scholarly journals Collateral effect of transnational migration: the transformation of medical habitus

2020 ◽  
Vol 62 (5, sep-oct) ◽  
pp. 550-558
Author(s):  
Tonatiuh González-Vázquez ◽  
César Infante-Xibille ◽  
Laura Villa-Torres ◽  
Hortensia Reyes-Morales ◽  
Blanca Estela Pelcastre-Villafuerte
Keyword(s):  
Rural Communities ◽  
Family Member ◽  
Healthcare Professionals ◽  
Transnational Migration ◽  
Health Practices ◽  
Health Providers ◽  
Long Distance ◽  
The Us ◽  
Collateral Effect ◽  
Remote Consultations

Objective. To analyze health practice transformations in health providers in Mexico. Materials and methods. We used qualitative data to explore transnational health practices of men with migration experience to the US, healthcare professionals in Mexico from eight rural communities, and Mexican providers in US. Data used came from a study that explored transnational health practices in the context of migration. Results. Healthcare professionals provided care to migrants through remote consultations or via a family member, and in-person during migrants’ visits or by health­care professionals relocating to migrants’ destination com­munities in the US. The remote consultations mainly caused three changes in the field of medical practice: providing care without a patient review or clinical examination, long-distance prescription of medications, and provision of care mediated by a family member. Conclusions. Changes in their medi­cal practice shifted roles of healthcare professionals and of migrants as patients, transforming the hegemonic biomedical model in Mexico.

scholarly journals The 2020 Portrait of American Caregivers

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 681-681
Author(s):  
Regina Shih
Keyword(s):  
Family Member ◽  
Family Caregivers ◽  
Care Recipient ◽  
Health Conditions ◽  
Complex Care ◽  
The Past ◽  
Care Recipients ◽  
The Us ◽  
National Alliance

Abstract The prevalence of caregiving for an adult or child with special needs has increased significantly in the past five years (from 18.2% to over 21.3%), driven by an increase in the prevalence of caring for a family member or friend aged 50 and older. At the same time, care recipients have greater health and functional needs that necessitate care from others in comparison to 2015. These new 2020 data from the Caregiving in the US Survey by the National Alliance for Caregiving suggests that not only are more American adults taking on the role of caregiver, but they are doing so for increasingly complex care situations. This paper addresses the prevalence of caregiving including the demographics of family caregivers, relationship between the caregiver and the care recipient, health conditions of the care recipient, and living situations of care recipients and their caregivers.

scholarly journals Sex in Late Life: Assessing Adults’ Expectations and the Role of Healthcare Professionals

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 313-313
Author(s):  
Jill Naar ◽  
Raven Weaver ◽  
Shelbie Turner
Keyword(s):  
Older Adults ◽  
Sexual Health ◽  
Health Behaviors ◽  
Healthcare Professionals ◽  
Late Life ◽  
Sexual History ◽  
Growth Curve Models ◽  
The Us ◽  
Sexual Health Behaviors ◽  
The Life Course

Abstract Sexual activity contributes to quality of life throughout the lifespan. However, stigma about sex in late life influences older adults’ perceptions and healthcare professionals’ perceptions of older adults’ sexual health/behaviors. Using a multi-methods approach, we examined attitudes and knowledge about sexual health/behaviors in late life. Using longitudinal data from the Midlife in the US Study (Wave 1-3; N=7049), we ran age-based growth curve models to analyze changes in levels of optimism about sex in their future. We also piloted a survey with healthcare professionals assessing attitudes, knowledge, and awareness of policy about sexual health/behaviors among older adults. Adults’ expectations became less optimistic with increased age (β = -0.1, SE = 0.003, p < .0001). Men were more optimistic than women at age 20 (p = 0.016), but men’s optimism decreased over the life course at a faster rate than did women’s (p < .0001), so that from ages 40-93, men were less optimistic than women. Among healthcare professionals (N=21), the majority indicated never or rarely asking their clients about sexual history or health/behaviors; however, they indicated some knowledge about issues relevant to older adults (e.g., safe-sex practices, sexual dysfunction). Few indicated awareness about policies related to sexual behavior among residents (i.e., issues of consent, STIs). Among adults, there is a need to address declining optimism for expectations about sex in late life. Health professionals are well-situated to raise awareness and normalize discussions about sexual health, thus countering negative stigma and contributing to increasing optimism for expectations to remain sexually active.

scholarly journals Understanding health-seeking and adherence to treatment by patients with esophageal cancer at the Uganda cancer Institute: a qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nakimuli Esther ◽  
Ssentongo Julius ◽  
Mwaka Amos Deogratius
Keyword(s):  
Esophageal Cancer ◽  
Data Collection ◽  
Qualitative Study ◽  
Cancer Patients ◽  
Healthcare Professionals ◽  
Transport Cost ◽  
Adherence To Treatment ◽  
Health Seeking ◽  
Long Distance ◽  
Cancer Symptoms

Abstract Background In the low- and middle-income countries, most patients with esophageal cancer present with advanced stage disease and experience poor survival. There is inadequate understanding of the factors that influence decisions to and actual health-seeking, and adherence to treatment regimens among esophageal cancer patients in Uganda, yet this knowledge is critical in informing interventions to promote prompt health-seeking, diagnosis at early stage and access to appropriate cancer therapy to improve survival. We explored health-seeking experiences and adherence to treatment among esophageal cancer patients attending the Uganda Cancer Institute. Methods We conducted an interview based qualitative study at the Uganda Cancer Institute (UCI). Participants included patients with established histology diagnosis of esophageal cancer and healthcare professionals involved in the care of these patients. We used purposive sampling approach to select study participants. In-depth and key informant interviews were used in data collection. Data collection was conducted till point of data saturation was reached. Thematic content analysis approach was used in data analyses and interpretations. Themes and subthemes were identified deductively. Results Sixteen patients and 17 healthcare professionals were included in the study. Delayed health-seeking and poor adherence to treatment were related to (i) emotional and psychosocial factors including stress of cancer diagnosis, stigma related to esophageal cancer symptoms, and fear of loss of jobs and livelihood, (ii) limited knowledge and recognition of esophageal cancer symptoms by both patients and primary healthcare professionals, and (iii) limited access to specialized cancer care, mainly because of long distance to the facility and associated high transport cost. Patients were generally enthused with patient – provider relationships at the UCI. While inadequate communication and some degree of incivility were reported, majority of patients thought the healthcare professionals were empathetic and supportive. Conclusion Health system and individual patient factors influence health-seeking for symptoms of esophageal cancer and adherence to treatment schedule for the disease. Interventions to improve access to and acceptability of esophageal cancer services, as well as increase public awareness of esophageal cancer risk factors and symptoms could lead to earlier diagnosis and potentially better survival from the disease in Uganda.

scholarly journals Accessibility of maternal health information and its influence on maternal health preferences in rural Tanzania: A case study of Chamwino District

2021 ◽  
Vol 23 (1) ◽  
Author(s):  
Hilda A. Mwangakala
Keyword(s):  
Rural Communities ◽  
Maternal Health ◽  
Pregnant Women ◽  
Health Information ◽  
Phenomenological Study ◽  
Healthcare Providers ◽  
Primary Source ◽  
Healthcare Personnel ◽  
Health Providers ◽  
Leading Role

Background: The access to quality maternal health information amongst pregnant women plays an important role in determining woman’s health behaviour during pregnancy. Yet, access to maternal health information remains a major challenge in Tanzanian rural communities especially for pregnant women leading to low utilisation of skilled maternal health services.Objectives: The study aimed at examining the accessibility of maternal health information amongst pregnant women in rural Tanzania.Methods: A qualitative phenomenological study involving 25 pregnant women, 5 skilled healthcare providers (SHPs) and 5 traditional birth attendants (TBAs) was carried out in Chamwino District, Dodoma Region, Tanzania for a period of 6 months. Data were analysed thematically using the six-stage guide to thematic data analysis with NVivo Software.Results: The acute shortage of healthcare personnel and traditional beliefs influenced pregnant women’s access to quality maternal health information. The majority of women used mothers-in-law and TBAs as their primary source of maternal health information rather than skilled healthcare providers.Conclusion: Despite the acute shortage, healthcare providers need to play a leading role in providing maternal health information amongst the rural populations. Furthermore, skilled health providers need to work in collaboration with the TBAs to increase access to maternal health information and build a well-informed healthy society.

Recruitment and Retention of Healthcare Professionals for the Changing Demographics, Culture, and Access in Canada

2011 ◽  
pp. 96-111
Author(s):  
Stéfane M. Kabene ◽  
Melody Wolfe ◽  
Raymond Leduc
Keyword(s):  
Rural Communities ◽  
Human Resources ◽  
Healthcare System ◽  
Access To Health Care ◽  
Healthcare Professionals ◽  
Human Resources Management ◽  
Healthcare Access ◽  
Healthcare Providers ◽  
Remote Access ◽  
Changing Demographics

The Canadian healthcare system strives to serve a population altered by ever-changing demographics, cultural shifts, and diverse societal populations, and to serve those in rural communities with remote access to health care. The following chapter examines Canada’s current healthcare system and the effects on demand for services and the supply of healthcare providers created by the need to service rural populations, by limited access to medical schools, and by the introduction of foreign medical/health professionals. More specifically, the chapter reviews the symptoms of a strained medical system plagued by “brain waste” due to the non-use of qualified immigrant healthcare professionals, long wait times as a result of inadequate staffing and resources, and a school system that hinders the development of aspiring medical care professionals from rural and international areas. If Canada is to face these challenges with efficacy and vigour, effective human resources management techniques and competent human resources professionals are a necessary prologue. Medical knowledge and skill must be valued; healthcare professionals should be utilized more efficiently to improve healthcare access and minimize brain waste.

Is glycohemoglobin testing useful in diabetes mellitus? Lessons from the diabetes control and complications trial

1994 ◽  
Vol 40 (8) ◽  
pp. 1637-1640 ◽  
Author(s):  
D E Goldstein ◽  
R R Little ◽  
H M Wiedmeyer ◽  
J D England ◽  
C L Rohlfing ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Diabetes Care ◽  
Treatment Plan ◽  
Objective Measure ◽  
Diabetes Control ◽  
Diabetic Patients ◽  
Health Providers ◽  
Chronic Complications ◽  
Common Chronic Disease ◽  
The Us

Abstract To address the question, Do laboratory tests cost money or save money? we have used as a model for discussion a common chronic disease, diabetes mellitus, and a widely used laboratory test, that for glycohemoglobin, a measure of long-term glycemia used to manage diabetic patients. Diabetes mellitus is serious, highly prevalent, and costly. In 1992, $1 of every $7 spent on health in the US was for diabetes, predominantly for treatment of the chronic complications of the disease. The recently completed Diabetes Control and Complications Trial (DCCT) demonstrated that development and progression of the chronic complications of diabetes are related to the degree of altered glycemia as quantified by determinations of glycohemoglobin. Thus, use of glycohemoglobin testing for routine diabetes care provides an objective measure of a patient's risk for developing diabetic complications. Results of this test can alert patients and health providers to the need for change in the treatment plan. Optimal use of glycohemoglobin testing for diabetes care will require standardization of test results.

scholarly journals On Thai Transnational Subjectivity

MANUSYA ◽  
2009 ◽  
Vol 12 (4) ◽  
pp. 86-102
Author(s):  
Sudarat Musikawong
Keyword(s):  
United States ◽  
Cold War ◽  
The United States ◽  
Film Festivals ◽  
Long Distance ◽  
Satellite Television ◽  
Immigrant Identity ◽  
The Us ◽  
Thai People ◽  
The Cold War

This paper examines the formation of transnational subjectivity through Thai political engagements in the United States (US). Thai people in the US participate in Thai homeland politics, while negotiating for a Thai immigrant identity in the US. Thai diasporas exist through political and social experiences, in which Thai communities and persons engage in homeland politics. Political acts and protests by Thais in the United States are not new, but emerged in the aftermath of the Cold War. This paper asks how political exiles, popular protests, film festivals, and satellite television challenge what Benedict Anderson has termed “long-distance” nationalism and Arjun Appadurai’s mediascapes.

Divorce among physicians and other healthcare professionals in the US

BMJ ◽  
2015 ◽  
pp. h2106
Author(s):  
Neil Chanchlani ◽  
James Goodhand
Keyword(s):  
Healthcare Professionals ◽  
The Us

Part III Regimes and Doctrines, Ch.43 Transnational Migration, Globalization, and Governance: Theorizing a Crisis

2016 ◽  
Author(s):  
Thomas Chantal
Keyword(s):  
Political Economy ◽  
Transnational Migration ◽  
Economic Life ◽  
Central American ◽  
Life Changes ◽  
Economic Production ◽  
Global Power ◽  
The Us ◽  
Us Intervention

This chapter emphasizes the role of political economy, and the ways in which global governance has affected (or failed to affect) it, in generating immigration crises. Going beyond politics toward political economy illuminates both the origins of US intervention in Central America, and the ways in which that intervention has shaped migration from the region. US involvement stemmed from global power struggles over the organization of economic production: namely, its concerns about the turn to socialism, particularly after the Cuban Revolution. If foreign policy origins stemmed from economics, often so did policy tools; such measures oriented Central American economies towards the US as a destination for its exports, and increased the Central American presence of US investors and imports. They also engendered profound changes in Central American economic life: changes that each in their own way have reinforced patterns contributing to the current migration surge.

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