Qualitative Focus Group Study Examining Perceptions of the Community’s Important Health Issues, Health Care Needs and Perceived Barriers to Access Among Arabic Speaking Primary Care Clients in the State of Qatar

Abstract Rural and remote communities have limited access to high quality dementia care, prompting a need for innovative solutions to meet the health care needs of affected older adults. As part of a study aimed at implementing a telehealth intervention for primary care patients with dementia in two rural North Carolina counties, we examined baseline dementia prevalence and compared health care use between patients with and without dementia. Electronic health records from January 2018 to December 2018 were examined for 2,288 patients aged 65 or older. A zero-inflated Poisson regression model was used to compare healthcare use between patients with and without dementia adjusting for patients’ demographic and clinical characteristics. Dementia prevalence was 8.7% based on diagnosis codes. Most patients with dementia were women (70%), not married (55%), Medicare-insured (78%), and had more comorbidities (mean: 2±2) than non-dementia patients. Dementia patients had a significantly higher number of primary care visits, emergency department visits, inpatient visits, and preventable hospitalizations than patients without dementia (risk ratio = 1.1, 1.8, 2.18, and 1.3, respectively; all P< 0.05). Dementia burden was higher among women and use of acute care services by patients with dementia in this rural setting was higher than patients without the disease, similar to urban settings. These findings suggest opportunities to improve care coordination and access to resources to help reduce the need for acute care services among patients with dementia and can help tailor interventions to address the health care needs of this group.

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Health needs assessment for elderly in primary health care in Zagreb

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.272 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

M Polic-Vizintin ◽

M Marić Bajs ◽

I Portolan Pajić ◽

J Tucak ◽

Z Šostar

Keyword(s):

Primary Care ◽

Health Care ◽

General Population ◽

Intervertebral Disk ◽

Health Needs ◽

Health Care Needs ◽

Care Needs ◽

Primary Health ◽

Hypertensive Diseases ◽

Circulatory Diseases

Abstract Background The purpose of any health system is to guarantee access to care for the entire population served. Zagreb population is 'very old', with 17.3% older than 65. The aim is to assess health care needs for elderly in primary health care (PHC). Methods Data on morbidity and visits are recorded in PHC facilities Variation in the mortality rate in 1971-2014 period is analyzing, using descriptive method. Results The highest index of PHC utilization (88.1%) is recorded for the +65 age, with 14.3 visits per capita (vs 7.7 for general population). Acute respiratory infections ranked first in all age groups; the rate per 100 was considerably lower in the ≥65 group than in the 0-19 group (27.82/100 vs 111.20/100). Hypertensive diseases ranked second most common (23.09 per 100) in the age group ≥65, followed by intervertebral disk diseases and other dorsopathies (15.10/100), and neuroses and affective disorders (6.63/100). The prevalence of hypertensive diseases and of intervertebral disk diseases and other dorsopathies was significantly higher in the ≥65 group (χ2=27.3 and χ2=13.43, respectively; p < 0.05 both). Among mortality causes circulatory diseases and neoplasms showes a constant rise during the period 1971-2014 (circulatory diseases 26.4%; neoplasms 83.9%). The highest rise is recorded in group of endocrine and metabolic disease owing diabetes mellitus(159%). Conclusions Many of older people although independent, have multiple chronic conditions and meet criteria for fraility. The number of PHC visits is high, twice in comparison with general population. Health needs are very related to coping with appropriate organization and management of public health services, esspecially of senior- friendly primary care concept. Key messages The aging of the general population influences the type of morbidity and health care needs. The concept of senior-friendly primary care has to be promoted.

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Exploring the Health Care Challenges and Health Care Needs of Arabic-Speaking Immigrants with Cardiovascular Disease in Australia

Pharmacy ◽

10.3390/pharmacy7040151 ◽

2019 ◽

Vol 7 (4) ◽

pp. 151 ◽

Cited By ~ 1

Author(s):

Erini Abdelmessih ◽

Maree-Donna Simpson ◽

Jennifer Cox ◽

Yann Guisard

Keyword(s):

Cardiovascular Disease ◽

Health Care ◽

Limited English Proficiency ◽

Patient Communication ◽

Comparative Approach ◽

Health Care Needs ◽

Care Needs ◽

Comparable Group ◽

English Speaking ◽

Arabic Speaking

The Arabic-speaking immigrant group, which makes up the fourth largest language group in Australia, has a high prevalence of cardiovascular disease. The objective of this study was to explore the health care challenges and needs of Arabic-speaking immigrants with cardiovascular disease (CVD), using a comparative approach with English-speaking patients with CVD as the comparable group. Methods: Participants were recruited from community settings in Melbourne, Australia. Face-to-face semi-structured individual interviews were conducted at the recruitment sites. All interviews were audio-taped, transcribed, and coded thematically. Results: 29 participants with CVD were recruited; 15 Arabic-speaking and 14 English-speaking. Arabic-speaking immigrants, and to a lesser extent English-speaking patients with CVD may have specific health care challenges and needs. Arabic-speaking immigrants’ health care needs include: effective health care provider (HCP)-patient communication, accessible care, participation in decision-making, and empowerment. English-speaking participants viewed these needs as important for CVD management. However, only a few English-speaking participants cited these needs as unmet health care needs. Conclusion: This study suggests that Arabic-speaking immigrants with CVD may have unique needs including the need for privacy, effective HCP-patient communication that takes into account patients’ limited English proficiency, and pharmacist-physician collaboration. Therefore, there may be a need to identify a health care model that can address these patients’ health care challenges and needs. This, in turn, may improve their disease management and health outcomes.

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Caring for Children Who Have Special Health-care Needs: A Practical Guide for the Primary Care Practitioner

Pediatrics in Review ◽

10.1542/pir.28-7-e36 ◽

2007 ◽

Vol 28 (7) ◽

pp. e36-e42 ◽

Cited By ~ 6

Author(s):

M. D. Sadof ◽

B. L. Nazarian

Keyword(s):

Primary Care ◽

Health Care ◽

Special Health Care Needs ◽

Health Care Needs ◽

Primary Care Practitioner ◽

Care Needs ◽

Special Health Care ◽

Practical Guide ◽

Special Health

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Meeting Health Care Needs of a Vulnerable Population: Perceived Barriers

Journal of Community Health Nursing ◽

10.1207/s15327655jchn1801_04 ◽

2001 ◽

Vol 18 (1) ◽

pp. 35-52 ◽

Cited By ~ 11

Author(s):

Merrilyn O. Johnson

Keyword(s):

Health Care ◽

Vulnerable Population ◽

Perceived Barriers ◽

Health Care Needs ◽

Care Needs

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Barriers to Care for Children and Youth With Special Health Care Needs

Clinical Pediatrics ◽

10.1177/0009922811417288 ◽

2011 ◽

Vol 51 (1) ◽

pp. 39-45 ◽

Cited By ~ 17

Author(s):

Rishi Agrawal ◽

Parag Shah ◽

Kathy Zebracki ◽

Kathy Sanabria ◽

Claire Kohrman ◽

...

Keyword(s):

Primary Care ◽

Health Care ◽

Special Health Care Needs ◽

Children And Youth ◽

Blood Glucose Monitoring ◽

Health Care Needs ◽

Care Needs ◽

Special Health Care ◽

Billing And Coding ◽

Special Health

Objective. To assess primary care pediatricians’ (PCPs’) perceptions of caring for children and youth with special health care needs (CYSHCN). Methods. Cross-sectional survey of Illinois pediatricians. Results. Thirty-five percent of surveys were returned and 26% were analyzed. The top 3 perceived barriers were insufficient time (72%), insufficient reimbursement (68%), and lack of support services (59%). Insufficient interest was the least cited barrier (19%). Preparedness to perform tasks related to care of CYSHCN ranged from 89% for accessing early intervention services to 24% for billing and coding. The percentage of PCPs somewhat or very comfortable providing primary care to patients with technology dependence ranged from 75% for blood glucose monitoring to 12% for dialysis. Conclusions. The issues of time, reimbursement, billing, and coding are perceived as significant barriers to the care CYSHCN. There is substantial variation in PCPs’ comfort in the care of CYSHCN who require the assistance of medical technologies.

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