scholarly journals Silencing of Voice: An Act of Structural Violence Urban Aboriginal Women Speak Out About Their Experiences with Health Care

2013 ◽  
Vol 4 (1) ◽  
pp. 53 ◽  
Author(s):  
Donna L. M. Kurtz ◽  
Jessie C. Nyberg ◽  
Susan Van Den Tillaart ◽  
Buffy Mills ◽  
The Okanagan Urban Aboriginal Health Res (OUAHRC)

This article reports some of the preliminary findings of an ongoing participatory research study exploring the provision of health and social services for urban Aboriginal communities in the Okanagan Valley. In particular, the article examines how colonial structures and systems have worked to silence Aboriginal women’s voices and how this has affected the ways in which urban Aboriginal women seek out health services. The article addresses these issues through the voices of the Aboriginal women in the study. The women’s stories reveal the many assumptions and inequities that contribute to their marginalization. They describe how their voices are often silenced when they access health services and how this can cause them to either delay seeking needed health advice or accept the status quo. The women’s stories are used to stress the importance and power of voice. This is most evident in their experiences accessing the health services offered through community-based Friendship Centres, where many felt they had more control over the care they received. In the context of this article, the impacts of colonization and the silencing of women’s voices are viewed as acts of structural violence. The women’s stories provide crucial insights into how health care provision can be changed to help prevent these acts of violence, thus leading the way to improved health for all urban Aboriginal populations.

2000 ◽  
Vol 35 (5) ◽  
pp. 477-478
Author(s):  
F. Randy Vogenberg

Managed health care has changed the way health services are provided and paid for. It is still evolving. Many pharmacists have already felt the impact of these changes. This continuing feature illuminates the many facets of managed care with special emphasis placed on how these changes may affect pharmacists working in health systems. The expertise provided by pharmacists will be needed to fulfill the potential of affordable, comprehensive, and quality health care as promised by managed care. Pharmacists must understand what is happening, why it is happening, and what is likely to happen in the future. To be an active and effective player, you must understand what is happening on the field.


2021 ◽  
Vol 4 (1) ◽  
pp. 442-452
Author(s):  
Patrycja Kabiesz ◽  
Joanna Bartnicka

Abstract The health care system should offer and provide a variety of services without undue delay. Due to numerous technical, financial and human resource constraints, not all services can be offered both without restrictions and in equal measure in places of different sizes of residence. As a result of qualitative and quantitative research, a map of accessibility to social and health services was drawn up, taking into consideration the division of the country into voivodeships with different population. Spatial analysis showed great diversity in terms of service availability. Voivodships with the highest accessibility of health and social services are Dolnośląskie, Opolskie and Świętokrzyskie, while the worst situation is in Wielkopolskie. Moreover, the article identifies the main problems that people with limited functionality encounter when using health and social services.


2021 ◽  
Vol 17 ◽  
pp. e3488
Author(s):  
Rosana Onocko-Campos ◽  
Larry Davidson ◽  
Manuel Desviat

The care of people with mental health problems requires health system and service reforms to build up proper mental health care. The challenges of the present moment continue to be immense. The viral pandemic that we are experiencing has exposed the fragility of our health and social services and certified the inequality and precariousness of the living conditions of many people. The collection of articles published in the journal Salud Colectiva as part of the open call for papers “Mental health and human rights: challenges for health services and communities,” includes articles from Spain, Brazil, Mexico, and Chile. These papers present conceptual experiences and reflections on community action plans and programs, contributing toward better knowledge and development of mental health in the region.


2000 ◽  
Vol 35 (4) ◽  
pp. 354-356
Author(s):  
F. Randy Vogenberg

Managed health care has changed the way health services are provided and paid for. It is still evolving. Many pharmacists have already felt the impact of these changes. This continuing feature illuminates the many facets of managed care with special emphasis placed on how these changes may affect pharmacists working in health systems. The expertise provided by pharmacists will be needed to fulfill the potential of affordable, comprehensive, and quality health care as promised by managed care. Pharmacists must understand what is happening, why it is happening, and what is likely to happen in the future. To be an active and effective player, you must understand what is happening on the field.


2001 ◽  
Vol 36 (7) ◽  
pp. 717-722
Author(s):  
F. Randy Vogenberg

Managed health care has changed the way health services are provided and paid for. It is still evolving. Many pharmacists have already felt the impact of these changes. This continuing feature illuminates the many facets of managed care with special emphasis placed on how these changes may affect pharmacists working in health systems. The expertise provided by pharmacists will be needed to fulfill the potential of affordable, comprehensive, and quality health care as promised by managed care. Pharmacists must understand what is happening, why it is happening, and what is likely to happen in the future. To be an active and effective player, you must understand what is happening on the field.


1969 ◽  
Vol 115 (522) ◽  
pp. 605-611 ◽  

The Royal Medico-Psychological Association has given its general support to the unification implied in the Green Paper on the Administrative Structure of the Medical and Related Services in England and Wales. This document specifically states that ‘the effective development of comprehensive services for them (categories including the mentally disordered) requires that all aspects of their health care should be the responsibility of a single authority’. In our Memorandum on this subject we stated ‘we accept the need for a single authority in each area to coordinate the wide range of health services, to plan the use of related services, and to apportion resources between care in the community and hospital care’.


2004 ◽  
Vol 9 (1) ◽  
pp. 1-25
Author(s):  
Imran Ashraf Toor ◽  
Muhammad Sabihuddin Butt

For the provision of better social services, the health sector has been an important part of national strategy for reducing poverty and income disparities among different income groups in Pakistan. The distribution of access to and use of health among households has been a long-standing concern among policy makers. In this study, government health expenditure is treated as a fixed factor that influences household health behaviour, conditional on such factors as household income, education, and family size. The results of the study suggest that government health expenditure is associated with higher use of both preventive and curative health services by children. The results also indicate that increased government expenditure is actually associated with lower use of health services by the children of the poor, although this negative association is generally weak. However, if increased government spending improves health care opportunities for the nonpoor more than for the poor, the total effect of government spending on the health outcomes of the poor could be less even though they have a higher marginal product of health care inputs.


2019 ◽  
Vol 43 (6) ◽  
pp. 712 ◽  
Author(s):  
Alexander C. L. Holden

The advertising of regulated health services to consumers is strictly regulated in Australia. The advertising prohibitions within the National Law that ban the use of testimonials relating to services provided by health practitioners have caused controversy, garnering mixed reactions from the health professions, health consumers and other stakeholders. Advertising that misleads health consumers may promote unnecessary and inappropriate engagement in health services and may therefore negatively affect consumers’ ability to exercise autonomous decisions relating to their care. This article considers policy implications relating to advertising with a focus on the use of testimonials, particularly those that are online. Although there would seem to be appetite for amending the current legislative framework, there is uncertainty as to the form change may take and the effect this could have. What is known about the topic? Testimonials relating to health care are a prohibited form of advertising, but a form still used by non-regulated health providers and those who are regulated but who are either ignorant of the law or defiant of its requirements. Views are split as to whether the restriction on consumer reviews of regulated health services is reasonable; frequently, arguments are put forward stating that the status quo inhibits consumers’ ability to discuss their care. Other jurisdictions outside Australia permit the use of patient reviews and testimonials. What does this paper add? This paper discusses the greater policy implications of the current restrictions within the National Law and analyses the arguments placed forward by different stakeholders from the health professions and those that consume health services. The ethical and market arguments surrounding advertising and testimonials are examined. Suggestions are then made as to the deficits in knowledge that presently exist relating to this area and the actions required before future policy may be developed. What are the implications for practitioners? Practitioners should be aware of the current restrictions upon advertising within regulated health services. This paper develops an understanding of the complex arguments surrounding advertising and testimonials in health care, as well as when testimonials may be permitted and not subject to the current regulations. Before any amendment to the current legislation is actioned, regulators should consider instead the need to develop an evidence-based approach to understanding the effects of health advertising on the decision making of healthcare consumers.


2020 ◽  
Vol 15 (3) ◽  
pp. 89-108
Author(s):  
Giulia Signorini ◽  
Nikolina Davidovic ◽  
Gwen Dieleman ◽  
Tomislav Franic ◽  
Jason Madan ◽  
...  

Purpose Young people transitioning from child to adult mental health services are frequently also known to social services, but the role of such services in this study and their interplay with mental healthcare system lacks evidence in the European panorama. This study aims to gather information on the characteristics and the involvement of social services supporting young people approaching transition. Design/methodology/approach A survey of 16 European Union countries was conducted. Country respondents, representing social services’ point of view, completed an ad hoc questionnaire. Information sought included details on social service availability and the characteristics of their interplay with mental health services. Findings Service availability ranges from a low of 3/100,000 social workers working with young people of transition age in Spain to a high 500/100,000 social workers in Poland, with heterogeneous involvement in youth health care. Community-based residential facilities and services for youth under custodial measures were the most commonly type of social service involved. In 80% of the surveyed countries, youth protection from abuse/neglect is overall regulated by national protocols or written agreements between mental health and social services, with the exception of Czech Republic and Greece, where poor or no protocols apply. Lack of connection between child and adult mental health services has been identified as the major obstacles to transition (93.8%), together with insufficient involvement of stakeholders throughout the process. Research limitations/implications Marked heterogeneity across countries may suggest weaknesses in youth mental health policy-making at the European level. Greater inclusion of relevant stakeholders is needed to inform the development and implementation of person-centered health-care models. Disconnection between child and adult mental health services is widely recognized in the social services arena as the major barrier faced by young service users in transition; this “outside” perspective provides further support for an urgent re-configuration of services and the need to address unaligned working practices and service cultures. Originality/value This is the first survey gathering information on social service provision at the time of mental health services transition at a European level; its findings may help to inform services to offer a better coordinated social health care for young people with mental health disorders.


2021 ◽  
Vol 9 (2) ◽  
pp. 259-278
Author(s):  
Parisa Yaghoub-Pour ◽  
Hosein Dadashzadeh Asl

It has been widely documented that refugees are one of the most vulnerable layers of society to health problems due to poor access to social services, as well as difficulties in housing and nutrition, poor living conditions, and abuse. The health services provided to IDPs are often inadequate and appropriate. Refugees and immigrants have difficulty accessing health care services, medicines, counselling, diagnosis, treatment and rehabilitation services almost all over the world. Today, inequality, regional struggles, and global shifts strongly reflect the ongoing problems of refugees and migrants and their future escalation. This study uses a qualitative research method with a literature approach. The results of the study stated that the settlement of matters regarding their stay, nutrition, accommodation and health services must be prepared in advance, and especially human rights must be respected. In this regard, the actions of governments, civil society organizations and universities at the regional and global levels will contribute to a better future of immigration.Keywords: Refugees and Immigrants; International Immigration; Health Law; Health problems; Health services; Convention Regarding the Status of Refugees Hak Kesehatan Pengungsi, Imigran dan Pencari Suaka AbstrakTelah banyak didokumentasikan bahwa pengungsi adalah salah satu lapisan masyarakat yang paling rentan terhadap masalah kesehatan karena buruknya mendapat layanan sosial, selain karena kesulitan dalam perumahan dan gizi, kondisi hidup yang buruk, dan adanya pelecehan. Pelayanan kesehatan yang diberikan kepada pengungsi seringkali tidak cukup dan layak. Pengungsi dan imigran mengalami kesulitan mengakses layanan perawatan kesehatan, obat-obatan, konseling, diagnosis, pengobatan dan layanan rehabilitasi hampir terjadi di seluruh dunia. Saat ini, ketidaksetaraan, perjuangan regional, dan pergeseran global sangat mencerminkan masalah pengungsi dan migran yang terus berlanjut dan eskalasi mereka di masa depan. Penelitian ini menggunakan metode penelitian kualitatif dengan pendekatan literatur. Hasil penelitian menyatakan bahwa penyelesaian urusan tentang masa tinggal mereka, nutrisi, akomodasi dan layanan kesehatan harus disiapkan terlebih dahulu, dan terutama hak asasi manusia harus dihormati. Dalam hal ini, tindakan pemerintah, organisasi masyarakat sipil dan universitas di tingkat regional dan global akan berkontribusi pada masa depan imigrasi yang lebih baik.Kata Kunci: Pengungsi dan Imigran; Imigrasi Internasional; Hukum Kesehatan; Masalah kesehatan; Pelayanan kesehatan; Konvensi Terkait Status Pengungsi  Права на здоровье беженцев, иммигрантов и просителей убежища АннотацияШироко задокументировано, что беженцы являются одним из наиболее уязвимых слоев общества с точки зрения проблем со здоровьем из-за плохого доступа к социальным услугам, а также трудностей с жильем и питанием, плохих условий жизни и жестокого обращения. Медицинские услуги, предоставляемые беженцам, часто неадекватны и не соответствуют требованиям. Беженцы и иммигранты почти во всем мире испытывают трудности с доступом к услугам здравоохранения, лекарствам, консультациям, диагностике, лечению и реабилитации. Сегодня неравенство, региональная борьба и глобальные сдвиги во многом отражают текущие проблемы беженцев и мигрантов и их будущую эскалацию. В этом исследовании используется качественный метод исследования с литературным подходом. Результаты исследования показали, что решение вопросов, касающихся их пребывания, питания, проживания и медицинского обслуживания, должно быть подготовлено заранее, и особенно должны соблюдаться права человека. В этом отношении действия правительств, организаций гражданского общества и университетов на региональном и глобальном уровнях будут способствовать лучшему будущему иммиграции.Ключевые Слова: Беженцы и иммигранты; международная иммиграция; закон о здоровье; проблемы со здоровьем; медицинские услуги; конвенция о статусе беженцев


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