scholarly journals Older People's Reasoning About Age-Related Prioritization in Health Care

2007 ◽  
Vol 14 (3) ◽  
pp. 399-412 ◽  
Author(s):  
Elisabet Werntoft ◽  
Ingalill R Hallberg ◽  
Anna-Karin Edberg
Keyword(s):  
Health Care ◽  
Content Analysis ◽  
Willingness To Pay ◽  
Health Care System ◽  
Qualitative Content Analysis ◽  
Healthy People ◽  
Continuous Care ◽  
Age Related ◽  
Distribution Of Resources ◽  
Care System

The aim of this study was to describe the reasoning of people aged 60 years and over about prioritization in health care with regard to age and willingness to pay. Healthy people (n = 300) and people receiving continuous care and services (n = 146) who were between 60 and 101 years old were interviewed about their views on prioritization in health care. The transcribed interviews were analysed using manifest and latent qualitative content analysis. The participants' reasoning on prioritization embraced eight categories: feeling secure and confident in the health care system; being old means low priority; prioritization causes worries; using underhand means in order to be prioritized; prioritization as a necessity; being averse to anyone having precedence over others; having doubts about the distribution of resources; and buying treatment requires wealth.

Disclosing Gender-Based Violence During Health Care Visits: A Patient-Centered Approach

2017 ◽  
Vol 35 (23-24) ◽  
pp. 5552-5573 ◽  
Author(s):  
Jessica R. Williams ◽  
Rosa M. Gonzalez-Guarda ◽  
Valerie Halstead ◽  
Jacob Martinez ◽  
Laly Joseph
Keyword(s):  
Health Care ◽  
Human Trafficking ◽  
Health Care System ◽  
Health Care Providers ◽  
Qualitative Content Analysis ◽  
Care Providers ◽  
Gender Based Violence ◽  
Patient Centered ◽  
Gender Based ◽  
Care System

The purpose of this study was to better understand victims’ perspectives regarding decisions to disclose gender-based violence, namely, intimate partner violence (IPV) and human trafficking, to health care providers and what outcomes matter to them when discussing these issues with their provider. Twenty-five participants from racially/ethnically diverse backgrounds were recruited from a family justice center located in the southeastern United States. Two fifths had experienced human trafficking, and the remaining had experienced IPV. Upon obtaining informed consent, semistructured, in-depth interviews were conducted. Interviews were audio recorded and transcribed verbatim. Qualitative content analysis was used to examine interview data. Five primary themes emerged. Three themes focused on factors that may facilitate or impede disclosure: patient–provider connectedness, children, and social support. The fourth theme was related to ambiguity in the role of the health care system in addressing gender-based violence. The final theme focused on outcomes participants hope to achieve when discussing their experiences with health care providers. Similar themes emerged from both IPV and human trafficking victims; however, victims of human trafficking were more fearful of judgment and had a stronger desire to keep experiences private. Cultural factors also played an important role in decisions around disclosure and may interact with the general disparities racial/ethnic minority groups face within the health care system. Recognizing factors that influence patient engagement with the health care system as it relates to gender-based violence is critical. The health care system can respond to gender-based violence and its associated comorbidities in numerous ways and interventions must be driven by the patient’s goals and desired outcomes of disclosure. These interventions may be better served by taking patient-centered factors into account and viewing the effectiveness of intervention programs through a behavioral, patient-centered lens.

Sind vor dem Virus alle gleich? Gerechte Gesundheitsversorgung in der Krise

2021 ◽  
Vol 70 (7-8) ◽  
pp. 437-453
Author(s):  
Kristina Woock ◽  
Susanne Busch
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care System ◽  
Economic Status ◽  
Risk Of Infection ◽  
Current Crisis ◽  
Socio Economic Status ◽  
Distribution Of Resources ◽  
Intergenerational Fairness ◽  
Care System

Im Rahmen der COVID-19-Pandemie wird die Frage nach einer gerechten Gesundheitsversorgung anhand verschiedener Interventionsebenen diskutiert. Menschen mit niedrigem sozioökonomischem Status weisen aufgrund ihrer höheren Exposition zum Virus ein höheres Infektionsrisiko auf. Intergenerationale Gerechtigkeit, beispielsweise im Kontext der Impfpriorisierung, ist ebenfalls in der Diskussion. Menschen, die nicht an COVID-19 erkrankt sind, nehmen Gesundheitsleistungen seltener in Anspruch. Um eine gerechtere Gesundheitsversorgung zu gewährleisten wird vorgeschlagen, dass eine sozial gerechte Grundstruktur nicht die gleichmäßige Verteilung von Ressourcen bedeutet, sondern dass eine gleiche Ausgangslage für alle den Ausschlag für mehr Gerechtigkeit in der Krise gibt. Abstract: Is the Virus a Respecter of Persons? Fair Provision of Health-Services in the Current Crisis. In the context of the COVID-19 pandemic the issue of a fair provision of health-services is being raised on different layers of intervention. People with a low socio-economic status face a higher risk of infection because of increased exposure to the virus. Intergenerational fairness is under discussion, for instance in the context of the prioritization of inoculation. People that suffer from other diseases than COVID-19 take less advantage of the health-care system. For ensuring a more suitable distribution of resources it is being suggested that not equality in the distribution of resources but equity in initial positions will ensure more justness in a crisis.

Searching and dealing, confirmation and feeling – Participants’ approaches to learning in a health education setting

2016 ◽  
Vol 76 (3) ◽  
pp. 326-336
Author(s):  
Georg Førland ◽  
Charlotte Silèn ◽  
Monica Eriksson ◽  
Karin C Ringsberg
Keyword(s):  
Health Care ◽  
Health Literacy ◽  
Health Education ◽  
Learning Strategies ◽  
Health Care System ◽  
Qualitative Content Analysis ◽  
Approaches To Learning ◽  
Education Programme ◽  
Health Education Programme ◽  
Care System

Objective: Health care is far from reaching the goal of people being part of their own care, and research is lacking on how to understand their perspective. This study explores people’s intentions with the act of learning before attending a health education programme at a Learning and Mastery Centre (LMC) in Norway. The aim of this study was to understand participants’ learning strategies for learning about their own health care in a health education setting. Methods: Data were collected through five group interviews and analysed using qualitative content analysis. Results: Findings revealed that participants’ intentions of how and what to learn were influenced by their life experiences and interactions with the health care system. Three main categories of experience emerged: (1) sharing experiences, (2) second opinion and (3) capturing the news, brought together under the comprehensive theme: searching and dealing, confirmation and feeling, which reflects the underlying meaning of the categories. Conclusion: Results encourage us to see learning as an active construction process underpinned by health literacy, including both people’s competencies and the health care system. If LMCs and similar health education initiatives are to make an important contribution to improving people’s health literacy, significant attention should be given in the planning and implementation of initiatives.

Privacy protection laws and public perception of data privacy

2018 ◽  
Vol 25 (6) ◽  
pp. 1883-1902 ◽  
Author(s):  
Jawahitha Sarabdeen ◽  
Immanuel Azaad Moonesar
Keyword(s):  
Health Care ◽  
Content Analysis ◽  
Health Care System ◽  
Data Protection ◽  
Privacy Protection ◽  
Data Privacy ◽  
Health Data ◽  
Content Type ◽  
Care System ◽  
Laws And Regulations

Purpose The move toward e-health care in various countries is envisaged to reduce the cost of provision of health care, improve the quality of care and reduce medical errors. The most significant problem is the protection of patients’ data privacy. If the patients are reluctant or refuse to participate in health care system due to lack of privacy laws and regulations, the benefit of the full-fledged e-health care system cannot be materialized. The purpose of this paper is to investigate the available e-health data privacy protection laws and the perception of the people using the e-health care facilities. Design/methodology/approach The researchers used content analysis to analyze the availability and comprehensive nature of the laws and regulations. The researchers also used survey method. Participants in the study comprised of health care professionals (n=46) and health care users (n=187) who are based in the Dubai, United Arab Emirates. The researchers applied descriptive statistics mechanisms and correlational analysis to analyze the data in the survey. Findings The content analysis revealed that the available health data protection laws are limited in scope. The survey results, however, showed that the respondents felt that they could trust the e-health services systems offered in the UAE as the data collected is protected, the rights are not violated. The research also revealed that there was no significance difference between the nationality and the privacy data statements. All the nationality agreed that there is protection in place for the protection of e-health data. There was no significance difference between the demographic data sets and the many data protection principles. Originality/value The findings on the users’ perception could help to evaluate the success in realizing current strategies and an action plan of benchmarking could be introduced.

scholarly journals Experiences And Needs Concerning Health Related Information For Newly Arrived Refugees In Sweden

2020 ◽  
Author(s):  
Lena Mårtensson ◽  
Per Lytsy ◽  
Ragnar Westerling ◽  
Josefin Wångdahl
Keyword(s):  
Health Care ◽  
Health Literacy ◽  
Focus Group ◽  
Health Care System ◽  
Qualitative Content Analysis ◽  
Contextual Knowledge ◽  
Health Issues ◽  
Related Information ◽  
Health Related ◽  
Care System

Abstract Background Owing to communication challenges and a lack of knowledge about the health care system, refugees may be at risk of having limited health literacy, meaning that they will have problems in achieving, understanding, appraising and using health information or navigating in the health care system. The aim of this study was to explore experiences and needs concerning health related information for newly arrived refugees in Sweden. Methods A qualitative design with a focus group methodology was used. The qualitative content analysis was based on seven focus group discussions, including 28 Arabic and Somali speaking refugees. Results Four categories emerged. ‘Concrete instructions and explanations’ includes appreciation of knowledge about how to act when facing health problems. ‘Contextual knowledge’ comprises experienced needs of information about the health care system, about specific health risks and about rights in health issues. ‘A variation of sources’ describes suggestions as to where and how information should be given. ‘Enabling communication’ includes the wish for more awareness among professionals from a language and cultural point of view. Conclusion Concrete instructions and explanations are experienced as valuable and applicable. Additional information about health issues and the health care system is needed. Information concerning health should be spread by a variety of sources. Health literate health organizations are needed to meet the health challenges of refugees, including professionals that emphasize health literacy.

scholarly journals Experiences and Needs Concerning Health Related Information for Newly Arrived Refugees in Sweden

2020 ◽  
Author(s):  
Lena Mårtensson ◽  
Per Lytsy ◽  
Ragnar Westerling ◽  
Josefin Wångdahl
Keyword(s):  
Health Care ◽  
Health Literacy ◽  
Focus Group ◽  
Health Care System ◽  
Qualitative Content Analysis ◽  
Contextual Knowledge ◽  
Health Issues ◽  
Related Information ◽  
Health Related ◽  
Care System

Abstract Background Owing to communication challenges and a lack of knowledge about the health care system, refugees may be at risk of having limited health literacy, meaning that they will have problems in achieving, understanding, appraising and using health information or navigating in the health care system. The aim of this study was to explore experiences and needs concerning health related information for newly arrived refugees in Sweden. Methods A qualitative design with a focus group methodology was used. The qualitative content analysis was based on seven focus group discussions, including 28 Arabic and Somali speaking refugees. Results Four categories emerged. ‘Concrete instructions and explanations’ includes appreciation of knowledge about how to act when facing health problems. ‘Contextual knowledge’ comprises experienced needs of information about the health care system, about specific health risks and about rights in health issues. ‘A variation of sources’ describes suggestions as to where and how information should be given. ‘Enabling communication’ includes the wish for more awareness among professionals from a language and cultural point of view. Conclusion Concrete instructions and explanations are experienced as valuable and applicable. Additional information about health issues and the health care system is needed. Information concerning health should be spread by a variety of sources. Health literate health organizations are needed to meet the health challenges of refugees, including professionals that emphasize health literacy.

scholarly journals Determination of a willingness-to-pay threshold and decision-making in financing the healthcare technologies

2018 ◽  
Vol 11 (3) ◽  
pp. 13-22 ◽  
Author(s):  
T. S. Teptsova ◽  
T. P. Bezdenezhnyh ◽  
V. K. Fedyaeva ◽  
N. Z Musina ◽  
G. R. Hachatryan ◽  
...  
Keyword(s):  
Health Care ◽  
Cost Effectiveness ◽  
Willingness To Pay ◽  
Health Care System ◽  
Russian Federation ◽  
Threshold Value ◽  
Medical Technologies ◽  
The Russian Federation ◽  
The Cost ◽  
Care System

The aim was to develop a methodology for determining the willingness to pay threshold (WTPT) and its upper limit value within the Russian health care system.Materials and methods. WTPT was calculated based on the shadow budget price (i. e. determining the WTPT by the suppling party). This method is an empirical assessment of the cost-effectiveness threshold that reflects the utmost productivity of the health care system, as determined from the relationship between changes in healthcare expenditure and health outcomes achieved. The state’s willingness to pay for improving their citizens’ healthcare was evaluated considering the population of the Russian Federation, mortality and life expectancy in different age and gender groups, as well as the volume of government spending. The cost of disability-adjusted life-year prevented (DALY) and the cost of quality-adjusted life-year saved (QALY) were determined by the suppling party, that is, they reflect the cost the state is willing to pay for improving the health of their population under conditions of limited budget. The described approach considers the performance of the country’s healthcare system over a certain period and the costs incurred in functioning of the system.Results. As part of this study, it was found that the cost of one additionally prevented DALY would be 313,878.21 rubles, and the cost of one additionally saved QALY – 365,060.31 rubles.Conclusion. The WTPT for medical technologies in the Russian Federation, determined by estimating the shadow budget price will amount to 313,878.21 rubles for one prevented DALY and 365 060,31 rubles for one saved QALY. With regard to clinical and economic analysis, medical technologies with the incremental cost-effectiveness indicator not exceeding the one calculated in this study can be seen as cost-effective. The obtained threshold value is a recommendation. A medical technology can be approved even with a WTPT higher than the recommended level, because this specific technology may have additional  advantages other than WTPT when compared with the reference technologies. 

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