scholarly journals The Association Between the Perceived Unjust Treatment in Healthcare Settings and the Unmet Need for General Practitioner Services Among People With Foreign Background in Finland

2020 ◽  
Author(s):  
Laura Somersalo ◽  
Päivi Kankkunen ◽  
Eero Lilja ◽  
Päivikki Koponen ◽  
Hannamaria Kuusio
Keyword(s):  
Health Care ◽  
General Practitioner ◽  
Medical Care ◽  
Unmet Need ◽  
Well Being ◽  
Equal Treatment ◽  
Related Factors ◽  
Health Care Settings ◽  
Healthcare Settings ◽  
Gp Services

Abstract Background: Unjust experiences are relatively common among people with foreign background (PFB) in Finland. Despite universal access to public health care, previous studies have shown inequities in the unmet need for medical care between immigrants and the general population. This study examines the association between unjust treatment in healthcare settings and unmet need for general practitioner (GP) services among PFB. Method: The data for this study were drawn from Survey on work and well-being among people of foreign origin (UTH) (n = 4977, response rate 66%). The respondent characteristics were weighted and summarized, and multivariate logistic regression analyses were performed to assess the adjusted odds ratios (OR) of association between perceived unjust treatment and unmet need for GP services. The analyses were conducted in a four-step process where the first model tested the association between unjust treatment in health care settings and unmet need for GP services, second model adjusted this association by sociodemographic factors, third model was further adjusted by migration related factors, and the fourth model adjusted the previous models even further by health related factors.Results: The results of multivariate regression showed that PFB reporting unjust treatment were also significantly more likely to report an unmet need for GP services. The difference remained significant even after controlling for other tested factors (OR=8.68, 95% CI 6.09-12.36, p<.001). In addition to perceived unjust treatment, only younger age, lower self-rated health and existing long-term illness were significantly associated with unmet need for medical care in the final, fully adjusted model.Conclusions: Thus, perceived unjust treatment in health care settings is significantly associated with unmet need for general practitioner services. Ensuring cultural competence throughout the entire organizational structures creates an environment to promote equal treatment for all clients. The overall costs can be reduced effectively by giving the best possible treatment for all health care users.

scholarly journals Perceived treatment and unmet need for medical care among people of foreign origin in Finland

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L Somersalo ◽  
P Kankkunen ◽  
H Kuusio
Keyword(s):  
Medical Care ◽  
Unmet Need ◽  
Well Being ◽  
Sociodemographic Factors ◽  
Equal Treatment ◽  
International Studies ◽  
Related Factors ◽  
Medical Settings ◽  
Foreign Origin ◽  
Gp Services

Abstract Background Previous international studies show that perceived unjust treatment is relatively common among people with foreign background (PFB) in medical services. This study examines the association between unjust treatment in medical settings and unmet need for general practitioner's (GP) services among PFB in Finland. Methods The data for this study were drawn from Survey on work and well-being among people of foreign origin (UTH) (N = 5449, response rate 66%), conducted in 2014-2015. Respondent characteristics were weighted and summarized, and multivariable logistic regressions were performed to assess the adjusted odds ratios (OR) of association between self-assessed unjust treatment and unmet need for medical care. The analyses were conducted in a three-step process where the first model tested the association between unjust treatment in medical care settings and unmet need for GP services, second model adjusted this association by sociodemographic factors, and the third model further adjusted the previous models by migration related factors. Results PFB reporting unjust treatment were significantly more likely to experience unmet need for GP services, even after controlling for other tested factors (OR = 8.73, 95% CI 6.18-12.33, p&lt;.001). Besides unjust treatment, only employment status was associated with unmet need for GP services (OR = 1.43, 95% CI 1.08-1.89, p = 0.123) in the final model. Immigration related factors were not associated with unmet need for care in this model. Conclusions Perceived unjust treatment in medical settings is strongly associated with unmet need for GP services. Key messages Cultural sensitive treatment could affect the inequities in unmet need for GP services between PFB and overall population. Ensuring cultural competence throughout organizational structures, and not just for individual employees, could create an environment to promote equal treatment of all clients.

Health and Medicine in the Islamic Tradition

1990 ◽  
Vol 7 (1) ◽  
pp. 89-90
Author(s):  
Dennis Michael Warren
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Human Health ◽  
Well Being ◽  
Islamic Tradition ◽  
Medical Tradition ◽  
Islamic Thought ◽  
History Of ◽  
Relationship Of ◽  
The Relationship

The late Dr. Fazlur Rahman, Harold H. Swift Distinguished Service Professor of Islamic Thought at the Oriental Institute of the University of Chicago, has written this book as number seven in the series on Health/Medicine and the Faith Traditions. This series has been sponsored as an interfaith program by The Park Ridge Center, an Institute for the study of health, faith, and ethics. Professor Rahman has stated that his study is "an attempt to portray the relationship of Islam as a system of faith and as a tradition to human health and health care: What value does Islam attach to human well-being-spiritual, mental, and physical-and what inspiration has it given Muslims to realize that value?" (xiii). Although he makes it quite clear that he has not attempted to write a history of medicine in Islam, readers will find considerable depth in his treatment of the historical development of medicine under the influence of Islamic traditions. The book begins with a general historical introduction to Islam, meant primarily for readers with limited background and understanding of Islam. Following the introduction are six chapters devoted to the concepts of wellness and illness in Islamic thought, the religious valuation of medicine in Islam, an overview of Prophetic Medicine, Islamic approaches to medical care and medical ethics, and the relationship of the concepts of birth, contraception, abortion, sexuality, and death to well-being in Islamic culture. The basis for Dr. Rahman's study rests on the explication of the concepts of well-being, illness, suffering, and destiny in the Islamic worldview. He describes Islam as a system of faith with strong traditions linking that faith with concepts of human health and systems for providing health care. He explains the value which Islam attaches to human spiritual, mental, and physical well-being. Aspects of spiritual medicine in the Islamic tradition are explained. The dietary Jaws and other orthodox restrictions are described as part of Prophetic Medicine. The religious valuation of medicine based on the Hadith is compared and contrasted with that found in the scientific medical tradition. The history of institutionalized medical care in the Islamic World is traced to awqaf, pious endowments used to support health services, hospices, mosques, and educational institutions. Dr. Rahman then describes the ...

scholarly journals Adolescent self-rated health predicts general practice attendance in adulthood: Results from the Young-HUNT1 survey

2018 ◽  
Vol 47 (1) ◽  
pp. 37-44 ◽  
Author(s):  
Øystein Hetlevik ◽  
Tina L. Vie ◽  
Eivind Meland ◽  
Hans J. Breidablik ◽  
David Jahanlu
Keyword(s):  
Health Care ◽  
General Practitioner ◽  
Body Satisfaction ◽  
Adult Life ◽  
Participation Rate ◽  
Well Being ◽  
Care Utilization ◽  
Future Health ◽  
Respiratory Problems ◽  
Self Rated Health

Aims: Self-rated health (SRH) is a predictor of future health. However, the association between SRH in adolescence and health problems and health care utilization in adulthood has rarely been investigated. The aim of this study was to examine adolescent SRH as a predictor of general practitioner consultations in adulthood. Methods: SRH was registered in the Young-HUNT1 survey in 1995–1997 ( N=8828, mean age 16 years, 88% participation rate). General practitioner consultations during 2006–2014 were obtained from a national claims database. The predictive value of adolescent SRH on general practitioner consultations in adulthood was analysed by regression models estimating the relative risks (RR) for the total number of consultations and consultations for psychological, gastrointestinal, musculoskeletal or respiratory problems. Age, sex and baseline measures of chronic disease and health care attendance were used as the adjusting variables. Results: SRH was reported as ‘very good’ by 28.4%, ‘good’ by 60.6% and ‘not good’ by 11.0% of the respondents. The increases in consultation rates were 21% (RR 1.21, 95% CI 1.15–1.27) and 52% (RR 1.52, 95% CI 1.40–1.64) when comparing respondents with ‘very good’ SRH to those with ‘good’ and ‘not good’ SRH, respectively. We also demonstrated a dose–response association between adolescent SRH and general practitioner consultations for psychological, gastrointestinal, musculoskeletal or respiratory problems. Conclusions: SRH in adolescence is a predictor for general practitioner consultations in adult life. Previous research shows that SRH is influenced by factors such as well-being, health behaviour, functional status and body satisfaction. Intervention studies are needed to evaluate whether population-based and clinical interventions can improve SRH by improving these factors among adolescents.

Moral Problems Among Dutch Nurses: a survey

1999 ◽  
Vol 6 (6) ◽  
pp. 468-482 ◽  
Author(s):  
Arie JG van der Arend ◽  
Corine HM Remmers-van den Hurk
Keyword(s):  
Health Care ◽  
Pilot Study ◽  
Well Being ◽  
Health Care Settings ◽  
Societal Issues ◽  
Institutional Organization ◽  
Moral Problems ◽  
Moral Dimensions ◽  
Organization Leadership ◽  
Depth Interviews

This article reports on a survey of the moral problems that Dutch nurses experience during their everyday practice. A questionnaire was developed, based on published literature, panel discussions, in-depth interviews and participation observations. The instrument was tested in a pilot study and proved to be useful. A total of 2122 questionnaires were sent to 91 institutions in seven different health care settings. The results showed that nurses were not experiencing important societal issues such as abortion and euthanasia as morally the most problematic, but rather situations such as verbally aggressive behaviour of colleagues towards patients, keeping silent about errors, and medical treatment given against the wishes of patients. Moral problems occurred especially when nurses experienced feelings of powerlessness with regard to the well-being of patients. Moreover, these moral problems proved to be related to institutional organization, leadership, and collaboration with colleagues and other disciplines. Nurses appeared to have a limited awareness of the moral dimensions of their practice.

scholarly journals COVID-19 Recommendations for Assisted Living: Implications for the Future

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 57-57
Author(s):  
Andrew Vipperman ◽  
Sheryl Zimmerman ◽  
Philip Sloane
Keyword(s):  
Health Care ◽  
Social Work ◽  
Nursing Homes ◽  
Medical Care ◽  
Social Workers ◽  
Assisted Living ◽  
Unmet Need ◽  
Group Activities ◽  
Integrate Health Care ◽  
The Future

Abstract Similar to nursing homes, COVID-19 has challenged assisted living (AL), given its congregate nature and vulnerable residents. However, COVID-19 recommendations have not consistently recognized differences between nursing homes and AL, and in so doing present implications for the future of AL. This project examined COVID-19 recommendations from six key organizations and compared them across nursing homes and AL. Differences include recommending more flexible visitation and group activities for AL, while similarities suggest that AL may best integrate health care into offered services (e.g., work with consulting clinicians who know residents and the AL community). Primary points to be discussed are that COVID-19 may accelerate the closer coordination of social work and medical care into AL, because recommendations suggest AL would benefit from the services and expertise of nurses, social workers, and physicians. There seems to be an unmet need to mitigate loneliness in AL, which warrants specific attention moving forward.

scholarly journals Transportation and Other Nonfinancial Barriers Among Uninsured Primary Care Patients

2018 ◽  
Vol 5 ◽  
pp. 233339281774968 ◽  
Author(s):  
Akiko Kamimura ◽  
Samin Panahi ◽  
Zobayer Ahmmad ◽  
Mu Pye ◽  
Jeanie Ashby
Keyword(s):  
Health Care ◽  
Low Income ◽  
Underserved Populations ◽  
Unmet Need ◽  
Care Facility ◽  
Well Being ◽  
Safety Net ◽  
The United States ◽  
Free Clinic ◽  
Transportation Barriers

Introduction: Nonfinancial barriers are frequent causes of unmet need in health-care services. The significance of transportation barriers can weigh more than the issues of access to care. The purpose of this cross-sectional study was to examine transportation and other nonfinancial barriers among low-income uninsured patients of a safety net health-care facility (free clinic). Methods: The survey data were collected from patients aged 18 years and older who spoke English or Spanish at a free clinic, which served uninsured individuals in poverty in the United States. Results: Levels of transportation barriers were associated with levels of other nonfinancial barriers. Higher levels of nonfinancial barriers were associated with elevation in levels of stress and poorer self-rated general health. Higher educational attainment and employment were associated with an increase in other nonfinancial barriers. Conclusion: Focusing only on medical interventions might not be sufficient for the well-being of the underserved populations. Future studies should examine integrative care programs that include medical treatment and social services together and evaluate such programs to improve care for underserved populations.

scholarly journals General medical care of long-stay psychiatric patients: a pilot study

1992 ◽  
Vol 16 (6) ◽  
pp. 332-334
Author(s):  
Danny Allen ◽  
Sally Pugh-Williams
Keyword(s):  
Health Care ◽  
General Practice ◽  
General Practitioner ◽  
Pilot Study ◽  
Medical Care ◽  
Psychiatric Patients ◽  
The Elderly ◽  
General Medical Care ◽  
Psychiatric Units ◽  
Physical Morbidity

Studies have shown that significant physical morbidity exist within psychiatric units (Honig et al, 1989), yet general medical care is often left in the hands of psychiatrists who may not always be the most appropriate people to deliver it (Colenda et al, 1988). The new general practice contract places certain obligations on the general practitioner (GP) with regard to his or her patients, especially the elderly, yet these provisions do not extend to many of our patients. Our study looks at four areas of health care and examines how they are delivered to long-stay patients in a district pyschiatric unit with no GP input.

scholarly journals Improving Care for Elders Who Prefer Informal Spaces to Age-Separated Institutions and Health Care Settings

2019 ◽  
Vol 3 (3) ◽  
Author(s):  
Stacy Torres ◽  
Xuemei Cao
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Health Care Providers ◽  
Public Transportation ◽  
Urban Areas ◽  
Health Care Services ◽  
Well Being ◽  
Care Providers ◽  
Third Places ◽  
Health Care Settings

Abstract Background and Objectives Despite advantages of urban areas (such as walkability, public transportation, nearby shopping, and health care services), challenges remain for elders aging in place to access care. The changing demographics of older adults, with higher rates of divorce, singlehood, and childlessness, often living alone and far from family, necessitate new strategies to support health and well-being. Research Design and Methods Drawing on 5 years of ethnographic fieldwork and 25 interviews with elders in New York City, this study presents empirical insights into older adults’ use of “third places” close to home, in conjunction with more formal settings. Results This article identifies external and internalized ageism and complicated age-based identity as important reasons why older adults preferred “third places” to age-separated spaces such as senior centers and formal settings such as health care settings. We find that neighborhood “third places” offer important physical venues for older adults to process negative or hurried interactions in other formal and age-separated places. Discussion and Implications This article makes policy suggestions for increasing access and usage of essential services, including developing attractive and appealing intergenerational spaces in which older community members can obtain services and dispatching caseworkers to public spaces where elders congregate. Furthermore, this article recommends improving exchanges between health care providers and older adults so that they feel recognized, respected, and cared for, which can improve health care outcomes.

Legal aspects of national healthcare service in Cuba

2020 ◽  
Vol 33 (2) ◽  
Author(s):  
Malgorzata Cyrych
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Large Body ◽  
Well Being ◽  
Legal Aspects ◽  
Human Right ◽  
Medical Care System ◽  
Primary Health ◽  
Patient’S Rights ◽  
The Republic

In the Republic of Cuba, the last remaining socialist state in the world, medical care was always considered a human right for all citizens. Cuba’s health policy underlines primary health care along prevention, and the participation of citizens and services in the community, and such policies lead tow working fairly well health system. The Cuban experience demonstrates properly working policymaking on the provision of medical care. Although there is large body of literature on health care in Cuba, still the topic of constitutional patient’s rights to medical care is not fully explored. Therefore, the purpose of this paper is to show how Cuba’s medical care system has been developed by focusing on human well-being versus financial gains.

Use of Traditional and Complementary Medical Care by Patients With Multiple Sclerosis in South-East Queensland

2001 ◽  
Vol 3 (1) ◽  
pp. 13-28 ◽  
Author(s):  
Kaye D. Hooper ◽  
Michael P. Pender ◽  
Penny M. Webb ◽  
Pam A. McCombe
Keyword(s):  
Multiple Sclerosis ◽  
Health Care ◽  
Chronic Disease ◽  
General Practitioner ◽  
Medical Care ◽  
Older Patients ◽  
Complementary Therapy ◽  
Median Cost ◽  
Charitable Organization ◽  
Significant Disability

ABSTRACT Multiple sclerosis (MS) is a chronic disease that causes significant disability and dependence on health care. This study was performed to assess the use of traditional and complementary health care by 40 patients with clinically definite MS in South-East Queensland, Australia. Their clinical and personal details and use of traditional and complementary health care were recorded during interviews in the six-month study period from June 1996 to December 1996. All patients were under the care of a neurologist and a general practitioner. More than half (52.5%) of the patients used physiotherapy; among patients older than 40, use of physiotherapy reached 61%. Eighty percent of subjects were seen at the Multiple Sclerosis Society of Queensland, a charitable organization that delivers MS care. Thirty-three of 40 patients (82.5%) had used complementary therapy at some point; 93% of the women with MS had used this form of therapy. Older patients were less likely to use complementary therapy than were younger ones. Median cost to users of complementary therapy was $100 per month (Australian dollars). (Int J MS Care. 2001; 3(1): 13–28)

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