provision of health-care services.

scholarly journals Health problems and access to health care services for the persons with disabilities in Lahore.

2020 ◽  
Vol 27 (10) ◽  
pp. 2241-2246
Author(s):  
Samina Ashraf ◽  
Maimonna Ashraf ◽  
Uzair-ul- Hassan
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Health Care Services ◽  
Health Problems ◽  
Persons With Disabilities ◽  
Care Services ◽  
Communication Problems ◽  
Access To Health ◽  
Profound Disabilities ◽  
The Difference

Objectives: This study aims to explore the major health problems of persons with disabilities, to see the difference between the health problems of persons with mild to moderate and severe to profound disabilities, and highlight the problems. Study Design: Quantitative Study. Setting: University of the Punjab, Lahore. Period: 15 March 2018 to 14 Dec 2020. Material & Methods: The study included a quantitative survey conducted with interviews of 100 persons with different disabilities (50 mild to moderate disabilities, 50 severe to profound disabilities) selected by applying convenient sampling method. A questionnaire was used for the data collection. The questionnainaire comprised of three parts: first part was about demographics,the second part consisted of items related to the health problems and third part consisted of items related to the access to health care services. Non-parametric statistical analysis was used for the data analysis. Comparison between persons with mild to moderate and severe to profound disabilities was made. Results: Results showed that persons with severe to profound disabilities generally experienced more health problems and problems in accessing   health care services as compared to persons with mild to moderate disabilities. Conclusion: The study concluded that persons with disabilities experience physical, attitudinal and communication problems while accessing health services.

Right to health and access to health-care services for refugees in Turkey

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
N. Ela Gokalp Aras ◽  
Sertan Kabadayi ◽  
Emir Ozeren ◽  
Erhan Aydin
Keyword(s):  
Public Health ◽  
Health Care ◽  
Institutional Theory ◽  
Access To Health Care ◽  
Health Care Services ◽  
Public Health Care ◽  
Content Type ◽  
Care Services ◽  
Access To Health ◽  
The Impact

Purpose This paper aims to provide a comprehensive understanding of factors that contribute to refugees’ exclusion from health-care services. More specifically, using institutional theory, this paper identifies regulative pillar-, normative pillar- and cultural/cognitive pillar-related challenges that result in refugees having limited or no access to health-care services. Design/methodology/approach The paper draws on both secondary research and empirical insights from two qualitative fieldwork studies totaling 37 semi-structured meso-level interviews, observations and focus groups in three Turkish cities (Izmir, Ankara and Edirne), as well as a total of 42 micro-level, semi-structured interviews with refugees and migrants in one large city (Izmir) in Turkey. Findings This study reveals that systematically stratified legal statuses result in different levels of access to public health-care services for migrants, asylum seekers or refugees based on their fragmented protection statuses. The findings suggest access to health-care is differentiated not only between local citizens and refugees but also among the refugees and migrants based on their legal status as shaped by their country of origin. Originality/value While the role of macro challenges such as laws and government regulations in shaping policies about refugees have been examined in other fields, the impact of such factors on refugee services and well-being has been largely ignored in service literature in general, as well as transformative service research literature in particular. This study is one of the first attempts by explicitly including macro-level factors to contribute to the discussion on the refugees’ access to public health-care services in a host country by relying on the institutional theory by providing a holistic understanding of cognitive, normative and regulative factors in understanding service exclusion problem.

scholarly journals Access to health care for persons with disabilities in rural South Africa

2017 ◽  
Vol 17 (1) ◽  
Author(s):  
R. Vergunst ◽  
L. Swartz ◽  
K.-G. Hem ◽  
A. H. Eide ◽  
H. Mannan ◽  
...  
Keyword(s):  
South Africa ◽  
Health Care ◽  
Access To Health Care ◽  
Rural South ◽  
Persons With Disabilities ◽  
Access To Health ◽  
Rural South Africa

scholarly journals Perceptions of Health Care Use in Germany during the COVID-19 Pandemic

2020 ◽  
Vol 17 (24) ◽  
pp. 9351
Author(s):  
André Hajek ◽  
Freia De Bock ◽  
Lothar H. Wieler ◽  
Philipp Sprengholz ◽  
Benedikt Kretzler ◽  
...  
Keyword(s):  
Health Care ◽  
Regression Analysis ◽  
Medical Care ◽  
Access To Health Care ◽  
Healthcare Services ◽  
Access To Healthcare ◽  
Health Care Use ◽  
Access To Health ◽  
Using Data ◽  
Perceived Access

This paper examined the determinants of perceived access to health care use during the COVID-19 pandemic in Germany using data from two waves (8 and 16) of the COVID-19 Snapshot Monitoring (COSMO). Descriptive and regression analysis were used. In wave 8, we found that about 60% of the individuals rather disagreed about having had problems accessing medical care. Furthermore, 73% of the individuals rather disagreed to having experienced health deteriorations due to restrictions on the availability of medical care. Moreover, 85% of the individuals were rather optimistic about future access to healthcare services. Overall, slightly better past and future access to healthcare services has been reported in wave 16. Several determinants were identified in regression analysis. In conclusion, data suggest that perceived past and future access to healthcare services during the COVID-19 pandemic is reasonably good.

Equity analysis of health system accessibility from perspective of people with disability

2019 ◽  
Vol 24 (4) ◽  
pp. 298-309
Author(s):  
Hussain Zandam ◽  
Muhamad Hanafiah Juni
Keyword(s):  
Health Care ◽  
Health System ◽  
Health Care Delivery ◽  
Access To Health Care ◽  
Care Delivery ◽  
Physical Disabilities ◽  
People With Disabilities ◽  
Cross Sectional Survey ◽  
Content Type ◽  
Access To Health

Purpose Self-evaluated access and accessibility has been found to be associated with healthcare seeking and quality of life. Studies have shown that, however, a vast majority of individuals with disability living in poor countries have limited access to healthcare influenced by several barriers. The purpose of this paper is to compare the perception of general accessibility of health care services and its association with access barriers and other contextual factors between people with physical disabilities and counterparts without disability. Design/methodology/approach This study is a cross sectional survey involving 213 individuals with physical disabilities and 213 counterparts without disability sampled using a multi-stage method. Data were collected using a structured questionnaire with sections on socioeconomic and living conditions, education, health, employment and access to health care. Data analysis involved using χ2 for proportions and T-test and multiple regressions (stepwise) method to determine significant factors that influence perception on accessibility. Findings The study finds that people with disabilities fared worse in various socioeconomic factors such as education, employment, income and assets possession. People with disabilities also experience more dimensional barriers and reported poor health system accessibility. The difference in accessibility continued after adjusting for other variables, implying that there are more inherent factors that explain the perception of access for people with disabilities. Practical implications Governments should ensure equitable access to health care delivery for people with disabilities through equitable health policies and services that are responsive to the needs of people with disabilities and promote the creation of enabling environment to enhance participation in health care delivery. Originality/value The authors confirm that the paper has neither been submitted to peer review, nor is in the process of peer reviewing or accepted for publishing in another journal. The author(s) confirms that the research in this work is original, and that all the data given in the paper are real and authentic. If necessary, the paper can be recalled, and errors corrected. The undersigned authors transfer the copyright for this work to the International Journal of Health Governance. The authors are free of any personal or business association that could represent a conflict of interest regarding the paper submitted, and the authors have respected the research ethics principles.

scholarly journals Inequities in immigrants’ access to health care services: disentangling potential barriers

2016 ◽  
Vol 37 (7) ◽  
pp. 1191-1208 ◽  
Author(s):  
Carlo Devillanova ◽  
Tommaso Frattini
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Health Care Services ◽  
Emergency Services ◽  
Policy Implications ◽  
Content Type ◽  
Care Services ◽  
Second Generation Immigrants ◽  
Access To Health ◽  
Unequal Access

Purpose The purpose of this paper is to empirically assess whether immigrants suffer from unequal access to health care services, that add to prevailing socioeconomic barriers to care. Design/methodology/approach Using a uniquely rich Italian health survey, the authors estimate the correlation between immigrant status and the probability of accessing health services, conditional on a rich set of individual and territorial characteristics. Findings Results show that foreigners are more likely to contact emergency services and less likely to visit specialist doctors and use preventive care. Similar results hold for second-generation immigrants. Originality/value The authors discuss the sources of observed inequities and suggest tentative policy implications to promote equal access.

Access to health-care policies for refugees and asylum-seekers

2020 ◽  
Vol 16 (1) ◽  
pp. 22-45
Author(s):  
Salma El-Gamal ◽  
Johanna Hanefeld
Keyword(s):  
Health Care ◽  
Health Systems ◽  
Asylum Seekers ◽  
Access To Health Care ◽  
Host Countries ◽  
Content Type ◽  
Poor General Health ◽  
Access To Health ◽  
The Uk ◽  
Refugees And Asylum Seekers

Purpose The influx of refugees and asylum-seekers over the past decade into the European Union creates challenges to the health systems of receiving countries in the preparedness and requisite adjustments to policy addressing the new needs of the migrant population. This study aims to examine and compare policies for access to health care and the related health outcomes for refugees and asylum-seekers settling both in the UK and Germany as host countries. Design/methodology/approach The paper conducted a scoping review of academic databases and grey literature for studies within the period 2010-2017, seeking to identify evidence from current policies and service provision for refugees and asylum-seekers in Germany and the UK, distilling the best practice and clarifying gaps in knowledge, to determine implications for policy. Findings Analysis reveals that legal entitlements for refugees and asylum-seekers allow access to primary and secondary health care free of charge in the UK versus a more restrictive policy of access limited to acute and emergency care during the first 15 months of resettlements in Germany. In both countries, many factors hinder the access of this group to normal health care from legal status, procedural hurdles and lingual and cultural barriers. Refugees and asylum-seeker populations were reported with poor general health condition, lower rates of utilization of health services and noticeable reliance on non-governmental organizations. Originality/value This paper helps to fulfill the need for an extensive research required to help decision makers in host countries to adjust health systems towards reducing health disparities and inequalities among refugees and asylum-seekers.

scholarly journals Prison conditions and standards of health care for women and their children incarcerated in Zimbabwean prisons

2020 ◽  
Vol 16 (3) ◽  
pp. 319-336
Author(s):  
Rosemary Mhlanga-Gunda ◽  
Stephanie Kewley ◽  
Nehemiah Chivandikwa ◽  
Marie-Claire Van Hout
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Correctional Officers ◽  
Minority Group ◽  
Continuum Of Care ◽  
Health Conditions ◽  
Large Female ◽  
Content Type ◽  
Access To Health ◽  
Women In Prison

Purpose The Sub-Saharan African (SSA) region remains at the epicentre of the HIV epidemic and disproportionately affecting women, girls and prisoners. Women in prison are a minority group and their special health needs relating to gender sensitivity, reproductive health, their children and HIV/AIDs are frequently neglected. Our study responded to this need, and aimed to investigate the issue. Design/methodology/approach A qualitative study using focus group discussions and key informant interviews explored the perspectives of women in prison, correctional officers, correctional health professionals and non-governmental organisations around prison conditions and standards of health care while incarcerated in a large female prison in Zimbabwe. Narratives were transcribed and analysed using thematic analysis. Findings The three key themes that emerged are as follows: “Sanitation and hygiene in the prison”, “Nutrition for women and children” and “Prison-based health services and health care”. Divergence or agreement across perspectives around adequate standards of sanitation, hygiene, quality and adequacy of food, special diets for those with health conditions, access to health care in prison and the continuum of care across incarceration and community are presented. Practical implications Understanding prison environmental cultures which shape correctional staff’s understanding and responsiveness to women in prison, environmental health conditions and access to health care are vital to improve conditions and continuum of care in Zimbabwe. Originality/value Policy and technical guidance continues to emphasise the need for research in SSA prisons to garner insight into the experiences of women and their children, with a particular emphasis on the prison environment for them, their health outcomes and health-care continuum. This unique study responded to this need.

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