Women’s Perceptions of Their Right to Choose the Place of Childbirth: A Qualitative Study

2012 ◽  
Vol 2 (4) ◽  
pp. 230-240
Author(s):  
Eleni Hadjigeorgiou ◽  
Christiana Kouta ◽  
Evridiki Papastavrou ◽  
Irena Papadopoulos ◽  
Lena B. Mårtenson
Keyword(s):  
Health Professionals ◽  
Maternity Care ◽  
Health Care Systems ◽  
Informed Choice ◽  
Field Work ◽  
Phenomenological Approach ◽  
Women’S Perceptions ◽  
Care Systems ◽  
Republic Of Cyprus ◽  
The Right

OBJECTIVE: To explore Greek Cypriot women’s perceptions of their right to choose the place of childbirth.DESIGN: This study is qualitative and is based on Husserl’s phenomenological approach. The field work extended over a 6-month period in 2010–2011.SETTING: In all cities of the Republic of Cyprus.PARTICIPANTS: Purposive sample of 55 women within 1 year after birth. Forty-eight women were recruited for semistructured interviews and six of them took place in first focus group. The second group consisted of seven women that did not participate in interviews.RESULTS: Women’s perceptions were categorized into four themes: (a) informed choice for birth place, (b) trusting relationship with health professionals, (c) medicalization of childbirth, and (d) safety of the mother and baby.CONCLUSIONS: There is no equity and accessibility in Cyprus maternity care system because it does not provide correct information and accessibility to all birthplace choices. This study demonstrated the need to explore women’s views before formulating policy for maternity care. These views will be helpful for the creation of an innovative evidence-based maternity care policy, taking into account women’s needs, and will be helpful to raise awareness among health professionals for maternity care improvement.IMPLICATIONS FOR PRACTICE: Ensuring the right for birthplace choices is a social and political necessity that enhances the existing health care systems and health professionals to provide quality and holistic maternity care. Conducting more studies on maternity care in Cyprus will reinforce the aim for improving the health of the women, neonates, and society.

scholarly journals Six things you need to know about low back pain

2020 ◽  
Vol 12 (3) ◽  
pp. 195
Author(s):  
G. David Baxter ◽  
Cathy Chapple ◽  
Richard Ellis ◽  
Julia Hill ◽  
Lizhou Liu ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Health Professionals ◽  
Biopsychosocial Model ◽  
Health Care Systems ◽  
Low Back ◽  
Front Line ◽  
Care Systems ◽  
Key Issues ◽  
Years Lived With Disability

Abstract Low back pain (LBP) is the leading contributor to years lived with disability, and imposes an enormous burden on individuals and on health-care systems. General practitioners and physiotherapists are generally the front-line health professionals dealing with patients with LBP, and have a key role in minimising its effect. Here we review six key issues associated with LBP including its effects, diagnosis and management in primary care, and highlight the importance of the biopsychosocial model and matched care for patients with LBP.

Operations Research in Healthcare Supply Chain Management Under Fuzzy-Stochastic Environment

2020 ◽  
pp. 1833-1875
Author(s):  
S. Priyan ◽  
R Uthayakumar
Keyword(s):  
Customer Service ◽  
Operations Research ◽  
Health Care Systems ◽  
Good Condition ◽  
Vital Role ◽  
The People ◽  
Care Systems ◽  
Increase Productivity ◽  
The Right ◽  
Almost All

Operations research is for mankind in almost all aspects of our life. Applying the scientific method to the management of organizations, industry, government and other enterprises play a vital role in OR. It is used to increase productivity, to improve customer service, to improve quality and to reduce costs. Healthcare has attracted a great attention of governments in order to provide sufficient health services to the people. The provision of healthcare is very complicated and very responsible, that the right drug to the right people at the right time and in good condition to fight the disease. Today, the importance and significance of planning in healthcare can hardly be over emphasized when providing proper and adequate service continues to be a key concern of most countries. Operations research provides a wide range of methodologies that can help health care systems to significantly improve their operations. It helps to solve approximately all the problems involved in healthcare with its useful modeling techniques.

Health of Newcomers

2017 ◽  
Author(s):  
Patricia Illingworth ◽  
Wendy E. Parmet
Keyword(s):  
Health Care ◽  
Global Climate ◽  
Health Care Systems ◽  
Vital Role ◽  
Health Policies ◽  
Global Public Good ◽  
Policy Makers ◽  
Native Populations ◽  
Care Systems ◽  
The Right

Immigration and health are two of the most contentious issues facing policy makers today. Policies that relate to both issues—to the health of newcomers—often reflect misimpressions about immigrants, their health, and their impact on health care systems. Although immigrants are typically younger and healthier than natives, and many newcomers play a vital role in providing care in their new lands, natives are often reluctant to extend basic health care to immigrants. Likewise, many nations turn against immigrants when epidemics strike, falsely believing that native populations can be kept well by keeping immigrants out. This book demonstrates how such reactions thwart attempts to create efficient and effective health policies and efforts to promote public health. The book argues that because health is a global public good and people benefit from the health of neighbor and stranger alike, it is in everyone’s interest to ensure the health of all. Reviewing issues as diverse as medical repatriation, epidemic controls, the right to health, the medical brain drain, organ tourism, and global climate change, the book shows why solidarity between natives and newcomers is ethically required and in the service of health for all.

Dancing With Death in the Dust of Coronavirus: The Lived Experience of Iranian Nurses

2020 ◽  
Vol 26 (4) ◽  
pp. e82-e89
Author(s):  
Fatemeh Bahramnezhad ◽  
Parvaneh Asgari
Keyword(s):  
Health Care ◽  
Lived Experience ◽  
Health Care Providers ◽  
Health Care Systems ◽  
Phenomenological Approach ◽  
Care Providers ◽  
Care Systems ◽  
Interpretative Phenomenological Approach ◽  
Communication Challenges ◽  
Novel Coronavirus

The novel coronavirus disease (COVID-19) pandemic as a public health emergency poses dramatic challenges for health-care systems. The experiences of health-care workers are important in planning for future outbreaks of infectious diseases. This study explored the lived experiences of 14 nurses in Tehran, Iran caring for coronavirus patients using an interpretative phenomenological approach as described by Van Manen. In-depth interviews were audio-recorded between March 10 and May 5, 2020. The essence of the nurses' experiences caring for patients with COVID-19 was categorized as three themes and eight subthemes: (a) Strong pressure because of coronavirus: initial fear, loneliness, communication challenges, exhaustion. (b) Turn threats into opportunities: improvement of nursing image, professional development. (c) Nurses' expectations: expectations of people, expectations of government. The findings of this study showed that identifying the challenges and needs of health-care providers is necessary to create a safe health-care system and to prepare nurses and expand their knowledge and attitudes to care for patients in new crises in the future.

scholarly journals Right to Health and the Social Determinants of Health in the Face of COVID-19. Tthe Spanish Experience after Austerity Policies

2021 ◽  
pp. 220-241
Author(s):  
Carlos Lema Añón
Keyword(s):  
Health Care ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Health Care Systems ◽  
Right To Health ◽  
Determinants Of Health ◽  
The Face ◽  
Care Systems ◽  
The Right ◽  
The Impact

The COVID-19 pandemic has particularly affected Spain in 2020. Although the specific causes and Spain’s response—as well as the aspects to be improved—are yet to be evaluated, many experts agree that this crisis has magnified some of the problems of the Spanish health system, highlighting the problems derived from the cuts in the capacities of the health and public health systems. We assess the current situation from the perspective of the right to health in its twofold dimension: health care and social determinants. For this purpose, we look into the configuration of the right to health in Spain and how the economic crisis and austerity policies affected it. In particular, we consider the impact both on institutional health care systems and in terms of social determinants of health. Finally, we make several proposals for strengthening the right to health.

Transformation des deutschen Gesundheitssystems Anforderungen und Instrumente

2005 ◽  
Vol 54 (1) ◽  
Author(s):  
Torsten Sundmacher
Keyword(s):  
Health Care ◽  
Health Care Systems ◽  
Insurance Companies ◽  
System Transformation ◽  
Special Health Care ◽  
Starting Point ◽  
Care Systems ◽  
Health Insurance Companies ◽  
The Right ◽  
State Interventions

AbstractA rising discussion can be seen concerning a transformation of health care systems. Real system changes have till now strengthened competition predominantly and reduced state interventions. Such a procedure also is probably the right way for the German system. Previous reform trials in Germany have i.e. introduced the Integrated Health Care (Integrierte Versorgung, IV). In this special health care form, single contractual regulations are allowed in the contract relationship between doctors and health insurance companies. These contracts partly take the usual collective agreements off. But, until now, the significance of this special form for the normal health care is minor, though. Whether the IV can be a starting point to a system transformation of the health care system by small steps is the question to be examined here.

Health Portals

2011 ◽  
pp. 57-64
Author(s):  
Daniel Carbone
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Professionals ◽  
Health Knowledge ◽  
Health Care Systems ◽  
Efficient Technology ◽  
Technical Content ◽  
Care Systems ◽  
Barriers And Opportunities ◽  
Delivery Of Health Services

A lack of health services has long been the thorn in the side of many communities, especially rural and regional communities. The high costs of treating ever growing chronic and complex conditions in traditional settings, where rural allied health services providers are non-existent and doctors are already overcommitted, are prompting a shift in focus to more efficient technology driven delivery of health services. Moreover, these days it is also increasingly unlikely that health professionals will encounter patients who have not used information technology to influence their health knowledge, health behaviour, perception of symptoms, and illness behaviour. Advances in Internet technologies offer promise towards the development of an e-health care system. This article will postulate whether portal technologies can play a role facilitating the transition to such e-health care systems. This article aims at reviewing the literature to present to the reader the barriers and opportunities out here for effective health portals. However, the article does not intend to provide a one-fits-all technical/content solution, only to make implementers and developers aware of the potential implications.

scholarly journals Solidarity and Responsibility in Health Care

2019 ◽  
Vol 12 (2) ◽  
pp. 133-144 ◽  
Author(s):  
Ben Davies ◽  
Julian Savulescu
Keyword(s):  
Health Care ◽  
Health Care Systems ◽  
Healthcare Systems ◽  
Poor Health ◽  
Mutual Support ◽  
Autonomous Choice ◽  
Lower Priority ◽  
Care Systems ◽  
The Right ◽  
Health Burdens

Abstract Some healthcare systems are said to be grounded in solidarity because healthcare is funded as a form of mutual support. This article argues that health care systems that are grounded in solidarity have the right to penalise some users who are responsible for their poor health. This derives from the fact that solidary systems involve both rights and obligations and, in some cases, those who avoidably incur health burdens violate obligations of solidarity. Penalties warranted include direct patient contribution to costs, and lower priority treatment, but not typically full exclusion from the healthcare system. We also note two important restrictions on this argument. First, failures of solidary obligations can only be assumed under conditions that are conducive to sufficiently autonomous choice, which occur when patients are given ‘Golden Opportunities’ to improve their health. Second, because poor health does not occur in a social vacuum, an insistence on solidarity as part of healthcare is legitimate only if all members of society are held to similar standards of solidarity. We cannot insist upon, and penalise failures of, solidarity only for those who are unwell, and who cannot afford to evade the terms of public health.

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