scholarly journals Providing Appropriate Pancreatic Cancer Care for People Experiencing Homelessness: A Surgical Perspective

2021 ◽  
pp. 1-9
Author(s):  
Anna D. Louie ◽  
Chibueze A. Nwaiwu ◽  
Julia Rozenberg ◽  
Debolina Banerjee ◽  
Gillian J. Lee ◽  
...  
Keyword(s):  
Health Care ◽  
Pancreatic Cancer ◽  
Socioeconomic Status ◽  
Health Care Providers ◽  
Racial Bias ◽  
Medical Setting ◽  
Care Providers ◽  
Lower Socioeconomic Status ◽  
Implicit Biases ◽  
Lower Socioeconomic

People experiencing homelessness are particularly vulnerable when diagnosed with pancreatic cancer. Patients with lower socioeconomic status have worse outcomes from pancreatic cancer as the result of disparities in access to treatment and barriers to navigation of the health care system. Patients with lower socioeconomic status, or who are vulnerably housed, are less likely to receive surgical treatment even when it is recommended by National Comprehensive Cancer Network guidelines. This disparity in access to surgical care explains much of the gap in pancreatic cancer outcomes. There are many factors that contribute to this disparity in surgical management of pancreatic cancer in people experiencing homelessness. These include a lack of reliable transportation, feeling unwelcome in the medical setting, a lack of primary care and health insurance, and implicit biases of health care providers, including racial bias. Solutions that focus on rectifying these problems include utilizing patient navigators, addressing implicit biases of all health care providers and staff, creating an environment that caters to the needs of patients experiencing homelessness, and improving their access to insurance and regional support networks. Implementing these potential solutions all the way from the individual provider to national safety nets could improve outcomes for patients with pancreatic cancer who are experiencing homelessness.

scholarly journals Cost Concerns of Patients With Cancer

2013 ◽  
Vol 9 (5) ◽  
pp. 251-257 ◽  
Author(s):  
Tammy K. Stump ◽  
Naa Eghan ◽  
Brian L. Egleston ◽  
Olivia Hamilton ◽  
Melanie Pirollo ◽  
...  
Keyword(s):  
Health Care ◽  
Socioeconomic Status ◽  
Health Insurance ◽  
Health Care Providers ◽  
Care Providers ◽  
Lower Socioeconomic Status ◽  
Patients With Cancer ◽  
Lower Socioeconomic

Cost concerns are common among patients with cancer who have health insurance. Health care providers may alleviate concerns by discussing cost-related concerns with all patients, not only those of lower socioeconomic status or those without insurance.

scholarly journals Socioeconomic factor and satisfaction of MCH client in urban slum of Meerut, Uttar Pradesh

2017 ◽  
Vol 4 (10) ◽  
pp. 3664
Author(s):  
Nripendra Singh ◽  
Seema Jain ◽  
Harivansh Chopra ◽  
Arun Kumar ◽  
Ganesh Singh ◽  
...  
Keyword(s):  
Health Care ◽  
Socioeconomic Status ◽  
Health Care Providers ◽  
Client Satisfaction ◽  
Urban Slum ◽  
Family Education ◽  
Socioeconomic Factor ◽  
Care Providers ◽  
Cross Sectional ◽  
Socioeconomic Class

Background: The health of the mother and child constitutes one of the most serious health problems affecting the community, particularly in the developing countries like India. Promotion of maternal and child health has been one of the most important aspects. But any program, however, relevant its components were likely to fail unless it succeeds in improving the knowledge and achieving satisfaction of its respondent. Client satisfaction has traditionally been linked to the quality of services given and the extent to which specific needs were met. The objective of the study was to determine the level of satisfaction and correlated factor among mothers visiting primary health care institutions for maternal care services.Methods: A cross sectional study was carried out on 384 women attending 19 urban health post located in Meerut.Results: In present study 76.0% MCH respondent belong to lower socioeconomic class, 46.4% MCH respondent were 6-12th class pass, 33.1% MCH respondent belong to SC/ST category. Satisfaction with behavior of staff was significant associated with socioeconomic class, educational qualification and religion of respondent. Satisfaction with cleanliness is significantly associated with socioeconomic status, type of family, education and caste of client. Satisfaction with availability of drug is significantly associated with socioeconomic status, education, category and religion of respondent. Satisfaction with behavior of doctor is significantly associated with type of family, education and category of respondent.Conclusions: In present study, we observed that satisfaction of MCH respondents were closely related to the services provided at MCH center and with the behavior of health care providers. 

Eliminating Explicit and Implicit Biases in Health Care: Evidence and Research Needs

2022 ◽  
Vol 43 (1) ◽  
Author(s):  
Monica B. Vela ◽  
Amarachi I. Erondu ◽  
Nichole A. Smith ◽  
Monica E. Peek ◽  
James N. Woodruff ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Health Care Providers ◽  
Clinical Decision Making ◽  
Care Delivery ◽  
Skills Training ◽  
Publication Date ◽  
Care Providers ◽  
Implicit Biases ◽  
Care System

Health care providers hold negative explicit and implicit biases against marginalized groups of people such as racial and ethnic minoritized populations. These biases permeate the health care system and affect patients via patient–clinician communication, clinical decision making, and institutionalized practices. Addressing bias remains a fundamental professional responsibility of those accountable for the health and wellness of our populations. Current interventions include instruction on the existence and harmful role of bias in perpetuating health disparities, as well as skills training for the management of bias. These interventions can raise awareness of provider bias and engage health care providers in establishing egalitarian goals for care delivery, but these changes are not sustained, and the interventions have not demonstrated change in behavior in the clinical or learning environment. Unfortunately, the efficacy of these interventions may be hampered by health care providers’ work and learning environments, which are rife with discriminatory practices that sustain the very biases US health care professions are seeking to diminish. We offer a conceptual model demonstrating that provider-level implicit bias interventions should be accompanied by interventions that systemically change structures inside and outside the health care system if the country is to succeed in influencing biases and reducing health inequities. Expected final online publication date for the Annual Review of Public Health, Volume 43 is April 2022. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.

Health Care Providers in War and Armed Conflict: Operational and Educational Challenges in International Humanitarian Law and the Geneva Conventions, Part II. Educational and Training Initiatives

2018 ◽  
Vol 13 (03) ◽  
pp. 383-396 ◽  
Author(s):  
Frederick M. Burkle ◽  
Adam L. Kushner ◽  
Christos Giannou ◽  
Mary A. Paterson ◽  
Sherry M. Wren ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Providers ◽  
Armed Conflict ◽  
International Humanitarian Law ◽  
Medical Setting ◽  
Humanitarian Law ◽  
Care Providers ◽  
Educational Challenges ◽  
And Training

ABSTRACTNo discipline has been impacted more by war and armed conflict than health care has. Health systems and health care providers are often the first victims, suffering increasingly heinous acts that cripple the essential health delivery and public health infrastructure necessary for the protection of civilian and military victims of the state at war. This commentary argues that current instructional opportunities to prepare health care providers fall short in both content and preparation, especially in those operational skill sets necessary to manage multiple challenges, threats, and violations under international humanitarian law and to perform triage management in a resource-poor medical setting. Utilizing a historical framework, the commentary addresses the transformation of the education and training of humanitarian health professionals from the Cold War to today followed by recommendations for the future. (Disaster Med Public Health Preparedness. 2019;13:383-396)

scholarly journals Social Gradients in Alcohol Use Disorders with and without Depression: Immigrants vs Norwegians

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Leonhardt ◽  
D Shawel Abebe
Keyword(s):  
Health Care ◽  
Socioeconomic Status ◽  
Alcohol Use ◽  
Alcohol Use Disorder ◽  
Social Inequalities ◽  
Economic Status ◽  
Alcohol Use Disorders ◽  
Social Gradient ◽  
Lower Socioeconomic Status ◽  
Lower Socioeconomic

Abstract Background The social gradient in health runs from top to bottom of the socioeconomic spectrum. Poverty is associated with poor health and problematic unhealthy behaviors. Depression is strongly associated with social inequalities, while alcohol use disorders are not necessarily associated with a low socio economic status. Immigrants often have a lower social economic status than the host population. Research regarding alcohol use disorders, depression and a social gradient among immigrants is scare. The present study explores social gradients in persons with alcohol use disorders with and without depression and examines potential discrepancies between immigrant and native Norwegian patients receiving public specialist health care. Methods Data of 2.4 million native Norwegians and 468.496 immigrants, registered in the national mandatory Norwegian Patient Register and population data from Statistics Norway were analyzed. ICD 10 main diagnoses were used to identify patient groups - at least diagnosed once during 2008 - 2016. Immigrants had been pooled into 5 world regions. Logistic regression models have been applied to show associations between socio demographics/regions and alcohol use disorders and/or depression. Results African (OR = 0.35; 95%CI:0.27-0.44) and Asian (OR = 0.23; 95%CI:0.16-0.32) immigrants had a lower risk of developing alcohol use disorders with depression than Western Europeans (OR = 0.76; 95% CI:0.60-0.98), using native Norwegians as a reference. In general, persons with a lower socioeconomic status are more often affected of alcohol use disorder only (OR = 3.77; 95%CI:3.64-3.91) than with alcohol use disorder and concurrent depression (OR = 3.52; 95%CI:3.25-3.83). Conclusions To detect possible deficits in patient care, knowledge of social gradients in a marginalized group such as persons with alcohol use disorders and/or depression is essential. This may contribute to targeted and individualized health care- regardless of immigrant status. Key messages The risk of developing alcohol use disorders with depression varies between immigrants according to their origin. Persons with a lower socioeconomic status are more often affected of alcohol use disorder only than with alcohol use disorder and concurrent depression.

scholarly journals Reproductive Coercion: A Systematic Review

2016 ◽  
Vol 19 (4) ◽  
pp. 371-390 ◽  
Author(s):  
Karen Trister Grace ◽  
Jocelyn C. Anderson
Keyword(s):  
Health Care Providers ◽  
Partner Violence ◽  
Single Women ◽  
Care Providers ◽  
Health It ◽  
Lower Socioeconomic Status ◽  
Reproductive Coercion ◽  
Lower Socioeconomic ◽  
Data Variation ◽  
Correlate Data

Reproductive coercion is a behavior that interferes with the autonomous decision-making of a woman, with regard to reproductive health. It may take the form of birth control sabotage, pregnancy coercion, or controlling the outcome of a pregnancy. The objectives of this article are to address the questions: (1) What is known about reproductive coercion, its prevalence, and correlates? (2) What strategies do women use to preserve their reproductive autonomy when experiencing reproductive coercion? (3) What interventions are effective to decrease reproductive coercion? In this review of 27 research studies, 12 contained findings regarding the general phenomenon of reproductive coercion and 19 contained findings about at least one component of reproductive coercion. Additionally, 11 studies contained findings related to the intersection of intimate partner violence (IPV) and reproductive coercion, 6 presented data on strategies women use to resist reproductive coercion, and 3 included intervention data. Variation in measurement makes synthesis of prevalence and correlate data challenging. The reviewed literature presents reproductive coercion as a phenomenon that disproportionately affects women experiencing concurrent IPV, women of lower socioeconomic status, single women, and African American, Latina and multiracial women. Women who experience reproductive coercion were found to present frequently for certain health services. Most data on reproductive coercion are descriptive, and there is need for further research to examine the co-occurrence with related phenomena such as IPV and unintended pregnancy. More research is also needed on the strategies women use to resist reproductive coercion as well as interventions aimed at survivors and perpetrators of reproductive coercion and health-care providers who encounter them.

scholarly journals Reducing Racial Bias Among Health Care Providers: Lessons from Social-Cognitive Psychology

2007 ◽  
Vol 22 (6) ◽  
pp. 882-887 ◽  
Author(s):  
Diana Burgess ◽  
Michelle van Ryn ◽  
John Dovidio ◽  
Somnath Saha
Keyword(s):  
Health Care ◽  
Cognitive Psychology ◽  
Health Care Providers ◽  
Social Cognitive ◽  
Racial Bias ◽  
Care Providers

scholarly journals An ethnographic study of opioid use disorder in rural Maine: The problem of pain

2021 ◽  
Vol 4 (3) ◽  
Author(s):  
Weronika Grabowska ◽  
Selma Holden ◽  
Peter M Wayne ◽  
Karen Kilgore
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Opioid Use Disorder ◽  
Ethnographic Study ◽  
Community Leaders ◽  
Medical Setting ◽  
Opioid Overdose ◽  
Care Providers ◽  
Opioid Use ◽  
Structured Interviews

This qualitative study was conducted to more fully understand health care providers and community leaders’ perceptions of the opioid crisis in rural Maine. In 2017, Maine continued to have one of the highest opioid overdose death rates in the country, more than double the national average. I (first author) visited eight treatment centers in Maine providing support and treatment to people recovering form Opioid Use Disorder (OUD), shadowing health care providers. I also attended OUD-related meetings held with community leaders. I conducted a total of 33 semi-structured interviews with health care providers, community leaders, and NGOs in the state of Maine. Three themes emerged integrating observations with semi-structured interviews: i) Impact of emergence of new extended release opioids, their prescription patterns, and culture around them; ii) Subjectivity of pain and importance of understanding psychic injury in OUD treatment; iii) Socio-political context and perception of OUD in Maine. Our society’s perception of pain has deep historical and cultural sources that influence the way that pain has been perceived and treated in the medical setting. Resources beyond the medical environment are needed to address pain adequately.

Sign in / Sign up

Export Citation Format

Share Document