scholarly journals Telemedicine adoption issues in the United States and Brazil: Perception of healthcare professionals

2020 ◽  
Vol 26 (4) ◽  
pp. 2344-2361 ◽  
Author(s):  
Edimara Luciano ◽  
M Adam Mahmood ◽  
Parand Mansouri Rad
Keyword(s):  
United States ◽  
Health Services ◽  
Rural Areas ◽  
Healthcare Professionals ◽  
Critical Role ◽  
The United States ◽  
Security And Privacy ◽  
Access To Health Services ◽  
Security Breaches ◽  
Access To Health

Telemedicine has recently garnered more attention from healthcare professionals because it provides access to health services to patients in rural areas while making patient healthcare information more vulnerable to security breaches. The objective of this research is to identify factors that play a critical role in possible adoption of telemedicine in the United States and Brazil. A model with eight hypotheses was used to establish a research framework. A survey was conducted involving healthcare professionals in the aforementioned countries. The results show that telemedicine adoption is influenced by policies and culture in both countries and influenced by security and privacy in the United States. It can be inferred from the research that perceptions of the American and Brazilian healthcare professionals are similar in telemedicine issues covered in this research. These healthcare professionals, however, disagree on how patients’ privacy should be preserved in the two countries.

scholarly journals Racial/Ethnic Disparities in Chronic Diseases of Youths and Access to Health Care in the United States

2013 ◽  
Vol 2013 ◽  
pp. 1-12 ◽  
Author(s):  
James H. Price ◽  
Jagdish Khubchandani ◽  
Molly McKinney ◽  
Robert Braun
Keyword(s):  
United States ◽  
Health Disparities ◽  
Health Services ◽  
Chronic Diseases ◽  
Access To Health Care ◽  
Ethnic Disparities ◽  
The United States ◽  
Access To Health Services ◽  
Access To Health ◽  
Racial Ethnic

Racial/ethnic minorities are 1.5 to 2.0 times more likely than whites to have most of the major chronic diseases. Chronic diseases are also more common in the poor than the nonpoor and this association is frequently mediated by race/ethnicity. Specifically, children are disproportionately affected by racial/ethnic health disparities. Between 1960 and 2005 the percentage of children with a chronic disease in the United States almost quadrupled with racial/ethnic minority youth having higher likelihood for these diseases. The most common major chronic diseases of youth in the United States are asthma, diabetes mellitus, obesity, hypertension, dental disease, attention-deficit/hyperactivity disorder, mental illness, cancers, sickle-cell anemia, cystic fibrosis, and a variety of genetic and other birth defects. This review will focus on the psychosocial rather than biological factors that play important roles in the etiology and subsequent solutions to these health disparities because they should be avoidable and they are inherently unjust. Finally, this review examines access to health services by focusing on health insurance and dental insurance coverage and access to school health services.

Projection of pediatric manpower requirements

PEDIATRICS ◽  
1977 ◽  
Vol 59 (3) ◽  
pp. 323-324
Author(s):  
Robert D. Burnett ◽  
Mary Kaye Willian ◽  
Richard W. Olmsted
Keyword(s):  
United States ◽  
Health Care ◽  
Medical School ◽  
Health Care Delivery ◽  
Care Delivery ◽  
The United States ◽  
Physician Shortage ◽  
Access To Health Services ◽  
Access To Health ◽  
The 1960S

In the 1960s, predictions were made that the United States faced a "physician shortage."1,2 On the basis of these predictions, federal legislation subsidized the establishment of new medical schools and the expansion of those in existence. From 1968 to 1974, the number of medical school graduates rose from 7,973 to 11,613.3 Nevertheless, problems of availability of, and access to, health services remain. Mere increase in number of physicians is not the solution to the problem of health care delivery in the United States; in fact, there is concern that we now face an oversupply of physicians.4 The recently published Carnegie report recommends that only "one" new medical school be established.5

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 Do adult health outcomes in urban population reflect local health risk? A matched cohort analysis of migration effects in Ouagadougou, Burkina Faso

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e029059
Author(s):  
Philippe Bocquier ◽  
Abdramane Bassiahi Soura ◽  
Souleymane Sanogo ◽  
Sara Randall
Keyword(s):  
Health Status ◽  
Health Services ◽  
Health Outcomes ◽  
Health Risks ◽  
Rural Areas ◽  
Urban Areas ◽  
Cohort Analysis ◽  
Local Health ◽  
Access To Health Services ◽  
Access To Health

BackgroundSelective migration may affect health indicators in both urban and rural areas. Sub-Saharan African urban areas show evidence of both negative and positive selection on health status at outmigration. Health outcomes as measured in urban populations may not reflect local health risks and access to health services.MethodsUsing the Ouagadougou Health and Demographic Surveillance System and a migrant follow-up survey, we measured differences in health between matched non-migrants and outmigrants. We applied Cox and competing risks models on migration and death.ResultsControlling for premigration health status, migrants who moved out of Ouagadougou have higher mortality (HR 3.24, 95% CI 1.23 to 8.58) than non-migrants and migrants moving to other Ouagadougou areas. However, these effects vanish in the matched sample controlling for all interactions between death determinants. These and other results show little evidence that migration led to higher mortality or worse health.ConclusionsHealth outcomes as measured in Ouagadougou population do reflect local health risks and access to health services despite high migration intensity. However, neither the hypothesis of effect of health on migration nor the hypothesis of negative effect of migration on health or survival was confirmed.

scholarly journals Movement Disability: Situations and Factors Influencing Access to Health Services in the Northeast of Thailand

2015 ◽  
Vol 12 (3) ◽  
pp. 168-174 ◽  
Author(s):  
A Wongkongdech ◽  
W Laohasiriwong
Keyword(s):  
Health Services ◽  
Rural Areas ◽  
P Value ◽  
Residential Areas ◽  
Access To Health Services ◽  
Persons With Disabilities ◽  
Care Givers ◽  
Factors Influencing ◽  
Access To Health ◽  
Movement Disability

Background Persons with movement disability (PWMDs) are the biggest group of persons with disabilities (PWDs) with needs helps especially on health. There has been no evident to show health services accessibility situation of PWMDs in the Northeast of Thailand, the biggest region.Objective This study aimed to explore the current situation of accessibility to health services among PWMDs, and factors influencing such access.Method This cross-sectional study used a multistage stratified random sampling to select 462 subjects from the national registered PWMDs poll to response to a structured questionnaire. This study complies with the principles of the Declaration of Helsinki and was approved by the Khon Kaen University Ethics Committee for Human Research prior to the data collection.Result We found that most of PWMDs (66%) had overall health service accessibility at medium level. Factors influencing the access to health services were living in rural area (adj. mean diff.= -24.01; 95 % CI: -45.88 to-2.31; p-value=0.032), high income (adj. mean diff.=0.002; 95 % CI: 0.001 to 0.005; p-value = 0.044), and having offspring or spouse as care givers (adj. mean diff.=40.44; 95% CI: 7.69 to 73.19; p-value=0.044; and adj. mean diff.=48.99; 95%CI: 15.01-82.98; p-value=0.016, respectively). PWMDs who lived in rural areas had better access to health services especially to the sub-district health promoting hospital than those in the urban area.Conclusion Accessibly to health services of PWMDs still limited. Income, care givers and residential areas had influences on their access.Kathmandu University Medical Journal Vol.12(3) 2014; 168-174

scholarly journals Ventanillas de Salud: Defeating challenges in healthcare access for Mexican immigrants in the United States

2020 ◽  
Vol 21 ◽  
Author(s):  
Valeria Marina Valle ◽  
Wilma Laura Gandoy Vázquez ◽  
Karla Angélica Valenzuela Moreno
Keyword(s):  
United States ◽  
Mexican Immigrants ◽  
Healthcare Access ◽  
Healthcare Services ◽  
The United States ◽  
Access To Health Services ◽  
Government Officials ◽  
Access To Health ◽  
Mexican Government

The 2010 Affordable Care Act (ACA) improved access to healthcare in the United States. However, immigrants —especially those undocumented— still faced difficulties, which have increased during the Trump administration. In order to bring access to health services to its nationals, the Mexican government has implemented the Health Windows Program (Ventanillas de Salud, or VDS). The article reviews changes in the U.S. healthcare system from the ACA to date, and assesses the role of VDS. The methodology is qualitative, consisting of a literature review, interviews with community leaders and Mexican government officials, and questionnaires sent to four VDS: Arizona, Florida, Idaho and Texas. Results show that VDS provide reliable and affordable access to basic healthcare services, and detection of chronic and non-communicable diseases, especially within undocumented immigrants. Public policy recommendations are offered based on these findings. Limitations of the study include the data collected, which is non-representative of all VDS.

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 Perception of effective access to health services in Territorial Spaces for Training and Reintegration, one year after the peace accords in Colombia: a cross-sectional study

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 2140
Author(s):  
Julián Alfredo Fernández-Niño ◽  
Lud Magdy Chaparro ◽  
Ana Beatriz Vásquez-Rodríguez ◽  
Maylen Liseth Rojas-Botero ◽  
Ginna Esmeralda Hernández-Neuta ◽  
...  
Keyword(s):  
Health Services ◽  
Rural Areas ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Access To Health Services ◽  
Cross Sectional ◽  
Post Conflict ◽  
Access To Health ◽  
Peace Accords ◽  
One Year

Backgrounds: The signing of the peace accords in Colombia created challenges that are inherent to post-conflict transitions. One of those is the process of reintegrating ex-combatants into society, in which ensuring their rights to health is a particularly significant challenge in rural areas affected by armed conflict. These areas, known as Territorial Spaces for Training and Reintegration (ETCR, in Spanish), are geographically dispersed throughout 24 municipalities and 13 departments in Colombia. This study aimed to describe how ex-combatants in ETCR regions perceived access to health services one year after the signing of the peace accords. Methods: A descriptive, cross-sectional study was performed between September and October 2018. It included 591 adults and their families, from 23 ETCRs. The study was designed, culturally validated, and piloted. Interviewers were trained and a structured survey was administered containing five dimensions that characterized the perception of effective access to health services. Results: The majority of interviewees were women, heads of household, young adults, ex-combatants, and residents in an ETCR. In total of 96.4% were enrolled in Colombia’s subsidized health system, and 20.8% indicated that a member of their household required emergency health services. The regional health center provided the majority of the services. Most of those surveyed (96.0%) reported that they did not have to pay for the services, and that they received respectful (91.6%) and good quality (66.6%) care. There were few referrals to disease prevention and health promotion activities, and only 19.0% of households reported having been visited by extramural health care teams, whose activities were highly valued (80%). Lastly, there was little knowledge about community health activities. Conclusions: While residents of ETCR regions have a favorable perception of their access to health services, they need to be made aware of extramural and public health activities.

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