scholarly journals O cuidado na perspectiva singular das parteiras da região amazônica: estudo descritivo

2018 ◽  
Vol 16 (3) ◽  
pp. 256
Author(s):  
Angela Carla da Rocha Schiffler ◽  
Ana Lúcia Abrahão
Keyword(s):  
Health Care ◽  
Data Analysis ◽  
Focus Groups ◽  
Neonatal Mortality ◽  
Access To Health Care ◽  
The State ◽  
Creative Practice ◽  
The North ◽  
Access To Health ◽  
Core Sets

Problem:    geography  and  difficulty  of  access  to  health  care contribute to maternal and neonatal mortality in the North and Northeast of Brazil. Aim: to  identify  the  care  arrangements  used  during  labor  and  birth by  midwives  from  the Amazon.   Method:      15   midwives   from   the   cities   of   Manaus   and of   Vila   de Lindoia/Itacoatiara  region  took  part  in  two  focus  groups held  between  December  2015 and  March  2016.  Data  analysis  focused  on  three  cores  of  meaning and  the  use  of narratives.  Results:    most  of  the  arrangements  designed  to  assist women  occurred  in cities in the inner regions of the state of A mazonas, B razil. The midwives’ narratives were  based  around  three  core  sets  of  meanings:  Complicity  and  Recognition;  Midwife Memories,  and  Labor  and  Birth.  Conclusion:  midwives  build  a  logic  for  care  centered around women. It is an extensive and creative practice, available to sustain life during and after the birth.

scholarly journals HEALTH UNDER OCCUPATION Counter Strategies and Resistance Tactics of Palestinians and the Health System in the State of Palestine

2019 ◽  
Author(s):  
Sigge Andersson
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Health System ◽  
Access To Health Care ◽  
The State ◽  
Health Determinants ◽  
Theory Approach ◽  
Access To Health ◽  
The Impact

The impact of occupation on health and access to health care is a significant issue for the state, health sector and citizens of Palestine, who struggle with difficulties related to an enduring sociopolitical stalemate. The study presents narratives from the field, conceptually exploring if and how occupation affects health and access to health care and how the situation is tackled by Palestinians in general and by health system actors specifically. A grounded theory approach analyzing in-depth interviews with health staff and field memos was used, with semi-quantification of emerging concepts through surveys of Hebron students that assessed health-related quality of life and health literacy with psychometric instruments (SF36 and GSE) and assumed health determinants. One key theme in the data analysis was isolation as a result of multiple barriers, including the wall and checkpoints, imprisonment and violence, which have an impact on determinants of health and quality of life in Palestine. In the survey 54% (n=90) were affected by such factors of occupation. Barriers affect access to health care, especially in rural areas. Mentally and materially breaking free from barriers of occupation seems to be a common task in all levels of Palestinian society. Achieving this goal requires different counter strategies and tactics. Presently, Palestine depends on ad hoc coping strategies, including the use of mobile clinics. Other ways to cope emerged in the data as well. Results from this mixed-methods study suggest that isolation is a main concern for Palestinians, resulting from barriers in policies of occupation that affect health and access to health care. Another concept emerging from the analysis was tactics and strategies against occupation in society.

scholarly journals Asylum seekers’ and refugees’ experiences of accessing health care: a qualitative study

BJGP Open ◽  
2021 ◽  
pp. BJGPO.2021.0059
Author(s):  
Ashrafunnesa Khanom ◽  
Wadad Alanazy ◽  
Lauren Couzens ◽  
Bridie Angela Evans ◽  
Lucy Fagan ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Focus Groups ◽  
Asylum Seekers ◽  
Access To Health Care ◽  
Research Approach ◽  
Written Information ◽  
Access To Health ◽  
Qualitative Focus Groups ◽  
Asylum Seekers And Refugees

BackgroundAsylum seekers and refugees often experience poor health in host countries. The United Nations High Commissioner for Refugees requires hosts to ensure these sanctuary seekers have access to basic health care.AimTo identify barriers and facilitators that affect access to health care by asylum seekers and refugees in Wales.Design & settingParticipatory research approach using qualitative focus groups across Wales, which hosts 10,000 refugees..MethodEight focus groups with asylum seekers, refugees and support workers and volunteers.(n=57)ResultsSpecialist NHS-funded services and grant-aided Non-Governmental Organisations (NGOs) facilitate access to health care, including primary care. Most asylum seekers and refugees understand the role of general practice in providing and coordinating care but are unaware of services out of hours. Reported barriers include: language difficulties, health literacy, unrecognised needs, and the cost of travel to appointments. Participants recognise the importance of mental health, but were disappointed by the state of mental health care. Some fear seeking support for mental health from their GP, but few are aware they have the right to move practice if they were unhappy. Written information about health care is not as accessible to refugees as to asylum seekers. While some participants read such material before consulting, others struggle to access information when in need. Few participants are aware of health prevention services. Even when they know about services like smoking cessation, these services’ difficulty in accommodating asylum seekers and refugees is a barrier.ConclusionMain barriers are: availability of interpreters; knowledge about entitlements; and access to specialist services.

A Review of Data on the U.S. Health Sector Fall 2004

2005 ◽  
Vol 35 (2) ◽  
pp. 265-289 ◽  
Author(s):  
Ida Hellander
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Access To Health Care ◽  
Social Inequalities ◽  
Health Sector ◽  
The State ◽  
Term Care ◽  
Access To Health ◽  
Pharmaceutical Industries ◽  
The U.S

This report presents information on the state of the U.S. health sector in late 2004. It includes data on the uninsured and underinsured and their access to health care, underinsurance for long-term care and mental health, and the rising costs of health insurance and health care. The author presents data on the increasing social inequalities in health and access to health care; the role of corporate money in health and health care; and the hospital and pharmaceutical industries. The article also includes updates on the consequences of the Medicare prescription drug bill and the state of Medicare spending, and seniors' spending, on drugs; the results of some recent public opinion polls on health care; information on labor, labor unions, and health insurance; and some international comparisons of health insurance. The article concludes with some useful sources of information on single-payer, universal health care.

scholarly journals Disparities in Health in State of Haryana

2016 ◽  
Vol 3 (3) ◽  
Author(s):  
Dr. Tarun Bala
Keyword(s):  
Public Health ◽  
Health Care ◽  
Access To Health Care ◽  
Health Care Facilities ◽  
The State ◽  
Public Health Care ◽  
Public Health Services ◽  
Access To Health ◽  
Care Facilities ◽  
The Government

<div><p><em>Equitable health care is feasible through proper resource allocation and access to health care is resolute by health needs and utilization of public health services.</em><em> </em><em>Access to health care, as a determinant of health,  may be unequally distributed if over a period of time  proper policies and reforms are not introduced. Increasing urban-rural socio-economic disparities jeopardized the fairness in social welfare and particularly the equity of access to health care, which has been widely considered a key objective of health care policies, in turn putting the disadvantaged communities in especially vulnerable position by increasing their health risks. The present study is primarily concerned with the analyzing the progress/ availability of public health care facilities during the periods of development in the state of Haryana, India  and  differences in  District level health indicators while discussing the provision, availability, accessibility and utilization of health care facilities in the study area i.e. shortlisted from the State of Haryana. This study concludes disparities in health indictors over a period of time as disparities among the Districts /regions in the   availability of infrastructure and other health indictors. Though, the government has declared socially backwards Districts of Haryana, as  high priority Districts yet, the situation seems as it is and has sans improved or marginally improved .Similarly the lack of proper awareness w.r.t. utilization of available health care facilities  as provided by the Governments both Union and State also contributed to widening of disparities in some backward Districts of Haryana. There has been a dire  need to motivate the people about the proper utilization of available health care services provided by the respective Governments and reconsideration and Redressal of  the health issues  is also required at both levels -  consumption as well services providing provisions .  Access issues is  also essential for informing public decision- and policy-making aimed at  providing better life to its citizen. </em></p></div>

scholarly journals Equity in Health Care: A Qualitative Study with Refugees, Health Care Professionals, and Administrators in One Region in Germany

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Karolin Hahn ◽  
Jost Steinhäuser ◽  
Katja Goetz
Keyword(s):  
Health Care ◽  
Focus Groups ◽  
Health Care Professionals ◽  
Access To Health Care ◽  
Health Care Services ◽  
Population Group ◽  
Equity In Health ◽  
Care Services ◽  
Access To Health ◽  
Equity In Health Care

Introduction. Equity in health is an essential issue and it would appear that it is not guaranteed for all human beings, especially refugee groups. The aim of this qualitative descriptive study was to explore the experiences of refugees, health care professionals, and administrators of refugee health care in a host country. Methods. The study used qualitative methods which consisted of a convenience sample of stakeholders directly and indirectly involved in care for refugees and refugees themselves. The study participants were located in a rural area in the federal state of Schleswig-Holstein, Germany. Focus groups and interviews were conducted with 25 participants. A semistructured interview guideline was used for the focus groups and interviews. The data were evaluated using qualitative content analysis. Results. Four main categories were identified which are important for equity in health care: legal aspects, sociocultural aspects, environmental aspects, and communication aspects. Legal frameworks and language barriers were perceived as strong barriers for accessing health care. Conclusions. The findings suggest that the host countries should address the specific needs of this population group at a systemic and individual level. Based on the views of the participants interviewed it can be concluded that the refugee population group is particularly affected by limited access to health care services. Bureaucratic barriers, unfamiliarity with a new health system, and language issues all contribute to limiting access to health care services.

scholarly journals Adoption Of Telemedicine -need of the hour

JMS SKIMS ◽  
2020 ◽  
Vol 23 (3) ◽  
Author(s):  
Sridhar Chitturi
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Northern Territory ◽  
The State ◽  
Jammu And Kashmir ◽  
Small Communities ◽  
Healthcare Facilities ◽  
Limited Access ◽  
Remote Areas ◽  
Access To Health

I would like to describe our experience in telemedicine for the provision of health care in the Northern Territory of Australia and its relevance for the state of Jammu and Kashmir. Northern Territory is a large landmass spread over 1.4 million square kilometers with a population of only 250,000. Major healthcare facilities are located in cities of Darwin and Alice Springs with smaller hospitals in Katherine, Gove, and Tennant Creek. Many small communities are located in remote areas with limited access to health care. We have adopted telemedicine more than a decade ago and gradually scaled up the services which came handy during the latest pandemic due to SARS-CoV-2.

Using Technology to Improve Access to Health Care for Culturally and Linguistically Diverse Populations

2012 ◽  
Vol 19 (3) ◽  
pp. 71-76 ◽  
Author(s):  
Pauline A. Mashima
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Access To Health Care ◽  
Underserved Populations ◽  
Linguistically Diverse ◽  
Care Providers ◽  
Department Of Health ◽  
Use Of Technology ◽  
Access To Health ◽  
Improve Access

Important initiatives in health care include (a) improving access to services for disadvantaged populations, (b) providing equal access for individuals with limited or non-English proficiency, and (c) ensuring cultural competence of health-care providers to facilitate effective services for individuals from diverse racial and ethnic backgrounds (U.S. Department of Health and Human Services, Office of Minority Health, 2001). This article provides a brief overview of the use of technology by speech-language pathologists and audiologists to extend their services to underserved populations who live in remote geographic areas, or when cultural and linguistic differences impact service delivery.

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