Consumer-Level Perceived Access to Health Services and Its Effects on Vulnerability and Health Outcomes

2020 ◽  
Vol 39 (2) ◽  
pp. 240-255 ◽  
Author(s):  
Emily C. Tanner ◽  
Richard J. Vann ◽  
Elvira Kizilova
Keyword(s):  
Health Services ◽  
Well Being ◽  
Subjective Perception ◽  
Access To Health Services ◽  
Close Link ◽  
Perceived Vulnerability ◽  
Access To Health ◽  
Health Related ◽  
Perceived Access ◽  
The Relationship

Access to health services affects the well-being of millions of consumers. Although the topic of health-related access is regularly featured in popular and academic conversations, these conversations primarily concentrate on objective or situational access factors. This research focuses instead on consumers’ subjective perception of access to better appreciate how personally experienced service availability and ease of access jointly determine consumers’ access perceptions. The authors find that perceived access to health services (PAHS) offers insight into the relationships between access, perceived health vulnerability, and overall health. Through scale development and a series of three theory-testing studies, this work demonstrates the close link between PAHS and perceived vulnerability (Study 1), connects this relationship to overall health (Studies 1–3), and establishes behavioral changes associated with access-vulnerability concerns (Study 2). Moreover, Study 3 finds evidence for a “muting” effect of health system distrust on the relationship between PAHS and perceived vulnerability as well as an “amplifying” effect of health motivation on the relationship between perceived vulnerability and overall health. Together, these studies illustrate PAHS’s relevance for explaining consumer vulnerability and overall health.

ICTS and Their Role in Health Promotion

2011 ◽  
pp. 1-15 ◽  
Author(s):  
Motshedisi B. Sabone ◽  
Keitshokile D. Mogobe ◽  
Tiny G. Sabone
Keyword(s):  
Health Promotion ◽  
Rural Communities ◽  
Health Services ◽  
Health Information ◽  
Rural Areas ◽  
Well Being ◽  
Specific Reference ◽  
Access To Health Services ◽  
Access To Health ◽  
Level Of Effort

This chapter presents findings of mini-survey that utilized an exploratory descriptive design to examine the accessibility, affordability, acceptability, and utility of ICTs with specific reference to health promotion for selected rural communities. Specifically, the study focused on access to radio, television, mobile phone, and Internet services at a level of effort and cost that is both acceptable to and within the means of a large majority in a given village. The findings indicate that ICTs gadgets explored have opened up possibility for health services and information to reach even people in the rural areas. Ultimately, access affects the general well-being of individuals. One of the major initiatives under the umbrella of health is improving access to health services and information; and this covers among other things, expanding the delivery of health information through the radio and television. This study confirms breakthrough in this respect. Challenges that accompany the use of these ICT gadgets include no connectivity in some areas and lack of training to use them.

scholarly journals Sindicalización y precariedad laboral en México

2016 ◽  
Vol 29 (68) ◽  
Author(s):  
Jesús Rubio Campos
Keyword(s):  
Health Services ◽  
Labor Markets ◽  
Quantitative Methodology ◽  
Decent Work ◽  
Micro Data ◽  
Access To Health Services ◽  
Access To Health ◽  
Las Mujeres ◽  
The Relationship ◽  
Arbitration Boards

Resumen: en esta investigación se analiza la relación entre la sindicalización y la precariedad laboral en México, con una metodología cuantitativa, a partir de microdatos de la Encuesta nacional de ocupación y empleo del Instituto Nacional de Estadística y Geografía, así como con información de las juntas federales de conciliación y arbitraje de la Secretaría del Trabajo y Previsión Social. A pesar de que los sindicatos han perdido fuerza y representación en México desde los años ochenta, los trabajadores afiliados tienen menor grado de precariedad que quienes no forman parte de ellos; cuentan con contratos más estables, sus condiciones salariales son mejores, tienen acceso a servicios de salud por motivos de su relación laboral, y otras prestaciones. Además, la precariedad laboral de las mujeres sindicalizadas es menor que la de los hombres.Palabras clave: sindicatos en México; precariedad laboral en México; mercado de trabajo en México; trabajo decente en México; huelgas. Unionization and labor precariousness in MexicoAbstract: this study analyzes the relationship between unionization and labor precariousness in Mexico by using a quantitative methodology based on micro data from the National Institute of Statistics and Geography’s National Survey of Occupation and Employment, as well as information from the Secretariat of Labor and Social Welfare’s federal conciliation and arbitration boards. In spite of the fact the unions have lost strength and representation in Mexico since the eighties, union members have a lesser degree of precariousness than those who are not union members. Their contracts are more stable, their wage conditions are better, they have access to health services thanks to their labor relationships, as well as other benefits. Moreover, women union members’ labor precariousness is lesser than that of men’s.Key words: unions in Mexico; labor precariousness in Mexico; labor markets in Mexico; decent work in Mexico; strikes.

ICTS and Their Role in Health Promotion

2012 ◽  
pp. 211-224
Author(s):  
Motshedisi B. Sabone ◽  
Keitshokile D. Mogobe ◽  
Tiny G. Sabone
Keyword(s):  
Health Promotion ◽  
Rural Communities ◽  
Health Services ◽  
Health Information ◽  
Rural Areas ◽  
Well Being ◽  
Specific Reference ◽  
Access To Health Services ◽  
Access To Health ◽  
Level Of Effort

This chapter presents findings of mini-survey that utilized an exploratory descriptive design to examine the accessibility, affordability, acceptability, and utility of ICTs with specific reference to health promotion for selected rural communities. Specifically, the study focused on access to radio, television, mobile phone, and Internet services at a level of effort and cost that is both acceptable to and within the means of a large majority in a given village. The findings indicate that ICTs gadgets explored have opened up possibility for health services and information to reach even people in the rural areas. Ultimately, access affects the general well-being of individuals. One of the major initiatives under the umbrella of health is improving access to health services and information; and this covers among other things, expanding the delivery of health information through the radio and television. This study confirms breakthrough in this respect. Challenges that accompany the use of these ICT gadgets include no connectivity in some areas and lack of training to use them.

scholarly journals Adolescent access to health services in fragile and conflict-affected contexts: the case of the Gaza Strip

2020 ◽  
Author(s):  
Bassam Abu Hamad ◽  
Nicola Jones ◽  
Ingrid Gercama
Keyword(s):  
Mental Health ◽  
Health Services ◽  
Adolescent Health ◽  
Service Providers ◽  
Gaza Strip ◽  
Well Being ◽  
Physical And Mental Health ◽  
Access To Health Services ◽  
Access To Health ◽  
The Gaza Strip

Abstract Background: Enjoyment of physical and mental health is not only recognized as a human right but also as an integral part of development, as reflected in Sustainable Development Goal (SDG) 3 – to ensure healthy lives and promote well-being for all at all ages. The rapid physical, psychosocial and behavioural changes that take place during adolescence have a strong influence on the rest of a person’s life course, so investments in adolescent health services constitute a unique opportunity to reap lifelong and inter-generational dividends. Yet the evidence base on adolescents’ access to health services, particularly in conflict-affected contexts, remains thin. This article explores adolescents’ access to health services in the Gaza Strip, and their experiences and perceptions of those services. Methods: The article draws on mixed-methods research in the Gaza Strip in 2016 and 2017 involving 240 adolescents and 65 service providers, combining a QuickTapSurvey,™ key informant interviews, peer-to-peer research and individual in-depth interviews. Results: The findings underscore that gender norms—especially those pertaining to adolescent girls’ sexual purity––shape adolescent health in multiple ways. Girls face increasing restrictions on their mobility and social interactions, leaving them with limited opportunities for leisure or exercise, socializing with peers or seeking health (including mental health) services. Adolescent boys in Gaza do not face the same restrictions, but given the multiple political, economic and familial stressors, they are at high risk of substance abuse and involvement in peer violence. Moreover, our findings suggest that a range of socioeconomic, cultural and structural barriers prevent adolescents in Gaza from accessing quality and appropriate health care. Study participants cited the main challenges as an absence of preventive adolescent health initiatives and limited information on sexual and reproductive health, as well as drug shortages, high treatment costs, and negative interactions with service providers. Conclusions: The article highlights the importance of (1) designing and implementing conflict-sensitive and age- and gender-appropriate adolescent services and information; (2) promoting preventive services targeted at adolescents; and (3) improving service provider awareness of adolescents’ specific health needs in all contexts.

Determinants of Mortality among Low Birthweight Infants During Hospitalization in Karangasem District Hospital

2016 ◽  
pp. 215
Author(s):  
I.K. Duara ◽  
D.N. Wirawan ◽  
P.P. Januraga ◽  
A.A.S. Sawitri
Keyword(s):  
Health Services ◽  
Low Birthweight ◽  
Distress Syndrome ◽  
District Hospital ◽  
Infant Mortality Rate ◽  
Clinical Factors ◽  
Access To Health Services ◽  
Access To Health ◽  
The Relationship ◽  
Good Access

Background and purpose: Infant mortality rate in Indonesia is still high and is largely related to low birthweight (LBW) infants. Previous studies reported the socio demographic and clinical factors as determinants of mortality of LBW infants, but rarely examined factors related to their health services. This study aimed to determine the demographic, clinical and health services as determinants of mortality of LBW infants during hospitalization.Methods: This study was a retrospective using cohort data of medical record of LBW infants in Karangasem Hospital since January 2012 to October 2014. Logistic regression was done to determine the relationship between demographic, clinical and health services factors with LBW infants’ mortality.Results: The proportion of mortality among LBW infants during hospitalization was 12.12%. Most parents (64.6%) live in good access to health services. The proportion of female infants (51.4%) was higher than male. LBW infants who were born in hospital (85.7%) greater than born outside hospital. Vaginal delivery (75.3%) was greater than C-section. Preterm infants (57.1%) was greater than at term with median of birthweight was 2100 grams. Proportion of asphyxia, respiratory distress syndrome (RDS), sepsis, hypoglycemia and hypothermia, respectively 24.1%, 4.66%, 0.78%, 7.92% and 3.73%. Variables associated with LBW mortality were increasing of 50 grams of birthweight, asphyxia, RDS and referred infants.Conclusion: The mortality of LBW infants during hospitalization was 12.12% with increasing of 50 grams of birthweight, asphyxia, RDS and referred infants found as determinant factors.

Transgender People in Australia and New Zealand: Health, Well-being and Access to Health Services

2009 ◽  
Vol 19 (4) ◽  
pp. 475-495 ◽  
Author(s):  
Marian K. Pitts ◽  
Murray Couch ◽  
Hunter Mulcare ◽  
Samantha Croy ◽  
Anne Mitchell
Keyword(s):  
New Zealand ◽  
Health Services ◽  
Well Being ◽  
Access To Health Services ◽  
Transgender People ◽  
Access To Health

scholarly journals Adolescent access to health services in fragile and conflict-affected contexts: The case of the Gaza Strip

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Bassam Abu Hamad ◽  
Nicola Jones ◽  
Ingrid Gercama
Keyword(s):  
Health Services ◽  
Adolescent Health ◽  
Adolescent Girls ◽  
Service Providers ◽  
Gaza Strip ◽  
Well Being ◽  
Physical And Mental Health ◽  
Access To Health Services ◽  
Access To Health ◽  
The Gaza Strip

Abstract Background Enjoyment of physical and mental health is not only recognized as a human right but also as an integral part of development, as reflected in Sustainable Development Goal 3 – to ensure healthy lives and promote well-being for all at all ages. The rapid physical and psychosocial changes that take place during adolescence have a strong influence on the rest of a person’s life course, so investments in adolescent health services constitute a unique opportunity to reap inter-generational dividends. Yet the evidence base on adolescents’ access to health services, particularly in conflict-affected contexts, remains thin. This article explores adolescents’ access to health services in the Gaza Strip, and their experiences and perceptions of those services. Methods The article draws on mixed methods research in the Gaza Strip conducted in 2016 and 2017 as part of the Gender and Adolescence: Global Evidence research programme. Data were collected from 240 male and female adolescents combining in-depth interviews, focus group discussions and a tablet-based survey. This study also draws on a participatory action pilot project engaging 12 boys and 23 adolescent girls aged 15–19 years old. Results The findings underscore that gender norms—especially those pertaining to adolescent girls’ sexual purity––shape adolescent health in multiple ways. Girls face increasing restrictions on their mobility, leaving them with limited opportunities for leisure or exercise, socializing with peers or seeking health services and information. Adolescent boys in Gaza do not face the same restrictions, but given the multiple political, economic and familial stressors, they are at high risk of substance abuse including smoking and involvement in peer violence. Moreover, our findings suggest that a range of socioeconomic, cultural and structural barriers prevent adolescents in Gaza from accessing quality and appropriate health care. Study participants cited the main challenges being an absence of preventive adolescent health initiatives and limited information on sexual and reproductive health, as well as drug shortages, high treatment costs, and inappropriate interactions with service providers. Conclusions The article highlights the importance of designing and implementing conflict-sensitive and age- and gender-appropriate adolescent services and information and promoting preventive services targeted at adolescents.

scholarly journals A saúde e sua relação com a ressocialização das presidiárias

2019 ◽  
Vol 13 (2) ◽  
pp. 541
Author(s):  
Karlayne Reynaux Vieira de Oliveira ◽  
Amuzza Aylla Pereira dos Santos ◽  
Jessica De Melo Albuquerque ◽  
Marianny Medeiros de Moraes
Keyword(s):  
Health Services ◽  
Structured Interview ◽  
Right To Health ◽  
Alfred Schutz ◽  
Access To Health Services ◽  
Analysis Technique ◽  
Access To Health ◽  
Alfred Schütz ◽  
Health Nursing ◽  
The Relationship

RESUMOObjetivo: analisar a relação que o acesso à saúde de mulheres encarceradas pode ter com o processo de ressocialização. Método: trata-se de estudo qualitativo, tipo descritivo. Fundamentar-se-á o processo no referencial teórico da fenomenologia sociológica de Alfred Schutz. Realizar-se-á a pesquisa no Estabelecimento Prisional Feminino Santa Luzia (EPFSL), no ano de 2019, com mulheres encarceradas há mais de um mês e usuárias dos serviços de saúde ofertados, agentes penitenciários e profissionais de saúde atuantes há mais de três meses. Produzir-se-ão as informações por meio de um formulário de entrevista semiestruturada e analisar-se-ão os dados coletados de acordo com a técnica de Análise de Conteúdo. Resultados esperados: pretende-se desvelar a relação existente entre o acesso aos serviços de saúde e o processo de ressocialização de mulheres encarceradas e descrever as formas como se dão o acesso aos serviços de saúde e as iniciativas de ressocialização no cenário prisional. Descritores: Prisões; Direito à saúde; Cuidados de Enfermagem; Saúde da Mulher; Socialização; Serviços de Saúde.                                                                                                           ABSTRACT Objective: to analyze the relation that the access to the health of incarcerated women can have with the process of resocialization. Method: this is a qualitative study, of descriptive type. The process will be based on the theoretical reference of the sociological phenomenology of Alfred Schutz. The research will be carried out at the Santa Luzia Female Prison (SLFP) in 2019, with women incarcerated for more than one month and users of the offered health services, penitentiary agents and health professionals who have been active for more than three months. The information will be produced through a semi-structured interview form and the data collected according to the Content Analysis technique will be analyzed. Expected results: it is intended to unveil the relationship between access to health services and the process of resocialization of imprisoned women and to describe the ways in which access to health services and resocialization initiatives in prisons are given. Descriptors: Prisons; Right to health; Nursing care; Women's Health; Socialization; Health services.RESUMEN Objetivo: analizar la relación que el acceso a la salud de mujeres encarceladas puede tener con el proceso de resocialización. Método: se trata de un estudio cualitativo, tipo descriptivo. Se fundamentará el proceso en el referencial teórico de la fenomenología sociológica de Alfred Schutz. Se realizará la investigación en el Establecimiento Penitenciario Femenino Santa Lucía (EPFSL), en el año 2019, con mujeres encarceladas hace más de un mes y usuarias de los servicios de salud ofertados, agentes penitenciarios y profesionales de salud actuantes desde hace más de tres meses . Se producirá la información a través de un formulario de entrevista semiestructurada y se analizarán los datos recopilados de acuerdo con la técnica de Análisis de Contenido. Resultados esperados: se pretende desvelar la relación existente entre el acceso a los servicios de salud y el proceso de resocialización de mujeres encarceladas y describir las formas como se dan el acceso a los servicios de salud y las iniciativas de resocialización en el escenario penitenciario. Descriptores: Prisiones; Derecho a la Salud; Atención de Enfermería; Salud de la Mujer; Socialización; Servicios de Salud.

The place of social work in improving access to health services among refugees: A case study of Nakivale settlement, Uganda

2020 ◽  
pp. 002087282096219
Author(s):  
Hadijah Mwenyango
Keyword(s):  
Social Work ◽  
Health Services ◽  
Well Being ◽  
Access To Health Services ◽  
Cultural Challenges ◽  
Access To Health ◽  
The Social ◽  
Women And Children ◽  
Quantitative And Qualitative Methods

About 70.8 million individuals are displaced worldwide, and of these, 25.9 million are refugees. Accessibility to health care is a central aspect of the well-being of refugees. This article examines the communication, institutional and socio-cultural challenges to access and use of health services among refugee women and children and conceptualises the social work position in tackling such issues. The study used mixed quantitative and qualitative methods. The findings indicate complex experiences of refuge and ongoing gendered oppression and vulnerability. This research proposes a rights-based social work approach to addressing impediments at micro, meso and macro levels.

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