The experience of patients, families and/or significant others of waiting when engaging with the healthcare system: a qualitative systematic review

Author(s):  
Leslie Rittenmeyer ◽  
Dolores Huffman ◽  
Chris Godfrey
Author(s):  
Michael Au ◽  
Athire Debbie Anandakumar ◽  
Robyn Preston ◽  
Robin A. Ray ◽  
Meg Davis

BMJ Open ◽  
2018 ◽  
Vol 8 (4) ◽  
pp. e020355 ◽  
Author(s):  
Morteza Arab-Zozani ◽  
Mohammad Zakaria Pezeshki ◽  
Rahim Khodayari-Zarnaq ◽  
Ali Janati

2020 ◽  
Author(s):  
Tebogo Pule ◽  
King Costa

Introduction: In most cases chronically-ill patients, the disabled and old persons are discharged from healthcare facilities to their families who have inadequate knowledge and skill. They may not be familiar with the kind of care expected to provide. The healthcare system does not provide continuity of care, especially to the family caregiver. The family caregiver is left to attend to the physical, economical, psychological needs of the patient with limited to no support from the healthcare system. This poses a huge challenge and increases the burden for the family caregiver which ends up becoming unbearable to the point where the process is no longer a healthy or viable option for both the caregiver and care recipient. The role of the caregiver in a patient’s health is often overlooked or underestimated in the South African health system, as a result, the caregiver is not recognized as part of the health system policy and financial inclusions. The aim of this study is to conduct a Qualitative Systematic Review of the conditions of service for family caregivers across four dimensions namely: Problems/challenges, burden, intervention and outcome, in South Africa. Method: A Qualitative Systematic Review was conducted, following the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) methodology on Google Scholar database, and retrieved articles from 1994 to 2020. Following Boolean operators, words “AND”, “OR” and “NOT”, were used, to search key terms “family caregiving in South Africa”, “primary caregiving” or “informal caregiving”. Rigor was determined and documented throughout in order to allow readers to access its completeness. Inclusion and exclusion criteria were clearly outlined. Criteria for evaluating primary studies were clearly defined at the beginning of undertaking research. A total of 1810 articles, reports and dissertations were retrieved and only 85 studies were included in the review. Findings and Discussion: Studies were critically appraised using WebQDA software, whereby 198 comments emerged. Both the burden and challenges of caregiving experienced were categorized as problems, which came out 82 times (68%) compounding the role that they play. Other categories that emerged from the studies were Intervention and outcome which came out 53 and 13 times respectively. Interventions and outcome were also consolidated into one group, implying that interventions would have an impact on improving or declining outcome and these were only 32%. Four final themes emerged out of this research.


2016 ◽  
Vol 26 (4) ◽  
pp. 401-409 ◽  
Author(s):  
Andrea Carter ◽  
Sonya Borrero ◽  
Charles Wessel ◽  
Donna L. Washington ◽  
Bevanne Bean-Mayberry ◽  
...  

Author(s):  
Milad Shafiei ◽  
Najmeh Baghian ◽  
Amin Salehi ◽  
Mohammad Ranjbar ◽  
Maryam Hajipour

Background: Perceived organizational justice is a concept used to describe job-related justice. Considering the role of perceived organizational justice in the healthcare system to increase the satisfaction, motivation, and efficiency in providing quality services, this study was conducted to investigate the situation of perceived organizational justice in the Iranian healthcare system through systematic review. Methods: In the present study, an electronic search was conducted on the Persian websites SID, Iranmedex,  Medlib, civilica, Irandoc and English Web of science, Pubmed, Scopus, and Google scholar using the Persian and English keywords of ‘Justice, Equality, Equality, Organizational Justice, Perceived Justice, Health System, University of Medical Sciences, Health Centers, Hospitals. As a result, 520 articles were studied and evaluated step by step and 469 papers were removed after reading the title and abstract. Finally, the full text of 51 articles was reviewed. Finally, 30 articles that measured the average level of perceived organizational justice were selected and other articles were excluded due to lack of necessary criteria and irrelevance. To analyze the heterogeneity between the studies, the meta-analysis method was used using Stata 14 software and Q test and I2 index. Results:  To study the status of perceived organizational justice in the health care system in a systematic and meta-analysis, all 30 studies were illegible. With regard to the dimensions of distributive, procedural, and interactive justice, 23 studies of 30 studies had the required conditions to enter the research.  The total mean score of perceived organizational justice was obtained as 60.71 and the mean scores of 54.74, 58.52, and 62.41were calculated for dimensions of distributive, procedural, and interactive justice, respectively. Conclusion: The findings showed that the situation of perceived organizational justice in the Iranian health care system was favorable. The dimension of interactive justice, related to managers' behaviors and relationships with employees, was relatively more favorable than other dimensions of organizational justice. Moreover, the situation of perceived organizational justice and its dimensions in private hospitals was more favorable than other research environments, including public hospitals, staff units, and hospitals selected using the mixed method.


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