scholarly journals Exploring the Mental, Social and Lifestyle Effects of COVID-19 Infection on Syrian Refugees in Jordan: A Qualitative Study

2021 ◽  
Author(s):  
Khalid A Kheirallah ◽  
Bayan F Ababneh ◽  
Heba Bendak ◽  
Ahmed R Alsuwaidi ◽  
Iffat Elbarazi
Keyword(s):  
Health Care Providers ◽  
Healthcare Access ◽  
Well Being ◽  
Psychosocial Health ◽  
Healthcare Services ◽  
Health Impact ◽  
Host Community ◽  
Syrian Refugees ◽  
Care Providers ◽  
Community Settings

Abstract Background: The fear of testing positive for COVID-19 infection has created panic among patients and families and discouraged some people from being tested and receiving medical care. Migrants and refugees are among the vulnerable populations that suffered disproportionately from the COVID-19 crisis. However, their experiences with COVID-19 positivity status have not been investigated. This study aimed to explore the physical, mental, and psychosocial impact of a positive COVID-19 diagnosis on Syrian refugees living in Jordan.Methods: Using a qualitative approach, twenty phone interviews were conducted with ten adult Syrian refugees living within the camp and ten refugees living in non-camp (host-community) settings. A follow-up interviews with five health care providers in the refugee camp were conducted to explore the services and support given to the refugees with COVID-19 infection. The findings were thematically analysed using Braun & Clarke's six-phase framework. Results: Physical effects of a positive COVID-19 status varied according to the seriousness of the condition but affected most participants' lifestyle by adopting more precautionary measures and caring for their physical health. Self-isolation and fear to infect others were common themes identified among all participants living within community settings. Resorting to friends and family members for mental and psychological support was the only option available for all participants. Refugees living within the community preferred to manage their condition at home utilizing traditional remedies and avoided being tested for financial reasons, poor healthcare access and fear of being identified. Refugees living within camps had better access to testing, healthcare, and disease management and did not experience fear of being deported. They did not display worries and feelings of shame and guilt, which were feelings expressed by refugees living within the community. Both groups suffered mental and psychosocial health impacts, as well as social isolation and fear of death and disease complications.Conclusions: COVID-19 infection has negatively impacted refugees’ well-being with noticeable disparities across the different living conditions. While mental health impact seems to be standardized, refugees living within host-community may need more support into managing their condition, accessibility to free testing as well as treatment and healthcare services.

scholarly journals Participatory research for developing health promotion campaigns for migrants and host community in Berlin, Germany

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Schouler-Ocak ◽  
N Kirkgöze
Keyword(s):  
Health Care ◽  
Healthcare System ◽  
Health Care Providers ◽  
Intercultural Competence ◽  
Healthcare Access ◽  
Host Community ◽  
Care Providers ◽  
African Countries ◽  
Genital Mutilation ◽  
Migrant Communities

Abstract Background During the current refugee crisis, hundreds of refugees left their homes and fled to Europe. The country that received the highest rates of refugees was Germany, which above all presented a challenge to the healthcare system. This study aimed to inform the development of a pilot intervention to improve migrants healthcare access in Berlin, Germany. Methods A Metaplan© qualitative technique was applied to ensure the community participation, with three sessions with refugee and asylum seeking women and youth in Arabic, Somali and German languages, and one with professionals. With each group, participants identified issues in migrants’ healthcare, then suggested solutions to address these issues and prioritized these solutions. Results The migrants (n = 30) were mainly from Syria (n = 4), Somalia (n = 14) and other African countries, mainly females (17-53 yrs) and youth (16-18yrs). The professionals’ group (n = 13) included an interdisciplinary team of a psychiatric day clinic. All groups prioritized language barriers as a crucial problem and suggested to work with interpreters to facilitate the communication. Professionals are additionally confronted with cultural differences in the treatment of refugees. Somali women prioritized raising the awareness about Female Genital Mutilation in the healthcare system and also in their community. Other suggestions included supervisors for unaccompanied minors, multilingual forms, increased intercultural competence of health care providers and reducing waiting time for an appointment. Conclusions Future interventions should focus on intercultural competences for professionals and health-promoting information in the specific sociocultural context of migrant communities. This would include the dissemination of multi-lingual doctors’ brochures, interactive training for health care providers as well as informational workshops for migrants to increase their health literacy and promote health-enhancing behaviors.

scholarly journals HEALTHCARE ACCESS AND SOCIAL ENGAGEMENT OF OLDER MINORITY ADULTS: EXPERIENCES NAVIGATING TRANSPORTATION BARRIERS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S902-S903
Author(s):  
December Maxwell ◽  
Rebecca L Mauldin ◽  
Dennis Kao
Keyword(s):  
Older Adults ◽  
Health Care ◽  
African American ◽  
Health Care Providers ◽  
Social Engagement ◽  
Healthcare Access ◽  
Well Being ◽  
Spatial Accessibility ◽  
Care Providers ◽  
Health And Well Being

Abstract Transportation is vital in the daily lives of older adults and provides access to health care services and health enhancing activities, such as social engagement. Disparities in mobility exist for older African American and Hispanic adults compared to non-Hispanic Whites, including higher likelihood of driving cessation at an earlier age and having a higher risk for reduced life space. This poster presents findings from a qualitative analysis of data from the Using Geo-Ethnography to Explore the Spatial Accessibility of Health Services for Aging Minorities Study (GeoSAS), a mixed methods study of older minority adults in Houston, TX. Using interpretive phenomenological analysis, the transcripts of semistructured interviews with 23 older adults (13 African American and 10 Hispanic; 17 female; mean age = 71.3 yrs, SD = 6.3 years) were analyzed to address the research question: What are the mobility experiences and perceptions of minority older adults regarding healthcare access and social engagement? Based on an ecological systems theoretical framework, we found reciprocal influences of (1) healthcare systems and transportation utilization and (2) participants’ health and well-being, mobility, and social engagement. Support from family members and financial capacity were critical for participants’ mobility. Implications of this research include educating health care providers about patients’ transportation experiences and barriers, optimizing social support to increase mobility, and addressing systematic disparities in transportation access to enhance health and well-being for older minority adults.

scholarly journals Effect of devolution of healthcare services on the motivation and retention of medical personnel in Bungoma County

2021 ◽  
Vol 8 (6) ◽  
pp. 2685
Author(s):  
Martin Alfred Wekesa Wafula ◽  
David Masinde ◽  
Sherry Olichina
Keyword(s):  
Health Care Providers ◽  
Group Discussion ◽  
Medical Personnel ◽  
Well Being ◽  
Good Health ◽  
Healthcare Services ◽  
Study Data ◽  
Care Providers ◽  
County Governments ◽  
Healthcare Transition

Background: In struggle to achieve sustainable development goal (SDGS) number three ‘good health and well-being,’ populace is at liberty to be treated by a trained, motivated and valued medical workers. Nevertheless, the challenge of medical workers’ motivation and retention persist in Bungoma County, Kenya, Africa and universally. In a devolved healthcare system implementation, medical workers ‘motivation and retention is vital, but it has grown a predicament of devolution of healthcare. Transition of power from national to county governments has however created turbulence in enthusiasm and retention of medical workers at Bungoma County marked within consistency, poor understanding of health system, management issues and lack of coordination between the two levels of government.Methods: A cluster sample design was used to select 299 health care providers to participate in the study. Data was collected using structured questionnaires and a Focus Group discussion guides.Results: In view of retention: 50.9% (152) of the respondents affirmed their zeal to remain working for Bungoma county while 49.1% (147) would walk out of which 26.9% (40) would prefer NGO, 11.7% (18) out of the country, 6.3% (10) in FBOs and 4.2% (7) in private institutions. Inadequate staff, transport, inadequate supportive supervision, essentials (gloves) contribute to dissatisfaction of medical workers.Conclusions: Senior medical professionals in specialized services are leaving Bungoma County for better working condition and the morale of staff is low due to remunerations.

scholarly journals 407 - The Baycrest Quick-Response Caregiver Tool: The Role for a New Tool for Caregivers of Persons with Dementia

2020 ◽  
Vol 32 (S1) ◽  
pp. 123-123
Author(s):  
Ken Schwartz ◽  
Robert Madan ◽  
Anna Berall ◽  
Marsha Natadira ◽  
Anna Santiago
Keyword(s):  
Family Caregivers ◽  
Health Care Providers ◽  
Healthcare Providers ◽  
Well Being ◽  
Moderate Degree ◽  
Quick Response ◽  
Care Providers ◽  
High Level ◽  
Person With Dementia ◽  
The Impact

Background:Responsive behaviours in dementia are associated with poor outcomes for the person with dementia (PWD) and caregiver burnout. Family caregivers need a variety of tools to manage responsive behaviours. The Baycrest Quick-Response Caregiver Tool was developed to provide caregivers with a tool that can be used in real time. In this study, the feasibility, impact, and effectiveness of this new tool were studied in family caregivers and health care providers (HCP) using quantitative and qualitative measures.Methods:Family caregivers were recruited and were asked to complete a pre-survey before being sent the link to the educational tool. One month after the telephone survey, caregivers were sent an online post-survey to gather their feedback on the tool and the impact of the tool on caregiver well -being. Healthcare providers were also recruited and reviewed the tool through an online feedback survey. The feasibility, impact, and effectiveness of the tool were assessed using quantitative and qualitative measures.Results:Caregivers had a moderate degree of and reported a high level of competence - these scores were maintained throughout the study. Caregivers reported that tool positively impacted their compassion towards the person with dementia (PWD), and that their interactions with improved. 100% of HCP who completed the feedback survey would recommend the tool to other HCP and to caregivers of PWD. The caregivers and HCP provided specific suggestions for improvement.Conclusions:The Baycrest Quick-Response Caregiver Tool was found to be feasible and helpful. It provides caregivers and HCP with an additional approach for responsive behaviours.

scholarly journals Depression and Suicidality in Gay Men: Implications for Health Care Providers

2017 ◽  
Vol 11 (4) ◽  
pp. 910-919 ◽  
Author(s):  
Carrie Lee ◽  
John L. Oliffe ◽  
Mary T. Kelly ◽  
Olivier Ferlatte
Keyword(s):  
Health Care ◽  
Gay Men ◽  
Health Care Providers ◽  
Help Seeking ◽  
Adult Population ◽  
Well Being ◽  
Sexual Practices ◽  
Care Providers ◽  
Physical And Mental Health ◽  
Prevalence Of Depression

Gay men are a subgroup vulnerable to depression and suicidality. The prevalence of depression among gay men is three times higher than the general adult population. Because depression is a known risk factor for suicide, gay men are also at high risk for suicidality. Despite the high prevalence of depression and suicidality, health researchers and health care providers have tended to focus on sexual health issues, most often human immunodeficiency virus in gay men. Related to this, gay men’s health has often been defined by sexual practices, and poorly understood are the intersections of gay men’s physical and mental health with social determinants of health including ethnicity, locale, education level, and socioeconomic status. In the current article summated is literature addressing risk factors for depression and suicidality among gay men including family acceptance of their sexual identities, social cohesion and belonging, internalized stigma, and victimization. Barriers to gay men’s help seeking are also discussed in detailing how health care providers might advance the well-being of this underserved subgroup by effectively addressing depression and suicidality.

Intimate Partner Violence Screening and Referral Practices in an Outpatient Care Setting

2017 ◽  
Vol 35 (23-24) ◽  
pp. 5877-5888 ◽  
Author(s):  
Cari Jo Clark ◽  
Lynette M. Renner ◽  
Mary E. Logeais
Keyword(s):  
Intimate Partner Violence ◽  
Health Care Providers ◽  
Partner Violence ◽  
Primary Care Clinic ◽  
Well Being ◽  
Intimate Partner ◽  
Care Providers ◽  
Care Clinic ◽  
Barriers And Opportunities ◽  
Academic Primary Care

Health care providers who screen for intimate partner violence (IPV) and counsel patients can reduce victimization and positively impact women’s health and well-being; yet only 2% to 50% of medical professionals report routinely screening female patients. The purpose of this study was to identify current practices, policies, barriers, and opportunities for a coordinated and routinized response to IPV in an outpatient academic primary care clinic. Data were collected through interviews and the Physician Readiness to Manage Intimate Partner Violence questionnaire. Data on IPV screening practices over a 5-month period were also available through the electronic health record. Study participants expressed that there was no uniform method of documenting screening results and great variability in the patient populations and circumstances that prompted screening. Over two thirds of the survey respondents reported either a lack of IPV protocol or a lack of knowledge about one if it existed. Providers and staff who participated believed it was within their scope of work to screen for IPV and recognized IPV as a serious health threat; however, they cited an absence of patient education resources, a lack of staff training and awareness, and no established IPV referral network as barriers to screening for IPV. The results of the pilot are in line with existing research highlighting a general lack of screening, variability in process, and the absence of systems-level policies and protocols and linkages to community resources. Pilot findings have been used to initiate a project which encompasses routinized screening, documentation, and care coordination between providers and community organizations to improve patient well-being.

Creating Comics to Address Well-Being and Resilience During the COVID-19 Pandemic

2021 ◽  
pp. 152483992110654
Author(s):  
Kathryn West ◽  
Karen R. Jackson ◽  
Tobias L. Spears ◽  
Brian Callender
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Case Series ◽  
Narrative Medicine ◽  
Well Being ◽  
Small Scale ◽  
Care Providers ◽  
Graphic Medicine ◽  
Racial Injustice ◽  
Pilot Implementation

In this descriptive case series, we detail the theoretical basis, methodology, and impact of a small-scale pilot implementation of graphic medicine workshops as an innovative approach to well-being and resilience in the age of COVID-19 and increasing awareness of racial injustice. The data provided in this article are anecdotal and based on participation in the workshops. Images created during the workshops are also shared as examples of the types of reflection that graphic medicine can enable. The workshops themselves were designed collaboratively and are based on the theoretical principles of graphic medicine, narrative medicine, and racial and social justice. They were conducted as part of a larger wellness initiative and were offered to health care-focused faculty at our academic medical institution. Our findings suggest that this was a beneficial activity which helped participants to reflect and reconsider their experiences with the COVID-19 pandemic and surging awareness of racial injustice. Reflections also showed that drawings were correlated with ProQOL scores and may, in larger numbers, also help to mitigate or bring attention to issues of burnout in frontline providers. Drawings shared show the tremendous impact of COVID-19 and the simultaneous chaos and emptiness of practicing during dual pandemics. Our workshops engaged about 20 frontline health care providers and other health care faculty and highlight the utility of graphic medicine as a tool for building resilience and encouraging self-reflection. Further study is necessary, as is more rigorous analysis of the relationship between the graphics created and the ability to recognize and mitigate burnout.

Umowy o udzielanie świadczeń opieki zdrowotnej zawierane przez Narodowy Fundusz Zdrowia (leczenie w ramach ubezpieczenia zdrowotnego) a leczenie na zasadach komercyjnych. Implikacje prawne i praktyczne

2021 ◽  
pp. 141-151
Author(s):  
Paweł Lipowski
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Health Care Providers ◽  
Health Care Services ◽  
Legal Status ◽  
Healthcare Services ◽  
Care Providers ◽  
Care Services ◽  
Public Payer ◽  
Universal Health

The aim of this study is to identify the legal characteristics of contracts for the health care services provided by a public payer, i.e. the National Health Fund (NFZ) as part of treatment covered by universal health insurance, as compared to those provided by the health care providers with public or private legal status. This issue is discussed in relation to the legal conditions for the treatment of patients on a commercial basis in those institutions (private or public) which have contracts for the provision of healthcare services under the general health insurance (so-called contracts). The discussion is presented based on author’s own observations, resulting both from his scientific studies in the field of medical law and his work in various entities operating in the health care system.

Integrative Sleep Medicine

2021 ◽  
Keyword(s):  
Circadian Rhythm ◽  
Sleep Disorders ◽  
Health Care Providers ◽  
Sleep Disturbances ◽  
Well Being ◽  
Sleep Medicine ◽  
Whole Body ◽  
Care Providers ◽  
Obstructive Sleep ◽  
The Many

Sleep is one of the key underpinnings of human health, yet sleep disturbances and impaired sleep are rampant in modern life. Healthy sleep is a whole-body process impacted by circadian rhythm, daily activities, and emotional well-being, among others. When properly aligned, these work in concert to produce restorative and refreshing sleep. When not in balance, however, sleep disorders result. Yet too often, the approach to treatment of sleep disorders is compartmentalized, failing to recognize all of the complex interactions that are involved. This text offers a comprehensive approach to sleep and sleep disorders by delineating the many factors that interplay into healthy sleep. Health care providers can learn how to better manage their patients with sleep disorders by integrating complementary and conventional approaches. Using an evidence-based approach throughout, this book describes the basics of normal sleep then delves into the foundations of integrative sleep medicine, including the circadian rhythm, mind/body-sleep connection, light, dreaming, the gastrointestinal system, and botanicals/supplements. Specific sleep issues and disorders are then addressed from an integrative perspective, including insomnia, obstructive sleep apnea, sleep related movement disorders, and parasomnias.

scholarly journals A Personal Touch: The Most Important Strategy for Recruiting Latino Research Participants

2016 ◽  
Vol 28 (4) ◽  
pp. 342-347 ◽  
Author(s):  
Alexandra A. García ◽  
Julie A. Zuñiga ◽  
Czarina Lagon
Keyword(s):  
Cultural Values ◽  
Health Care Providers ◽  
Low Socioeconomic Status ◽  
Mexican American ◽  
Underserved Populations ◽  
Racial Groups ◽  
Care Providers ◽  
Community Settings ◽  
Low Socioeconomic ◽  
The Common

People from non-White racial groups and other underserved populations, including Latinos, are frequently reluctant to participate in research. Yet their participation into research is foundational to producing information that researchers and health care providers need to address health disparities. The purpose of this article is to describe challenges we have encountered along with culturally relevant strategies we used in five research studies to recruit Mexican American participants from community settings, some of whom were also of low socioeconomic status. We found that the most effective recruitment strategies reflect the common cultural values of personalismo, simpátia, confianza, respeto, and familismo.

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