scholarly journals Obesity and health care interventions: Substantiating a multi-modal challenge through the lens of grounded theory

2020 ◽  
Author(s):  
M Mandlik ◽  
JG Oetzel ◽  
Djavlonbek Kadirov
Keyword(s):  
Health Care ◽  
Grounded Theory ◽  
Intervention Program ◽  
Care Service ◽  
Health Care Service ◽  
Ecological Factors ◽  
Service Provisioning ◽  
Structured Interviews ◽  
Health Care Intervention ◽  
Care Intervention

© 2020 Australian Health Promotion Association Issue addressed: One of the biggest concerns for human health in the 21st century is the ever-increasing rate of obesity and its associated budgetary implications for publicly funded health care service provisioning. This study at the outset explores the multifaceted nature of food-related consumption choices and outcomes of obesity, and later offers suggestions to improve the existing interventional strategies to curtail the epidemic. Methods: A total of 24 participants were recruited through poster invitations placed around the greater metropolitan area of Auckland, New Zealand. Participants shared their health care intervention program experiences through in-depth, semi-structured interviews. Data were analysed in keeping with traditions of constructivist grounded theory. Findings: Analysis revealed various concurrent individually acting and ecologically mediated processes which led to obesogenic outcomes as a result of social actors’ (participants) engagement in acts of (food-related) consumption practices. Conclusions: This study helps to illustrate the underlying, multifaceted processes that lead to obese individuals feeling defeated or disempowered and categorically willing, yet unable to bring about healthy changes in their lives. We hope this study will prompt health care practitioners to take a holistic approach while conceiving and deploying health care intervention programs. So what?: Current health care interventional programs are not achieving optimum solutions for those in need. All future programs need to acknowledge the roles played by an individual, as well as ecological factors, while deploying client-centric intervention solutions. Perhaps these programs are in need of a team-based approach to offer a truly “wrap-around” service provisioning strategy, rather than the traditional one-on-one consultative approaches in use at current times.

scholarly journals Obesity and health care interventions: Substantiating a multi-modal challenge through the lens of grounded theory

2020 ◽  
Author(s):  
M Mandlik ◽  
JG Oetzel ◽  
Djavlonbek Kadirov
Keyword(s):  
Health Care ◽  
Grounded Theory ◽  
Intervention Program ◽  
Care Service ◽  
Health Care Service ◽  
Ecological Factors ◽  
Service Provisioning ◽  
Structured Interviews ◽  
Health Care Intervention ◽  
Care Intervention

© 2020 Australian Health Promotion Association Issue addressed: One of the biggest concerns for human health in the 21st century is the ever-increasing rate of obesity and its associated budgetary implications for publicly funded health care service provisioning. This study at the outset explores the multifaceted nature of food-related consumption choices and outcomes of obesity, and later offers suggestions to improve the existing interventional strategies to curtail the epidemic. Methods: A total of 24 participants were recruited through poster invitations placed around the greater metropolitan area of Auckland, New Zealand. Participants shared their health care intervention program experiences through in-depth, semi-structured interviews. Data were analysed in keeping with traditions of constructivist grounded theory. Findings: Analysis revealed various concurrent individually acting and ecologically mediated processes which led to obesogenic outcomes as a result of social actors’ (participants) engagement in acts of (food-related) consumption practices. Conclusions: This study helps to illustrate the underlying, multifaceted processes that lead to obese individuals feeling defeated or disempowered and categorically willing, yet unable to bring about healthy changes in their lives. We hope this study will prompt health care practitioners to take a holistic approach while conceiving and deploying health care intervention programs. So what?: Current health care interventional programs are not achieving optimum solutions for those in need. All future programs need to acknowledge the roles played by an individual, as well as ecological factors, while deploying client-centric intervention solutions. Perhaps these programs are in need of a team-based approach to offer a truly “wrap-around” service provisioning strategy, rather than the traditional one-on-one consultative approaches in use at current times.

scholarly journals NETWORK ACTION FOR THE CARE OF ADOLESCENT VICTIMS OF VIOLENCE: CHALLENGES AND POSSIBILITIES

2015 ◽  
Vol 24 (4) ◽  
pp. 976-983 ◽  
Author(s):  
Cláudia Fabiane Gomes Gonçalves ◽  
Lygia Maria Pereira da Silva ◽  
Ana Carolina Rodarti Pitangui ◽  
Cintia Cibele da Silva ◽  
Marcela Virgínia de Santana
Keyword(s):  
Health Care ◽  
Care Service ◽  
Quality Care ◽  
Health Care Service ◽  
Structured Interviews ◽  
Technical Standards ◽  
Victims Of Violence ◽  
Perception Of Health ◽  
Adolescent Victims ◽  
Service Managers

The aim of the present study was to investigate the perception of health care service managers about the network action for the care of adolescent victims of violence. A qualitative, exploratory, descriptive study conducted from May to July of 2013. The subjects were 15 managers of a hospital that is a referral center for cases of violence in the Brazilian State of Pernambuco. Data were collected through semi-structured interviews and explored using content analysis. The results indicate that social work plays an aggregating and interconnecting role as required by the network action. The health care network is appreciated, but regarded as providing insufficient actions, with lack of standardization of care and service flow. We conclude that the subjects show a positive perception of the role of the studied service, but they point out a lack of specific technical standards in the health care sector aimed at high quality care for adolescents.

General health care service utilisation: where, when and by whom in a socioeconomically disadvantaged population

2010 ◽  
Vol 16 (2) ◽  
pp. 132 ◽  
Author(s):  
Helen M. Achat ◽  
Paul Thomas ◽  
Glenn R. Close ◽  
Leendert R. Moerkerken ◽  
Mark F. Harris
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Care Service ◽  
Health Care Service ◽  
Median Number ◽  
Service Utilisation ◽  
Structured Interviews ◽  
Chi Square ◽  
Disadvantaged Area ◽  
Disadvantaged Population

This paper aimed to examine the utilisation of and preferences related to health care services by residents of a disadvantaged area and to identify factors associated with levels of current and future use. Data were collected from face-to-face structured interviews of randomly selected residents of a disadvantaged local government area in 2003–04. Information about respondents’ health and socioeconomic status and patterns of use and preferred features of health care was analysed in PASW Statistic 17. Chi-square statistics were used to examine differences in utilisation by sex and simple logistic regression provided sex specific age-adjusted odds ratios about frequent visits. Most respondents (95%) attended a ‘usual’ general practitioner (GP) service and about two-fifths had obtained other health care in the last 12 months. The median number of visits was four and most providers offered bulk billing (83%). Less common were visits to the dentist (32%), emergency department (14%), specialists (29%) and the hospital (5%). Providers’ skills and traits, physical access and bulk billing were key considerations for men and women when choosing a health care provider. Disadvantaged communities want skilled practitioners who reflect their demographic mix and are located at convenient and accessible clinics, which preferably bulk bill. Apart from GP visits, this group appears to make only moderate use of specialists and emergency departments, and little routine use of other primary health services.

scholarly journals Experiences of Trauma Health Care Professionals When Providing Healthcare to Immigrants in Durban Public Hospitals, South Africa.

2021 ◽  
Author(s):  
Rowan Madzamba ◽  
Kantharuben Naidoo ◽  
Barbara Ntombi Ngwenya
Keyword(s):  
South Africa ◽  
Health Care ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Access To Health Care ◽  
Care Service ◽  
Health Care Service ◽  
Public Hospitals ◽  
Structured Interviews ◽  
Local Language

Abstract BackgroundExisting research on access to health care for immigrants in South Africa has focused on access and use of services by immigrants. Focus has been on immigrants concerns around issues of citizenship acquisition and the burdening of the country’s resource-constrained healthcare system. Limited empirical research has been conducted to explore health care professionals’ views, daily experiences and challenges when attending to immigrant patients in South African public hospitals. This study purports to fill in this knowledge gap by capturing experiences and challenges of trauma health care professionals when providing healthcare to immigrants in Durban public hospitals, KwaZulu Natal province in South Africa.MethodData were collected based on a multicase qualitative study design through face-to-face in-depth structured interviews with twenty (20) trauma health care professionals from four (4) trauma centers in Durban public hospitals. Criterion based expert purposive sampling was used to recruit participants for the study. Data collected were analysed using thematic analysis.ResultsInability of immigrant patient to converse in English or any other local language posed a major constraint for trauma medical professional health care service provision. Poor communication and culturally based differences in interpretations of sickness causality as well as desired treatment were also reported as challenges health professionals face when attending to immigrant patients. Doctors were concerned about how these barriers presented risks of prescribing wrong treatment and the possibility of patient’s non-compliance especially those who cannot not speak English or any local language. ConclusionTo health professionals’ language and communication barrier, different cultural interpretation of sickness and cause of sickness is a challenge health professional are facing when attending to immigrant patients. There is need for interpreters at hospitals or for hospitals to make it compulsory for patients who do not speak native language or English to always be accompanied by an interpreter.

Project Kiddum: Early Intervention in a Health Care Setting

1981 ◽  
Vol 163 (3) ◽  
pp. 219-227 ◽  
Author(s):  
Dov Tamir
Keyword(s):  
Health Care ◽  
Child Health ◽  
Large Scale ◽  
Intervention Program ◽  
Care Service ◽  
Health Care Service ◽  
Child Health Care ◽  
Mother And Child Health ◽  
Mother And Child ◽  
And Child Health

In spite of extensive efforts to close educational gaps in Israel's immigrant populations, large differences in educational attainment still exist among different groups. Based on indications that enrichment programs should begin early in the life of the child and should involve the parents as primary teachers, the Kiddum Project of the Jerusalem Public Health Services Department integrates a large scale infant intervention program into ongoing primary preventive mother and child health care provided by the Municipality of Jerusalem to all its citizens. To date, Project Kiddum functions in nine Mother and Child Health Care Centers in culturally deprived areas of the city which serve approximately 42% of the children served by the entire MCHC network. In this article, the Kiddum project and the Mother and Child Health Care Service are described in detail and initial positive results of a short-term evaluation of Kiddum are presented.

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