The communication between a doctor and his patients’ parents as a factor in the availability of medical care for disabled children

2018 ◽  
Vol 8 (1) ◽  
pp. 36-43
Author(s):  
Alevtina V. Starshinova ◽  
Svetlana N. Pankova
Keyword(s):  
Medical Care ◽  
Children With Disabilities ◽  
Focal Point ◽  
Organisational Culture ◽  
Value Orientations ◽  
Disabled Children ◽  
Professional Activities ◽  
Factors Influencing ◽  
Depth Interview ◽  
Access To Medical Care

The purpose of this study is the identification of types of communication among physicians and parents of disabled children, who have congenital or acquired pathologies and who need treatment and rehabilitation. The focal point of the study is the assumption that the communication between the doctor and the child’s parents should be based on trust. It is one of the factors influencing the availability of medical care for children with disabilities. The study uses a structured in-depth interview (19). There is much evidence that doctors and parents prefer a paternalistic type of communication unlike partner, contractual or engineering. Our conclusion is that in a medical institution within the established bureaucratic type of organisational culture, recorded in our earlier study, the conditions for the professional activities of doctors and parents with disabled children receiving help are perceived by them as the most comfortable, since they correspond to their value orientations and expectations.   Keywords: Disabled children, access to medical care, doctor, parents, communication.

Analysis of factors affecting the degree of satisfaction labor of the medical personnelAnalysis of factors affecting the degree of satisfaction labor of the medical personnel

2021 ◽  
pp. 29-37
Author(s):  
Irina Aleksandrovna Muntyan ◽  
Larisa Arkadyevna Karaseva
Keyword(s):  
Organizational Behavior ◽  
Medical Care ◽  
Medical Personnel ◽  
Labor Process ◽  
Factors Affecting ◽  
Professional Activities ◽  
Factors Influencing ◽  
Degree Of Satisfaction ◽  
Quality Of Medical Care

The aim of the study is to assess the factors affecting the degree of satisfaction of medical personnel with their professional activities. Results: the literature on the most important characteristics of the labor process of medical personnel was studied, factors influencing the degree of satisfaction with the work of medical personnel were determined. Conclusion: satisfaction with work is one of the most important aspects of organizational behavior that affects the behavior of people in the organization, overall satisfaction with the work of medical personnel is 100 %, 93 % of patients are satisfied with the quality of medical care.

The Special Perils of Being Old and Sick in Prison

2020 ◽  
Vol 32 (5) ◽  
pp. 276-284
Author(s):  
William J. Jefferson
Keyword(s):  
United States ◽  
Health Care ◽  
Medical Care ◽  
Health Care Providers ◽  
The United States ◽  
United States Constitution ◽  
Care Providers ◽  
Medical Practitioners ◽  
Medical Needs ◽  
Access To Medical Care

The United States Supreme Court declared in 1976 that deliberate indifference to the serious medical needs of prisoners constitutes the unnecessary and wanton infliction of pain…proscribed by the Eighth Amendment. It matters not whether the indifference is manifested by prison doctors in their response to the prisoner’s needs or by prison guards intentionally denying or delaying access to medical care or intentionally interfering with treatment once prescribed—adequate prisoner medical care is required by the United States Constitution. My incarceration for four years at the Oakdale Satellite Prison Camp, a chronic health care level camp, gives me the perspective to challenge the generally promoted claim of the Bureau of Federal Prisons that it provides decent medical care by competent and caring medical practitioners to chronically unhealthy elderly prisoners. The same observation, to a slightly lesser extent, could be made with respect to deficiencies in the delivery of health care to prisoners of all ages, as it is all significantly deficient in access, competencies, courtesies and treatments extended by prison health care providers at every level of care, without regard to age. However, the frailer the prisoner, the more dangerous these health care deficiencies are to his health and, therefore, I believe, warrant separate attention. This paper uses first-hand experiences of elderly prisoners to dismantle the tale that prisoner healthcare meets constitutional standards.

Beyond Access to Medical Care

1993 ◽  
Vol 16 (3) ◽  
pp. 251-277 ◽  
Author(s):  
David G. Gil
Keyword(s):  
Medical Care ◽  
Access To Medical Care

scholarly journals Feeding difficulties in disabled children leads to malnutrition: experience in an Indian slum

2003 ◽  
Vol 90 (6) ◽  
pp. 1097-1106 ◽  
Author(s):  
Aisha K. Yousafzai ◽  
Suzanne Filteau ◽  
Sheila Wirz
Keyword(s):  
Nutritional Status ◽  
Children With Disabilities ◽  
Cross Sectional Study ◽  
Nutritional Deficiencies ◽  
Disabled Children ◽  
Cross Sectional ◽  
Feeding Difficulties ◽  
The Disabled ◽  
Feeding Difficulty ◽  
Weight For Age

The aim of the present study was to explore the nature, extent and probable causes of nutritional deficiencies among children with disabilities living in Dharavi, a slum in Mumbai, India. A cross-sectional study was conducted to investigate whether the nutritional status of children with disabilities, aged 2–6 years (n141), was worse than that of non-disabled sibling controls (n122) and neighbour controls (n162). Data on food patterns, anthropometry, micronutrient status and feeding difficulties reported by parents were collected. The mean weight for age of the children with disabilities (−2·44 (sd 1·39)Zscores;n120) was significantly lower (P<0·05) compared with the sibling (−1·70 (sd 1·20)Zscores;n109) and neighbour (−1·83 (sd 1·290)Zscores;n162) control groups. The children with disabilities had significantly lower (P<0·05) mean haemoglobin levels (92 (sd 23) g/l;n134) compared with siblings (102 (sd 18) g/l;n103) and neighbours (99 (sd 18) g/l;n153). Relative risk (RR) analysis indicated that the disabled children with feeding difficulties were significantly more likely (P<0·05) to be malnourished, by the indicator of weight for age (RR 1·1; 95 % CI 1·08, 1·20) compared with the disabled children without a feeding difficulty. They were also significantly more likely to be malnourished using the indicators of height for age (RR 1·3; 95 % CI 1·19, 1·43) and weight for height (RR 2·4; 95 % CI 1·78, 3·23) compared with the disabled children without a feeding difficulty. Feeding difficulties were identified as a risk factor for vulnerability to inadequate nutritional status among children with disabilities.

Equity of Access to Medical Care: A Conceptual and Empirical Overview

Medical Care ◽  
1981 ◽  
Vol 19 (Supplement) ◽  
pp. 4-27 ◽  
Author(s):  
Lu Ann Aday ◽  
Ronald M. Andersen
Keyword(s):  
Medical Care ◽  
Access To Medical Care ◽  
Equity Of Access

Role and significance of responsibility in medical practice

2021 ◽  
Vol 2 (88) ◽  
pp. 100-107
Author(s):  
K.P. Topalov ◽  
◽  
Ye.K. Skoromets ◽  
Keyword(s):  
Moral Responsibility ◽  
Medical Care ◽  
Medical Practice ◽  
Professional Activities ◽  
Expert Opinions ◽  
Quality Of Medical Care

The article analyzes 249 expert opinions on the quality of medical care from the standpoint of the responsibility of medical workers for their professional activities. The principles of moral responsibility for medical workers are outlined.

ADVERSE METEOROLOGICAL SITUATION AS A RISK FACTOR FOR CARDIOVASCULAR DISEASES

2021 ◽  
pp. 28-33
Author(s):  
Kolyagina N.M. ◽  
Berezhnova T.A. ◽  
Kulintsova Ya.V. ◽  
Elistratova O.S. ◽  
Drapalyuk M.A.
Keyword(s):  
Risk Factors ◽  
Heart Failure ◽  
Cardiovascular Diseases ◽  
Medical Care ◽  
Air Temperature ◽  
Meteorological Factors ◽  
Vascular Lesions ◽  
Weather Sensitivity ◽  
Access To Medical Care ◽  
The City

Relevance. Exacerbation of the disease, as a rule, leads to the patient seeking medical help. In this regard, data on the population's access to medical care can serve as an indicator of the exacerbation of the disease. Aim: to analyze meteorological risk factors that contribute to the development of cardiovascular diseases. Material and methods. The ratio of the average number of cases of requests for medical care on unfavorable days for meteorological factors to the average number of cases of requests per day for medical care during the year was calculated. Using software tools (STATISTICA Base V6. 1), the type of data distribution was estimated, and a correlation analysis of the likely relationship between the number of medical care requests and the indicators of meteorological factors was carried out. Results. As a result of the study, it was found that the average number of cases of medical care requests on hot days (air temperature over + 300C) is 1.1-1.4 times higher than the average number of cases of requests per day for the same reasons (diagnoses) during the year and is abnormal for the territory of the city of Voronezh, due to such diagnoses as hypertension without heart failure, brain vascular lesions (specified), cerebrovascular disease, hypertension with heart failure. Conclusions. Thus, it was found that one of the meteorological risk factors for the formation of cardiovascular pathology is high air temperature (above + 300C), which is the goal for the implementation of the main directions of prevention of increased weather sensitivity and treatment of weather-dependent patients.

scholarly journals Understanding responsibilization in healthcare: Differentiations in Reformation theology

Theology ◽  
2018 ◽  
Vol 121 (2) ◽  
pp. 95-102 ◽  
Author(s):  
Therese Feiler
Keyword(s):  
Pastoral Care ◽  
Medical Care ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Reformation Theology ◽  
Penitential Psalms ◽  
Access To Medical Care ◽  
Forward Looking

The responsibilization of patients for their disease and care may imply reduced access to medical care or overly moralize the doctor–patient relationship. This article first examines Luther’s early readings of the penitential Psalms, in which he transposes the nexus between sin and disease into the sphere of faith. His subsequent emphasis on the imputation of salvation further diminishes responsibilization: medical and pastoral care become distinct. This will be contrasted with Calvin’s cathartic, forward-looking understanding of disease and with Melanchthon’s moralist merging of humanism and theology into dietetics. These theological tendencies all represent present-day options.

Sign in / Sign up

Export Citation Format

Share Document