Assessing the Effect of Demographic Background on Barriers to Seek Medical Attention for Psoriasis

2020 ◽  
Vol 5 (4) ◽  
pp. 174-177
Author(s):  
Jeremy K. Bray ◽  
Steven R. Feldman
Keyword(s):  
Health Care ◽  
Treatment Options ◽  
Cost Of Care ◽  
Amazon Mechanical Turk ◽  
Medical Attention ◽  
Demographic Groups ◽  
Health Care Barriers ◽  
Demographic Background ◽  
The Impact ◽  
Barriers To Health

Background: Lack of treatment or undertreatment of psoriasis is a major issue. Demographics might be related to specific barriers to health care. Objective: To assess the association between demographic background and barriers to seek medical attention for individuals with psoriasis. Methods: A total of 152 subjects with self-reported psoriasis were recruited through Amazon Mechanical Turk and surveyed via Qualtrics to assess the impact of demographics on health care barriers. Subjects were presented with an image of a psoriatic plaque on an elbow and asked to rate how large of a barrier they would face to seek care on a 1 to 10 scale. Outcome measures were compared using multiple linear regression. Results: Demographics were correlated with high cost of care (F(6,107) = 3.38, P < .01, R 2 = 0.16), lack of availability of services (F(6,60) = 2.84, P = .01, R 2 = 0.22), and lack of understanding treatment options (F(6,61) = 2.18, P = .05, R 2 = 0.18). Conclusion: Some demographic groups face higher rates of barriers to seek medical attention. These barriers may contribute to undertreatment of psoriasis.

scholarly journals The Public’s Perception of Interventions for Migraine Headache Disorders: A Crowdsourcing Population-Based Study

2019 ◽  
Vol 1 (2) ◽  
Author(s):  
Orr Shauly ◽  
Daniel J Gould ◽  
Ketan M Patel
Keyword(s):  
Migraine Headache ◽  
Treatment Options ◽  
The United States ◽  
Cost Of Care ◽  
Adverse Outcomes ◽  
Amazon Mechanical Turk ◽  
Cross Sectional ◽  
Economic Productivity ◽  
Migraine Headaches ◽  
Patient Reported

Abstract Background Migraine disorders are a leading cause of morbidity and decreased economic productivity in the United States among both men and women. As such, it is important to consider patient opinions, and have an accurate representation of the burden and sentiment toward currently available interventions among those suffering from migraines. Objectives The aim of the study was to assess patient options regarding adverse outcomes of the various treatment options available for migraine headaches. Methods A prospective cross-sectional study of volunteers recruited through an internet crowdsourcing service, Amazon Mechanical Turk©, was conducted. Surveys were administered to collect patient-reported opinions regarding adverse outcomes of both surgical and nonsurgical treatment options for migraine headaches. Results The prevalence of migraine headache across all study participants was 15.6% and varied slightly across participant demographics. Individuals ages 35–44 (2.73 migraines per month) experienced the fewest migraine and with the lowest severity. Those individuals ages 45+ experienced the most severe headaches (Visual Analog Scale = 44.23 mm). Additionally, the greatest migraine frequency and severity existed among those households with yearly income of $75,000–$100,000. The lowest injection therapy utility scores were obtained for adverse outcomes of hematoma (47.60 mm) and vertigo (54.40 mm). Conclusions Migraine headaches remains a significant problem among the US population, with an overall prevalence of 15.6% (approximately 50 million Americans). Additionally, physicians interesting in offering minimally invasive or surgical treatment for migraine headaches should focus on mitigating patient fears regarding clinical outcomes and cost of care.

An Analysis of the Perception of Psoriasis Symptoms and the Impact on Willingness to Seek Medical Attention

2020 ◽  
Vol 5 (3) ◽  
pp. 109-113
Author(s):  
Jeremy K. Bray ◽  
Steven R. Feldman
Keyword(s):  
Medical Care ◽  
Analysis Of Variance ◽  
Daily Life ◽  
Severe Psoriasis ◽  
Mechanical Turk ◽  
Amazon Mechanical Turk ◽  
Medical Attention ◽  
Medical Visit ◽  
Daily Lives ◽  
The Impact

Background: Most people with psoriasis do not have a medical visit for psoriasis within a given year. Objective: To assess individuals’ perceptions of the impact of psoriasis symptoms and how this impact affects willingness to seek medical attention. Methods: A total of 302 subjects with self-reported psoriasis were recruited through Amazon Mechanical Turk and surveyed via Qualtrics to assess the impact of psoriasis on their daily lives and willingness to seek medical care. Comparisons were made between subjects presented with either an image of mild psoriasis or severe psoriasis. Outcome measures were evaluated on a 10-point Likert scale and compared using 1-way analysis of variance and 2-group t tests. Results: In the mild and severe psoriasis groups, those who rated the impact on their daily life ≥8 (1-10 scale) reported a greater willingness to seek medical attention for their psoriasis ( M = 9.1, SD = 1.5) compared to those who rated the impact between 6 and 7 ( M = 7.5, SD = 1.9, P < .01) and between 1 and 5 ( M = 6.4, SD = 2.4, P < .01). Those who rated the impact between 6 and 7 ( M = 7.5, SD = 1.9) reported a greater willingness to seek medical attention compared to those who rated the impact between 1 and 5 ( M = 6.4, SD = 2.4, P < .01). Conclusion: Patients with psoriasis may not visit a dermatologist in part due to not viewing their symptoms as severe enough to seek medical attention.

scholarly journals Spectrum of genetic disorders and the impact on health care delivery: an introduction

1999 ◽  
Vol 5 (6) ◽  
pp. 1188-1195
Author(s):  
v El Hazmi
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Genetic Disorders ◽  
Single Gene ◽  
Medical Attention ◽  
World Population ◽  
Symptomatic Therapy ◽  
Specialist Care ◽  
The Impact

Until recently, infectious diseases and malnutrition-related disorders constituted the major cause of ill health and mortality in the world population. However, advances in treatment of such disorders and increased understanding of the molecular basis of heredity have led to genetically transmitted conditions becoming a major cause of morbidity and mortality. Several disorders, including chromosomal [Down syndrome, Turner syndrome], single-gene [sickle-cell disease, thalassaemia, glucose-6-phosphate dehydrogenase deficiency, haemophilia, inborn errors of metabolism]and multifactorial disorders [coronary artery disease, arteriosclerosis, diabetes mellitus, hypertension, obesity]are common and becoming increasingly important. As there is no agreed-upon definitive cure with acceptable risk, these disorders are a significant burden on the health care delivery system. This is because the chronic nature of genetic diseases requires lifelong medical attention, expensive supportive and symptomatic therapy and specialist care. This review outlines the genetic disorders, their impact on health care delivery systems and the general framework required to prevent and control these disorders

scholarly journals A review on health-care acquired infections of the hospital staff during routine patient’s delivery service

2021 ◽  
Vol 25 (9) ◽  
pp. 1581-1586
Author(s):  
A.A. Enaigbe ◽  
C.C. Irodi
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Adverse Drug Events ◽  
Care Delivery ◽  
Educational Interventions ◽  
World Health ◽  
Infection Prevention And Control ◽  
Medical Attention ◽  
And Control ◽  
The Impact

The health-care acquired infections (HCAIs) occur world-wide among persons undergoing medical attention in health institutions and result in unexpected long-term stay, disability and financial loses. The most predominant infections are catheter associated urinary tract, central line associated, surgical site and ventilator associated pneumonia infections. The patients are prone to infections during hospitalization from varied environmental sources, hands of health-care professionals, medical equipment and other infected patients. The frequent factors affecting patients on admission are improper hand hygiene, contact with infected patients, adverse drug events and surgical complications. Patients under health-care delivery can acquire infection disseminated from food, water, aerosols and hospital wastes. The application of personal protective equipment, routine educational interventions are common approaches that can help stop HCAIs and save lives, decrease death rate and health delivery expenses. In buttressing this, the World Health Organization (WHO) enunciated guidelines to enhance hand washing practices, infection prevention and control programme, monitored use of antibiotics and its resistance. The other measures included global adoption of efficient surveillance system and the impact of relevant stakeholders in health sectors needed to prevent and control hospital acquired infections.

Challenges in accessing reproductive health care in young cancer survivors.

2017 ◽  
Vol 35 (5_suppl) ◽  
pp. 107-107
Author(s):  
Bridgette Thom ◽  
Catherine Benedict ◽  
Danielle Novetsky Friedman ◽  
Debbie Diotallevi ◽  
Nirupa Jaya Raghunathan ◽  
...  
Keyword(s):  
Health Care ◽  
Logistic Regression ◽  
Reproductive Health ◽  
Cancer Survivors ◽  
Fertility Preservation ◽  
Cost Of Care ◽  
Care Providers ◽  
Reproductive Health Care ◽  
Female Survivors ◽  
The Impact

107 Background: Infertility and early menopause are well-established late and long-term effects of many cancer treatments. Fertility preservation (FP) before (and in some cases after) treatment allows many survivors to achieve their family building goals despite gonadotoxic treatment. FP, however, is costly, and there is inconsistent, incomplete, or absent coverage across insurances. Furthermore, as many young survivors are un- or underinsured, disparities in referrals and service utilization have emerged. This presentation provides an overview of reproductive health care-related financial issues affecting young adult survivors, including cost of care, access to services, and relevant advocacy efforts, and highlights an analysis of the impact of income on FP decisions in a national sample of female survivors. Methods: We recruited female survivors aged 18-35 via social media and collected data using a web-based survey. Analyses included bivariate statistics and multiple logistic regression. Outcomes were receiving a fertility intervention (undergoing evaluation and/or fertility preservation of any sort) and freezing eggs/embryos before or after treatment. Results: 346 survivors, who were an average of 4.9 years (sd = 5.4) post-treatment, participated. 296 (86%) reported income: 35% <$50K; 39% $50K-100K; and 26% over 100K. Of 259 respondents who did not undergo FP, 27% reported cost as a barrier. In logistic regression, income was significantly related with receiving an intervention and freezing eggs/embryos. Controlling for age and nulliparity, high-income survivors were more likely to receive a fertility intervention (OR = 3.0, 95% CI: 1.3, 6.9) and to freeze eggs/embryos (OR = 3.4, 95% CI: 1.2, 9.5) than low-income survivors. Conclusions: Our findings of disparity in utilization of reproductive health care among cancer survivors were similar to the published literature, with income impacting respondents’ receipt of fertility intervention and freezing of eggs/embryos. Clinical interventions and policy initiatives must address this service gap. Health care providers can help ensure that cancer survivors have access to available financial resources to assist with cost to facilitate their reproductive health care.

Drug-Related Visits to the Emergency Department

2005 ◽  
Vol 18 (5) ◽  
pp. 329-335 ◽  
Author(s):  
Peter J. Zed
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Hospital Admissions ◽  
Medical Attention ◽  
Limited Information ◽  
Current Health ◽  
The Past ◽  
Ed Visits ◽  
Current Health Care System ◽  
The Impact

Over the past few years, several published reports have addressed the problem of drug-related morbidity in various practice settings. Studies evaluating drug-related hospitalization have estimated that approximately 5% to 10% of all hospital admissions are drug related. Unfortunately, many of these studies have excluded patients seeking medical attention in the emergency department (ED) but not requiring hospital admission. Drug-related visits to the emergency department are a significant problem and contribute to overall pressures on our current health care system. Despite the limited information published regarding drug-related ED visits, several studies describe the impact of this issue. The purpose of this article is to review the current literature pertaining to the incidence, classification, severity, preventability, and economic impact of drug-related visits to the emergency department.

State Nurse Practitioner Practice Regulations and U.S. Health Care Delivery Outcomes: A Systematic Review

2020 ◽  
pp. 107755871990121 ◽  
Author(s):  
Bo Kyum Yang ◽  
Mary E. Johantgen ◽  
Alison M. Trinkoff ◽  
Shannon R. Idzik ◽  
Jessica Wince ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Access To Care ◽  
Health Care Delivery ◽  
Nurse Practitioner ◽  
Care Delivery ◽  
Care Quality ◽  
Cost Of Care ◽  
Delivery Outcomes ◽  
The Impact

There is a great variation across states in nurse practitioner (NP) scope of practice moderated by state regulations. The purpose of this study was to synthesize the evidence from studies of the impact of state NP practice regulations on U.S. health care delivery outcomes (e.g., health care workforce, access to care, utilization, care quality, or cost of care), guided by Donabedian’s structure, process, and outcomes framework. This systematic review was performed using Medline, CINAHL, PsycINFO, and PubMed according to Preferred Reporting Items for Systematic and Meta-Analysis on the literature from January 2000 to August 2019. The results indicate that expanded state NP practice regulations were associated with greater NP supply and improved access to care among rural and underserved populations without decreasing care quality. This evidence could provide guidance for policy makers in states with more restrictive NP practice regulations when they consider granting greater practice independence to NPs.

Nursing’s Response to the Executive Order to Advance American Kidney Health

2020 ◽  
pp. 152715442096593
Author(s):  
Kimone R. Y. Reid ◽  
Suzanne Queheillalt ◽  
Tamara Martin
Keyword(s):  
Health Care ◽  
Renal Disease ◽  
End Stage Renal Disease ◽  
The United States ◽  
Cost Of Care ◽  
Executive Order ◽  
Stage Renal Disease ◽  
End Stage ◽  
The Impact ◽  
Kidney Health

The state of American kidney health is currently under the microscope. In the United States, approximately 20,000 persons advance to end-stage renal disease annually. Trends indicate accelerating increases in cost of care and a high mortality rate among patients with end-stage renal disease, with only 57% of patients surviving after 3 years. An executive order by the White House has placed the transformation of kidney care at the forefront of the country’s health care agenda. The order focuses on key issues including improving outcomes, reducing treatment-related expenditures and increasing kidney donations. Mobilization of health care resources directed toward policymaking, workforce growth and development, and research will be critical to effectively achieve this executive order. Nursing’s response, as the health care profession with the most members, will be crucial to achieving response implementation and success of the order. This article describes immediate and future actions including policy, leadership, clinical, educational, and research initiatives that the nursing profession should take to advance kidney health. It calls for specific actions by nursing and focuses on nursing organizations, nursing research, quality improvement initiatives, nursing innovation, advanced practice nursing, and the nephrology and transplant nursing workforce in order to improve kidney health nationally. The impact of the SARS-CoV-2 pandemic on kidney health and the implications for the profession of nursing are outlined. Although there are still many unknowns about the pandemic, nursing’s voice is necessary to ensure the ongoing delivery of high-quality care.

Impact of new technologies on health-care costs and on the nation's "health"

1990 ◽  
Vol 36 (8) ◽  
pp. 1612-1616 ◽  
Author(s):  
T A Massaro
Keyword(s):  
Health Care ◽  
New Technologies ◽  
Well Being ◽  
Cost Of Care ◽  
American Health Care System ◽  
The Public ◽  
American Health Care ◽  
The Cost ◽  
The Impact ◽  
Care Costs

Abstract By virtually all criteria, the American health-care system has the largest and most widely distributed technology base of any in the world. The impact of this emphasis on technology on the cost of care, the rate of health-care inflation, and the well-being of the population is reviewed from the perspective of the patient, the provider, and the public health analyst.

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