scholarly journals Observational Study Assessing Demographic, Economic and Clinical Factors Associated with Access and Utilization of Health Care Services of Patients with Multiple Sclerosis under Treatment with Interferon Beta-1b (EXTAVIA)

PLoS ONE ◽  
2014 ◽  
Vol 9 (11) ◽  
pp. e113933 ◽  
Author(s):  
Georgios Hadjigeorgiou ◽  
Efthimios Dardiotis ◽  
Georgios Tsivgoulis ◽  
Triantafyllos Doskas ◽  
Damianos Petrou ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Health Care ◽  
Observational Study ◽  
Health Care Services ◽  
Interferon Beta ◽  
Clinical Factors ◽  
Factors Associated ◽  
Care Services

scholarly journals Barriers and Facilitators to Accessing Health Care Services among Married Women in Ethiopia: a Multi-level Analysis of the Ethiopia Demographic and Health Survey

2021 ◽  
Vol 5 (2) ◽  
pp. 183-196
Author(s):  
Betregiorgis Zegeye ◽  
Nicholas Kofi Adjei ◽  
Bright Opoku Ahinkorah ◽  
Edward Kwabena Ameyaw ◽  
Eugene Budu ◽  
...  
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Health Care Services ◽  
Married Women ◽  
Community Level ◽  
Factors Associated ◽  
Care Services ◽  
Barriers To Access ◽  
Access To Health ◽  
The Individual

Background and Objective: Access to health care services is a major challenge to women and children in many developing countries such as Ethiopia. In this study, we investigated the individual- and community-level factors associated with barriers to accessing health care services among married women in Ethiopia. Methods: Data from the 2016 Ethiopia demographic and health survey on 9,824 married women of reproductive age (15-49 years) were analyzed. Multilevel logistic regression models were used to assess individual- and community-level factors associated with barriers to access health care services. Regression analysis results revealed adjusted odds ratios at 95% confidence intervals. Results: Over two-thirds (71.8%) of married women in Ethiopia reported barriers to accessing health care services. Some of the individual-level factors that were associated with lower odds of reporting barriers to access health care services include: having secondary education (aOR=0.49, 95% CI: 0.32-0.77), being in the richest quintile (aOR=0.34, 95% CI: 0.22-0.54), and indicating wife-beating as unjustified (aOR=0.66, 95% CI:0.55-0.81). Among the community-level factors, high community-level literacy (aOR=0.56, 95% CI: 0.34-0.92) and moderate community socioeconomic status (aOR=0.62, 95% CI: 0.45-0.85) were significantly associated with lower odds of reporting barriers to access health care services. Conclusion and Implications for Translation: The findings revealed high barriers to access health care services, and both individual- and community-level factors were significant contributing predictors. Therefore, it is important to consider multidimensional strategies and interventions to facilitate access to health care services in Ethiopia.   Copyright © Zegeye et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License CC BY 4.0.

scholarly journals Informing the Children When a Parent Is Diagnosed as Having Multiple Sclerosis

2015 ◽  
Vol 17 (1) ◽  
pp. 42-48 ◽  
Author(s):  
Ylva Nilsagård ◽  
Katrin Boström
Keyword(s):  
Multiple Sclerosis ◽  
Health Care ◽  
Focus Group ◽  
Health Care Professionals ◽  
Health Care Services ◽  
Disease Course ◽  
Focus Group Interviews ◽  
Care Services ◽  
Disease Information ◽  
Group Interviews

Background: The aim of this study was to gain an understanding of how health-care services can support the empowerment of children when a parent is diagnosed as having multiple sclerosis (MS). The study focuses on what information parents with MS, their partners, and their children desire from health-care professionals. Methods: Focus group interviews were conducted with nine adolescents, nine parents with diagnosed MS, and five partners representing members of ten families. Results: The main finding was that parents with MS, their partners, and the adolescents stressed their need to be well informed about the disease. Information should be provided at the time of diagnosis and then offered regularly throughout the disease course. The information should be suited to the recipient's level of maturity and individualized to reflect the parent's clinical picture. Conclusions: It is usually beneficial for children if their parents feel informed about the illness and encourage their children to ask questions and discuss the situation. This knowledge, gained from several sources, is likely to be of value for health-care professionals and their ongoing efforts to improve services for parents with MS, their partners, and their children.

Factors Associated With the Overuse or Underuse of Health Care Services Among Medical Aid Beneficiaries in Korea

2011 ◽  
Vol 28 (4) ◽  
pp. 190-203 ◽  
Author(s):  
Yang Heui Ahn ◽  
Eui Sook Kim ◽  
Ok Kyung Ham ◽  
Soo Hyun Kim ◽  
Seung Sik Hwang ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Medical Aid ◽  
Factors Associated ◽  
Care Services

scholarly journals Barriers to the Accessibility and Continuity of Health-Care Services in People with Multiple Sclerosis

2017 ◽  
Vol 19 (6) ◽  
pp. 313-321 ◽  
Author(s):  
Chungyi Chiu ◽  
Malachy Bishop ◽  
J.J. Pionke ◽  
David Strauser ◽  
Ryan L. Santens
Keyword(s):  
Multiple Sclerosis ◽  
Health Care ◽  
Health Care Delivery ◽  
Health Care Access ◽  
Health Care Services ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Major Barrier ◽  
Care Services ◽  
Full Text Review

Background: Individuals with multiple sclerosis (MS) face a range of barriers to accessing and using health-care services. The aim of this review was to identify specific barriers to accessing and using health-care services based on a continuum of the health-care delivery system. Methods: Literature searches were conducted in the PubMed, PsycINFO, CINAHL, and Web of Science databases. The following terms were searched as subject headings, key words, or abstracts: health care, access, barriers, physical disability, and multiple sclerosis. The literature search produced 361 potentially relevant citations. After screening titles, abstracts, and citations, eight citations were selected for full-text review. Results: Health-care barriers were divided into three continuous phases of receiving health care. In the before-visit phase, the most commonly identified barrier was transportation. In the during-visit phase, communication quality was the major concern. In the after-visit phase, discontinued referral was the major barrier encountered. Conclusions: There are multiple interrelated barriers to accessing and using health-care services along the health-care delivery continuum for people with MS and its associated physical disabilities, ranging from complex and long-recognized barriers that will likely require extended advocacy to create policy changes to issues that can and should be addressed through relatively minor changes in health-care delivery practices, improved care coordination, and increased provider awareness, education, and responsiveness to patients' needs.

scholarly journals Economic sanctions against Iran as an important factor in threatening the health of patients with multiple sclerosis

2021 ◽  
Author(s):  
Mohammad Ali Sahraian ◽  
Abdorreza Naser Moghadas ◽  
Sharareh Eskandarieh
Keyword(s):  
Multiple Sclerosis ◽  
Health Care ◽  
Stress Level ◽  
Health Care Services ◽  
Health Care Quality ◽  
Economic Sanctions ◽  
Cross Sectional Study ◽  
Care Quality ◽  
Cross Sectional ◽  
Care Services

Background: After intensified economic sanctions against Iran, decreased welfare of patients were more recognizable. The present study was aimed at identifying the challenges and stress level experienced by patients with multiple sclerosis (MS) regarding treatment and health care services in 2018-2019 after strengthening of economic sanctions against Iran. Methods: A cross-sectional study was conducted on MS patients in Tehran, Iran. A structured questionnaire was designed to measure the main variables addressing the challenges and stress level of MS patients with respect to receiving care and treatment services. Results: In total, 1039 MS patients were enrolled into the study. Among the patients who answered yes to the questions, 873 (85.8%) and 837 (86%) were concerned about medicine unavailability and supply and purchase of internationally branded medicine, respectively. Moreover, 671 (70.3%) subjects were concerned about replacing their medicines with cheaper alternatives due to financial problems and 427 (41.4%) were unwilling to continue their treatment due to the economic burden of MS. In total, 795 (82%) were concerned about the effectiveness of Iranian drugs in comparison with internationally branded drugs. Generally, 970 (93.53%) subjects had experienced increased current living costs and 711 had experienced (68.82%) reduced nutrition quality, which (OR: 2.68; 95% CI: 1.99, 3.60) was significantly higher among subjects who had an income of less than or equal to 250 US$ per month. Conclusion: The sanctions can impose greater stress and hardship on patients due to the unavailability and costs of medicines. Iran should manage health care quality and provide services to prevent the adverse effects of sanctions on MS patients and guarantee patients’ right to receive well-established medication and health services.  

scholarly journals Multiple Sclerosis And Maternity: A Psychological Explorative Qualitative Research

2020 ◽  
Author(s):  
Maria Carlino ◽  
Roberta Lanzillo ◽  
Alessandro Chiodi ◽  
Roberto Vitelli ◽  
Luigi Lavorgna ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Health Care ◽  
Health Care Services ◽  
Life Project ◽  
Personal Meanings ◽  
Care Services ◽  
Health Agencies ◽  
Definition Of ◽  
Experience Of Illness ◽  
The Relationship

Considering women living with multiple sclerosis (MS), motherhood may represent a complicated event. Our aim in this study is to explore the personal meanings related to maternity and illness in women living with this disease. We have involved twenty women suffering from MS and we have administered an open interview introduced by a trigger question as a prompt aimed to elicit a narrative of their experience of illness, wishes, doubts, fears and life-projects with regard to motherhood. The interviews were audio-recorded and transcribed verbatim in order to carry out an analysis of the textual corpus. We have performed the textual analysis of the transcribed interviews through the T-LAB software. Performing a cluster analysis, four thematic clusters emerged: Daily Pain, Relationship with Health Care Services, Closing of a Circle and Family Role. We have interpreted the relationship between these themes using factorial mapping through 3 meaning vectors, representative of the following dynamics: From Concrete to Abstract; From Life-Project to Relapse; From Health Agencies to Family Support. All these meaning-vectors seem to describe the relationship between maternity and illness. Some aspects, as the presence of a stable partner or knowing diagnosis for more than ten years, might represent supporting factors for a project of motherhood. Starting from the results obtained, we provide some proposals for the definition of goals and strategies of psychological counselling within the Health Care Services.

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