scholarly journals Effect of COVID-19 on Patient Access to Health Services in Latin America: A Key Informant Survey

2021 ◽  
Author(s):  
Meredith H Kruse ◽  
Alessandra Durstine ◽  
Dabney P Evans
Keyword(s):  
Latin America ◽  
Health Services ◽  
Patient Advocacy ◽  
Noncommunicable Diseases ◽  
Bivariate Analysis ◽  
Patient Access ◽  
Access To Health Services ◽  
Advocacy Organizations ◽  
Access To Health ◽  
Key Informant

Abstract BackgroundCOVID-19 has been felt acutely in Latin America with several countries having among the highest numbers of COVID-19 cases and deaths. The purpose of this study was to assess the effects of COVID-19 on access to health services in Latin America, as reported by patient advocacy organizations representing autoimmune, chronic, and noncommunicable diseases.MethodsIn August 2020, we conducted an online key informant survey in Spanish and Portuguese among patient advocacy organizations in 18 countries in Latin America. Univariate and bivariate analysis was conducted across two main subject areas: perceived patient effects from COVID-19 and patient access to health services. The main outcomes of analysis considered patient access to care during COVID-19 based on type of chronic illness and geographical region in Latin America.ResultsA total of 81 survey responses were analyzed. A majority (83%) of patient advocacy organizations reported their patients experienced delays receiving their treatment and care services; 52% experienced delays of 30 days or more. Telemedicine was considered available, but not accessible to patients (37%) and a majority (76%) of patients faced challenges with electronic prescriptions. Patients were not likely to receive a multi-month prescription from their doctor (38%) or successfully fill it at the pharmacy (26%).ConclusionsPeople living with noncommunicable diseases in Latin America have been seriously impacted by the COVID-19 pandemic. As countries re-evaluate their health systems, it is critical that chronic diseases are considered so that all can fully realize the right to health.

scholarly journals DETERMINAN PERILAKU WANITA MELAKUKAN DETEKSI DINI KANKER SERVIKS DI KABUPATEN LAMPUNG SELATAN

2020 ◽  
Vol 2 (3) ◽  
pp. 535-548
Author(s):  
Siti Mariam ◽  
Atikah Adyas ◽  
William Arisandi
Keyword(s):  
Cervical Cancer ◽  
Early Detection ◽  
Health Services ◽  
Univariate Analysis ◽  
Bivariate Analysis ◽  
Access To Health Services ◽  
Childbearing Age ◽  
Chi Square ◽  
Detection Rates ◽  
Access To Health

ABSTRACT : DETERMINANTS OF WOMEN BEHAVIOR IN THE EARLY DETECTION OF CANCER SERVICES IN LAMPUNG SELATAN DISTRICT IN 2020 Introduction : Cervical cancer is the most common cancer in women with an estimated 530,000 new case. The problem facing cervical cancer prevention is the low coverage of early cervical cancer detection rates. In South Lampung in 2018 the number of women of childbearing age of 30-50 years who had undergone IVA examination was 44,913 people (30.5%) with positive results of 624 cases (1.39%).Method : This type of research is quantitative. Analytical research design with cross-sectional approach. The population is all WUS in South Lampung Regency as many as 148,499 people with a sample of 170 respondents. Data analysis used univariate analysis with percentages, bivariate analysis with Chi Square and multivariate analysis with multiple logistic regression predictive models.Result : The results showed that there was a relationship between the supporting factors namely knowledge (p = 0.016), attitude (p = 0.014) and education (p = 0.015) with the behavior of women doing early detection of cervical cancer. There is a relationship between the reinforcing factors of husband / family support (p = 0.001), the role of health workers (p = 0.001) and friend support (0.003) with the behavior of women doing early detection of cervical cancer. There is a relationship between enabling factors for access to information (p = 0.001), access to health services (p = 0,000) and affordability (p = 0.036) and the behavior of women in early detection of cervical cancer. The most dominant variable related to the behavior of women doing early detection of cervical cancer is the variable access to health services with an OR value of 15.46..Conclusion : For this reason, it is hoped that the Puskesmas in South Lampung will continue to mobile to the villages to get closer to the target access to health services with the availability of available resources even though BPJS cannot cover the cost of IVA examinations anymore. Continue to increase promotion efforts through Information and Education Communication (IEC) on early detection of cervical cancer by the IVA method.. Keywords : Determinant, Behavior, Early Detection of Cervical Cancer, Age      Women Lush (WUS)    INTISARI : DETERMINAN PERILAKU WANITA MELAKUKAN DETEKSI DINI KANKER SERVIKS DI KABUPATEN LAMPUNG SELATAN TAHUN 2020 Latar Belakang : Kanker serviks merupakan kanker paling sering keempat pada wanita dengan perkiraan 530.000 kasus baru, masalah yang menghadang dalam penanggulangan kanker serviks tersebut adalah masih rendahnya angka cakupan deteksi dini kanker serviks. Di Lampung Selatan pada tahun 2018 jumlah wanita usia subur 30-50 tahun yang telah dilakukan pemeriksaan IVA sebanyak 44.913 orang (30,5%) dengan hasil positif sebanyak 624 kasus (1,39%).  Metode Penelitian : Jenis penelitian adalah kuantitatif. Desain penelitian analitik dengan pendekatan crosssectional. Populasi adalah semua WUS yang berada di Kabupaten Lampung Selatan sebanyak 148.499 orang dengan jumlah sampel 170 responden. Analisis data menggunakan analisis univariat dengan persentase, analisis bivariat dengan Chi Square dan analisis multivariat dengan regresi logistic berganda model prediktif.Hasil : Hasil penelitian menunjukkan bahwa ada hubungan faktor pendukung yaitu pengetahuan (p=0,016), sikap (p=0,014) dan pendidikan (p=0,015) dengan perilaku wanita melakukan deteksi dini kanker serviks. Ada hubungan faktor penguat dukungan suami/keluarga (p=0,001), peran petugas kesehatan (p=0,001) dan dukungan teman (0,003) dengan perilaku wanita melakukan deteksi dini kanker serviks. Ada hubungan faktor pemungkin akses informasi (p=0,001), akses menuju ke pelayanan kesehatan (p=0,000) dan keterjangkauan biaya (p=0,036) dengan perilaku wanita melakukan deteksi dini kanker serviks. Variabel yang paling dominan berhubungan dengan perilaku wanita melakukan deteksi dini kanker serviks adalah variabel akses ke pelayanan kesehatan dengan nilai OR sebesar 15,46.Kesimpulan : Diharapkan Puskesmas di Lampung Selatan tetap melakukan mobile ke desa untuk mendekatkan akses sasaran ke pelayanan kesehatan dengan ketersediaan sumber daya yang ada meskipun BPJS tidak dapat mengcover biaya pemeriksaan IVA lagi. Terus meningkatkan upaya promosi melalui Komunikasi Informasi dan Edukasi (KIE) tentang deteksi dini kanker serviks dengan metode IVA. Kata Kunci     : Determinan, Perilaku, Deteksi Dini kanker Serviks, Wanita Usia  Subur (WUS)

Trends in access to health services and financial protection in China between 2003 and 2011: a cross-sectional study

The Lancet ◽  
2012 ◽  
Vol 379 (9818) ◽  
pp. 805-814 ◽  
Author(s):  
Qun Meng ◽  
Ling Xu ◽  
Yaoguang Zhang ◽  
Juncheng Qian ◽  
Min Cai ◽  
...  
Keyword(s):  
Health Services ◽  
Cross Sectional Study ◽  
Financial Protection ◽  
Sectional Study ◽  
Access To Health Services ◽  
Cross Sectional ◽  
Access To Health

scholarly journals Are nurses meeting the needs of men in primary care?

2017 ◽  
Vol 23 (4) ◽  
pp. 319
Author(s):  
Del Lovett ◽  
Bodil Rasmussen ◽  
Carol Holden ◽  
Patricia M. Livingston
Keyword(s):  
Health Services ◽  
Healthcare Access ◽  
Men’S Health ◽  
Men's Health ◽  
Service Access ◽  
Access To Health Services ◽  
Financing System ◽  
Healthcare Needs ◽  
Comprehensive Primary Health Care ◽  
Access To Health

Meeting men’s health needs by improving healthcare service access is a key objective of comprehensive primary health care. The aims of this qualitative study were to explore the perception of nurses in men’s health services and to describe men’s expectation of the nurse. The comparative component identifies the barriers and facilitators to improved access to health services. A purposive sample of 19 nurses and 20 men was recruited from metropolitan and regional settings in the state of Victoria, Australia, and each participant was interviewed individually or as part of three focus groups. The main findings were: nurses and men were unclear on the role of the nurse in men’s health; and health promotion provided by nurses was predominantly opportunistic. Both participant groups indicated barriers to healthcare access related to: the culture and environment in general practice; limitation of Australia’s Medicare healthcare financing system; out-of-pocket costs, waiting time and lack of extended hours; and men not wanting to be perceived as complainers. Facilitators related to: positive inter-professional relations; effective communication; personal qualities; and level of preparedness of nurse education. The findings demonstrate a need for the role to be better understood by both men and nurses in order to develop alternative approaches to meeting men’s healthcare needs.

scholarly journals Medical Ethnobiology and Indigenous Knowledge System Found In Darai Ethnic Group of Chitwan, Nepal

2016 ◽  
Vol 21 (1) ◽  
pp. 103-111 ◽  
Author(s):  
Manisha Poudel ◽  
Nanda Bahadur Singh
Keyword(s):  
Health Services ◽  
Indigenous Knowledge ◽  
Ethnic Group ◽  
Animal Species ◽  
Knowledge System ◽  
Easy Access ◽  
Access To Health Services ◽  
Medicinal Purpose ◽  
Indigenous Knowledge System ◽  
Access To Health

The present study focuses on traditional usages of animals and plants species for medicinal purpose and indigenous knowledge system existent in Darai ethnic group of Mangalpur VDC, Chitwan, Nepal. A total of 28 animal species and 76 plant species were found to be used by Darai people to treat 22 and 36 different ailments, respectively. Darai people have their own indigenous knowledge for making various bamboo products and fishing equipments and local drink (moat/muna). The existence of knowledge associated with animals and plants and their medicinal utility is currently threatened mainly due to modernization, easy access to health services, lack of interest of youngsters, few local healers and fading of ethnic characters of Darai ethnic group. Thus, documentation of such knowledge has become an urgent need.Journal of Institute of Science and TechnologyVolume 21, Issue 1, August 2016, page: 103-111

scholarly journals Access to health services in Western Newfoundland, Canada: Issues, barriers and recommendations emerging from a community-engaged research project

2014 ◽  
Vol 7 (1) ◽  
Author(s):  
Janelle Hippe ◽  
Victor Maddalena ◽  
Sara Heath ◽  
Beulah Jesso ◽  
Marion McCahon ◽  
...  
Keyword(s):  
Health Services ◽  
Nurse Practitioners ◽  
Maternal Child Health ◽  
Access To Health Services ◽  
Rural And Remote ◽  
Research Project ◽  
Community Engaged Research ◽  
Kitchen Table ◽  
Access To Health ◽  
Health Services Access

Research indicates that people living in rural and remote areas of Canada face challenges to accessing health services. This article reports on a community-engaged research project conducted by investigators at Memorial University of Newfoundland in collaboration with the Rural Secretariat Regional Councils and Regional Partnership Planners for the Corner Brook–Rocky Harbour and Stephenville–Port aux Basques Rural Secretariat Regions of Newfoundland and Labrador. The aim of this research was to gather information on barriers to accessing health services, to identify solutions to health services’ access issues and to inform policy advice to government on enhancing access to health services. Data was collected through: (1) targeted distribution of a survey to communities throughout the region, and (2) informal ‘kitchen table’ discussions to discuss health services’ access issues. A total of 1049 surveys were collected and 10 kitchen table discussions were held. Overall, the main barriers to care listed in the survey included long wait times, services not available in the area and services not available at time required. Other barriers noted by survey respondents included transportation problems, financial concerns, no medical insurance coverage, distance to travel and weather conditions. Some respondents reported poorer access to maternal/child health and breast and cervical screening services and a lack of access to general practitioners, pharmacy services, dentists and nurse practitioners. Recommendations that emerged from this research included improving the recruitment of rural physicians, exploring the use of nurse practitioners, assisting individuals with travel costs,  developing specialist outreach services, increasing use of telehealth services and initiating additional rural and remote health research.Keywords: rural, remote, healthcare, health services, social determinants of health

scholarly journals Equitable access to health services for children aged 5 to 9 in a medium city of northeasth of Brazil: a result of Family Health Strategy

2014 ◽  
Vol 17 (suppl 2) ◽  
pp. 39-52 ◽  
Author(s):  
Adriana Xavier de Santiago ◽  
Ivana Cristina de Holanda Cunha Barreto ◽  
Ana Cecília Silveira Lins Sucupira ◽  
José Wellington de Oliveira Lima ◽  
Luiz Odorico Monteiro de Andrade
Keyword(s):  
Health Services ◽  
Health System ◽  
Family Health ◽  
Northeastern Brazil ◽  
Local Health ◽  
Access To Health Services ◽  
Care Services ◽  
Health Strategy ◽  
Access To Health ◽  
Family Health Strategy

INTRODUCTION: The Brazilian National Health System may reduce inequalities in access to health services through strategies that can reach those most in need with no access to care services. OBJECTIVE: To identify factors associated with the use of health service by children aged 5 to 9 years in the city of Sobral, Ceará, northeastern Brazil. RESULTS: Only 558 (17.0%) children used health care services in the 30 days preceding this survey. Children with any health condition (OR = 3.90) who were frequent attenders of primary care strategy of organization (the Family Health Strategy, FHS) (OR = 1.81) and living in the city's urban area (OR = 1.51) were more likely to use health services. Almost 80% of children used FHS as their referral care service. Children from poorer families and with easier access to services were more likely to be FHS users. CONCLUSION: The study showed that access to health services has been relatively equitable through the FHS, a point of entry to the local health system.

scholarly journals The gap between coverage and care—what can Canadian paediatricians do about access to health services for refugee claimant children?

2017 ◽  
Vol 22 (8) ◽  
pp. 430-437 ◽  
Author(s):  
N Rink ◽  
F Muttalib ◽  
G Morantz ◽  
L Chase ◽  
J Cleveland ◽  
...  
Keyword(s):  
Health Services ◽  
Access To Health Services ◽  
Access To Health ◽  
Refugee Claimant
Sign in / Sign up

Export Citation Format

Share Document