scholarly journals Nurses' knowledge of universal health coverage for inclusive and sustainable elderly care services

2016 ◽  
Vol 24 (0) ◽  
Author(s):  
Fabian Ling Ngai Tung ◽  
Vincent Chun Man Yan ◽  
Winnie Ling Yin Tai ◽  
Jing Han Chen ◽  
Joanne Wai-yee Chung ◽  
...  
Keyword(s):  
Universal Health Coverage ◽  
Elderly Care ◽  
Healthcare Policy ◽  
Health Coverage ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Care Services ◽  
Universal Health ◽  
Nurses Knowledge

Objectives: to explore nurses' knowledge of universal health coverage (UHC) for inclusive and sustainable development of elderly care services. Method: this was a cross-sectional survey. A convenience sample of 326 currently practicing enrolled nurses (EN) or registered nurses (RN) was recruited. Respondents completed a questionnaire which was based on the implementation strategies advocated by the WHO Global Forum for Governmental Chief Nursing Officers and Midwives (GCNOMs). Questions covered the government initiative, healthcare financing policy, human resources policy, and the respondents' perception of importance and contribution of nurses in achieving UHC in elderly care services. Results: the knowledge of nurses about UHC in elderly care services was fairly satisfactory. Nurses in both clinical practice and management perceived themselves as having more contribution and importance than those in education. They were relatively indifferent to healthcare policy and politics. Conclusion: the survey uncovered a considerable knowledge gap in nurses' knowledge of UHC in elderly care services, and shed light on the need for nurses to be more attuned to healthcare policy. The educational curriculum for nurses should be strengthened to include studies in public policy and advocacy. Nurses can make a difference through their participation in the development and implementation of UHC in healthcare services.

scholarly journals Evaluation of the Participation of Community Pharmacists in Primary Healthcare Services in Nigeria: A Mixed-Method Survey

2020 ◽  
Author(s):  
Maduabuchi R. Ihekoronye ◽  
Kanayo P. Osemene
Keyword(s):  
Service Quality ◽  
Universal Health Coverage ◽  
Primary Healthcare ◽  
Financial Incentives ◽  
Weighted Average ◽  
Community Pharmacists ◽  
Health Coverage ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Universal Health

Background: Achieving universal health coverage in poorly-resourced settings like Nigeria demands optimal mobilization of all healthcare resources including community pharmacists. Such efforts are hampered by insufficient data on primary healthcare (PHC) contributions by community pharmacists. The study aimed to identify PHC services offered by community pharmacists; assess impact of technologies on PHC service quality; and evaluate factors influencing management of PHC services in Nigeria. Methods: A descriptive cross-sectional survey of 321 community pharmacies and 642 clients was undertaken between April and August, 2019. Semi-structured pre-tested questionnaires were administered on randomly-selected community pharmacists and clients. Interviews were conducted with key informants. Data were summarized using frequency and percentages while weighted averages on 5-point ordinal scales and chi-square tests were used to identify weights and associations between variables respectively at P<.050. Results: Response rates of pharmacists and clients were 74.7% (N=321) and 100% (N=642); while their median ages were 39.41 and 51.20 years respectively. Community pharmacists offered services in all eight domains of PHC, especially supply of medicines for treating of endemic diseases (mean weighted average [MWA]=4.59), and disease prevention (4.54) but least of vaccine administration (2.39). Blood glucose screening devices were the most adopted technology with significant impact on service quality (χ2 6.86, P=.030). Major challenges to management of PHC services were poor awareness of pharmacists’ roles (4.31) and lack of integration with the PHC infrastructure (4.31). Capacity constraints in finances (4.11), technologies (4.09), and human resources (3.99) were significant. However, major facilitators were pharmacists’ managerial skills (4.35), and strong client relationships (4.27). Conclusion: In Nigeria, community pharmacists offered important PHC services. Deploying technologies were associated with improved service quality. If community pharmacists are integrated in the national PHC architecture and financial incentives are provided, their competences and goodwill would enhance the achievement of universal health coverage.

scholarly journals Predictors of the Use of Traditional Medicines in the Universal Health Coverage System in Indonesia

2021 ◽  
Vol 13 (6) ◽  
pp. 24
Author(s):  
Yen Yen Sally Rahayu ◽  
Tetsuya Araki ◽  
Dian Rosleine
Keyword(s):  
Rural Communities ◽  
Universal Health Coverage ◽  
Rural Areas ◽  
Multivariate Logistic Regression Analysis ◽  
Healthcare Services ◽  
Health Coverage ◽  
Formal Sector ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Universal Health

Background: Indonesia has committed to achieving Universal Health Coverage (UHC) and introduced national health insurance (JKN) to meet that commitment. Despite the increasing availability of healthcare services under the JKN scheme, traditional medicine (TM) continues to be a significant part of healthcare for Indonesians. In the context of the UHC system, this study aims to examine the predictors of TM use among urban and rural communities in Indonesia. Methods: A cross-sectional survey was conducted using a semi-structured questionnaire targeting urban and rural communities. A total of 926 households were randomly selected to participate in the survey. Multivariate logistic regression analysis was used to identify the significant predictors of TM use. Results: Multivariate analysis revealed the following variables to be predictive of TM use, namely, rural residence, being more educated, experiencing some health problem, demonstrating ethnomedical knowledge, having a favourable opinion about the safety and efficacy of TM and holistic orientation to health.&nbsp; On the other hand, working in the formal sector was associated with lower odds of using TM compared to those who were employed in the informal sector. Conclusion: People&rsquo;s experience, personal attributes, and attitude towards TM, rather than dissatisfaction with healthcare service, predicted the likelihood of using TM in the UHC system in Indonesia. This finding also implies the underutilisation of JKN services by the insured TM users living in rural areas. Considering the community&rsquo;s strong preferences for TM, this paper argues that its inclusion in the JKN system may increase the utilisation of the JKN service.

scholarly journals Equity in access to non-communicable disease medicines: a cross-sectional study in Kenya

2018 ◽  
Vol 3 (3) ◽  
pp. e000828 ◽  
Author(s):  
Peter C Rockers ◽  
Richard O Laing ◽  
Veronika J Wirtz
Keyword(s):  
Health Facility ◽  
Universal Health Coverage ◽  
Access To Medicines ◽  
Household Wealth ◽  
Health Coverage ◽  
Cross Sectional ◽  
Household Asset ◽  
Equity In Access ◽  
The Relationship ◽  
Universal Health

IntroductionWealth-based inequity in access to medicines is an impediment to achieving universal health coverage in many low-income and middle-income countries. We explored the relationship between household wealth and access to medicines for non-communicable diseases (NCDs) in Kenya.MethodsWe administered a cross-sectional survey to a sample of patients prescribed medicines for hypertension, diabetes or asthma. Data were collected on medicines available in the home, including the location and cost of purchase. Household asset information was used to construct an indicator of wealth. We analysed the relationship between household wealth and various aspects of access, including the probability of having NCD medicines at home and price paid.ResultsAmong 639 patients interviewed, hypertension was the most prevalent NCD (69.6%), followed by diabetes (22.2%) and asthma (20.2%). There was a positive and statistically significant association between wealth and having medicines for patients with hypertension (p=0.020) and asthma (p=0.016), but not for diabetes (p=0.160). Poorer patients lived farther from their nearest health facility (p=0.050). There was no relationship between household wealth and the probability that the nearest public or non-profit health facility had key NCD medicines in stock, though less poor patients were significantly more likely to purchase medicines at better stocked private outlets. The relationship between wealth and median price paid for metformin by patients with diabetes was strongly u-shaped, with the middle quintile paying the lowest prices and the poorest and least poor paying higher prices. Patients with asthma in the poorest wealth quintile paid more for salbutamol than those in all other quintiles.ConclusionThe poorest in Kenya appear to face increased barriers to accessing NCD medicines as compared with the less poor. To achieve universal health coverage, the country will need to consider pro-poor policies for improving equity in access.

scholarly journals Universal Health Coverage in Rural Ecuador: A Cross-sectional Study of Perceived Emergencies

1996 ◽  
Vol 19 (5) ◽  
pp. 889-900 ◽  
Author(s):  
Martin Eckhardt ◽  
Dimitri Santillán ◽  
Tomas Faresjö ◽  
Birger Forsberg ◽  
Magnus Falk
Keyword(s):  
Universal Health Coverage ◽  
Cross Sectional Study ◽  
Health Coverage ◽  
Sectional Study ◽  
Cross Sectional ◽  
Universal Health

scholarly journals Accessibility of medications by chronically ill older patients: a cross-sectional assessment of universal health coverage in Nigeria

2018 ◽  
Vol 6 ◽  
pp. S35
Author(s):  
Amara Frances Chizoba ◽  
Chukwuemeka Okekeze ◽  
Chinedu J Asiegbu ◽  
Collins Anyigor ◽  
Kingsley Nshiowo ◽  
...  
Keyword(s):  
Universal Health Coverage ◽  
Older Patients ◽  
Chronically Ill ◽  
Health Coverage ◽  
Cross Sectional ◽  
Universal Health

scholarly journals Roles and reimbursement of pharmacists as South Africa transitions towards Universal Health Coverage (UHC): An online survey-based study

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0257348
Author(s):  
Vivian Naidoo ◽  
Fatima Suleman ◽  
Varsha Bangalee
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Universal Health Coverage ◽  
Health Care Services ◽  
Online Survey ◽  
Health Coverage ◽  
Care Services ◽  
Primary Health ◽  
Comprehensive Service ◽  
Universal Health

Background The implementation of Universal Health Coverage in SA has sought to focus on promoting affordable health care services that are accessible to all citizens. In this regard, pharmacists are expected to play a pivotal function in the revitalization of primary health care (PHC) during this transition by the expansion of their practice roles. Objectives To assess the readiness and perceptions of pharmacists to expand their roles in an integrated health care system. To determine the availability and pricing of primary health care services currently provided within a community pharmacy environment and to evaluate suitable reimbursement for the provision of such services by a community pharmacist. Methods Community pharmacists’ across SA were invited to participate in an online survey-based study. The survey consisted of both open- and closed-ended questions. Descriptive statistics for closed-ended questions were generated and analysed using Microsoft Excel® and Survey Monkey®. Responses for the open-ended questions were transcribed, analysed, and reported as emerging themes. Results Six hundred and sixty-four pharmacists’ responded to the online survey. Seventy-five percent of pharmacists’ reported that with appropriate training, a transition into a more patient-centered role might be beneficial in the re-engineering of the PHC system. However, in order to adopt these new roles, appropriate reimbursement structures are required. The current fee levied by pharmacists in community pharmacies that offered these PHC services was found to be lower to that recommended by the South African Pharmacy Council; this disparity is primarily due to a lack of information and policy standardisation. Therefore, in order to ensure that fees levied are fair, comprehensive service package guidelines are required. Conclusions This study provides baseline data for policy makers on pharmacists’ readiness to transition into expanded roles. Furthermore, it can be used as a foundation to establish appropriate reimbursement frameworks for pharmacists providing PHC services.

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