Chronic conditions and barriers to care: exploring the health of migrant and seasonal farmworkers in Indiana

2016 ◽  
Vol 9 (4) ◽  
pp. 229-234
Author(s):  
Michelle Sandoval-Rosario ◽  
Theresa Marie Hunter ◽  
Adrienne Durnham ◽  
Antoniette Holt ◽  
Pam Pontones ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Provider ◽  
Care Provider ◽  
Chronic Conditions ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Content Type ◽  
Migrant And Seasonal Farmworkers ◽  
Seasonal Farmworkers

Purpose Migrant and seasonal farmworkers (MSFWs) have many health challenges due to the nature of their work, low wages, living conditions, mobility, and lack of health insurance. The purpose of this paper is to assess the availability of health services, barriers to accessing health care, and the prevalence of chronic conditions among MSFWs in Indiana. Design/methodology/approach A site-based convenience sample of MSFWs aged 14 years and older completed a cross-sectional survey. A total of 97 participants who currently or previously identified as farmworkers completed the questionnaire. Findings Almost one-third of the respondents reported no access to a health care provider. Of those, 43 percent reported that cost prevented them from seeking care. Of those who reported chronic conditions ( n=22), over 50 percent did not have access to a health care provider. These findings highlight the need to further investigate the magnitude of the problem and begin exploring ways to improve affordable health care access among MSFWs in Northeastern Indiana. Originality/value The results from this study highlight the need for the development and implementation of community health education programs that target MSFWs in Indiana. The findings, although not generalized, offer important insights into health care challenges and barriers to access in Indiana. The authors recommend that assistance programs should be implemented for providing affordable health care services for Hispanic MSFWs.

National Cross-Sectional Survey: U.S. Parents’ Acceptance of Learning about Mindfulness Practices for Parents and Children (Preprint)

2021 ◽  
Author(s):  
Mala Mathur ◽  
Bradley R. Kerr ◽  
Jessica C. Babal ◽  
Jens C. Eickhoff ◽  
Ryan J. Coller ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Provider ◽  
Care Provider ◽  
Well Being ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Parents And Children ◽  
Significant Difference ◽  
Chi Squared ◽  
Mindfulness Practices

BACKGROUND Mindfulness practices are associated with improved health and well-being for children. Few studies have assessed parents’ acceptance of learning about mindfulness practices. OBJECTIVE This study aimed to assess parents’ beliefs and interest in learning about mindfulness, including from their health care provider, and differences across demographic backgrounds. METHODS We conducted a national, cross-sectional survey of parents with 0-18-year-old children in October 2018. Measures included beliefs and interest in learning about mindfulness. These measures were compared across demographic backgrounds using chi-squared analysis. Multivariate linear and logistic regression analyses were used to perform adjusted comparisons between demographic backgrounds. RESULTS Participants (N=3,000) were 87% female and 82.5% Caucasian. Most (64.2%) reported beliefs that mindfulness can be beneficial when parenting, 53.7% showed interest in learning about mindfulness to help their child stay healthy, and 40.8% reported interest in learning about mindfulness from their health care provider. Parents with a college degree 49.6% (n=444) were more likely to report interest in learning about mindfulness from a health care provider compared to those without 37.1% (n=768) (P<.001). Parents interested in learning about mindfulness were more likely to be male 62.6% (n=223) (P<.001). There was no significant difference in interest in learning about mindfulness from a health care provider based on race. CONCLUSIONS This study indicates that many parents believe mindfulness can be beneficial while parenting and are interested in learning how mindfulness could help their child stay healthy. Findings suggest there is an opportunity to educate families about mindfulness practices. CLINICALTRIAL Not applicable.

Financing employee healthcare: fusing the preferences of employees in decision-making

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
George Ouma Ochieng'a ◽  
Maurice Ogada
Keyword(s):  
Health Care ◽  
Cost Benefit Analysis ◽  
Healthcare Providers ◽  
Coastal Region ◽  
Probit Analysis ◽  
Future Research ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Content Type ◽  
Employee Preferences

Purpose Good health is important for the happiness and productivity of employees of any organization and a nation. With the declining government funding for public Universities in Kenya, providing health cover for employees is a real challenge. Thus, the universities have to explore widely acceptable and sustainable options. This study aims to explore the correlations of employee preferences for health care schemes and evaluated the cost implications of each of the available Schemes.Design/methodology/approach The study applied a multinomial probit analysis on cross-sectional data from Taita Taveta University (TTU) in Kenya's coastal region. Cost-benefit analysis was used to rank alternative healthcare schemes. For triangulation of information, individual interviews were supplemented with key informant interviews.Findings Two sets of factors, personal attributes of employees and the attributes of the health care provider, were found to drive employee preferences for health care schemes. Thus, the universities need to consider these attributes in their choice sets of health care schemes to gain employee support.Research limitations/implications The study was based on a cross-sectional survey that may not capture the dynamic elements in institutional management. Thus, future research may build panel data on the current one for further analysis.Practical implications The study found that household characteristics and the perceived attributes of the healthcare providers are key drivers of the preferences. Thus, it is important to consider the characteristics of the employees (for example, age, family sizes, etc.) and attributes of healthcare providers before selecting a healthcare scheme for the workersOriginality/value This is a pioneer study on the choice of healthcare scheme for institutions of higher learning in Kenya. Universities are made aware of what informs employee's preferences for health schemes. This is important for tailoring health care schemes to match employee preferences for greater satisfaction.

scholarly journals Comparison of Mobile Health Technology Use for Self-Tracking Between Older Adults and the General Adult Population in Canada: Cross-Sectional Survey

10.2196/24718 ◽  
2020 ◽  
Vol 8 (11) ◽  
pp. e24718
Author(s):  
Mirou Jaana ◽  
Guy Paré
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Technology Use ◽  
Chronic Conditions ◽  
Mobile Apps ◽  
Adult Population ◽  
Smart Devices ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
General Adult Population

Background The burden of population aging and chronic conditions has been reported worldwide. Older adults, especially those with high needs, experience social isolation and have high rates of emergency visits and limited satisfaction with the care they receive. Mobile health (mHealth) technologies present opportunities to address these challenges. To date, limited information is available on Canadian older adults’ attitudes toward and use of mHealth technologies for self-tracking purposes—an area that is increasingly important and relevant during the COVID-19 era. Objective This study presents contributions to an underresearched area on older adults and mHealth technology use. The aim of this study was to compare older adults’ use of mHealth technologies to that of the general adult population in Canada and to investigate the factors that affect their use. Methods A cross-sectional survey on mHealth and digital self-tracking was conducted. A web-based questionnaire was administered to a national sample of 4109 Canadian residents who spoke either English or French. The survey instrument consisted of 3 sections assessing the following items: (1) demographic characteristics, health status, and comorbidities; (2) familiarity with and use of mHealth technologies (ie, mobile apps, consumer smart devices/wearables such as vital signs monitors, bathroom scales, fitness trackers, intelligent clothing); and (3) factors influencing the continued use of mHealth technologies. Results Significant differences were observed between the older adults and the general adult population in the use of smart technologies and internet (P<.001). Approximately 47.4% (323/682) of the older adults in the community reported using smartphones and 49.8% (340/682) indicated using digital tablets. Only 19.6% (91/463) of the older adults using smartphones/digital tablets reported downloading mobile apps, and 12.3% (47/383) of the older adults who heard of smart devices/wearables indicated using them. The majority of the mobile apps downloaded by older adults was health-related; interestingly, their use was sustained over a longer period of time (P=.007) by the older adults compared to that by the general population. Approximately 62.7% (428/682) of the older adults reported tracking their health measures, but the majority did so manually. Older adults with one or more chronic conditions were mostly nontrackers (odds ratio 0.439 and 0.431 for traditional trackers and digital trackers, respectively). No significant differences were observed between the older adults and the general adult population with regard to satisfaction with mHealth technologies and their intention to continue using them. Conclusions Leveraging mHealth technologies in partnership with health care providers and sharing of health/well-being data with health care professionals and family members remain very limited. A culture shift in the provision of care to older adults is deemed necessary to keep up with the development of mHealth technologies and the changing demographics and expectations of patients and their caregivers.

scholarly journals Communication Difficulties and Psychological Stress in Patients Receiving Mechanical Ventilation

2019 ◽  
Vol 4 (2) ◽  
pp. 718-723
Author(s):  
Dejina Thapa ◽  
Anika Dahal ◽  
Rameshwari Singh
Keyword(s):  
Health Care ◽  
Mechanical Ventilation ◽  
Psychological Stress ◽  
Health Care Provider ◽  
Care Provider ◽  
Assessment Tool ◽  
College Teaching ◽  
Hospital Data ◽  
Cross Sectional ◽  
Communication Difficulties

Introduction: Communication is fundamental for an individual to verbalize their feelings. Inability of the patient receiving mechanical ventilation to communicate the needs to the health care provider often leads to psychological stress. Objective: The objective of the study is to assess the communication difficulties and psychological stress in patients receiving mechanical ventilation. Methodology: A cross-sectional research design was used for the study. A total of 48 patient extubated within the preceding 72 hours, was taken as a sample by using a convenience sampling method. Data were collected by using a interview technique in patients from January–September 2018 from a 41- bedded ICU at Nobel Medical College Teaching Hospital. Data analysis was done by descriptive and inferential statistics. Results: Difficulty in communication was found where majority of the respondents (82.29%) rated general communication as extremely hard. The study further revealed that 100% of the respondents used hands for pointing and gesturing followed by shaking heads (65.38%), whisper (19.23%) and writing (11.53%). Sleeping and communication difficulty was the major problem 97.91% and 96.94% respectively. Majority of respondents (66.66%) scored Intensive Care Psychological Assessment Tool more than 7. In addition, there is significant association between the sex, total length of ventilation and prior experience with ICU (p= <0.05). Conclusion: Patient with mechanical ventilation experience a moderate to extreme level of psychological stress because they have difficulty in communicating their needs. Alternative communication methods should be developed, and health care provider should be aware about the communication difficulties, thereby reducing the stress caused by ineffective communication.

Supporting self-management education for arthritis: Evidence from the Arthritis Conditions and Health Effects Survey on the influential role of health care providers

2019 ◽  
pp. 174239531986943
Author(s):  
Louise B Murphy ◽  
Kristina A Theis ◽  
Teresa J Brady ◽  
Jeffrey J Sacks
Keyword(s):  
Health Care ◽  
Health Care Provider ◽  
Health Care Providers ◽  
Care Provider ◽  
Chronic Conditions ◽  
Management Education ◽  
Self Management ◽  
Care Providers ◽  
Class Attendance ◽  
Education Class

Objective Self-management education programs are recommended for many chronic conditions. We studied which adults with arthritis received a health care provider’s recommendation to take a self-management education class and who attended. Methods We analyzed data from a 2005--2006 national telephone survey of US adults with arthritis ≥45 years ( n = 1793). We used multivariable-adjusted prevalence ratios (PR) from logistic regression models to estimate associations with: (1) receiving a health care provider recommendation to take a self-management education class; and (2) attending a self-management education class. Results Among all adults with arthritis: 9.9% received a health care provider recommendation to take an self-management education class; 9.7% attended a self-management education class. Of those receiving a recommendation, 52.0% attended a self-management education class. The strongest association with self-management education class attendance was an health care provider recommendation to take one (PR = 8.9; 95% CI = 6.6–12.1). Conclusions For adults with arthritis, a health care provider recommendation to take a self-management education class was strongly associated with self-management education class attendance. Approximately 50% of adults with arthritis have ≥1 other chronic conditions; by recommending self-management education program attendance, health care providers may activate patients’ self-management behaviors. If generalizable to other chronic conditions, this health care provider recommendation could be a key influencer in improving outcomes for a range of chronic conditions and patients’ quality of life.

scholarly journals Health care provider time in public primary care facilities in Lima, Peru: a cross-sectional time motion study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hannah H. Leslie ◽  
Denisse Laos ◽  
Cesar Cárcamo ◽  
Ricardo Pérez-Cuevas ◽  
Patricia J. García
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Health Care Provider ◽  
Care Provider ◽  
Cross Sectional ◽  
Record Keeping ◽  
Time Motion ◽  
Motion Study ◽  
Care Facilities ◽  
Nurses And Midwives

Abstract Background In Peru, a majority of individuals bypass primary care facilities even for routine services. Efforts to strengthen primary care must be informed by understanding of current practice. We conducted a time motion assessment in primary care facilities in Lima with the goals of assessing the feasibility of this method in an urban health care setting in Latin America and of providing policy makers with empirical evidence on the use of health care provider time in primary care. Methods This cross-sectional continuous observation time motion study took place from July – September 2019. We used two-stage sampling to draw a sample of shifts for doctors, nurses, and midwives in primary health facilities and applied the Work Observation Method by Activity Timing tool to capture type and duration of provider activities over a 6-h shift. We summarized time spent on patient care, paper and electronic record-keeping, and non-work (personal and inactive) activities across provider cadres. Observations are weighted by inverse probability of selection. Results Two hundred seventy-five providers were sampled from 60 facilities; 20% could not be observed due to provider absence (2% schedule error, 8% schedule change, 10% failure to appear). One hundred seventy-four of the 220 identified providers consented (79.1%) and were observed for a total of 898 h of provider time comprising 30,312 unique tasks. Outpatient shifts included substantial time on patient interaction (110, 82, and 130 min for doctors, nurses, and midwives respectively) and on paper records (132, 97, and 141 min) on average. Across all shifts, 1 in 6 h was spent inactive or on personal activities. Two thirds of midwives used computers compared to half of nurses and one third of doctors. Conclusions The time motion study is a feasible method to capture primary care operations in Latin American countries and inform health system strengthening. In the case of Lima, absenteeism undermines health worker availability in primary care facilities, and inactive time further erodes health workforce availability. Productive time is divided between patient-facing activities and a substantial burden of paper-based record keeping for clinical and administrative purposes. Electronic health records remain incompletely integrated within routine care, particularly beyond midwifery.

scholarly journals Awareness about plagiarism and the effectiveness of library literacy programme towards its deterrence: a perspective of postgraduate resident doctors

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Asad Khan ◽  
Joanna Richardson ◽  
Muhammad Izhar
Keyword(s):  
Academic Integrity ◽  
Survey Method ◽  
Cross Sectional Survey ◽  
Literacy Programme ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Content Type ◽  
Key Stakeholders ◽  
High Standards ◽  
Definition Of

Purpose Awareness about plagiarism is essential for the evasion of intellectual mendacity, inculcation of academic integrity and assurance of quality research. Maintaining high standards regarding academic integrity is a major challenge for higher education and research organizations. In Pakistan, resident doctors are required to submit a dissertation to the College of Physicians and Surgeons. The purpose of this study is to examine this cohort’s awareness of plagiarism and to determine the effectiveness of the library literacy (IL) programme towards the prevention of plagiarism. Design/methodology/approach Using the quantitative approach, a cross-sectional survey method was used. A convenience sample of postgraduate resident doctors was randomly recruited from two hospitals in Peshawar, Pakistan. Questionnaires were used for data collection. Descriptive and inferential statistics were used for data analyses. Findings The findings revealed that while resident doctors were aware of the concept of plagiarism, there were variations in their definition of the term. That said, they perceived plagiarism as an unethical practice and supported the implementation of anti-plagiarism policies. However, the respondents’ knowledge was not strong regarding citation styles, specific anti-plagiarism policies and plagiarism penalties. Likewise, this cohort was unfamiliar with library IL activities and their role in the prevention of plagiarism. Finally, collaboration was absent among key stakeholders, e.g. resident doctors, research supervisors and librarians, to deter plagiarism. Research limitations/implications This study recommends collaboration among the key stakeholders to ensure the delivery of consistent messages and to reinforce the importance of plagiarism prevention. As this study was limited to two hospitals, similar research could be undertaken using a larger sample of resident doctors. It would also be useful to survey the librarians providing support for this cohort. Originality/value This study is the first attempt to examine the effectiveness of hospital library IL programmes in the prevention of plagiarism among resident doctors in Pakistan. The findings are applicable to other health libraries worldwide that wish to address the challenge of plagiarism among health researchers in general.

scholarly journals Comparison of Mobile Health Technology Use for Self-Tracking Between Older Adults and the General Adult Population in Canada: Cross-Sectional Survey (Preprint)

2020 ◽  
Author(s):  
Mirou Jaana ◽  
Guy Paré
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Technology Use ◽  
Chronic Conditions ◽  
Mobile Apps ◽  
Adult Population ◽  
Smart Devices ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
General Adult Population

BACKGROUND The burden of population aging and chronic conditions has been reported worldwide. Older adults, especially those with high needs, experience social isolation and have high rates of emergency visits and limited satisfaction with the care they receive. Mobile health (mHealth) technologies present opportunities to address these challenges. To date, limited information is available on Canadian older adults’ attitudes toward and use of mHealth technologies for self-tracking purposes—an area that is increasingly important and relevant during the COVID-19 era. OBJECTIVE This study presents contributions to an underresearched area on older adults and mHealth technology use. The aim of this study was to compare older adults’ use of mHealth technologies to that of the general adult population in Canada and to investigate the factors that affect their use. METHODS A cross-sectional survey on mHealth and digital self-tracking was conducted. A web-based questionnaire was administered to a national sample of 4109 Canadian residents who spoke either English or French. The survey instrument consisted of 3 sections assessing the following items: (1) demographic characteristics, health status, and comorbidities; (2) familiarity with and use of mHealth technologies (ie, mobile apps, consumer smart devices/wearables such as vital signs monitors, bathroom scales, fitness trackers, intelligent clothing); and (3) factors influencing the continued use of mHealth technologies. RESULTS Significant differences were observed between the older adults and the general adult population in the use of smart technologies and internet (<i>P</i>&lt;.001). Approximately 47.4% (323/682) of the older adults in the community reported using smartphones and 49.8% (340/682) indicated using digital tablets. Only 19.6% (91/463) of the older adults using smartphones/digital tablets reported downloading mobile apps, and 12.3% (47/383) of the older adults who heard of smart devices/wearables indicated using them. The majority of the mobile apps downloaded by older adults was health-related; interestingly, their use was sustained over a longer period of time (<i>P</i>=.007) by the older adults compared to that by the general population. Approximately 62.7% (428/682) of the older adults reported tracking their health measures, but the majority did so manually. Older adults with one or more chronic conditions were mostly nontrackers (odds ratio 0.439 and 0.431 for traditional trackers and digital trackers, respectively). No significant differences were observed between the older adults and the general adult population with regard to satisfaction with mHealth technologies and their intention to continue using them. CONCLUSIONS Leveraging mHealth technologies in partnership with health care providers and sharing of health/well-being data with health care professionals and family members remain very limited. A culture shift in the provision of care to older adults is deemed necessary to keep up with the development of mHealth technologies and the changing demographics and expectations of patients and their caregivers.

Fertility Desire and Associated Factors among HIV Positive Women in University of Gondar Comprehensive Specialized hospital, Northwest Ethiopia. Institution based cross-sectional study.

2019 ◽  
Author(s):  
Amare wondim ◽  
Addisu Admasie ◽  
Yonatan Abebaw
Keyword(s):  
Health Care ◽  
Health Care Provider ◽  
Care Provider ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Referral Hospital ◽  
Fertility Desire ◽  
Sectional Study ◽  
Cross Sectional

Abstract Background: HIV positive individuals may or may not have fertility desire to have children. But the extent of these desires and how it varies by individual, social, health and demographic characteristics is not well understood. Objective: To assess fertility desire and its associated factors among HIV positive women in Gondar referral hospital, Northwest Ethiopia; 2019. Method: Institutional -based cross-sectional study design was conducted from May-June 2019 on 351 HIV positive women at Gondar comprehensive specialized referral hospital. Interview based, pre-tested and structured questionnaires was used to collect the data. Data consistency was checked and entered into Epi-info seven then exported to SPSS versions 20 for further analysis. Bivariable and multivariable logistic regression was used to determine the association between dependent and independent variables. P-values less than 0.05 with 95% CI was taken to declare a statistically significant. Result: Among study participants, 183(52.1%) HIV positive women had fertility desire. Women in the age 15-19 years (AOR: 6.88, CI=1.84-25.79), being married (AOR: 4.42, CI=1.47-13.28), unable to read and write (AOR: 0.39, CI=0.18-0.82), having no partners fertility desire and discussion with health care provider (AOR: 0.04, CI=0.02-0.12) and (AOR=0.31, CI=0.17-0.57), respectively were significantly associated factors. Conclusion: Being young age and married, educational status of women, partner desire and discussion with health care provider were obtained as significant factors of fertility desire. Hence health care providers have to give health information and education about fertility desire and other reproductive issue to clients. Keywords : ART users, women, Fertility desire, Gondar, Ethiopia.

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