scholarly journals Chronic health conditions, healthcare experience and life satisfaction among immigrant and native-born women in Canada

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Yiyan Li ◽  
Siyu Ru
Keyword(s):  
Life Satisfaction ◽  
Healthcare System ◽  
Dietary Habits ◽  
Immigrant Women ◽  
Research Question ◽  
Healthcare Services ◽  
Chronic Illnesses ◽  
Healthy Immigrant Effect ◽  
Chronic Health ◽  
Content Type

PurposeTo compare chronic health status, utilization of healthcare services and life satisfaction among immigrant women and their Canadian counterparts.Design/methodology/approachA secondary analysis of national data from the Canadian Community Health Survey (CCHS), 2015–2016 was conducted. The survey data included 109,659 cases. Given the research question, only female cases were selected, which resulted in a final sample of 52,560 cases. Data analysis was conducted using multiple methods, including logistic regression and linear regression.FindingsRecent and established immigrant women were healthier than native-born Canadian women. While the Healthy Immigrant Effect (HIE) was evident among immigrant women, some characteristics related to ethnic origin and/or unhealthy dietary habits may deteriorate immigrant women's health in the long term. Immigrant women and non-immigrant women with chronic illnesses were both more likely to increase their use of the healthcare system. Notably, the present study did not find evidence that immigrant women under-utilized Canada's healthcare system. However, the findings showed that chronic health issues were more likely to decrease women's life satisfaction.Originality/valueThis analysis contributes to the understanding of immigrant women's acculturation by comparing types of chronic illnesses, healthcare visits, and life satisfaction between immigrant women and their Canadian counterparts.

Older migrants’ access to healthcare: a thematic synthesis

2018 ◽  
Vol 14 (4) ◽  
pp. 425-438 ◽  
Author(s):  
Sanjana Arora ◽  
Astrid Bergland ◽  
Melanie Straiton ◽  
Bernd Rechel ◽  
Jonas Debesay
Keyword(s):  
Healthcare System ◽  
Home Country ◽  
Healthcare Services ◽  
Future Research ◽  
Content Type ◽  
Thematic Synthesis ◽  
Older Migrants ◽  
Body Of Knowledge ◽  
Geographical Scope ◽  
Migrant Groups

Purpose The purpose of this paper is to synthesise data from the existent literature on the experiences of non-western older migrants in Europe in accessing and using healthcare services. Design/methodology/approach In total, 1,606 records were reviewed and 12 studies were selected. A thematic synthesis using Thomas and Harden’s approach was conducted. Findings The findings resulted in the three overarching themes: traditional discourses under new circumstances; predisposed vulnerabilities of older migrants and the healthcare system; and the conceptualization of health and the roles of healthcare professionals. The authors found that older migrants’ experience of accessing healthcare is influenced by many factors, such as health literacy, differences in healthcare beliefs and language barriers, and is not limited to cultural and traditional discourses of care. Findings reveal that there is a limited body of knowledge on barriers experienced by older migrant women. Research limitations/implications The geographical scope of the study and subsequent type of healthcare systems should be taken into account while understanding barriers to care. Another limitation is that although we studied different migrant groups, the authors synthesised barriers experienced by all. Future research could study migrants as separate groups to better understand how previous experiences with healthcare in their home country and specific social, cultural and economic circumstances shape them. Originality/value This paper provides a synthesis of the experiences of migrants from non-western countries who moved to a host country with a very different language, culture and healthcare system.

Comparative study on Vietnam’s and Philippines' COVID-19 response using historical institutionalism

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Peter Jerome B. Del Rosario ◽  
Francesca Mitchel Ofilada ◽  
Rose Ann D. Vicente
Keyword(s):  
Healthcare System ◽  
Information Dissemination ◽  
Low Cost ◽  
Secondary Data ◽  
Healthcare Spending ◽  
Healthcare Services ◽  
The Philippines ◽  
Historical Institutionalism ◽  
Contact Tracing ◽  
Content Type

PurposeThis paper analyzed the healthcare systems of the Philippines and Vietnam prior to the coronavirus disease 2019 (COVID-19) and their strategies on mass testing, contact tracing, quarantine procedures and information dissemination about the pandemic.Design/methodology/approachSteinmo's (2008) historical institutionalism approach was used in this paper. Secondary data gathering, document analysis and comparative process tracing were employed.FindingsThe findings revealed that Vietnam's implementation of its Law on Prevention and Control of Infectious Diseases in 2007, its relatively low-cost healthcare system, its efficient mass testing and contact tracing strategies and its science-based decisions are contributory to its success in handling the pandemic. Meanwhile, the Philippines failure to enact its Pandemic and All-Hazards Preparedness Act in 2013, its costly and dominantly private healthcare system, its heavy focus on strict, long lockdowns and its militarist methods to control the spread of the pandemic were found to be insufficient.Research limitations/implicationsDetailed study on the delivery of healthcare services in marginal areas, healthcare spending for COVID-19 positive individuals and information dissemination strategies about the pandemic were not explored.Practical implicationsHealth institutions can redesign their governance mechanisms by ensuring a cost-effective healthcare system and maximizing resource utilization to ensure efficient management of future pandemics. Moreover, national governments should not compromise their country's healthcare system over the economy during a pandemic.Originality/valueThis paper analyzed the countries' history of healthcare governance and its influence in handling COVID-19 compared to previous studies which only focused on the countries' strategies during the pandemic.

The Swiss mental healthcare system for people with intellectual disabilities

2018 ◽  
Vol 12 (3/4) ◽  
pp. 135-144
Author(s):  
Dan Georgescu ◽  
Anne Styp von Rekowski
Keyword(s):  
Intellectual Disabilities ◽  
Healthcare System ◽  
National Level ◽  
Mental Healthcare ◽  
Interdisciplinary Approach ◽  
Healthcare Services ◽  
Current Data ◽  
Extensive Literature ◽  
Content Type ◽  
People With Intellectual Disabilities

Purpose The purpose of this paper is to describe the mental healthcare system for people with intellectual disabilities (ID) in Switzerland. It covers the current provision of mental healthcare services as well as educational and research aspects, and summarises both the historical development and the current data on demography, health economics, legislation and national policy. Design/methodology/approach The authors performed an extensive literature research and evaluated the (very sparse) literature, conducted some interviews with recognised experts and carried out extensive internet-based research on the topic. Findings There are numerous, well-funded, well-staffed and well-equipped facilities for people with ID. These facilities have highly trained special education teachers and social education workers. Legislation, the insurance system as well as the policies and strategies on a national level are basically in line with people’s with ID needs. On the other hand, there are too few specialist physicians and psychologists, not enough training centres and too few specialist psychiatric services, both inpatient and outpatient. Medical and psychological research in this field is also insufficient. Practical implications In Switzerland, the development of treatment facilities typically does not start with a decision by a central authority to implement a policy in a top-down process. Usually, these organisations develop on the basis of some local initiatives and spread throughout the country. The process is likely to be similar in the case of services for people with mental health and intellectual disabilities (MHID), and the situation can be expected to be much better throughout the country within a few years. Furthermore, specific training programmes are expected to be created for physicians and psychologists of various disciplines, to promote an interdisciplinary approach. Originality/value This review fills a gap in that there are very few published reviews on the provision of MHID services in Switzerland.

scholarly journals Re-designing the service experience in the value co-creation process: an exploratory study of a healthcare network

2020 ◽  
Vol 26 (4) ◽  
pp. 889-908
Author(s):  
Francesco Schiavone ◽  
Daniele Leone ◽  
Annarita Sorrentino ◽  
Alessandro Scaletti
Keyword(s):  
Business Processes ◽  
Research Question ◽  
Healthcare Services ◽  
Customer Experience ◽  
Campania Region ◽  
Service Experience ◽  
Content Type ◽  
Digital Platforms ◽  
Healthcare Network

PurposeThe study aims to provide an exploratory investigation of the magnitude of the customer-centric approach in the specific area of healthcare as a contribution to the scarce and preliminary literature on this topic. In particular, it explores the role of sharing economy-based (SE-based) platforms as an experiential touchpoint to co-create value within different levels. Specifically, the purpose of the study is threefold. First, it aims to address the service experience innovation in healthcare with a customer-centric approach. Second, it seeks to define the role of the SE-based platform as a touchpoint to redefine business processes, and third, it measures the co-created value within the network when redesigning the service experience.Design/methodology/approachTo address the research question, the authors proposed an analysis of service innovation and customer centricity in healthcare networks by using the case study of Saluber, an SE-based platform that offers logistics services for non-emergency medical transportation in the Campania region (south of Italy). By using a qualitative approach, the authors analysed primary and secondary data from multiple sources of evidence.FindingsThe results show that a customer-centric approach based on the SE-based platform can improve the customer experience and help to redesign and expand the business processes of healthcare organisations. A multilevel model demonstrates the possible service innovations that use SE principles that can co-create value for the customer (micro level), for the healthcare network (meso level) and for the community (macro-level).Research limitations/implicationsThis study provides managerial implications for the players who intend to take advantage of the possibilities offered by service innovations developed by the health and social organisations in the network. The SE-based platform helps redefine business processes to improve clinical and financial outcomes and improves the overall customer experience within this network.Originality/valueThis study allows new and important reflections from ethical, social and managerial points of view and underlines how digital platforms act as a support for healthcare services, not as a substitute.

scholarly journals Chronic health and lifestyle problems for people diagnosed with autism in a student-led clinic

2018 ◽  
Vol 4 (2) ◽  
pp. 66-72
Author(s):  
Barry Tolchard ◽  
Cynthia Stuhlmiller
Keyword(s):  
Chronic Conditions ◽  
Local Community ◽  
Mental Health Problems ◽  
Healthcare Services ◽  
Autism Spectrum ◽  
Chronic Health ◽  
Content Type ◽  
Increased Risk ◽  
Torres Strait ◽  
Regional Australia

Purpose People with autism spectrum disorder (ASD) are at greater risk of developing chronic health and risky lifestyle problems. This is exaggerated further for people living in rural settings and from cultural backgrounds traditionally underserved by healthcare services. The purpose of this paper is to describe an evaluation of health and behavioural lifestyle outcomes of people diagnosed with ASD in a student-led clinic in rural/regional Australia. Design/methodology/approach Routine clinical outcomes and lifestyle measures were routinely collected at a primary acre student-led Clinic in rural/regional Australia. Participants were all attending the clinic who provided consent for their routine date to be reported. Participants ranged in age from new born to 100 years and were representative of the local community. Findings The results indicate there is an increased risk for people with ASD developing chronic conditions compared to those without a diagnosis. This also resulted in higher body mass index and blood sugar levels linked to diabetes and hypertension. Mental health problems were common in people diagnosed with ASD especially anxiety disorders. Smoking was problematic for people with ASD but mainly in non-Aboriginal and Torres Strait Islanders. Alcohol use was not an increase risk in ASD. Originality/value Little is reported on the health and lifestyle experiences of people with ASD in rural/regional settings, especially from Aboriginal and Torres Strait Islander communities. This paper gives an initial insight to the presentation of chronic conditions and harmful lifestyle choices. Possible insights into adapting or modifying care for people with ASD in rural/regional Australia are given.

Determination of individuals’ life satisfaction levels living in Turkey by FMCDM methods

Kybernetes ◽  
2019 ◽  
Vol 48 (8) ◽  
pp. 1871-1893 ◽  
Author(s):  
Nimet Yapıcı Pehlivan ◽  
Zeynep Gürsoy
Keyword(s):  
Life Satisfaction ◽  
Public Services ◽  
Solution Process ◽  
Fuzzy Topsis ◽  
Healthcare Services ◽  
Satisfaction Survey ◽  
Personal Satisfaction ◽  
Content Type ◽  
Significant Difference ◽  
National Comparison

Purpose This study aims to determine the ranking of the 81 provinces at the NUTS-3 level in Turkey with respect to the personal satisfaction and public services satisfaction by applying Fuzzy Multi-Criteria Decision-Making methods to the Life Satisfaction Survey Results. Design/methodology/approach Fuzzy TOPSIS, Fuzzy MULTIMOORA and Fuzzy ARAS are implemented to assess life satisfaction of the individuals who lived in provinces, based on Life Satisfaction Survey 2013 for Turkey’s national comparison. In the solution process, 14 indicators for personal satisfaction and 38 indicators for public services satisfaction were considered. Findings The results showed that personal health satisfaction, earnings from work satisfaction and monthly income satisfaction are the most important criteria in terms of personal satisfaction. Also, healthcare services satisfaction, judicial services satisfaction and education services satisfaction have the highest importance in terms of public services satisfaction. The final ranking of the 81 provinces is obtained by considered methods. According to the ranking results, there is no significant difference between the east and the west part of Turkey in terms of personal satisfaction, whereas there is a distinct difference between them in terms of satisfaction with public services. Originality/value This study is the first research for evaluating the ranking of the provinces at the NUTS-3 level in Turkey according to the Life Satisfaction Survey 2013 results considering 14 indicators for personal satisfaction and 38 indicators for public services satisfaction by using FMCDM approaches that have not been applied before.

Population Aging and the Future of Canadian Healthcare

2016 ◽  
Vol 3 (1) ◽  
Author(s):  
Jayne Bezuko
Keyword(s):  
Nursing Education ◽  
Healthcare System ◽  
Population Aging ◽  
Cost Effective ◽  
Healthcare Services ◽  
Chronic Illnesses ◽  
Cost Driver ◽  
Contributing Factors ◽  
Effects Of Aging ◽  
Acute Care Model

The population of the world is aging, and the aging population should not be considered to be an insignificant contributor to increasing healthcare costs in Canada. This paper will explore the effects of aging on the healthcare system in Canada, and will address issues such as chronic illnesses associated with aging, fragmentation of healthcare services, use of an acute care model, and lack of specialized gerontological nursing education programs as contributing factors to why aging is a significant cost driver in healthcare. In addition, this paper will provide recommendations to transform Canada’s healthcare system in order to deliver sustainable and cost-effective healthcare for all.  

Maternal health services: an equal or framed territory?

2017 ◽  
Vol 10 (2) ◽  
pp. 110-122 ◽  
Author(s):  
Joana Bessa Topa ◽  
Conceição Oliveira Nogueira ◽  
Sofia Antunes Neves
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Immigrant Women ◽  
National Level ◽  
Healthcare Services ◽  
Maternal Health Services ◽  
Legal Rights ◽  
Free Access ◽  
Medical Specialties ◽  
Content Type

Purpose Despite the high prevalence of immigrant women at the national level, studies on migration have been indifferent to the gender perspective. The purpose of this paper is to discuss the engagement of Ukrainian immigrant women, one of the most expressive nationalities of female immigration in Portugal, on maternal and child healthcare services, exploring their perceptions and experiences in these contexts. Design/methodology/approach On the basis of critical and social constructionism assumptions, this research focusses on discourse. Assuming that immigrant women have access to different resources, as well as different competences to interpret and intervene within the context they are in (Topa et al., 2010; UNFPA, 2006), the best method to deeply understand their experiences was to analyse how discourse is organized and how it creates and produces meanings that become practices (Nogueira, 2001a). The present study adopted a qualitative methodology for collecting (semi-structured interviews) and analysing the data (thematic analysis) and was based on discourses of ten Ukrainian women, living in the metropolitan area of Oporto, who were pregnant or were mothers in Portugal. Findings Ukrainian women were misinformed about their legal rights and free access to maternal health services. Some dissatisfaction emerges among them with regard to the quality of information provided by health professionals and their communication skills. Their opinion is that they are given limited access to medical specialties, especially in primary care and that their doubts are inappropriately clarified during medical appointments. Originality/value This research also argues that cultural and intersectional considerations are fundamental to promote inclusive health policies for immigrants.

Values, feelings, job satisfaction and well-being: the Turkish case

2015 ◽  
Vol 53 (10) ◽  
pp. 2268-2286 ◽  
Author(s):  
Mehmet Yusuf Yahyagil
Keyword(s):  
Job Satisfaction ◽  
Life Satisfaction ◽  
Satisfaction With Life ◽  
Research Question ◽  
Well Being ◽  
Value Orientations ◽  
Satisfaction With Life Scale ◽  
Negative Experience ◽  
Content Type ◽  
Value Priorities

Purpose – The purpose of this paper is to explore the relationships between universal individual value priorities, feelings and global job satisfaction as well as satisfaction with life in Turkish context. The sub-research question is to learn the moderation effect of job satisfaction on the relationship between values, experienced feelings and life satisfaction. Design/methodology/approach – Analytical type of research design was used, and the data were obtained from 390 respondents who are the employees of different organizations in three cities in Turkey. Four measurement devices (Schwartz’s ten-item Portrait Values Questionnaire (PVQ), Brayfield-Rothe’s overall job satisfaction (OJS), and Diener’s Scale of positive and negative experience (SPANE) and satisfaction with life scale (SWLS)) were employed. Findings – It was understood that the participants are slightly to moderately satisfied both with their job tasks and with the evaluation of global satisfaction of their own lives. The values of self-direction, achievement, hedonism and conformity are positively and strongly linked to job satisfaction and overall satisfaction of life. The moderating effect of job satisfaction is partially confirmed. It was also understood that the priorities of Turkish citizens imply self-centered satisfaction and independency, but not risk taking. Positive affect does influence the magnitude of the association between job satisfaction and life satisfaction. Originality/value – This paper is able to demonstrate the nature of associations between value orientations, experienced feelings, job satisfaction and global life satisfaction in a collectivist culture. The contradictions between value priorities of Turkish citizens and the people of Western countries would be likely interesting for academicians and researchers.

Factors affecting informal patient payments: a systematic literature review

2019 ◽  
Vol 24 (2) ◽  
pp. 117-132
Author(s):  
Mohammad Meskarpour Amiri ◽  
Mohammadkarim Bahadori ◽  
Zahra Motaghed ◽  
Ramin Ravangard
Keyword(s):  
Healthcare System ◽  
Healthcare Providers ◽  
Health Sector ◽  
Healthcare Services ◽  
Health Coverage ◽  
Content Type ◽  
Factors Affecting ◽  
Adoption And Implementation ◽  
Standard Guideline ◽  
Meta Analyses

Purpose Informal payments (IPs) for healthcare are a serious obstacle to equitable access and universal health coverage in developing countries. Policy makers need to know more about the hidden nature of informal patient payments (IPPs) before any policy adoption and implementation. The purpose of this paper is to systematically review the main factors affecting IPPs. Design/methodology/approach This systematic review was conducted in 2018 using the standard guideline of PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses. All English original articles on the determinants of IPPs published in the scientific journals, whose full text was available through Scopus, PubMed and Web of Science databases, which were given consideration for review. Findings The results showed that IPPs were greatly dependent on the characteristics of healthcare consumers, providers, healthcare system and services. Among healthcare consumers’ characteristics affecting IPPs, the income, age, education, gender, employment and health status were more cited factors, respectively. Among healthcare providers’ characteristics affecting IPPs, the providers’ experience, reputation, and salary satisfaction were better known, respectively. Among healthcare services features, the hospitalization, service specialty and the level of treatment urgency were more noted, respectively. Originality/value Policy making against IPs in the health sector requires precise attention to all components of healthcare market, including healthcare consumers, providers, healthcare system and services characteristics.

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