Assessing unmet health-care needs of the elderly in west of Iran: A case study

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Bakhtiar Piroozi ◽  
Farman Zahir Abdullah ◽  
Amjad Mohamadi-Bolbanabad ◽  
Hossein Safari ◽  
Mohammad Amerzadeh ◽  
...  
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care Services ◽  
Elderly Population ◽  
The Elderly ◽  
Care Needs ◽  
Content Type ◽  
Perceived Need ◽  
Care Services ◽  
Unmet Health Care Needs

Purpose The purpose of this study is to investigate the status of perceived need, seeking behavior and utilization of health services in the elderly population of Sanandaj (west of Iran). Design/methodology/approach This is a cross-sectional study conducted on 800 elderly people in Sanandaj. Subjects were selected using multistage sampling and data were collected using self-report questionnaires. A multivariate logistic model with odds ratios (ORs) was used to determine the relationship of independent variables with seeking perceived need. Also, the concentration index was used to measure the inequality in using health services. Findings The perceived need for outpatient (during the last 30 days) and inpatient health-care services (during the past 12 months) was 69.7% and 29.7%, respectively. Among them, the unmet need for outpatient and inpatient health-care services was 46.6% and 17%, respectively. Having health insurance (adjusted OR 12.08; 95% confidence interval [CI] 1.04–140.11), middle economic status (adjusted OR 5.18; 95% CI 1.30–20.51) and being in an age group of 65–70 years (adjusted OR 7.60; CI 1.42–40.61) increased the chance of seeking inpatient care. Also, being in an age group of 60–65 years (adjusted OR 0.41; 95% CI 0.18–0.95) reduced the chance of seeking outpatient care. There was also a pro-rich inequality in using outpatient health services. Originality/value The elderly population suffers from unmet health-care needs, especially in outpatient services. The most important reason for not seeking outpatient and inpatient services was financial barriers and self-medication, respectively. So, designing targeted policies and interventions to address barriers in the conversion of need to demand in the elderly population is essential.

Needs assessment for gender sensitive reproductive health services for adolescents

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Fatemeh Rahmanian ◽  
Soheila Nazarpour ◽  
Masoumeh Simbar ◽  
Ali Ramezankhani ◽  
Farid Zayeri
Keyword(s):  
Health Care ◽  
Reproductive Health ◽  
Health Services ◽  
Health Care Providers ◽  
Health Care Services ◽  
Care Providers ◽  
Reproductive Health Services ◽  
Care Needs ◽  
Reproductive Health Care ◽  
Care Services

AbstractBackgroundA dimension of reproductive health services that should be gender sensitive is reproductive health services for adolescents.ObjectiveThis study aims to assess needs for gender sensitive reproductive health care services for adolescents.MethodsThis was a descriptive cross-sectional study on 341 of health care providers for adolescents in health centers and hospitals affiliated to Shiraz University of Medical Sciences in Iran in 2016. The subjects of the study were recruited using a convenience sampling method. The tools for data collection were: (1) a demographic information questionnaire and; (2) a valid and reliable questionnaire to Assess the Needs of Gender-Sensitive Adolescents Reproductive Health Care Services (ANQ-GSARHS) including three sections; process, structure and policy making for the services. Data were analyzed using SPSS 21.ResultsThree hundred and forty-one health providers with an average working experience of 8.77 ± 5.39 [mean ± standard deviation (SD)] years participated in the study. The results demonstrated the highest scores for educational needs (92.96% ± 11.49%), supportive policies (92.71% ± 11.70%) and then care needs (92.37% ± 14.34%) of the services.ConclusionsProviding gender sensitive reproductive health care services for adolescents needs to be reformed as regards processes, structure and policies of the services. However, the gender appropriate educational and care needs as well as supportive policies are the priorities for reform of the services.

The Finnish healthcare services lean management

2018 ◽  
Vol 31 (1) ◽  
pp. 17-32 ◽  
Author(s):  
Susanna Hihnala ◽  
Lilja Kettunen ◽  
Marjo Suhonen ◽  
Hanna Tiirinki
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care Services ◽  
Point Of View ◽  
Lean Management ◽  
Management Skills ◽  
Content Type ◽  
Care Services ◽  
Development Processes ◽  
Specialized Health Care

Purpose The purpose of this paper is to discuss health services managers’ experiences of management in a special health-care unit and development efforts from the point of view of the Lean method. Additionally, the aim is to deepen the knowledge of the managers’ work and nature of the Lean method development processes in the workplace. The research focuses on those aspects and results of Lean method that are currently being used in health-care environments. Design/methodology/approach These data were collected through a number of thematic interviews. The participants were nurse managers (n = 7) and medical managers (n = 7) who applied Lean management in their work at the University Hospital in the Northern Ostrobothnia Health Care District. The data were analysed with a qualitative content analysis. Findings A common set of values in specialized health-care services, development of activities and challenges for management in the use of the Lean manager development model to improve personal management skills. Practical implications Managers in specialized health-care services can develop and systematically manage with the help of the Lean method. This emphasizes assumptions, from the point of view of management, about systems development when the organization uses the Lean method. The research outcomes originate from specialized health-care settings in Finland in which the Lean method and its associated management principles have been implemented and applied to the delivery of health care. Originality/value The study shows that the research results and in-depth knowledge on Lean method principles can be applied to health-care management and development processes. The research also describes health services managers’ experiences of using the Lean method. In the future, these results can be used to improve Lean management skills, identify personal professional competencies and develop skills required in development processes. Also, the research findings can be used in the training of health services managers in the health-care industry worldwide and to help them survive the pressure to change repeatedly.

scholarly journals THE HEALTH-CARE NEEDS AMONG OLDER PERSONS IN AN INDONESIAN URBAN SETTING

2017 ◽  
Vol 10 (7) ◽  
pp. 233
Author(s):  
Setiawan E ◽  
Poedjibudojo J K ◽  
Tondok Ms
Keyword(s):  
Health Care ◽  
Older Persons ◽  
Health Care Services ◽  
Capital City ◽  
Urban Setting ◽  
Health Care Needs ◽  
Care Needs ◽  
Care Services ◽  
Unmet Health Care Needs ◽  
The Government

Objective: The unmet health-care needs among older persons population should be identified and anticipated due to hideous potential impacts. Ironically, no published study regarding this phenomenon was found in Indonesia. Derived from the Indonesian population and civil data, this study was conducted to identify the health-care needs of urban older people living on Java Island, the most populated island in Indonesia.Methods: A qualitative study was conducted in 3 subdistricts in Surabaya, the capital city of East Java, namely, Rungkut, Kenjeran, and Tenggilis. There were 9 focus group discussions (FGDs) conducted during March-August 2015. Participants in this study were recruited purposively, i.e., person in charge of “Karang Werda,” and the discussion explored thematically various topics in the area of unmet health needs phenomena related to: (1) Availability, (2) accessibility, and (3) acceptability. A FGD guide was developed to ensure in-depth discussion.Results: There were 90 older persons serving as volunteers who participated in this study. The unmet health-care needs addressed by participants in this study were (1) Integrated and specialized health-care services for older persons and (2) skillful yet age-friendly health-care personnel were needed by participants. Our findings pointed out that the unmet health-care needs in Indonesian urban settings were classified as primarily availability, accessibility, and acceptability issues.Conclusion: The government needs to take actions to solve the challenges related to the fulfillment of health-care needs among older persons in Indonesia. Further study of the health care personnel’s beliefs and attitudes in providing care among older persons needs to be conducted to provide a more holistic picture of the phenomena before making any strategy for the future Indonesia’s health-care system.

scholarly journals The Role of Primary Health Care Toward Healthy Aging

2021 ◽  
Vol 4 (1SP) ◽  
pp. 10
Author(s):  
Dhanasari Vidiawati ◽  
Yuda Turana ◽  
Tonny Sundjaya
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Health Services ◽  
Health Care Services ◽  
Healthy Aging ◽  
The Elderly ◽  
Preventive Health ◽  
Care Services ◽  
Primary Health

Background: According to the World Health Organization, healthy aging is the process of developing and maintaining functional abilities that make the elderly happy. The increase in the elderly population requires more attention. In particular, health services at the primary health care level face problems related to the limited capacity of overall health services, especially in terms of health promotion and preventive health issues. It is necessary to improve the quality of health care services for the elderly to prevent greater health problems among the elderly population.Objectives: Understand the need to provide holistic health services for healthy aging and use their capabilities, and strengthen cooperation among health professionals in achieving healthy aging.Discusion: Primary health care is pointed out that primary health care should provide comprehensive services in a holistic manner to support a healthy aging process. Therefore, a well-structured, integrated, and cross-industry collaborative primary care system is needed. The system should include changes in professional behavior, coordination of care, and participation of patients' families and communities in comprehensive health care. This can be achieved through inter-professional education, continuous training and education of primary health care professionals, as well as primary health care services and cross-level health care technology innovation.Conclusions: Healthy aging is not just the absence of disease. Everyone in health and social care at all levels can play a role to help improve healthy aging. To make the elderly healthy, starting from the prevention of young health problems, it requires collaboration between health workers, primary health care and other health service levels, and health care that cooperates with patients, families, and communities.Keywords: healthy aging, primary care, preventive, health worker

What actually do Syrian migrant women’s health practices tell us? A qualitative interpretive synthesis from Turkey

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Funda Aslan
Keyword(s):  
Health Care ◽  
Women’S Health ◽  
Women's Health ◽  
Health Care Services ◽  
Health Problems ◽  
Health Practices ◽  
Migrant Women ◽  
Care Needs ◽  
Content Type ◽  
Care Services

Purpose The present qualitative interpretive synthesis (QIS) aimed to re-interpret and understand in detail the findings of the studies related to the health practices of Syrian migrant women living in Turkey. Design/methodology/approach İn this study, the QIS method was used. Three articles were included in the present QIS study from the five electronic databases. Findings Present QIS has once and again emphasized that Syrian immigrant women have health problems, yet face problems accessing health-care services. While the women suffer from various health problems and have health care needs such as pregnancy or maternity, they give priority to the needs of their children and other family members and often postpone taking care of themselves. The most important finding was that migrant women do not want to give up on their cultural teachings. Research limitations/implications There were only a limited number of studies available for review that fit into the inclusion criteria; the low sample sizes across the included studies posed additional limitations. Despite these limitations, these findings suggest important implications, indicating the migrant women’s health practices from a systemic perspective. Social implications All these issues and concerns should be addressed with empathy for developing sustainable health policies and nurturing healthy future generations in Turkey. Originality/value This study is the first study that used the QIS approach to understand and re-interpret qualitative studies findings. Then, this study also emphasized the necessity of looking at the health of migrant women’s health from different perspectives.

scholarly journals Determination of needs of black aged persons in Port Elizabeth: Direction for future interventions

Curationis ◽  
1995 ◽  
Vol 18 (4) ◽  
Author(s):  
M. M. S. Ntshona
Keyword(s):  
Health Care ◽  
Elderly People ◽  
Health Care Services ◽  
Well Being ◽  
The Elderly ◽  
Home Care Services ◽  
Care Needs ◽  
Care Services ◽  
Port Elizabeth ◽  
The Government

Social, economic and health care needs of elderly black persons in Port Elizabeth and areas in its immediate vicinity are investigated. Conclusions are drawn from a sample study of 301 elderly people. The investigation reveals that the majority of pensioners are -women, their educational standard is below standard 10, and they have little vocational or specialized training. A high proportion (86%) of them are breadwinners and therefore they are unwilling to reside in institutions. Recreational facilities are inadequate. Pension payout points are overcrowded and disorganized. Also health care services are inaccessible to most elderly people. In view of these findings, a community-based approach to care for the elderly is recommended. The approach should promote social interaction among elderly through establishment of luncheon clubs and service centres and well-being of all elderly through geriatric clinics as well as home care services for the infirm. This entails an intersectorial collaboration, with the elderly being fully involved and participating. Considering the exponential growth of the elderly population in South Africa, it is imperative that the government and other organizations should take cognizance of studies of this nature when making future decisions as regards the care of this group.

scholarly journals Studi Literatur: Kebutuhan Pelayanan Kesehatan yang Belum Terpenuhi pada Penyintas Kanker Ginekologi

2021 ◽  
Vol 7 (2) ◽  
pp. 85
Author(s):  
Selly Kresna Dewi ◽  
Margaretha Martini
Keyword(s):  
Health Care ◽  
Health Services ◽  
Cancer Survivor ◽  
Health Care Services ◽  
Unmet Need ◽  
Psychological Needs ◽  
Literature Study ◽  
Care Needs ◽  
Care Services ◽  
Online Library

There is an urgent increase of health care needs for cancer survivor nowadays caused by the escalations of global cancer survivor’s unmet need for cancer care health services. The purpose of this literature study was to identify the gynecology cancer survivor’s unmet need of health care services. A literature search was PRISMA for relevant research paper. Six database were searched: Proquest, Elsevier, Spinger, Wiley Online Library, and Google Scholar using keyword: “CaSUN”, “SCNS-SF34”, “Unmet need”,” Survivor cancer”, “Supportive care”, Cancer Gynecological”. The final review included 9 articles from 993 article that being identified from 2015 – 2020. The result of this study was minimum 1 unmet need found in every gynecology cancer survivor, psychological needs and information on health services, physical and sexual needs.

scholarly journals Health Service Utilization by Elderly Population in Urban Nepal: A Cross-Sectional Study

2016 ◽  
Vol 2 ◽  
pp. 27-36 ◽  
Author(s):  
L.B. Gurung ◽  
G. Paudel ◽  
U.N. Yadav
Keyword(s):  
Health Care ◽  
Elderly People ◽  
Health Care Services ◽  
Elderly Population ◽  
Family Income ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Care Services ◽  
Monthly Family Income

Background The elderly population is in increasing trend all over the world. Elderly people experience many physiological, biological and psychological changes. The general objective of the study is to assess the utilization of health care services among the elderly population of Butwal sub-metropolitan city.Methods A quantitative descriptive-cross sectional study, with a total number of 212 elderly people residing in Butwal sub-metropolitan city, was selected for the study purpose. The study period was from March to October 2015. The samples were randomly selected from the sampling frame of 3 different wards of Butwal sub-metropolitan city. Information was collected using an interviewer administered semi-structured questionnaire. Chi-square test was used to identify the factors associated with the utilization of health care services among elderly population.Results Our findings reveal that 84.4% of elderly people visited to the health facility during past 1 year. There were more females (50.9%) than males (49.1%). Majority of elderly people were diagnosed with one of the chronic ailment; were under regular medication. More than 4/5th (84.9%) of older adults rated “satisfactory” to their health condition. Monthly family income, chronic disease, elderly on medication and self-rated health status are statistically significant with utilization of health care services at 95% level of confidence.Conclusions The finding suggests that monthly family income, chronic disease, elderly on medication and self rated health are strongly associated with utilization of health care services by elderly people. Thus the study suggests further interventions to improve the health care service utilization by elderly people.Journal of Manmohan Memorial Institute of Health Sciences Vol. 2 2016 p.27-36

scholarly journals COMPARATIVE STUDY OF HOME CARE DIGITALIZATION FOR ELDERLY PEOPLE IN BRAZIL AND FINLAND

2019 ◽  
Vol 3 ◽  
pp. 52
Author(s):  
Minna Korpela ◽  
Piia Holmström
Keyword(s):  
Health Care ◽  
Health Services ◽  
Elderly People ◽  
Health Care Services ◽  
Digital Health ◽  
The Elderly ◽  
Health Technology ◽  
Care Services ◽  
Digital Services ◽  
Home Living

ABSTRACTThis thesis describes health care services for elderly people in Finland and Brazil, as well as health technology in both countries. The aim of the thesis is to provide information on the health technology for the elderly and to bring out their opinion about the need for digital services and what kind of digital solutions they would find useful as they get older. Our thesis is a qualitative research in which the observation material is in form of a questionnaire. The material is compared between the target countries. The target group is people who are over 75 years old in Finland and over 65 years old in Brazil and who are still living at home. The main objective is to identify the need for digital health services and solutions expressed by elderly citizens living in Brazil and Finland. Our research tasks: What kind of digital services home living elderly over 75 years old in Finland and over 65 years old in Brazil think it might be useful in connection with their health care? What kind of health services and digital solutions have an offer in Brazil and Finland? How is customer- oriented service implemented with digital solutions? According to the results, both in Finland and Brazil, elderly people felt that technology could be useful in terms of access to information and security and they were looking for ways to get help in everyday activities. In Finland, more technological solutions were available than in Brazil for healthcare.Keywords: Digitalization. Ethics. Succesful aging. RESUMOEsta tese descreve os serviços de saúde para idosos na Finlândia e no Brasil, bem como a tecnologia em saúde nos dois países. O objetivo da tese é fornecer informações sobre a tecnologia de saúde para idosos e expor suas opiniões sobre a necessidade de serviços digitais e que tipo de soluções digitais eles acham úteis à medida que envelhecem. Nossa tese é uma pesquisa qualitativa na qual o material de observação é em forma de questionário. O material é comparado entre os países-alvo. O público-alvo são pessoas com mais de 75 anos na Finlândia e com mais de 65 anos no Brasil e que ainda moram em casa. O objetivo principal é identificar a necessidade de soluções e serviços digitais de saúde expressos por idosos residentes no Brasil e na Finlândia. Nossas tarefas de pesquisa: Que tipo de serviços digitais para idosos que têm mais de 75 anos na Finlândia e mais de 65 anos no Brasil acham que pode ser útil em conexão com seus cuidados de saúde? Que tipo de serviços de saúde e soluções digitais oferecem no Brasil e na Finlândia? Como o serviço orientado ao cliente é implementado com soluções digitais? De acordo com os resultados, tanto na Finlândia quanto no Brasil, os idosos sentiram que a tecnologia poderia ser útil em termos de acesso à informação e segurança e estavam procurando maneiras de obter ajuda nas atividades cotidianas. Na Finlândia, mais soluções tecnológicas estavam disponíveis do que no Brasil para a saúde.Palavras-chave: Digitalização. Ética. Envelhecimento bem-sucedido.

Eliciting preference for private health services among patients in Iran: evidence from a discrete choice experiment

2022 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Fahimeh Ansari ◽  
Sima Rafiei ◽  
Edris Kakemam ◽  
Mohammad Amerzadeh ◽  
Bahman Ahadinezhad
Keyword(s):  
Health Care ◽  
Health Services ◽  
Discrete Choice ◽  
Choice Experiment ◽  
Health Care Services ◽  
Public Hospitals ◽  
Private Health Care ◽  
Content Type ◽  
Factors Associated ◽  
Care Services

Purpose The provision of private health-care services by public hospitals is common in Iran. Examining factors associated with patients’ preferences to use private health services and using this knowledge in health planning and policymaking can help expand the use of such services. Thus, this study aims to investigate patients’ preferences for private health services delivered in public hospitals. Design/methodology/approach Based on a discrete choice experiment from a sample of 375 patients in a public training hospital in Qazvin, northwest city of Iran, the authors evaluated participants’ preference over the health-care attributes affecting their choice to use private health-care services delivered in the hospital. The authors also estimated the marginal willingness to pay to determine the maximum amount a patient was willing to pay for the improvement in the level of each health-care attributes. Findings The findings revealed that patients were 2.7 times more likely to choose private hospital services when the waiting time was reduced to less than a week. Furthermore, as patients had complimentary insurance coverage, they were over 60% more likely to receive such services from training hospitals. Finally, continuity of care and reduced health-care tariffs were significant factors that increased patients’ preference to choose private services by 52 and 37%, respectively. Originality/value Examining factors associated with patients’ preferences to use private health services and using this knowledge in policymaking can help expand such services. The findings affirmed that various incentives, including service quality factors, are required to increase the likelihood of patients choosing private services.

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