Communication in View of Limited Resources: International Perspective

2013 ◽  
pp. 157-161
Author(s):  
Matjaz Zwitter
Keyword(s):  
Health Care ◽  
Low Socioeconomic Status ◽  
Financial Burden ◽  
Treatment Plan ◽  
International Perspective ◽  
Limited Resources ◽  
Her Family ◽  
Cancer Management ◽  
Incurable Disease ◽  
The Individual

Low socioeconomic status is associated with several risk factors for cancer, including a higher risk of presentation with advanced and often incurable disease. Treating patients in areas with limited resources requires not only the goal of saving or prolonging life, but also to alleviate suffering, including physical, emotional, and social components. Because complete coverage of all costs for modern cancer management by local institutions or governments is not possible in most (if not all) areas, most patients with cancer have to contribute toward the costs of their treatment. However, the demand for financially sustainable health care leads to restrictions in the spectrum of available treatments and often results in the creation of waiting lists for people requiring treatment. Communication between patients and providers in such circumstances is often challenging, especially when coupled with patients who have limited or no health care insurance and/or lack any ability to pay for services. Ultimately, any treatment plan should take into account the risks, benefits, personal goals, and beliefs of the individual with cancer. In areas of limited resources, the financial burden of treatment placed on the patient and his or her family must also be a part of the conversation and decisions regarding therapy. Within these parameters, sharing information and options becomes an indispensable condition for communication and the foundation of trust in the doctor–patient relationship.

scholarly journals Meanings attributed to complications of ostomy and skin peristhectomy in a public reference service in the Cariri region

2019 ◽  
Author(s):  
Yterfania Feitosa ◽  
Luis Sampaio ◽  
Déborah Moreira ◽  
Francisco Mendonça ◽  
Maria Viana ◽  
...  
Keyword(s):  
Health Care ◽  
Mobile App ◽  
Educational Process ◽  
Interpersonal Process ◽  
Her Family ◽  
Descriptive Research ◽  
Referral Service ◽  
Reference Service ◽  
Peristomal Skin ◽  
The Individual

Objectives: To present the meanings attributed by participants or their caregivers in relation to complications of the ostomy and peristomal skin in a referral service in the Cariri region. Methods: Descriptive research, of a qualitative nature, composed of 24 participants with intestinal ostomies. The data were collected in the period of March and June of 2018 in the Service of Health Care of the Person with Ostomy located in the city of Juazeiro do Norte, state of Ceará. The interviews were guided by a structured script and recorded through a mobile app. During the data analysis, participants’ answers were transcribed in its full. Results: From the report of the participants, the following meanings for the complications of the ostomy and peristomal skin emerged: aspects related to the quality of the collecting equipment, such as time of permanence of the bag, type of bag and adhesiveness; fragility in the educational process; and effectiveness of surgical procedures. Conclusion: The provision of specialized assistance is necessary so that the orientations of the professionals are directed to the individual needs of each participant, since health care is based on an interpersonal process centered on the integral care of the individual and his or her family.

Pediatric pain

2015 ◽  
pp. 940-958
Author(s):  
Mary Layman-Goldstein ◽  
Dana Kramer
Keyword(s):  
Pain Control ◽  
Treatment Plan ◽  
Integrated Treatment ◽  
Developmental Level ◽  
Pediatric Pain ◽  
Individual Child ◽  
Her Family ◽  
Life Threatening Illness ◽  
Life Threatening ◽  
The Individual

To prevent suffering for children and their families, nurses and other healthcare professionals must apply the most up-to-date techniques of pain assessment and management to all children they care for, especially from the time a child receives a diagnosis of a potentially life-threatening illness through his or her survival or death. By application of an integrated treatment plan that is based on the developmental level of the individual child, involves his or her family, and uses both pharmacological and nonpharmacological interventions, optimal pain control is possible.

scholarly journals How Socioeconomic Status Affects Patient Perceptions of Health Care: A Qualitative Study

2017 ◽  
Vol 8 (3) ◽  
pp. 169-175 ◽  
Author(s):  
Nicholas C. Arpey ◽  
Anne H. Gaglioti ◽  
Marcy E. Rosenbaum
Keyword(s):  
Health Care ◽  
Socioeconomic Status ◽  
Low Socioeconomic Status ◽  
Health Care Disparities ◽  
Clinical Decision Making ◽  
Care Delivery ◽  
Clinical Decision ◽  
Clinician Bias ◽  
Low Socioeconomic ◽  
The Individual

Introduction: Clinician perceptions of patients with low socioeconomic status (SES) have been shown to affect clinical decision making and health care delivery in this group. However, it is unknown how and if low SES patients perceive clinician bias might affect their health care. Methods: In-depth interviews with 80 enrollees in a state Medicaid program were analyzed to identify recurrent themes in their perceptions of care. Results: Most subjects perceived that their SES affected their health care. Common themes included treatment provided, access to care, and patient-provider interaction. Discussion: This study highlights complex perceptions patients have around how SES affects their health care. These results offer opportunities to reduce health care disparities through better understanding of their impact on the individual patient-provider relationship. This work may inform interventions that promote health equity via a multifaceted approach, which targets both providers and the health care system as a whole.

scholarly journals A New and Worrisome Predictor of Attitudes Toward Suicide: Self-Rated Health

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 381-381
Author(s):  
Julene Cooney
Keyword(s):  
General Social Survey ◽  
Her Family ◽  
Self Rated Health ◽  
Incurable Disease ◽  
Education Levels ◽  
Vital Component ◽  
Attitudes Toward Suicide ◽  
The Individual ◽  
The Right ◽  
Physician Patient

Abstract Do people have the right to end their own lives? The General Social Survey has monitored the attitudes of Americans towards suicide since 1977 using four questions: Do you think a person has the right to end his or her own life if this person has an incurable disease, has gone bankrupt, has dishonored his or her family, or is tired of living and ready to die? These four responses can be combined into a reliable index representing an individual’s attitude toward suicide. As average population education levels have increased and religiosity has fallen, attitudes favoring the right to suicide have increased across the population. This research project introduces a previously understudied predictor of attitudes toward suicide: self-rated health. Using logistic and ordinal logistic regression, and controlling for age, education level, religiosity, marital status, survey year, race, and sex, I find that, over time, self-rated health has become a significant predictor of attitudes toward suicide. Since 2002, respondents who perceived themselves to be in poor health are significantly more likely to favor the right to end one’s life, especially if the individual has an incurable disease. After stratifying by age and race, I find that the relationship between self-rated health and attitudes toward suicide is strongest among individuals in the mid-life and is equally significant as a predictor for White and Black Americans after 2010. These findings provide further evidence that mental health screening is an increasingly vital component of physician/patient interactions and highlight the importance of continuity of care.

scholarly journals Contributions of family physicians to health care services in Nigeria

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Tijani I.A. Oseni ◽  
Tawakalit O. Salam ◽  
Akinfemi J. Fatusin
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Family Physicians ◽  
Tertiary Hospital ◽  
Health Care Facilities ◽  
Her Family ◽  
Care Services ◽  
District Hospitals ◽  
The Individual ◽  
Care Problems

In Nigeria, family physicians are doctors with specialised training to manage a broad range of clinical conditions and pathologies when they first present, considering the psychosocial, economic, cultural and environmental context of the individual and his or her family. In Nigeria, family physicians may be found at district hospitals but are more likely to be located at tertiary health care facilities, where their roles in medical education, research and clinical services cannot be overemphasised. Many patients present to tertiary facilities with primary-care problems, bypassing primary and secondary care. They are often seen initially by family physicians in general outpatient clinics, where 70% of all problems are managed without referral to other specialists. These physicians are also in charge of most of the National Health Insurance Scheme (NHIS) clinics nationwide. They are thus the gatekeepers to the majority of tertiary hospital services.

Navigating the health care system: perceptions of patients with chronic pain

2009 ◽  
Vol 29 (4) ◽  
pp. 162-168
Author(s):  
AL Dewar ◽  
K Gregg ◽  
MI White ◽  
J Lander
Keyword(s):  
Health Care ◽  
Chronic Pain ◽  
Health Care System ◽  
Health Care Professionals ◽  
Primary Care Physicians ◽  
Treatment Compliance ◽  
Care Utilization ◽  
Semistructured Interviews ◽  
The Individual ◽  
Care System

A new framework is needed for patients with chronic pain and their primary care physicians that acknowledges the individual’s experiences and provides evidence-informed education and better linkages to community-based resources. This study describes the experience of 19 chronic-pain sufferers who seek relief via the health care system. Their experiences were recorded through in-depth semistructured interviews and analyzed through qualitative methods. The participants reported early optimism, then disillusionment, and finally acceptance of living with chronic pain. Both individuals with chronic pain and their health care professionals need evidence-informed resources and information on best practices to assist them to manage pain. Empathetic communication between health care professionals and individuals with chronic pain is crucial because insensitive communication negatively affects the individual, reduces treatment compliance and increases health care utilization.

Optimization of the care model for elderly in Poland

Physiotherapy ◽  
2013 ◽  
Vol 21 (4) ◽  
Author(s):  
Felicja Lwow ◽  
Małgorzata Korzeniowska ◽  
Joanna Dadacz ◽  
Ewa Hladik ◽  
Agata Łukojko ◽  
...  
Keyword(s):  
Health Care ◽  
Chronic Conditions ◽  
Institutional Care ◽  
Developed Countries ◽  
Social Aspect ◽  
Age Group ◽  
Care Needs ◽  
Optimal Health ◽  
Health Care Models ◽  
The Individual

AbstractThe demographic situation of Poland as well as other developed countries shows a growing number of people at retirement age. According to the data from GUS (Central Statistical Office), their number reached 6.5 mln in Poland in 2011, and the prognosis for shows 8,3 mln by the year 2035. The consequence of this fact is a necessity of including the specificity of this age group in the functioning of Polish health care as well as in preventive medicine and health promotion. Unifying the health needs of this age group would be disadvantageous due to the diversification of physical efficiency level in the psychosomatic and social aspect. Nevertheless, the key problem is to distinguish the optimal health care models which include not only chronic conditions and dysfunctions but also the quality of life and socially independent life style that guarantee the lack of isolation and social exclusion. Distinguishing the four action models, namely people considered as healthy by the system, autonomously functioning people with chronic conditions, and people who need other people or institutional care to function in a society, seems to cover the individual needs of this group. Concluding, the National Health Care needs to work out some proceeding algorithms for these models. The optimal program adjustment for the needs of the target group would most certainly improve the effectiveness of the Health Care.

An International Perspective on Health Care: The Case for Terms Abroad for Future Physicians

1997 ◽  
Vol 3 (1) ◽  
pp. 164-169
Author(s):  
Terry S. Weiner
Keyword(s):  
Health Care ◽  
Health Care System ◽  
International Perspective ◽  
Modern State ◽  
Care System ◽  
The Way

As David Hornung and Cathy Shrady demonstrate in their paper in this volume on different healing traditions, societies differ on how they define illness and health, how they explain the lack of health, and in how they apply local values to problems of health. The purpose of this paper is to expand this insight to some larger issues, including the role played by the health care system, as organized by the modern state, in the way physicians do their work. 

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