scholarly journals Primary Care for Transgender Individuals: A Review of the Literature Reflecting a Canadian Perspective

SAGE Open ◽  
2020 ◽  
Vol 10 (3) ◽  
pp. 215824402096282
Author(s):  
Erin Ziegler ◽  
Ruta Valaitis ◽  
Nancy Carter ◽  
Cathy Risdon ◽  
Jennifer Yost
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Access To Health Care ◽  
Health Care Services ◽  
Care Delivery ◽  
Care Needs ◽  
Care Services ◽  
Primary Care Delivery ◽  
Canadian Perspective ◽  
Primary Care Practitioners

Literature related to transgender health in adults has focused on definitions, hormone therapy, and transgender-sensitive care provision. Further understanding is needed on the delivery of primary care for transgender adults. The aim of this review was to understand the primary-care needs and access to health care services for transgender adults in Canada. A state-of-the-art literature review was conducted. Thirteen research studies were included. There is limited literature on the delivery of primary care for transgender adults, particularly in Canada. Health care issues and access to care have been explored. However, there remains minimal Canadian content on primary-care delivery for transgender adults. Additional studies are needed to understand transgender primary-care needs in Canada. Further understanding can reduce the invisibility and disparities experienced by transgender individuals. With better understanding of transgender primary health care issues, primary-care practitioners can advocate for the heath needs of their patients and improve care delivery.

Reforming Health Care in Greece: Balancing Fiscal Adjustment with Health Care Needs1

2017 ◽  
Author(s):  
Panos Kanavos ◽  
Kyriakos Souliotis
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Care Delivery ◽  
Health Care Financing ◽  
Health Service Delivery ◽  
Reimbursement Mechanisms ◽  
Care Needs ◽  
Care Services ◽  
Fiscal Adjustment ◽  
Care Integration

The Greek health care system relies on expensive medical inputs to deliver basic health care services, and is characterized by a lack of primary care focus, which disallows care integration and coordination, particularly in chronic care management. Consequently, care delivery remains fragmented and disjointed and often results in access to care disparities. This chapter proposes three areas where structural reform is essential to address budgetary constraints, improve coverage, and deliver better quality of care. First, the health care financing and contracting model and reimbursement mechanisms need to be overhauled. Transitioning to a funding system through general taxation would be advantageous in increasing levels of coverage over the short- to medium-term, but needs to be accompanied by significant changes in the provision and contracting of services to improve efficiency and quality. Second, the role of primary health care needs to be strengthened so that it becomes the backbone of health service delivery. And, finally, pharmaceutical policy needs fundamental review, including a re-alignment of the different incentives on the supply and the demand side. These reforms require a mix of structural and tactical interventions by decision-makers.

scholarly journals An ICT-Based Diabetes Management System Tested for Health Care Delivery in the African Context

2014 ◽  
Vol 2014 ◽  
pp. 1-10 ◽  
Author(s):  
Claude Takenga ◽  
Rolf-Dietrich Berndt ◽  
Olivier Musongya ◽  
Joël Kitero ◽  
Remi Katoke ◽  
...  
Keyword(s):  
Health Care ◽  
Information And Communication Technologies ◽  
Diabetes Care ◽  
Access To Health Care ◽  
Health Care Services ◽  
Diabetes Management ◽  
Care Delivery ◽  
Public Health Care ◽  
Care Services ◽  
African Context

The demand for new healthcare services is growing rapidly. Improving accessibility of the African population to diabetes care seems to be a big challenge in most countries where the number of care centers and medical staff is reduced. Information and communication technologies (ICT) have great potential to address some of these challenges faced by several countries in providing accessible, cost-effective, and high-quality health care services. This paper presents the Mobil Diab system which is a telemedical approach proposed for the management of long-term diseases. The system applies modern mobile and web technologies which overcome geographical barriers, and increase access to health care services. The idea of the system is to involve patients in the therapy process and motivate them for an active participation. For validation of the system in African context, a trial was conducted in the Democratic Republic of Congo. 40 Subjects with diabetes divided randomly into control and intervention groups were included in the test. Results show that Mobil Diab is suitable for African countries and presents a number of benefits for the population and public health care system. It improves clinical management and delivery of diabetes care services by enhancing access, quality, motivation, reassurance, efficiency, and cost-effectiveness.

Accessing primary health care services for transition-aged young adults with cerebral palsy; perspectives of young adults, parents, and physicians

2019 ◽  
Vol 1 (1) ◽  
Author(s):  
Erin Brandon ◽  
Marilyn Ballantyne ◽  
Melanie Penner ◽  
Andrea Lauzon ◽  
Erin McCarvill
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Young Adults ◽  
Health Care Services ◽  
Adult Health ◽  
Care Needs ◽  
Medical Needs ◽  
Care Services ◽  
Primary Care Services ◽  
Primary Health Care Services

AbstractBackgroundYoung adults with childhood-onset disabilities experience challenges with accessing age appropriate primary health care services as they transition from pediatric to adult health care services. They often experience a negative impact on their health with associated long-term health and social concerns, disease complications and increased use of emergency services once transitioned to adult services. This is particularly challenging for youth with cerebral palsy (CP) due the complexity of their medical needs. The aim of this study was to explore experiences with accessing or providing primary care services for transitioned-aged young adults with CP from young adult, parent, pediatrician and primary care physician perspectives.MethodsA qualitative descriptive design was conducted to identify the challenges and facilitators for transitioned aged young adults with accessing primary, adult care services. Semi-structured interviews were conducted with 16 participants within the circle of care (4 adults with CP, 4 parents, 4 pediatricians and 4 primary healthcare physicians) for individuals with CP in Toronto, Canada. Interviews were audio-recorded and transcribed verbatim. Qualitative analysis guided both the data collection and the data analysis processes.ResultsData analysis revealed that all participant groups reported transition challenges with respect to accessibility, the suitability of some primary care environments for caring for individuals with complex care needs, gaps in seamless care, and limited time and funding when receiving or providing primary care services to young adults with CP.DiscussionThere is a greater demand for adult healthcare providers now to deliver services for adults with childhood onset disabilities. Transition-aged young adults with CP and complex medical needs have increased challenges with accessing primary care services. Considering the following would improve primary care services transition for this population with complex medical needs: ongoing partnering between pediatric and adult health care streams to promote seamless care; connection to team-based primary care services where family physicians, subspecialties and interprofessional practitioners work together to provide joint care planning; salary compensation for increased service needs due to medical complexity; accessible sites; and development of guidelines for transitioning youth/young adults with complex care needs.

Health Across Borders: Addressing Mixtec Health in a Binational Context

2003 ◽  
Vol 25 (1) ◽  
pp. 19-21 ◽  
Author(s):  
Konane Martínez
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Health Care Services ◽  
Health Care Systems ◽  
Health Care Needs ◽  
Care Needs ◽  
Migrant Communities ◽  
Care Services ◽  
Care Systems ◽  
Utilization Patterns

Two years of fieldwork with Mixtec families in California has underscored the importance of a binational perspective in addressing the health care needs of California's immigrant and migrant farmworkers. My fieldwork with these transnational farm workers and their migrant/immigrant communities focuses on the clinical health care systems utilized by Mixtec migrants in Ixpantepec Nieves, Oaxaca, and North County San Diego, California. Utilization patterns and access to health care is better understood by observing the ways in which migrants interface with systems in both California and Mexico. Ethnographic and survey methodologies have proved to be beneficial in understanding the entire gamut of conditions affecting access and utilization of health care services for Mixtec Families. In this article I examine the benefits of doing binational research with Mixtec families and the implications of this type of method for policy questions addressing the clinical health care needs of immigrant and migrant communities.

scholarly journals Assessing Parolees' Health Care Needs and Potential Access to Health Care Services in California

2009 ◽  
Author(s):  
Lois Davis ◽  
Nancy Nicosia ◽  
Adrian Overton ◽  
Lisa Kraus ◽  
Kathryn Derose ◽  
...  
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Health Care Services ◽  
Health Care Needs ◽  
Care Needs ◽  
Care Services ◽  
Access To Health

scholarly journals Health Care Services Utilization of Persons with Direct, Indirect and without Migration Background in Germany: A Longitudinal Study Based on the German Socio-Economic Panel (SOEP)

2021 ◽  
Vol 18 (21) ◽  
pp. 11640
Author(s):  
Thomas Grochtdreis ◽  
Hans-Helmut König ◽  
Judith Dams
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Health Care Services ◽  
Linear Models ◽  
Mixed Effects ◽  
Migration Background ◽  
Care Needs ◽  
Services Utilization ◽  
Care Services ◽  
Health Care Services Utilization

There is ambiguous evidence with regard to the inequalities in health care services utilization (HCSU) among migrants and non-migrants in Germany. The aim of this study was to analyze the utilization of doctors and hospitalization of persons with direct and indirect migration background as well as those without in Germany. This study was based on data of the German Socio-Economic Panel using the adult sample of the years 2013 to 2019. HCSU was measured by self-reported utilization of doctors and hospitalization. Associations between HCSU and migration background were examined using multilevel mixed-effects logistic regression and zero-truncated multilevel mixed-effects generalized linear models. The odds ratios of utilization of doctors and hospitalization for persons with direct migration background compared with persons without migration background were 0.73 (p < 0.001) and 0.79 (p = 0.002), respectively. A direct migration background was associated with a 6% lower number of doctoral visits within three months compared with no migration background (p = 0.023). Persons with direct migration background still have a lower HCSU than persons without migration background in Germany. Access to health care needs to be ensured and health policy-makers are called upon to keep focus on the issue of inequalities in HCSU between migrants and non-migrants in Germany.

scholarly journals Using Prospective Methods to Identify Fieldwork Locations Favourable to Understanding Divergences in Health Care Accessibility

2021 ◽  
Vol 10 (8) ◽  
pp. 506
Author(s):  
Jan Ketil Rød ◽  
Arne H. Eide ◽  
Thomas Halvorsen ◽  
Alister Munthali
Keyword(s):  
Health Care ◽  
Low Income ◽  
Access To Health Care ◽  
Health Care Services ◽  
Good Health ◽  
Low Income Countries ◽  
Care Services ◽  
Health Care Accessibility ◽  
Barriers To Health ◽  
Walking Time

Central to this article is the issue of choosing sites for where a fieldwork could provide a better understanding of divergences in health care accessibility. Access to health care is critical to good health, but inhabitants may experience barriers to health care limiting their ability to obtain the care they need. Most inhabitants of low-income countries need to walk long distances along meandering paths to get to health care services. Individuals in Malawi responded to a survey with a battery of questions on perceived difficulties in accessing health care services. Using both vertical and horizontal impedance, we modelled walking time between household locations for the individuals in our sample and the health care centres they were using. The digital elevation model and Tobler’s hiking function were used to represent vertical impedance, while OpenStreetMap integrated with land cover map were used to represent horizontal impedance. Combining measures of walking time and perceived accessibility in Malawi, we used spatial statistics and found spatial clusters with substantial discrepancies in health care accessibility, which represented fieldwork locations favourable for providing a better understanding of barriers to health access.

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