Regional utilisation of preventive services in old age – Study protocol of a mixed methods study (Preprint)

2021 ◽  
Author(s):  
Ilona Hrudey ◽  
Annemarie Minow ◽  
Svenja Walter ◽  
Stefanie March ◽  
Enno Swart ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Cancer Screening ◽  
Claims Data ◽  
Statutory Health Insurance ◽  
Preventive Services ◽  
Systematic Evaluation ◽  
Age Group ◽  
Structured Interviews ◽  
Focus Group Discussions ◽  
Group Discussions

BACKGROUND In Germany the proportion of people with chronic diseases and multimorbidity is increasing. To counteract the emergence and worsening of age-related conditions there is a need for preventive care structures and measures. The preventive services that are financed by the statutory health insurance (SHI) (e.g. vaccinations, cancer screening) are only used by part of the German population. There are no current findings about the utilisation of these services by the elderly and older population in the eastern German federal state of Saxony-Anhalt, which is particularly strongly affected by demographic change. OBJECTIVE The aim of the present study is to investigate the determinants of, reasons for, and barriers to utilisation of preventive services financed by the SHI in Saxony-Anhalt in the 55 plus age group. METHODS In the study a mixed methods approach is used. The actual use of preventive services will be shown by means of a claims data analysis looking at data on statutory outpatient medical care from both the Central Research Institute of Ambulatory Health Care in Germany (Zi) and the Association of Statutory Health Insurance Dentists in Saxony-Anhalt (KZV LSA). The determinants, attitudes and behaviours associated with use will be analysed through a cross-sectional survey as well as qualitative data from semi-structured interviews with residents of Saxony-Anhalt and from focus group discussions with physicians. A stocktake and systematic evaluation of digitally available information material on colorectal cancer screening by way of example, provides an insight into the information available as well as its quality. To assess the quality of relevant information material a catalogue of criteria was developed. The conceptual framework of the study is Andersen’s behavioural model of health services use (last modified in 2014). RESULTS The Zi and KZV LSA are currently preparing the requested claims data. The survey was carried out from April to June 2021 in two urban and two rural municipalities (encompassing a small town and surrounding area) in Saxony-Anhalt. In total 3,665 people were contacted, with a response rate of 25.84% (n=954). For the semi-structured interviews 18 participants from the four different study regions were recruited in the same time period. The recruitment of physicians for the focus group discussions is currently ongoing. For the systematic evaluation of existing information material on colorectal cancer screening 37 different information materials were identified on the websites of a total of 16 healthcare actors. CONCLUSIONS The study will provide current and reliable data on the use of preventive services in the 55 plus age group in Saxony-Anhalt. It will yield insights into the determinants, reasons and barriers associated with their utilisation. The results will reveal the potential for preventive measures and enable concrete recommendations for action for the target population of the study. CLINICALTRIAL German Clinical Trials Register, DRKS00024059. Registration date 15/01/2021

ВІД ЮНОСТІ ДО МОЛОДОСТІ: МОЖЛИВОСТІ ЕПІГЕНЕТИЧНОЇ МОДЕЛІ В СОЦІОКУЛЬТУРНОМУ АНАЛІЗІ

1970 ◽  
Vol 8 (1) ◽  
pp. 90-97
Author(s):  
Олена Злобіна
Keyword(s):  
Identity Development ◽  
Theoretical Basis ◽  
Interdisciplinary Approach ◽  
Transition Process ◽  
Age Group ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Identity Statuses ◽  
The Status ◽  
Empirical Material

Статтю    присвячено    аналізу    можливостей    застосування    міждисциплінарного    підходу    в  дослідженнях трансформацій конструкту ідентичності. Виокремлено обмеженості дослідження стадій  циплінарних  підходах.  Запропоновано  застосувати  стадійний  підхід  в  аналізі  вікової  групи  «молодь»  з  метою верифікації положення про її диференціацію на різні вікові підгрупи, які відрізняються статусами  ідентичності. Теоретичним підґрунтям дослідження є теорія психогенетичного розвитку особистості Е.  Еріксона та статусна динамічна модель розвитку ідентичності Дж. Марсіа. Емпіричну основу склали  матеріали аналізу 14 фокус-групових дискусій, проведених у молодіжних аудиторіях: 7 груп з молоддю у віці  18-21  рік  і  7  з  молоддю  у  віці  26-30  років.  Підтверджено  внутрішню  диференціацію    вікової  стадії  «молодість». Показано, що динаміка психогенезу на цій стадії характеризується домінуванням дифузного  статусу у молодшої групи та статусу досягненості у старшої.  Інші статуси зустрічаються значно  рідше.   Наявний   емпіричний   матеріал   не   дає   можливості   простежити   чинники,   які   зумовлюють  зафіксовані відмінності, проте отримані в ході дослідження типові портрети зазначених груп  дозволяють   розвинути міждисциплінарний підхід до проблеми персоногенезу та застосувати його можливості для  вироблення стратегії дослідження «процесу переходу» від стадії до стадії The article is devoted to the analysis of the possibilities of using the interdisciplinary approach in studies of transformations of the construct of identity. The limitations of studies of stages of development in monodisciplinary approaches are singled out. It is suggested to apply the step-by-step approach in the analysis of the age group "youth" in order to verify the position on its differentiation into different age subgroups that differ in identity statuses. The theoretical basis of the study is the theory of psychogenetic development of the personality of E. Erickson and the status dynamic model of identity development of J. Marcia. Empirical basis was made by the analysis materials 14 focus group discussions held in youth audiences: 7 groups with youth aged 18-21 and 7 with young people aged 26-30. The internal differentiation of the age stage "youth" has been confirmed. It is shown that the dynamics of psychogenesis at this stage is characterized by the dominance of diffuse status in the younger group and the status of attainment in the older group. Other statuses are much less common. The existing empirical material does not provide an opportunity to trace the factors that cause the observed differences, but the typical portraits of these groups obtained in the course of the research allow developing an interdisciplinary approach to the problem of personogenesis and applying its possibilities for developing a strategy for studying the "transition process" from stage to stage.

scholarly journals Diagnostic SWOT appraisal of the wicker handicraft entrepreneurship development in Kashmir, India

2020 ◽  
Vol 12 (2) ◽  
pp. 193-201
Author(s):  
M. A. Islam ◽  
A.A. Wani ◽  
G.M. Bhat ◽  
A.A. Gatoo ◽  
Murtaza Shah ◽  
...  
Keyword(s):  
Poverty Alleviation ◽  
External Factors ◽  
Structured Interviews ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Internal Factors ◽  
Traditional Art ◽  
Multi Stage ◽  
Employment Generation ◽  
F Statistics

Critical analyses of the perceptions on SWOT (strengths, weaknesses, opportunities and threats) have become a fundamental element of multi-criteria decision making for developing wicker handicraft entrepreneurship. The study examined the effectiveness and prioritization of entrepreneur's perceptions towards SWOT categories and factors and provided insights for developing wicker handicraft entrepreneurship in Pulwama district of Kashmir. Data were collected through structured interviews and focus group discussions of 100 wicker handicraft entrepreneurs of 20 villages selected by multi-stage random sampling. Simple descriptive statistics were used for the data analysis. Results showed that the factors like income generation (19.30%) and employment generation (19.00%) were viewed as most important strengths while labour intensive and less remunerative livelihood (18.80%) and seasonal subsistence (18.70%) were identified as main weaknesses. Further, poverty alleviation (20.70%), preservation of traditional art craft (19.00%) and improvement in public-private relations (17.50%) were adjudged as strong opportunities whereas limited marketing facilities (20.70%), lack of co-operative societies (18.90%) and harassment by officials in withies collection (16.50%) were seen as chief threats. The challenges (weaknesses and threats) (50.40%) for wicker handicraft entrepreneurship outweighed the prospects (strengths and opportunities) (49.60%) while the internal factors (strengths and weaknesses) (54.80%) prevailed over the external factors (opportunities and threats) (54.20%). F statistics (p<0.05) indicated significant differences between the internal factors (strengths and weaknesses) and external factors (opportunities and threats). The results projected the basis to the policymakers to prioritize and address the prominent challenges and reinforce the prospects for conceptualizing, formulating and implementing the strategies for strengthening the wicker handicraft entrepreneurship.

scholarly journals Understanding the Livelihood Characteristics of the Migratory and Non-Migratory Fishers of the Padma River, Bangladesh

2018 ◽  
Vol 10 (3) ◽  
pp. 261-273
Author(s):  
M. I. Khan ◽  
M. M. Islam ◽  
G. K. Kundu ◽  
M. S. Akter
Keyword(s):  
Focus Group ◽  
Well Water ◽  
Full Time ◽  
Age Group ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Key Informant ◽  
Part Time ◽  
Tube Well ◽  
Padma River

The Padma is the second longest and one of the trans-boundary rivers of Bangladesh that significantly contributes to fisheries production and supports the fishers’ livelihoods. This study assesses the livelihood characteristics of the Padma river-dependent migratory and non-migratory fishers, employing household interviews, focus group discussions (FGDs), and key informant interviews from July to October, 2015. All migratory fishers were full-time fishers, whereas, non-migratory fishers included full time (88.89%), part-time and occasional fishers (11.11%). Maximum fishers were belonging to the age group of 31 to 50 years of which 94.74% were migratory and 57.4% were non-migratory fishers. Half of the migratory and non-migratory fishers were illiterate. 89.47% migratory fishers used river water for drinking and other purposes, whereas, 94.44% non-migratory fishers used tube-well water. Average annual incomes of both migratory (58%) and non-migratory (65%) fishers ranged from Tk. 30,000 to 60,000, whereas 26% migratory and 5% non-migratory fishers had average annual incomes above Tk. 60,000. The overall livelihood status of the migratory and non-migratory fishers was not satisfactory as they have faced problems like conflicts with elite groups for resources, lack of fish preservation facilities. Effective initiatives and their proper implementations are very crucial to develop the Padma river fisher’s livelihood conditions.

574 RECENT TRENDS IN COLORECTAL CANCER SCREENING METHODS BASED ON MEDICARE CLAIMS DATA

2020 ◽  
Vol 158 (6) ◽  
pp. S-121
Author(s):  
Ahmet B. Ozbay ◽  
Lila J. Finney Rutten ◽  
John B. Kisiel ◽  
Paul Limburg ◽  
Marcus Parton
Keyword(s):  
Colorectal Cancer ◽  
Cancer Screening ◽  
Colorectal Cancer Screening ◽  
Claims Data ◽  
Screening Methods ◽  
Medicare Claims ◽  
Recent Trends ◽  
Medicare Claims Data

scholarly journals Conservation Agriculture Promotion and Uptake in Mufulira, Zambia-A Political Agronomy Approach

2017 ◽  
Vol 10 (1) ◽  
pp. 156 ◽  
Author(s):  
Bridget Bwalya Umar
Keyword(s):  
Conservation Agriculture ◽  
Structured Interviews ◽  
Public Officials ◽  
Focus Group Discussions ◽  
Smallholder Farming ◽  
Group Discussions ◽  
Tillage Systems ◽  
The Public ◽  
Key Informant ◽  
Farming Households

This study utilized 120 semi-structured interviews with smallholder farming households and two focus group discussions; as well as several key informant interviews with experts to explore the promotion and uptake of conservation agriculture (CA) in Mufulira, Zambia. Results reveal that ridges and flat culture continued to be the preferred tillage systems (97 per cent and 55 per cent respectively) despite the farmers having been trained in the use of a minimum tillage technique. None of the interviewed farmers perceived CA as a solution to any of their agricultural related problems. The NGO promoting CA in the district had framed it as suited for and claimed to target labour constrained HIV/AIDS affected households. Conversely, farmers complained that CA was challenging for them due to its high labour demands (23 per cent); poor harvests (18 per cent) and was unsuited to the rainfall patterns of the area (10 per cent). Local agricultural experts contested the promotion of basins in Mufulira. The framing of CA as a solution to labour constraints did not seem to hold in the study area. This effectively limited the contestation spaces available to the public officials with dissenting views on the suitability of basin CA in the district.

scholarly journals Factors Shaping Uptake of Antenatal Care in Surabaya Municipality, Indonesia: A Qualitative Study

2021 ◽  
Vol 16 (3) ◽  
Author(s):  
Lisa Jones ◽  
Nyoman Anita Damayanti ◽  
Nicola Wiseman ◽  
Neil Harris
Keyword(s):  
Focus Group ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Urban Areas ◽  
Waiting Times ◽  
Structured Interviews ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Risk Pregnancy ◽  
Return Visits

Five focus group discussions (FGDs) with 61 pregnant women were conducted in June and July 2019 at primary health care (PHC) services within five urban areas of Surabaya, Indonesia. In addition, five semi-structured interviews with five midwives were carried out to explore the experiences of pregnant women accessing Antenatal Care (ANC) and the factors shaping uptake of ANC services. Data were audio-recorded, transcribed, and translated into English, and analyzed using thematic analysis. Findings from focus group discussions suggested that fears of negative diagnosis before initial ANC appointment and personal beliefs and myths surrounding pregnancy may delay uptake of ANC. Further, the influence of husbands, family, and friends and long waiting times with overcrowding leading to limited seating shaped timely access and return visits. In addition, feeling comfortable with the quality of the service and receiving a friendly service from the practitioners assisted women in feeling comfortable to return. Finally, midwives acknowledged feeling afraid of being referred to a hospital if deemed a high-risk pregnancy-shaped return ANC visits. The findings highlighted several factors needing to be addressed to increase the promptness of first ANC visits and ensure return visits to achieve great ANC coverage.

scholarly journals Adult learners’ barriers of learning: the world of married women

2020 ◽  
Vol 5 (2) ◽  
Author(s):  
Toni Ariwijaya ◽  
Lale Fatma Yulia Ningsih
Keyword(s):  
Adult Learners ◽  
College Education ◽  
Married Women ◽  
Strongly Correlated ◽  
Structured Interviews ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Female Adult ◽  
Non Traditional Students ◽  
University Population

The composition of university population has prompted researchers to examine the barriers of learning non-traditional students, typically 24 years old or older, encounter in their pursuit of a college education. The purpose of this study is to examine the live realities of six selected female adult learners in Universitas Islam Al-Azhar Mataram, Indonesia, as the institution provides programs for adult learners. Specifically, the study focuses on three types of barriers; situational, institutional and dispositional. In doing so, semi-structured interviews and focus group discussions had been conducted for two academic calendars. Interviews were digitally recorded, transcribed verbatim and individual transcriptions were checked for clarity. The findings of this study reveal that cultural and personal aspects were strongly correlated with academic and non-academic struggles. Meanwhile, it is suggested that, for female adult learners to successfully overcoming the barriers, there is a need from college institutions to create more avenues of support.

scholarly journals HIGH SCHOOL LEARNERS’ EXPERIENCES OF GANGSTERISM IN HANOVER PARK

2016 ◽  
Vol 28 (1) ◽  
pp. 69-84 ◽  
Author(s):  
Mufaro Magidi ◽  
Rinie Schenk ◽  
Charlene Erasmus
Keyword(s):  
South Africa ◽  
High School ◽  
Focus Group ◽  
School Attendance ◽  
Community Life ◽  
Western Cape ◽  
Structured Interviews ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Exploratory Approach

The culture of gang violence has become deeply entrenched in South Africa. The present study explored the experiences of non-gang school-going adolescents regarding gangs and gangsterism in Hanover Park in the Western Cape. A qualitative exploratory approach was used. Data collection instruments were focus group discussions supported by qualitative semi-structured interviews involving 18 adolescents between the ages of 16 and 18 from two secondary schools in Hanover Park, Cape Town. The data were thematically analysed. The results have shown that the presence of gangs affects the learners’ school attendance, restricts their mobility, increases bullying at school and seriously disrupts family and community life.

scholarly journals GAMBARAN DUKUNGAN SOSIAL DARI GURU YANG DIRASAKAN OLEH SISWA SMA “X”

2019 ◽  
Vol 6 (02) ◽  
pp. 77-86
Author(s):  
Anisah Aninditya Rahmaputri ◽  
Dianti Endang Kusumawardhani
Keyword(s):  
Social Support ◽  
High School ◽  
Focus Group ◽  
School Engagement ◽  
Perceived Social Support ◽  
Group Discussion ◽  
Data Retrieval ◽  
Structured Interviews ◽  
Focus Group Discussions ◽  
Group Discussions

Teachers have an important role in educating students well. One way that teachers can do to be able to increase motivation and school engagement is by providing social support to students. This study aims to find out the overview of perceived social support from teachers by high school “X” students in South Tangerang. The research method is descriptive qualitative research with data collection techniques through focus group discussions and structured interviews. The results of data retrieval show that the perceived social support from some teachers by high school "X" students is quite satisfying for students but not from every teachers. This means it can still be improved again. This is because not all teachers are considered good enough at providing social support to students. The total number of teachers are 17 people and for students are 67. It should be able to be improved in communication skills so that they can provide better social support to students. Keywords : Adolescent, School, Social support. Abstrak Guru memiliki peran penting dalam mendidik siswa dengan baik. Salah satu cara yang dapat guru lakukan untuk dapat meningkatkan motivasi serta keaktivan siswa di sekolah adalah dengan memberikan dukungan sosial kepada siswa. Penelitian ini bertujuan untuk mencari tahu gambaran dukungan sosial dari guru yang dirasakan oleh siswa SMA “X” di Tangerang Selatan. Metode penelitian berupa penelitian kualitatif deskriptif dengan teknik pengambilan data melalui focus group discussion dan wawancara terstruktur. Hasil pengambilan data menunjukkan bahwa gambaran dukungan sosial dari guru yang dirasakan oleh siswa SMA “X” cukup memuaskan bagi siswa tetapi masih dapat ditingkatkan lagi. Hal ini dikarenakan belum semua guru dianggap sudah bagus dalam memberikan dukungan sosial kepada siswa. Total guru yang berjumlah 17 orang untuk siswa sebanyak 67 orang seharusnya dapat ditingkatkan dalam kemampuan komunikasi sehingga mampu memberikan dukungan sosial kepada siswa dengan lebih baik lagi.

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