scholarly journals The Lived Experiences of Esophageal Cancer Patients With The Concept of Uncovering Pathways to Seeking Treatment and Follow-Up: A Qualitative Study in Arsi Zone, Oromia, Ethiopia

2021 ◽  
Author(s):  
Haji Aman Deybasso ◽  
Kedir Teji Roba ◽  
Tefera Belachew
Keyword(s):  
Health Care ◽  
Esophageal Cancer ◽  
Cancer Patients ◽  
Lived Experiences ◽  
Health Care Services ◽  
Care Delivery ◽  
Traditional Healers ◽  
Arsi Zone ◽  
Health Care Delivery Systems

Abstract Objective: Esophageal cancer patients experience multifaceted challenges but studies often focus on the prevalence and risk factors of esophageal cancer with no documentation of the lived experiences of patients. This study aimed at exploring the lived experiences of esophageal cancer patients with the concept of uncovering pathways to seeking treatment, and follow-up. Results:- The experience of seeking care began with self-care followed by visiting traditional healers, and hierarchical layers of health care delivery systems. The barriers to treatment follow-up were inaccessibility, unaffordability of health care services, and negative attitudes towards treatment. Patients experienced distresses linked to food intakes, treatment side effects, reduced quality of life, psychological and physical impairments. Esophageal cancer patients in this study experienced complex pathways to seeking treatment, multidimensional obstacles to treatment follow-up, and live with unbearable challenges.

scholarly journals The Pathways to Seeking Treatment, Diagnose and Follow Up of Esophageal Cancer Patients in Arsi Zone, Oromia, Ethiopia: Qualitative Phenomenological Study

2021 ◽  
Author(s):  
Haji Aman Deyabsso ◽  
Kedir Teji Roba ◽  
Tefera Belachew
Keyword(s):  
Health Care ◽  
Esophageal Cancer ◽  
Cancer Patients ◽  
Lived Experiences ◽  
Phenomenological Study ◽  
Barriers To Treatment ◽  
Audio Recordings ◽  
Qualitative Phenomenological ◽  
Qualitative Phenomenological Study

Abstract Background:- Esophageal cancer patients experience multifaceted challenges but studies often focus on the prevalence and risk factors of esophageal cancer with no documentation of the lived experiences of patients. This study aimed at exploring the lived experiences of esophageal cancer patients with the concept of uncovering pathways to seeking treatment, diagnosis, and follow-up. Methods:- A qualitative phenomenological study was conducted from September 01 to October 30, 2019. Data were collected from 25 patients (14 males and 11 females) through in-depth interviews using semi-structured interview guides and audio recordings. The data collectors’ notes and audio recordings were transcribed verbatim. The transcribed data were translated into English and coded using Atlas.ti.7.0.71 version software. Data were analyzed by the inductive thematic analysis method. Results:- The study demonstrated four main themes; experiences of symptoms of esophageal cancer, pathways to seeking treatment and diagnosis, barriers to treatment follow-up, and challenges of survival with esophageal cancer. The pathways to seeking and diagnosis were described with the concepts of self-care, visiting traditional healers, and hierarchical layers of health care delivery systems. The barriers to treatment follow-up were related to inaccessible and unaffordable health care services, and attitudes towards treatment. The challenges of survival with esophageal cancer were designated as problems with food intakes, treatment side effects, reduced quality of life, psychological and physical impairments. Conclusion:- Esophageal cancer patients in this study experienced complex pathways to treatment-seeking, multidimensional obstacles to treatment follow-up, and live with unbearable challenges.

scholarly journals “The Message Is You Don’t Exist”: Exploring Lived Experiences of Rural Lesbian, Gay, Bisexual, Transgender, Queer/Questioning (LGBTQ) People Utilizing Health care Services

2021 ◽  
Vol 7 ◽  
pp. 237796082110511
Author(s):  
Nadine R. Henriquez ◽  
Nora Ahmad
Keyword(s):  
Health Care ◽  
Rural Areas ◽  
Lived Experiences ◽  
Health Care Services ◽  
Care Delivery ◽  
Well Being ◽  
Minority Population ◽  
Physical And Mental Health ◽  
Access To Health Services ◽  
Care Services

Background Lesbian, gay, bisexual, transgender, queer/questioning (LGBTQ) people experience significant health inequities with well-documented negative health impacts due to their status as a sexual and gender minority population. Insensitive or discriminatory attitudes toward LGBTQ people within the health care system have negatively impacted access to health services and the overall physical and mental health and well-being of this at risk population. Few studies of LGBTQ populations in rural areas have been conducted, with even fewer in the Canadian context. Rural areas often create greater visibility for LGBTQ persons, contain fewer supports and alternatives in the face of discrimination, and are often are less accepting of LGBTQ populations due to increased stigma and social isolation. Objective The purpose of this study is to examine the lived experiences of LGBTQ people utilizing health care services in rural Manitoba. Method 12 individuals who self-identified as LGBTQ who had accessed health care services in Manitoba were recruited. Using qualitative methodology, interviews were recorded and analyzed for themes. Results Analysis revealed themes including stigma and discrimination, judgments and assumptions, gender identities, lack of knowledge, limited access/systemic barriers, rural considerations, and recommendations for changes to address the gaps in health care services and barriers to access. Conclusions This study of the LGBTQ community provides an expression of their opinions and experiences, but also provides a voice to this underserved population. The findings of this study provide a better understanding of the unique health needs and experiences of LGBTQ people in rural Manitoba, creating opportunities for meaningful change in health care delivery

scholarly journals Future-Proofing Geriatric Mental Health Care Services in India: Training and Policy Directions

2021 ◽  
pp. 025371762110323
Author(s):  
Sharad Philip ◽  
Gopi Gajera ◽  
P Lakshmi Nirisha ◽  
Palanimuthu Thangaraju Sivakumar ◽  
Malathesh C. Barikar ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Care Services ◽  
Care Delivery ◽  
Health Care Systems ◽  
The Elderly ◽  
World Health ◽  
Demographic Transitions ◽  
Health Care Delivery Systems ◽  
Health Organization

Background: A burgeoning rise in the elderly subpopulation is being noted in India. This rise has already earned the designation as a shining nation by the United Nations/World Health Organization. This growth will take the elderly subpopulation to 324 million persons above 60 years by 2050. The mental health needs of this subpopulation are varied and nuanced compared to that of the general population. The risk and prevalence of mental health morbidity are also greater. There is an urgent need to gear up the health care systems. Considerations: Various aspects of the ongoing demographic transitions are considered alongside available health information. Legislative mandates and laws are also reviewed to provide context to qualify the action points and recommendations.  Recommendations, India must act urgently to strengthen health care delivery systems in a concurrent multipronged approach. These efforts should focus on developing trained Human Resources and adequate infrastructural resources. Review mechanisms to inform on required updates on best practices and evidence-based medicine must also be incorporated and developed to perform periodically.

scholarly journals Production of nursing care in primary health care services

2012 ◽  
Vol 20 (4) ◽  
pp. 710-717 ◽  
Author(s):  
Silvia Matumoto ◽  
Kátia Cristina dos Santos Vieira ◽  
Maria José Bistafa Pereira ◽  
Claudia Benedita dos Santos ◽  
Cinira Magali Fortuna ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Nursing Care ◽  
Health Care Services ◽  
Care Delivery ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services ◽  
Total Care

This descriptive and quantitative study aimed to characterize the production of nursing care in primary health care services in a region of the city of Ribeirão Preto, state of São Paulo, Brazil. The study sample comprised care actions delivered by nurses and registered in the HygiaWeb Information System, from 2006 to 2009. Statistical analysis was performed. Results showed that nursing care delivered by nurses accounted for 9.5 to 14.6% of total professional care provided by professionals. Eventual care actions were the most frequent. The concentration of programmatic care was higher for children, women, pregnant and postpartum women. In conclusion, the predominance of eventual care demonstrated that the health system has been focused on acute conditions. Little of nursing work has been directed at the achievement of comprehensiveness, considering the inexpressive share of longitudinal follow up in total care delivery. The expansion of nursing staff represents potential for care delivery to the population, but further qualification of nursing actions is needed.

A Scoping Review of Telehealth-Assisted Case Management for Chronic Illnesses

2021 ◽  
pp. 019394592110089
Author(s):  
Jee Young Joo ◽  
Megan F. Liu
Keyword(s):  
Health Care ◽  
Case Management ◽  
Scoping Review ◽  
Access To Health Care ◽  
Health Care Services ◽  
Care Delivery ◽  
Management Practice ◽  
Empirical Studies ◽  
Chronic Illnesses ◽  
Future Research

This scoping review aimed to examine telehealth-assisted case management for chronic illnesses and assess its overall impact on health care delivery. Guided by the PRISMA statement, this review included 36 empirical studies published between 2011 and 2020. This study identified three weaknesses and four strengths of telehealth-assisted case management. While the weaknesses were negative feelings about telehealth, challenges faced by patients in learning and using telehealth devices, and increased workload for case managers, the strengths included efficient and timely care, increased access to health care services, support for patients’ satisfaction, and cost savings. Future research can be designed and conducted for overcoming the weaknesses of telehealth-assisted case management. Additionally, the strengths identified by this review need to be translated from research into case management practice for chronic illness care. This review not only describes the value of such care strategy, but also provides implications for future nursing practice and research.

scholarly journals Analysis of Facilitators and Barriers to the Delivery of Routine Care during the COVID-19 Global Pandemic: A Systematic Review

Healthcare ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 528
Author(s):  
Cristian Lieneck ◽  
Brooke Herzog ◽  
Raven Krips
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Health Care Services ◽  
Care Delivery ◽  
Routine Care ◽  
Future Research ◽  
Healthcare Organizations ◽  
Care Services ◽  
Global Pandemic ◽  
Facilitators And Barriers

The delivery of routine health care during the COVID-19 global pandemic continues to be challenged as public health guidelines and other local/regional/state and other policies are enforced to help prevent the spread of the virus. The objective of this systematic review is to identify the facilitators and barriers affecting the delivery of routine health care services during the pandemic to provide a framework for future research. In total, 32 articles were identified for common themes surrounding facilitators of routine care during COVID-19. Identified constructed in the literature include enhanced education initiatives for parents/patients regarding routine vaccinations, an importance of routine vaccinations as compared to the risk of COVID-19 infection, an enhanced use of telehealth resources (including diagnostic imagery) and identified patient throughput/PPE initiatives. Reviewers identified the following barriers to the delivery of routine care: conservation of medical providers and PPE for non-routine (acute) care delivery needs, specific routine care services incongruent the telehealth care delivery methods, and job-loss/food insecurity. Review results can assist healthcare organizations with process-related challenges related to current and/or future delivery of routine care and support future research initiatives as the global pandemic continues.

scholarly journals 18F-FDG PET/CT Parameters for Predicting Prognosis in Esophageal Cancer Patients Treated With Concurrent Chemoradiotherapy

2021 ◽  
Vol 20 ◽  
pp. 153303382110246
Author(s):  
Seokmo Lee ◽  
Yunseon Choi ◽  
Geumju Park ◽  
Sunmi Jo ◽  
Sun Seong Lee ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Cancer Patients ◽  
Fdg Pet ◽  
Concurrent Chemoradiotherapy ◽  
Curative Intent ◽  
Squamous Cell Esophageal Cancer ◽  
Pet Ct ◽  
Significant Difference ◽  
Fdg Pet Ct

Background and Aims: This study evaluated the prognostic value of 18F-fluorodeoxyglucose positron emission tomography with integrated computed tomography (18F-FDG PET/CT) performed before and after concurrent chemoradiotherapy (CCRT) in esophageal cancer. Methods: We analyzed the prognosis of 50 non-metastatic squamous cell esophageal cancer (T1-4N0-2) patients who underwent CCRT with curative intent at Inje University Busan Paik Hospital and Haeundae Paik Hospital from 2009 to 2019. Median total radiation dose was 54 Gy (range 34-66 Gy). Our aim was to investigate the relationship between PET/CT values and prognosis. The primary end point was progression-free survival (PFS). Results: The median follow-up period was 9.9 months (range 1.7-85.7). Median baseline maximum standard uptake value (SUVmax) was 14.2 (range 3.2-27.7). After treatment, 29 patients (58%) showed disease progression. The 3-year PFS and overall survival (OS) were 24.2% and 54.5%, respectively. PFS was significantly lower ( P = 0.015) when SUVmax of initial PET/CT exceeded 10 (n = 22). However, OS did not reach a significant difference based on maximum SUV ( P = 0.282). Small metabolic tumor volume (≤14.1) was related with good PFS ( P = 0.002) and OS ( P = 0.001). Small total lesion of glycolysis (≤107.3) also had a significant good prognostic effect on PFS ( P = 0.009) and OS ( P = 0.025). In a subgroup analysis of 18 patients with follow-up PET/CT, the patients with SUV max ≤3.5 in follow-up PET/CT showed longer PFS ( P = 0.028) than those with a maximum SUV >3.5. Conclusion: Maximum SUV of PET/CT is useful in predicting prognosis of esophageal cancer patients treated with CCRT. Efforts to find more effective treatments for patients at high risk of progression are still warranted.

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