scholarly journals Access to health care for patients with thalassaemia in Greece: a cross-sectional study

2020 ◽  
Vol 26 (12) ◽  
pp. 1482-1492
Author(s):  
Kyriakos Souliotis ◽  
Christina Golna ◽  
Sofia Nikolaidi ◽  
Georgia Vatheia
Keyword(s):  
Health Care ◽  
Access To Care ◽  
Access To Health Care ◽  
Cross Sectional Study ◽  
Social Needs ◽  
Sectional Study ◽  
Outpatient Services ◽  
Cross Sectional ◽  
Beta Thalassaemia ◽  
Access To Health

Background: The prevalence and clinical burden of beta-thalassaemia in Greece is high. Little information is available on the unmet needs of patients with beta-thalassaemia and barriers to access to care. Aims: This study investigated barriers that patients with transfusion-dependent beta-thalassaemia in Greece face when accessing care and the associations between socioeconomic factors and access to care. Methods: A cross-sectional study was conducted between November 2018 and January 2019. The sample consisted of 116 beta-thalassaemia patient-members of two Panhellenic patient associations for people with thalassaemia. All respondents were transfusion-dependent. The survey customized and used the Patient Access Partnership 5As of access tool to measure participants’ access to health care services (subscales: accessibility, adequacy, affordability, appropriateness and availability). Data on their socioeconomic characteristics were also recorded. The association between the total score of each subscale and patient characteristics was examined using the Mann–Whitney or Kruskal–Wallis tests. Results: Respondents considered inpatient services less adequate and appropriate, and outpatient services and laboratory tests less affordable. Outpatient services were also perceived as less available. Participants’ income was statistically significantly associated with all the subscales except accessibility, and rural residence was significantly associated with all five subscales. Conclusion: Barriers in access to health care among beta-thalassaemia patients receiving transfusions still persist, especially for those who live far from transfusion centres and have lower incomes. It is important to understand and map current unmet medical and social needs of beta-thalassaemia patients in Greece, in order to design and implement a targeted health policy that can measurably improve patients’ lives.

scholarly journals Assessment of Perceived Health Care Access in a Rural Community in Rizal: A Cross-sectional Study

2019 ◽  
Vol 1 (2) ◽  
pp. 100-109
Author(s):  
Kathyrine Calong Calong ◽  
Judalyn Comendador
Keyword(s):  
Health Care ◽  
Rural Community ◽  
Health Care Access ◽  
Access To Health Care ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Care Access ◽  
Access To Health ◽  
Perceived Access

Background: Access to health care is considered a basic right and integral to human life. However, this still remains a challenge especially in developing countries where the majority of the poor reside and suffer from a disproportionate amount of disease. The study determined the six key components of health care access: approachability, availability, accessibility, affordability, acceptability, and accommodation, as perceived by a rural community in Taytay, Rizal, Philippines. Methods: This descriptive-cross sectional study included a convenience sample of 62 participants. The Perceived Access to Health Care Instrument was utilized. Frequency, percentage, mean, standard deviation, and univariate linear regression were used to analyze the data. Results: The study revealed that health care access in terms of approachability was rated as good, whereas availability was rated as good, and accessibility was rated as fair. On the other hand, the affordability of health care services was rated as good, the acceptability was rated as good while the accommodation was rated as fair. It was also revealed that none of the demographic profiles significantly predicted the perceived access to health care Conclusion: Assessment of health care access is an important measure of health care equity and despite several factors previously shown to affect health care access, the results of this study showed that the participants have good access to health care in their community

scholarly journals Episodes Of Violence Suffered By Migrants Transiting Through Libya: A Cross Sectional Study

2020 ◽  
Author(s):  
laura reques ◽  
E Aranda-Fernandez ◽  
C Rolland ◽  
A Grippon ◽  
C Reboul ◽  
...  
Keyword(s):  
Health Care ◽  
Sexual Violence ◽  
Access To Health Care ◽  
Ad Hoc ◽  
Health Centre ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Central Mediterranean ◽  
Cross Sectional ◽  
Access To Health

Abstract Introduction The Central Mediterranean Route (CMR), passing through Libya, is one of the most dangerous for migrants from Africa. Episodes of violence have been documented but have not been accurately quantified. The objective of the study was to estimate the prevalence of episodes of violence suffered in Libya by migrants consulting Médecins du Monde (MdM) programs in France.Methodology Monocentric cross-sectional study. The inclusion criteria included all migrants over the age of 18 who had passed through Libya, who arrived in Europe from 2017 and consulted at the MdM health centre in Paris. The presence of psycho-traumatic events was considered as exclusion criteria. The study was implemented from February to May 2019. An ad-hoc questionnaire was created. The proportion, frequency and factors associated to physical, deprivation and sexual violence were estimated, as well as access to health care and need for psychosocial support.Results 98 people were recruited and 72 were interviewed (17 refused to participate and 9 were excluded). 76.4% were men, the average age was 31.9 years, 76.4% had a low level of education, 66.7% came from Ivory Coast and 59.7% had left their country for security reasons. The median length of stay in Libya was 180 days. The overall proportion of persons having suffered violence was 96.4% for men and 88.2% for women. The prevalence of physical, deprivation and sexual violence was 94.2%, 81.7% and 18.% for men and 80.0%, 86.7% and 53.3% for women, respectively. No statistical differences by other variables were found. Access to health care in Libya was non-existent. 63.9% of participants were oriented for psychosocial support.Conclusions The vast majority of migrants report having been victims of violence during their transit in Libya. Women are at particular risk of sexual violence. Mental health support for these populations is urgent.

Results, barriers and enablers in atrial fibrillation case finding: barriers in opportunistic atrial fibrillation case finding—a cross-sectional study

2020 ◽  
Vol 37 (4) ◽  
pp. 486-492 ◽  
Author(s):  
Juan Ballesta-Ors ◽  
Josep L Clua-Espuny ◽  
Delicia I Gentille-Lorente ◽  
Iñigo Lechuga-Duran ◽  
José Fernández-Saez ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Health Care ◽  
Access To Health Care ◽  
Care Program ◽  
Population Based ◽  
Cross Sectional Study ◽  
Case Finding ◽  
Sectional Study ◽  
Cross Sectional ◽  
Ease Of Access

Abstract Background Atrial fibrillation (AF) is often asymptomatic, and screening is not routinely undertaken. Objective Evaluate the feasibility and effectiveness of a population-based case finding program and to identify the enablers of and/or barriers to its implementation. Methods We conducted a cross-sectional study of a health care case finding program for AF from 1 January 2016, to 31 December 2017, that included 48 336 people ≥60 years of age in the region of Terresde l’Ebre (Catalonia, Spain). We analysed the effect on the prevalence of AF and, stratified by age, on the incidence of new diagnoses of AF. We assessed the sociodemographic and clinical variables related to the realization of a case finding. Results A total of 32 090 (62.4%) people were screened for AF. We observed a significant increase in the AF prevalence after 2 years of program intervention (5.9–7.7%; P < 0.001). The detection of new AF cases was significantly higher in the case finding group across the whole of the age range, and 765 (2.6%) new AF cases were diagnosed using case finding. The factors that were significantly associated with an underuse of case finding were: age <70 years, urban residence, institutionalized status, Pfeiffer score ≥2, Charlson score >3 and number of visits <7/year. Conclusions A health care program of case finding is feasible and is associated with a significant increase in the prevalence and incidence of AF. The results depend on factors such as the ease of access to health care, age, place of residence and comorbidities.

scholarly journals Gender minority stress and access to health care services among transgender women and transfeminine people: results from a cross-sectional study in China

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yongjie Sha ◽  
Willa Dong ◽  
Weiming Tang ◽  
Lingling Zheng ◽  
Xi Huang ◽  
...  
Keyword(s):  
Health Care ◽  
Minority Stress ◽  
Access To Health Care ◽  
Health Care Services ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Gender Minority ◽  
Care Services ◽  
Access To Health ◽  
And Gender

Abstract Background Transgender and gender diverse individuals often face structural barriers to health care because of their gender minority status. The aim of this study was to examine the association between gender minority stress and access to specific health care services among transgender women and transfeminine people in China. Methods This multicenter cross-sectional study recruited participants between January 1st and June 30th 2020. Eligible participants were 18 years or older, assigned male at birth, not currently identifying as male, and living in China. Gender minority stress was measured using 45 items adapted from validated subscales. We examined access to health care services and interventions relevant to transgender and gender diverse people, including gender affirming interventions (hormones, surgeries), human immunodeficiency virus (HIV) and sexually transmitted infections (STIs) testing, pre-exposure prophylaxis (PrEP) and post-exposure prophylaxis (PEP). Multivariable regression was used to measure correlations between gender minority stress and access to health care service. Results Three hundred and twenty-four people completed a survey and data from 277 (85.5%) people were analyzed. The mean age was 29 years old (standard deviation [SD] = 8). Participants used hormones (118/277, 42.6%), gender affirming surgery (26/277, 9.4%), HIV testing (220/277, 79.4%), STI testing (132/277, 47.7%), PrEP (24/276, 8.7%), and PEP (29/267, 10.9%). Using gender affirming hormones was associated with higher levels of discrimination (adjusted odds ratio [aOR] 1.41, 95% confidence interval [CI] 1.17–1.70) and internalized transphobia (aOR 1.06, 95%CI 1.00–1.12). STI testing was associated with lower levels of internalized transphobia (aOR 0.91, 95%CI 0.84–0.98). Conclusions Our data suggest that gender minority stress is closely related to using health services. Stigma reduction interventions and gender-affirming medical support are needed to improve transgender health.

scholarly journals Study of Knowledge and Practices of Self-Medication among Medical Students at Jammu

JMS SKIMS ◽  
2012 ◽  
Vol 15 (2) ◽  
pp. 141-144 ◽  
Author(s):  
Rashmi Kumari ◽  
Kiran Kiran ◽  
Dinesh Kumar ◽  
Rakesh Bahl ◽  
Rajiv Gupta
Keyword(s):  
Medical Students ◽  
Access To Health Care ◽  
Cross Sectional Study ◽  
Educational Programs ◽  
Sectional Study ◽  
Self Medication ◽  
Cross Sectional ◽  
Professional Supervision ◽  
Otc Drugs ◽  
Access To Health

BACKGROUND: Self-medication is the treatment of common health problems with medicines that are taken an patient's own initiative or on advice of a pharmacist, without professional supervision. It is now becoming a common practice in many countries mainly due to lack of access to health care, easy availability of OTC drugs in market and poor drug regulatory practices. OBJECTIVE: To assess the knowledge and practices of self-medication among medical students. METHODS: A cross-sectional study was carried out among the students of GMC Jammu in August 2011, after faking approval from IEC. A 16-item, open-ended, pretested questionnaire was administered to students. Data was then analysed using SPSS version 12 and results expressed as counts and percentages. RESULTS: A total of 282 students participated in the study, among which 96 were from 1st semester, 88 from 3rd and 98 from 6th semester. Knowledge of self-medication was adequate in 68% of 1st semester, 81 % of 3rd and 87% of 6th semester students.85% of respondents from 1st semester, 79% from 3rd and 78% from 6th practised self-medication. CONCLUSION: Since seniors hod better knowledge of drugs , self medication was practised less as compared tb juniors. There is a need to review educational programs especially clinical pharmacology, focusing on rational use of drugs. JMS 2012;15(2):141-44

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