scholarly journals Racismo institucional: percepção sobre a discriminação racial nos serviços de saúde / Institutional racism: perception about racial discrimination in health services

2021 ◽  
Vol 66 (1u) ◽  
pp. 1
Author(s):  
Grazielle de Oliveira Loduvico ◽  
Maria Marjorie Lima Martins ◽  
Thaís Izabel Ugeda Rocha ◽  
Maria Fernanda Terra ◽  
Pamela Lamarca Pigozi
Keyword(s):  
Health Care ◽  
Health Services ◽  
Racial Discrimination ◽  
Institutional Racism ◽  
Access To Health Services ◽  
Public Health Services ◽  
The Public ◽  
Black Person ◽  
The Social ◽  
Doctor's Office

Introdução: O racismo institucional se caracteriza por qualquer ação de discriminação racial praticada dentro de instituições, como a omissão de informação ou atendimento, fortalecimento de estereótipos racistas, comportamentos de desconfiança, de desrespeito e desvalorização da pessoa negra. Objetivo: Analisar a prática de racismo institucional no serviço de saúde público e/ou privado a partir da percepção dos usuários negros acerca do atendimento recebido. Material e Método: Estudo de abordagem quantitativa,realizado a partir de questionário fechado, construído via google forms, e veiculado na rede social Facebook. A coleta de dados ocorreu entre setembro e novembro de 2019, sob os critérios: ser negro, idade superior a18 anos e vivência de racismo nos serviços de saúde público e/ou privado. Participaram33 pessoas neste estudo: 28 pessoas se autodeclararam pretas e 5 pardas. Resultados: Dentre os principais achados, estão que 63,6% referiram ter sofrido racismo em serviços públicos de saúde; 51,5% relataram que a discriminação ocorreu no consultório médico, e 21,9% durante a triagemou na sala de medicação. Do total, 93,9% acreditam que a discriminação foi ocasionada por serem negros. Conclusão: Os usuários identificam o racismo durante a assistência em saúde recebida, e que a violência pode distanciá-los dos cuidados, principalmente de promoção e prevenção. Faz-se necessário efetivar a assistência em saúde à luz da Política Nacional de Saúde da População Negra. Palavras chave: Percepção, Discriminação, Iniquidade em saúde, Racismo, Acesso aos serviços de saúde ABSTRACTIntroduction: Institutional racism is characterized by any action of racial discrimination practiced within institutions, such as information or care omission, strengthening of racist stereotypes, behaviors of distrust, disrespect and devaluation of the black person. Objective: To analyze the practice ofinstitutional racism in the public and/or private health service from the perception of black users about the care received. Material and Method: Quantitative approach study, conducted from a closed questionnaire, built via google forms, and carried on the social network Facebook. Data collectionoccurred between September and November 2019, under the criteria: being black, aged over 18 years and experiencing racism in public and/or private health services. Thirty-three people participated in this study: 28 people declared themselves black and 5 brown. Results: Among the main findingsare that 63.6% reported having suffered racism in public health services; 51.5% reported that discrimination occurred in the doctor’s office, and 21.9% during screening or in the medication room. Of the total, 93.9% believe that discrimination was started because they were black. Conclusion:Users identify racism when receiving health care, and that violence can distance them from care, especially promotion and prevention. It is necessary to affect health care in the light of the National Health Policy of the Black Population.Keywords: Perception, Discrimination, Health inequities,Racism, Access to health services

scholarly journals The therapeutic journey of families of children with respiratory diseases in the public health service

2012 ◽  
Vol 20 (3) ◽  
pp. 453-461 ◽  
Author(s):  
Beatriz Rosana Gonçalves de Oliveira ◽  
Neusa Collet ◽  
Débora Falleiros de Mello ◽  
Regina Aparecida Garcia de Lima
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Services ◽  
Respiratory Diseases ◽  
Health Issues ◽  
Public Health Services ◽  
The Public ◽  
Primary Health ◽  
Therapeutic Encounters ◽  
Access To Medical Care

This study's purpose was to identify the therapeutic journey of families seeking health care for their children with respiratory diseases. This qualitative study had the participation of parents of children younger than five years old who were hospitalized with respiratory diseases. Path mapping was used as an instrument to collect data, which was analyzed through thematic analysis. The findings indicate that families sought the health services as soon as they perceived symptoms and had access to medical care, however such care was not decisive in resolving their health issues. Even though the families returned to the service at least another three times, the children had to be hospitalized. The attributes of primary health care were not observed in the public health services, while therapeutic encounters had no practical success.

Utilization of Primary Health Services in Hong Kong

2015 ◽  
pp. 1159-1176
Author(s):  
Raymond K. H. Chan ◽  
Kang Hu
Keyword(s):  
Health Care ◽  
Hong Kong ◽  
Health Insurance ◽  
Health Services ◽  
Private Insurance ◽  
Public Health Services ◽  
Public And Private ◽  
The Public ◽  
Primary Health ◽  
Primary Health Services

This chapter analyzes the issue of primary health care utilization in Hong Kong and introduces the case of Hong Kong where a special division between public and private sectors has developed in the field of primary health services. The chapter argues that in the foreseeable future, it is likely that the division of health care between the public and private sector will be maintained. In recent years, more and more individuals and families have purchased private health insurance so as to gain more options. The idea of universal health insurance was rejected by the public in recent consultations; the current alternative is government-regulated private insurance. Although private primary health services will continue as usual in the near future, public primary health services should be maintained or even expanded. Given the costliness of private services (especially specialist services), it is recommended that more resources should be invested in corresponding public health services.

scholarly journals Where are we short and who are we short of? A review of the human resources for health in South Africa

2012 ◽  
Vol 17 (1) ◽  
Author(s):  
Gavin George ◽  
Timothy Quinlan ◽  
Candice Reardon ◽  
Jean-François Aguilera
Keyword(s):  
Public Health ◽  
South Africa ◽  
Health Care ◽  
Health Services ◽  
Human Resources ◽  
Nursing Care ◽  
Human Resources For Health ◽  
Health Care Personnel ◽  
Public Health Services ◽  
The Public

This review showed that thinking about the shortage of health care personnel merely in terms of insufficient numbers prevents sound strategic interventions to solve the country’s human resources for health (HRH) problem. It revealed that the numbers shortage was one facet of a broader problem that included the mal distribution of HRH, production of the wrong skills in the nursing care, the attrition of staff from the public health services and, contextually, the ever-changing demands on the health services. The challenge in South Africa was furthermore to train and retain health care personnel with skills and expertise that are commensurate with the changing demands on the public health services.Uit hierdie oorsig het dit duidelik geblyk dat die tekort van gesondheidsorgpersoneel slegs in terme van ontoereikende getalle val en ’n omvattende strategiese ingryping om die land se menslike gesondheidshulpbron krisis op te los, belemmer. Dit het aangedui dat die getalletekort  maar slegs een fasset van ’n groter probleem uitmaak, wat onder andere die volgende insluit: die oneweredige verspeiding van menslike gesondheidshulpbronne, ’n fokus op ontoepaslike vaardighede in die opleiding van verpleegpersoneel, die behoud van personeel in die openbare gesondheidsektor, asook die konstant-veranderlike eise van die gesondheidsdienste. Verder was die uitdaging in Suid Afrika die opleiding en behoud van gesondheidsorgpersoneel met kennis en vaardighede wat tred hou met die veranderlike eise van die openbare gesondheidsdienste.

scholarly journals Exploring the interaction of activity limitations with context, systems, community and personal factors in accessing public health care services: A presentation of South African case studies

2017 ◽  
Vol 9 (1) ◽  
Author(s):  
Gubela Mji ◽  
Stine H. Braathen ◽  
Richard Vergunst ◽  
Elsje Scheffler ◽  
Janis Kritzinger ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Services ◽  
Case Studies ◽  
Health Care Services ◽  
Public Health Care ◽  
Activity Limitations ◽  
Personal Factors ◽  
Access To Health Services ◽  
Public Health Services

Background: There are many factors that influence access to public health services, such as the context people live in, the existing health services, and personal, cultural and community factors. People with disabilities (activity limitations), through their experience of health services, may offer a particular understanding of the performance of the health services, thus exposing health system limitations more clearly than perhaps any other health service user.Aim: This article explores how activity limitations interact with factors related to context, systems, community and personal factors in accessing public health care services in South Africa.Setting: We present four case studies of people with disabilities from four low-resource diverse contexts in South Africa (rural, semi-rural, farming community and peri-urban) to highlight challenges of access to health services experienced by people with activity limitations in a variety of contexts.Methods: One case study of a person with disabilities was chosen from each study setting to build evidence using an intensive qualitative case study methodology to elucidate individual and household experiences of challenges experienced by people with activity limitations when attempting to access public health services. In-depth interviews were used to collect data, using an interview guide. The analysis was conducted in the form of a thematic analysis using the interview topics as a starting point.Results: First, these four case studies demonstrate that equitable access to health services for people with activity limitations is influenced by a complex interplay of a variety of factors for a single individual in a particular context. Secondly, that while problems with access to public health services are experienced by everyone, people with activity limitations are affected in particular ways making them particularly vulnerable in using public health services.Conclusion: The revitalisation of primary health care and the introduction of national health insurance by the Health Department of South Africa open a window of opportunity for policy makers and policy implementers to revisit and address the areas of access to public health services for people with activity limitations.

scholarly journals Exploring Accessibility of Community Pharmacy Services

2015 ◽  
Vol 6 (3) ◽  
Author(s):  
Sarah E. Kelling
Keyword(s):  
Health Care ◽  
Health Services ◽  
Community Pharmacy ◽  
Health Care Professionals ◽  
Community Pharmacists ◽  
Access To Health Services ◽  
The Public ◽  
Access To Health ◽  
Accessibility Of Health Services ◽  
System Access

Objective: To use selected literature to describe strengths and opportunities for improvement related to accessibility of health services in the community pharmacy setting. Summary: Pharmacists have been described as one of the most accessible health care professionals, particularly as nearly 90% of Americans live within 5 miles of a community pharmacy. However, geography alone does not provide access to health services. Individuals must be able to gain entry into the health care system, access a health care location where needed services are provided, and find a health care provider with whom the patient can communicate and trust. Current and potential opportunities for community pharmacists to increase access via each step are described. Conclusion: Community pharmacists are highly accessible health care professionals who are trusted by patients. Opportunities exist to further increase access to dispensing and non-dispensing services in order to better meet the needs of the public.   Type: Commentary

scholarly journals Visionarity and Health: The Semashko Model and the Sovietization of Public Health in Bulgaria (1944–1951)

2021 ◽  
Vol 30 (3) ◽  
pp. 74-103
Author(s):  
Milena Angelova
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Services ◽  
Healthcare System ◽  
The State ◽  
Free Access ◽  
Access To Health Services ◽  
The Social ◽  
Soviet Russia ◽  
Communist Countries

After the Second World War and until 1990, Bulgaria, as most of the former communist countries from the Eastern Europe, implemented a Semashko healthcare system developed in the USSR. Named after the First People’s Commissar of Health of the Soviet Russia, Nikolai Semashko, Soviet health care was developed as “social health care”, trying also to eliminate the social reasons for illness, thus transforming society and economy as a whole. This type of system was based on the centrally planned principles, on rigid management and on the state monopoly. Consequently, the healthcare system created by the Ministry of Health was integrated and centralized, completely controlled by the state. The system of health services in Bulgara from 1944 to 1990 was inspired by the Soviet model Semashko, a centralized state system, which seemed to guarantee “free access to health services for the entire population”. In the research the author focuses on the policies in the field of public health in Bulgaria between 1944 and 1951, when the "Sovietization" in this field took place.

Utilization of Primary Health Services in Hong Kong

2014 ◽  
pp. 191-208
Author(s):  
Raymond K. H. Chan ◽  
Kang Hu
Keyword(s):  
Health Care ◽  
Hong Kong ◽  
Health Insurance ◽  
Health Services ◽  
Private Insurance ◽  
Public Health Services ◽  
Public And Private ◽  
The Public ◽  
Primary Health ◽  
Primary Health Services

This chapter analyzes the issue of primary health care utilization in Hong Kong and introduces the case of Hong Kong where a special division between public and private sectors has developed in the field of primary health services. The chapter argues that in the foreseeable future, it is likely that the division of health care between the public and private sector will be maintained. In recent years, more and more individuals and families have purchased private health insurance so as to gain more options. The idea of universal health insurance was rejected by the public in recent consultations; the current alternative is government-regulated private insurance. Although private primary health services will continue as usual in the near future, public primary health services should be maintained or even expanded. Given the costliness of private services (especially specialist services), it is recommended that more resources should be invested in corresponding public health services.

scholarly journals Complaint Management Analysis variabel anteseden dan Konsekuensi: Studi Eksplorasi

2016 ◽  
Vol 3 (2) ◽  
pp. 237-249
Author(s):  
Sri Hartini
Keyword(s):  
Health Care ◽  
Qualitative Research ◽  
Health Services ◽  
Public Health Services ◽  
The Public ◽  
Qualitative Research Design ◽  
Health Care Institutions ◽  
Complaint Handling ◽  
The Media

Goal of this research is a model of complaint handling strategy on health care institutions for the quality of service. The specific targets to be achieved are: the identification of attributes essential health services, identify performance attributes of health services, idenfifikasi complaint regarding health care received by the public, the media used in the delivery of the complaint and the complaint handling process health-care institutions. Exploratory qualitative research design used with in-dept interview to determine the behavior of the public complaint related to health care institutions and attributes of the expected public health services. To determine the relationship between variables based on qualitative research results in previous studies. model of service quality expected by society and complaint handling are ideal to create excelent service in health care institutions. The result are 4 proposition.     Key words : complain handling,service excellent,layanan kesehatan

Pelaksanaan Jaminan Kesehatan Oleh BPJS Kesehatan Dalam Perspektif Syariah

Liquidity ◽  
2017 ◽  
Vol 6 (2) ◽  
pp. 110-118
Author(s):  
Iwan Subandi ◽  
Fathurrahman Djamil
Keyword(s):  
Health Care ◽  
Financial Institution ◽  
Social Supports ◽  
Religious Leaders ◽  
The Public ◽  
The People ◽  
The Social ◽  
Ministry Of Finance ◽  
Health Support ◽  
The Government

Health is the basic right for everybody, therefore every citizen is entitled to get the health care. In enforcing the regulation for Jaringan Kesehatan Nasional (National Health Supports), it is heavily influenced by the foreign interests. Economically, this program does not reduce the people’s burdens, on the contrary, it will increase them. This means the health supports in which should place the government as the guarantor of the public health, but the people themselves that should pay for the health care. In the realization of the health support the are elements against the Syariah principles. Indonesian Muslim Religious Leaders (MUI) only say that the BPJS Kesehatan (Sosial Support Institution for Health) does not conform with the syariah. The society is asked to register and continue the participation in the program of Social Supports Institution for Health. The best solution is to enforce the mechanism which is in accordance with the syariah principles. The establishment of BPJS based on syariah has to be carried out in cooperation from the elements of Social Supports Institution (BPJS), Indonesian Muslim Religious (MUI), Financial Institution Authorities, National Social Supports Council, Ministry of Health, and Ministry of Finance. Accordingly, the Social Supports Institution for Helath (BPJS Kesehatan) based on syariah principles could be obtained and could became the solution of the polemics in the society.

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