scholarly journals Outlining the therapeutic itineraries of children with disabilities in the professional health care subsystem

2022 ◽  
Vol 75 (3) ◽  
Author(s):  
Andreia Chaves Farias ◽  
Evanira Rodrigues Maia ◽  
Milena Silva Costa ◽  
Maria Rosilene Cândido Moreira ◽  
Joseph Dimas de Oliveira ◽  
...  
Keyword(s):  
Health Care ◽  
Qualitative Research ◽  
Access To Health Care ◽  
Children With Disabilities ◽  
Health Care Systems ◽  
Hierarchical Classification ◽  
Access To Health ◽  
Care Systems ◽  
Professional Health ◽  
Life Path

ABSTRACT Objectives: to identify the outlining of therapeutic itineraries of families of children with disabilities in the professional health care subsystem. Methods: qualitative research carried out in two specialized services in the state of Ceará, with 41 family members interviewed using the life path technique and reports submitted to descending hierarchical classification and similitude analysis, with the help of the IRaMuTeQ software and the theoretical framework of health care systems. Results: the classes described the families’ itineraries in five paths, related to faith, support structures, medical behaviors, professionals, and health services. The professional subsystem stood out as deficient in outlining the therapeutic itinerary for access to health care for children with disabilities, without promoting integration between services in the Care Network. Final considerations: the families’ therapeutic itineraries showed homogeneous discourse with themes related to the care of professionals and spiritual aspects.

scholarly journals Forum: equity in access to health care. Introduction

2008 ◽  
Vol 24 (5) ◽  
pp. 1159-1161 ◽  
Author(s):  
Claudia Travassos
Keyword(s):  
Health Care ◽  
Health Care Access ◽  
Health Care Professionals ◽  
Access To Health Care ◽  
Health Care Systems ◽  
Care Access ◽  
Unethical Practices ◽  
Access To Health ◽  
Care Systems ◽  
Equity In Access

The Introduction outlines this issue's special Forum on equity in access to health care, including three Articles and a Postscript. The Forum represents a continuation of the debates raised during a seminar organized by the Oswaldo Cruz Foundation in the city of Rio de Janeiro, Brazil, in 2006, in collaboration with UNICEF, UNDP, World Bank, the WHO Special Program for Research and Training in Tropical Diseases, and the United Nations Research Institute for Social Development. The authors approach health care access and equity from a comprehensive and contemporaneous perspective, introducing a new conceptual framework for access, in which information plays a central role. Trust is proposed as an important value for an equitable health care system. Unethical practices by health administrators and health care professionals are highlighted as hidden critical aspects of inequities in health care. As a whole, the articles represent a renewed contribution for understating inequalities in access, and for building socially just health care systems.

scholarly journals Access to Health Care and the Out‑of‑Pocket Burden of the European Elderly

2016 ◽  
Vol 64 (6) ◽  
pp. 1961-1970
Author(s):  
Veronika Krůtilová
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Health Care Systems ◽  
Unmet Need ◽  
Critical Issue ◽  
Factors Affecting ◽  
Care Burden ◽  
Access To Health ◽  
Health Care Burden ◽  
Care Systems

Provision of access to health care is a desirable feature of health care systems. Access to health care is caused to be restricted whether out‑of‑pocket burden is too high. The paper focuses on the European elderly with restricted access to health care and evaluates their health care burden and determines factors affecting the burden. The data from the Survey of Health, Ageing and Retirement in Europe from the fifth wave is used. The methods of descriptive and multivariate analysis are applied. A linear regression model with a bootstrapped method is used. The results showed that inequalities in access to health care exist. Unmet need is a critical issue in Estonia and Italy. The highest burden is found in Estonia, Italy and Belgium. Chronic diseases and limitation in activities significantly contributes to health care burden. Expenditure on drugs, outpatient and nursing care have a significant effect on the burden. The effect is found to be insignificant for inpatient care. Income and the employment status is a preventing factor.

Access as a policy-relevant concept in low- and middle-income countries

2009 ◽  
Vol 4 (2) ◽  
pp. 179-193 ◽  
Author(s):  
DI MCINTYRE ◽  
MICHAEL THIEDE ◽  
STEPHEN BIRCH
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Health Care Policy ◽  
Comprehensive Evaluation ◽  
Health Care Systems ◽  
Three Dimensions ◽  
Middle Income ◽  
Middle Income Countries ◽  
Access To Health ◽  
Care Systems

Abstract:Although access to health care is frequently identified as a goal for health care policy, the precise meaning of access to health care often remains unclear. We present a conceptual framework that defines access to health care as theempowermentof an individual to use health care and as a multidimensional concept based on the interaction (or degree of fit) between health care systems and individuals, households, and communities. Three dimensions of access are identified: availability, affordability, and acceptability, through which access can be evaluated directly instead of focusing on utilisation of care as a proxy for access. We present the case for the comprehensive evaluation of health care systems as well as the dimensions of access, and the factors underlying each dimension. Such systemic analyses can inform policy-makers about the ‘fit’ between needs for health care and receipt of care, and provide the basis for developing policies that promote improvements in the empowerment to use care.

Inconsistent objectives – reflections on some selective health care policy developments in Europe

2007 ◽  
Vol 2 (1) ◽  
pp. 93-106 ◽  
Author(s):  
Adam Oliver
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Health Care Policy ◽  
Health Care Systems ◽  
Activity Levels ◽  
Eu Member States ◽  
Point Of Use ◽  
Access To Health ◽  
Care Systems ◽  
The Eu

Over the last two decades, there has been an increased focus among the health policy and research communities upon improving efficiency, in terms of activity levels and health outcomes, in the health care systems of the EU member states. In this article, some of these developments are described and to some extent assessed, and an attempt is made to highlight how they may serve to undermine more fundamental aspects of these systems: namely, that access to health care be universal and affordable at the point of use.

Reforming the Health Care System: The Universal Dilemma

1993 ◽  
Vol 19 (1-2) ◽  
pp. 21-36
Author(s):  
Uwe E. Reinhardt
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Access To Health Care ◽  
Universal Access ◽  
Health Care Systems ◽  
Care Providers ◽  
Access To Health ◽  
Global Budgets ◽  
Industrialized Nations ◽  
Care Systems

This Article surveys alternative approaches by which the advanced industrialized nations seek to cope with the twin problems that health care poses everywhere: the provision of universal access to health care and the control of national spending on health care. Although approaches to these twin problems vary considerably among nations at this time, there may well be a convergence toward a common approach in the next century. Under that approach, all health care systems will be subject to top-down global budgets and will put their health care providers into “statistical fishbowls” that reveal just how effectively these providers allocate the global budgets at their disposal.

Report from the United States: The U.S. Health Crisis Deepens amid Rising Inequality—A Review of Data, Fall 2011

2012 ◽  
Vol 42 (2) ◽  
pp. 161-175 ◽  
Author(s):  
Ida Hellander ◽  
Rohith Bhargavan
Keyword(s):  
Health Care ◽  
Health System ◽  
Access To Health Care ◽  
Health Care Systems ◽  
The United States ◽  
Health Crisis ◽  
Access To Health ◽  
Care Systems ◽  
Health Care Law ◽  
The U.S

This report presents information on the state of the U.S. health system in late 2011. The authors include data on the uninsured and the underinsured and their access to health care, socioeconomic inequality in care, the rising costs of the U.S. health system, and the role of corporate money in health care, with special reference to the pharmaceutical industry and the hospice industry. They also provide updates on Medicaid and Medicare and on the new federal health care law. Some information on health care systems elsewhere in the world is also included.

Beveridge, Bismarck and Southern European Health Care Systems: Can We Decide Which is the Best in EU-15? A Statistical Analysis

2017 ◽  
Vol 1 (1) ◽  
pp. 41
Author(s):  
Angeliki Moisidou
Keyword(s):  
Health Care ◽  
Statistical Analysis ◽  
Empirical Analysis ◽  
Access To Health Care ◽  
High Performance ◽  
Social Protection ◽  
Health Care Systems ◽  
Health Sector ◽  
Economic Cost ◽  
Care Systems

A statistical analysis has been conducted with the aim to elucidate the effect of health care systems (HSs) on health inequalities assessed in terms of (a) differential access to health care services and (b) varying health outcomes among different models of HSs in EU-15 ((Beveridge: UK, IE, SE, FI, DK), (Bismarck: DE, FR, BE, LU, AT, NL), (Southern European model: GR, IT, ES, PT)). In the effort to interpret the results of the empirical analysis, we have ascertained systematic differences among the HSs in EU-15. Specifically, it is concluded that countries with Beveridge HS can be characterized more efficient (than average) in the most examined correlations, showing particularly high performance in the health sector. Similarly, countries with Bismarck HS record fairly satisfactory performance, but simultaneously they display more structural weaknesses compared with the Beveridge model. In addition, our empirical analysis has shown that adopting Bismarck model requires higher economic cost, compared with the Beveridge model, which is directly financed by taxation. On the contrary, in the countries with Southern European HS, the lowest performances are generally identified, which can be attributed to the residual social protection that characterizes these countries. The paper concludes with a synthesis of the empirical findings of our research. It proposes some directions for further research and presents a set of implications for policymakers regarding the planning and implementation of appropriate policies in order to tackle health inequality within HSs.

Ensuring Access to Health Care for Children with Disabilities

1987 ◽  
Vol 317 (3) ◽  
pp. 162-165 ◽  
Author(s):  
John A. Butler ◽  
Sara Rosenbaum ◽  
Judith S. Palfrey
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Children With Disabilities ◽  
Access To Health
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