scholarly journals Big boys don't cry: depression and men

2008 ◽  
Vol 14 (4) ◽  
pp. 256-262 ◽  
Author(s):  
Peter Branney ◽  
Alan White
Keyword(s):  
Sex Differences ◽  
Health Services ◽  
Role Theory ◽  
Hegemonic Masculinity ◽  
Minority Group ◽  
Healthcare Services ◽  
Diagnostic Tools ◽  
Health Issues ◽  
The Uk ◽  
Recent Policy

Men are a numerical minority group receiving a diagnosis of, and treatment for, depression. However, community surveys of men and of their mental health issues (e.g. suicide and alcoholism) have led some to suggest that many more men have depression than are currently seen in healthcare services. This article explores current approaches to men and depression, which draw on theories of sex differences, gender roles and hegemonic masculinity. The sex differences approach has the potential to provide diagnostic tools for (male) depression; gender role theory could be used to redesign health services so that they target individuals who have a masculine, problem-focused coping style; and hegemonic masculinity highlights how gender is enacted through depression and that men's depression may be visible in abusive, aggressive and violent practices. Depression in men is receiving growing recognition, and recent policy changes in the UK may mean that health services are obliged to incorporate services that meet the needs of men with depression.

Managing Public Healthcare Services in an International Economy

2021 ◽  
pp. 353-377
Author(s):  
Louise Dalingwater
Keyword(s):  
Health Services ◽  
Healthcare Service ◽  
Healthcare Services ◽  
International Exchange ◽  
Public Healthcare ◽  
British Government ◽  
Future Challenges ◽  
Full Picture ◽  
The Uk ◽  
National Framework

This chapter differs somewhat in its approach to governance issues compared with the previous chapters as it goes beyond the national framework. In essence, the national and sub-national issues at stake do not quite capture the full picture when considering the future challenges of the provision of public healthcare services in the UK. This chapter looks at healthcare service exchanges across borders. Indeed, there has been a significant expansion of services trade, and in particular health services, which have grown not only thanks to a number of institutional frameworks but also to the support of the British government and health stakeholders. However, there are also a number of risks involved in the international exchange of health services, which can have a significant impact on public healthcare systems.

GP advocacy in supporting migrant access to NHS healthcare

2021 ◽  
pp. 175573802110049
Author(s):  
Marina Boulton ◽  
Anish Verma ◽  
Neil H. Metcalfe
Keyword(s):  
Disease Burden ◽  
Healthcare Services ◽  
Migrant Health ◽  
Access To Healthcare ◽  
Health Needs ◽  
Migrant Population ◽  
Home Office ◽  
The Uk ◽  
Recent Policy ◽  
Valuable Role

Recent policy reform within the NHS poses significant challenges to accessing healthcare for migrants. This follows the introduction of upfront charging in healthcare services for those not ordinarily resident in the UK. The eligibility for free NHS care is currently determined by an individual’s immigration status. This has denied treatment to many of those who lack the relevant financial means, particularly the migrant population. Migrants are recognised to have various complex health needs and to experience a number of difficulties in accessing healthcare, from language barriers to navigating through an unfamiliar healthcare system. There is also concern that migrants may be deterred from engaging with healthcare services after certain policies have mandated NHS trusts to share confidential patient information with the Home Office. Restrictive NHS policies are likely to exacerbate existing barriers for access to healthcare, which could have a devastating impact on migrant health. Similarly, this may inadvertently widen health inequalities and increase the disease burden in society. GPs hold a valuable role, in which they can advocate on behalf of their patients. Advocacy support can empower migrants in making informed decisions and help to protect their rights in accessing healthcare. This article provides a concise overview of the wider impact of restrictive policies within the NHS, and supports GPs in advocating on behalf of migrants to improve their access to healthcare.

Managing Public Healthcare Services in an International Economy

2020 ◽  
pp. 217-252
Keyword(s):  
Health Services ◽  
Healthcare Service ◽  
Healthcare Services ◽  
International Exchange ◽  
Public Healthcare ◽  
British Government ◽  
Future Challenges ◽  
Full Picture ◽  
The Uk ◽  
National Framework

This chapter differs somewhat in its approach to governance issues compared with the previous chapters as it goes beyond the national framework. In essence, the national and sub-national issues at stake do not quite capture the full picture when considering the future challenges of the provision of public healthcare services in the UK. This chapter looks at healthcare service exchanges across borders. Indeed, there has been a significant expansion of services trade, and in particular health services, which have grown not only thanks to a number of institutional frameworks but also to the support of the British government and health stakeholders. However, there are also a number of risks involved in the international exchange of health services, which can have a significant impact on public healthcare systems.

Homeless people and health: a qualitative enquiry into their practices and perceptions

2019 ◽  
Author(s):  
Dave Mc Conalogue ◽  
Nicky Maunder ◽  
Angelika Areington ◽  
Katherine Martin ◽  
Vikki Clarke ◽  
...  
Keyword(s):  
Mental Health ◽  
Substance Misuse ◽  
Homeless People ◽  
Healthcare Services ◽  
Health Issues ◽  
Structured Interviews ◽  
Living Situation ◽  
Mental Health Issues ◽  
The Uk ◽  
Early Trauma

ABSTRACT Background Homeless people experience poorer health and shorter life expectancies than the UK average, but their health needs and expectations have received little attention in research. This study aims to understand homeless people’s health perceptions and experiences. Methods Semi-structured interviews took place with 28 homeless people in Gloucestershire. The transcripts were thematically analysed drawing out key themes. Results Homelessness was often rooted in early trauma or an unstable family unit. Participants described poor support on leaving prison, termination of a cohabiting relationship or financial issues as factors precipitating homelessness. There was an expansive and positive understanding of health and its determinants. Mental health issues were common, often linked to traumatic life-events. Substance misuse issues were expressed as a mechanism to manage mental health issues. Participants were frustrated that this co-dependency was not recognized by support services. Participants’ living situation curtailed their ability to make health-enhancing choices, which was compounded by issues accessing mainstream healthcare services. Conclusions Mental health in homeless people must be recognized in the context of substance misuse and early trauma. Dealing with housing and addiction are critical to enable prioritisation of healthy behaviours. Healthcare services should recognize the chaotic nature of homeless people and their competing issues.

Market-Based Governance in Public Healthcare Delivery

2020 ◽  
pp. 1-35
Keyword(s):  
Public Health ◽  
Health Services ◽  
New Public Management ◽  
Healthcare Delivery ◽  
Healthcare Services ◽  
Public Healthcare ◽  
Informal Networks ◽  
Public Health Services ◽  
The Government ◽  
The Uk

This chapter analyses the market-based reforms introduced in the UK. From 1979 onwards, it is clear that market governance has been central in the delivery of public healthcare services in the UK. The move towards using private sector techniques to run public health services has been reinforced over the last few decades, and New Public Management (NPM) reforms have often been more pronounced than in many other European countries. The chapter considers how public health services have been reconfigured within the changing boundaries between the state and its citizens. The government still continues to play a major role in the running of health services and decision making, even in the new configuration of public health services and the extension of informal networks, but health policy is also now formulated through a variety of different actors. This chapter will finish by presenting how healthcare is organised today in the UK following these reforms.

scholarly journals Assessing the possibilities and challenges of patient involvement in sexual, reproductive and HIV/AIDS services

Sexual Health ◽  
2016 ◽  
Vol 13 (3) ◽  
pp. 213 ◽  
Author(s):  
Jane Meyrick ◽  
Debra Gray ◽  
Abigail Jones
Keyword(s):  
Health Services ◽  
Sexual Health ◽  
Online Survey ◽  
Public Involvement ◽  
Service Providers ◽  
Healthcare Services ◽  
Evidence Base ◽  
Patient And Public Involvement ◽  
Convenience Sample ◽  
The Uk

Background: Patient and public involvement (PPI) is a key feature of healthcare services in the UK. Sexual and reproductive health and HIV (SRHH) services face unique PPI challenges, as the anonymity and confidentiality required by service users can be a barrier to attracting patient input. PPI could improve sexual health services, through increased trust in services and the ability to tackle sexual health inequalities. However, specific practical guidance on how to address PPI in sexual health and the evidence to support it is sparse. Methods: This research aims to begin building an evidence base for PPI in sexual health services through: 1) an audit of PPI in SRHH in the Bristol region; and 2) a parallel survey of potential users of sexual health services about their experiences of PPI. For the audit, 18 SRHH organisations from all those in the region invited complete a short online survey, representing a range of different service providers. For the survey, participants, through a convenience sample via the University of the West of England and social media, were invited to complete an anonymous online survey of their experiences of PPI in SSRHs; 96 people responded. Results: Reliance on customer satisfaction approaches and patients not being asked for feedback or what PP is for are reported. Services cite under-resourcing and a lack of time as barriers. Conclusions: Improving the use of patient’s voice in SRHH could be supported through clarity of purpose (measured against outcomes), better communication with patients, and the need for flexible methods.

London 2012: occupational health in the construction programme

2007 ◽  
Vol 127 (3) ◽  
pp. 113-118
Author(s):  
Lawrence Waterman
Keyword(s):  
Occupational Health ◽  
Health Services ◽  
Construction Industry ◽  
Olympic Games ◽  
Broad Context ◽  
Urban Park ◽  
Health Issues ◽  
London 2012 ◽  
Sports Venues ◽  
The Uk

This article explores the approach to occupational health in the UK construction industry in both broad and narrow contexts. The construction programme for the 2012 Olympic Games and Paralympic Games includes the creation of a large urban park in east London containing many sports venues and served by enhanced infrastructure. The Olympic Delivery Authority (ODA), responsible for the construction programme, is developing plans that seek to assure the health of the thousands of workers who will be engaged in this work. Such plans are not being drafted in a vacuum. In addition to considerable consultation with stakeholders the ODA is also drawing on some of the exciting work that has been undertaken in occupational health in recent years. In particular, the move from a focus on technical health services provided by `experts' to an acceptance that health issues should be managed within employing organizations. Understanding this broad context provides a solid basis for analysing the specific proposals for occupational support during the Olympic Park construction.

Exporting healthcare services: a comparative discussion of the UK, Turkey and South Korea

2017 ◽  
pp. 103-116
Author(s):  
Neil Lunt
Keyword(s):  
Health Services ◽  
Welfare State ◽  
South Korea ◽  
Health Systems ◽  
Healthcare Services ◽  
Public Healthcare ◽  
Specific System ◽  
Institutional Differences ◽  
The Uk ◽  
The Welfare State

This chapter looks at the responses of three countries to the encouragement of health systems to engage in global markets, and moves beyond how competition is embedded in the welfare state to consider how the welfare state is embedded in competition. The three countries — the UK, Turkey, and South Korea — face similar healthcare pressures but have different private/public healthcare mixes and have developed distinct responses to the increasing private treatment of patients and the wider export of health services. In implementing health export programmes, all three countries have sought to emphasise specific system characteristics and strategies that reflect their particular historical and institutional differences. Indeed, trade in health services is considered a highly desirable export allowing countries to promote the virtues of their health systems — technology, quality, and reputation. The perceived benefits for domestic economies are the ability to generate revenue and secure wider trickle-down effects, as well as the growing influence that a nation derives from exporting such services.

Utilization Of Healthcare Services To General Patient At Inpatient Unit of Anutapura General Hospital, Palu City

2020 ◽  
Vol 10 (1) ◽  
pp. 35-44
Author(s):  
Fausiah Fausiah
Keyword(s):  
Health Services ◽  
General Hospital ◽  
Health Beliefs ◽  
Secondary Data ◽  
Healthcare Services ◽  
Primary Data ◽  
Utilization Of Health Services ◽  
The People ◽  
Quantitative Descriptive ◽  
Utilization Of Healthcare

The number of inpatient visits in RSU Anutapura Palu, where in 2015 inpatient visits of 5,640, then in 2016 patient visits decreased to 5,451, in 2017 also decreased to 3,999 and in 2018 also decreased Drastic to 1,146 patient visits. This research aims to determine the utilization of health services in patients in general hospitalization in RSU Anutapura Palu. This type of research is quantitative descriptive. Research was conducted from May-June 2019. The population in the study is a visitor (number of hospitalizations) at the General Hospital (RSU) Anutapura Palu. In this case the people who use health services in the General Hospital (RSU) Anutapura Palu recorded as many as 1,146 visitors (patients) in the year 2018. Primary data collection is through questionnaires and secondary data through the study of patient record documents and other supporting documents. The utilization of health services in patients in general hospitalization in RSU Anutapura Palu is well from the aspects of health beliefs, abilities and needs. RSU Anutapura Palu is expected to be able to improve the promotion of health services so that people use the health services provided.  

scholarly journals Service innovations

2003 ◽  
Vol 27 (09) ◽  
pp. 346-348
Author(s):  
Chris Simpson ◽  
Prasanna De Silva
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Older People ◽  
High Quality ◽  
The Uk ◽  
Multi Disciplinary Team

The increase in older people in the UK will increase the need for mental health services to run efficient, high-quality services. Multi-disciplinary team assessments, although not new, provide a method of increasing the capacity to see referrals. Two similar systems of multi-disciplinary team assessments from North Yorkshire are reported with evidence of improvement in quality.

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