Disuguaglianze sociali, digital divide ed accesso ai servizi sanitari

2009 ◽  
pp. 103-117
Author(s):  
Ilaria Iseppato
Keyword(s):  
Access To Care ◽  
Digital Divide ◽  
Healthcare System ◽  
Social Inequalities ◽  
Short Description ◽  
Public Access ◽  
Access To Health Services ◽  
Access To Health ◽  
Sociological Approaches ◽  
System Access

- After a short description of the main sociological approaches to social inequalities, the article proposes a co-relational reading of social inequalities in access to health services. Even if Italian healthcare system ensures universalistic and public access to care, social and regional disparities persist. The application of digital technologies to healthcare, if embedded in social complexity, can help in tackling obstacles to access.Keywords: social inequalities; health divide; Italian healthcare system; access to care; digital divide; health literacy.

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 Healthcare Inaccessibilities Challenged Through Podcasts

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Samantha Lee ◽  
Vilma Ortiz
Keyword(s):  
Health Care ◽  
Social Change ◽  
Access To Care ◽  
Healthcare System ◽  
Social Inequalities ◽  
Cultural Barriers ◽  
Cost Of Health Care ◽  
The Cost ◽  
Geographical Accessibility

Podcasting has become a form of disseminating information as well as for advocating social change. This paper utilizes the popular mainstream form of artivism (podcasts) in order to underscore the disparities in the healthcare system that specifically affect the Latinx community. These social inequalities that provide a lack of access to care include language/cultural barriers, geographical accessibility, and the cost of health care. These various podcasts use personal anecdotes and statistics to highlight the gaps in our healthcare system and to encourage the listeners to advocate for change.  

scholarly journals Edukasi Kesehatan Dalam Upaya Pencegahan dan Pengendalian Penyakit Hipertensi Pada Lansia

2020 ◽  
Vol 3 (2) ◽  
pp. 74
Author(s):  
Rea Ariyanti ◽  
Ida Ayu Preharsini ◽  
Berliany Winny Sipolio
Keyword(s):  
Prevention And Control ◽  
The Elderly ◽  
Warning Signs ◽  
Public Access ◽  
Degenerative Diseases ◽  
Access To Health Services ◽  
Access To Health ◽  
Delay Of Treatment ◽  
The Many ◽  
And Control

AbstrakLansia (lanjut usia) adalah seseorang yang berusia 60 tahun keatas. Lansia dikatakan memiliki risiko untuk mengalami berbagai penyakit degeneratif dibandingkan dengan usia muda. Salah satu penyakit degeneratif yang sering timbul tanpa gejala adalah hipertensi. Hipertensi disebut sebagai “silent killer” karena bisa muncul tanpa gejala atau tanda-tanda peringatan, sehingga banyak yang tidak menyadarinya. Penyebab terlambatnya penanganan pada pasien dengan hipertensi adalah mayoritas pasien datang ke fasilitas kesehatan apabila telah terjadi komplikasi, dan kurangnya akses masyarakat terhadap pelayanan kesehatan sehingga mengakibatkan kurangnya kontrol terhadap keadaan penyakitnya khususnya pada lansia. Oleh karena itu, dengan dilakukannya pemberdayaan kader terkait hipertensi diharapkan peran kader dalam upaya pencegahan dan pengendalian hipertensi pada lansia dapat berjalan optimal. Program kemitraan ini bertujuan untuk meningkatkan pemahaman kader terhadap upaya pencegahan dan pengendalian hipertensi pada lansia. Target utama program ini adalah kader kesehatan di Dusun Sukosari, Desa Pandansari, Kecamatan Poncokusumo, Kabupaten Malang. Kegiatan ini meliputi survei awal terkait hipertensi pada Lansia, dan melaksanakan penyuluhan tentang upaya pencegahan dan pengendalian hipertensi pada lansia dengan menggunakan metode penyuluhan dan diskusi interaktif. Hasil dari kegiatan pengabdian masyarakat ini adalah adanya peningkatan pemahaman kader kesehatan terkait Penyakit Hipertensi khususnya upaya dalam pencegahan dan pengendalian penyakit hipertensi pada lansia di Dusun Sukosari, Desa Pandansari, Kecamatan Poncokusumo, Kabupaten Malang.Kata Kunci: Degeneratif, Hipertensi, LansiaAbstractLansia is someone who is at the age of 60 years and above. lansia Elderly have the risk to experience a variety of degenerative diseases compared with young age. One of the many degenerative diseases that often arise without symptoms is hypertension. Hypertension is referred to as "silent killer" because it can appear without any symptoms or warning signs, so many do not realize it. Due to the delay of treatment in patients with hypertension is the majority of patients come to health facilities when there have been complications, and because of lack of public access to health services, resulting in lack of control of the condition of illness especially in the elderly. Therefore, the empowerment of cadres related to hypertension is expected the role of cadres in the prevention and control of hypertension in the elderly can run optimally. This Program aims to improve cadre's understanding of prevention and control of hypertension in the elderly. The main target of this program is elderly cadres in Sukosari Hamlet, Pandansari Village, Poncokusumo District, Malang Regency. This activity includes preliminary surveys related to hypertension in the elderly, and further conducting counseling on prevention and control of hypertension in the elderly. The result of this activity is the increase in understanding health cadres related to hypertension, especially efforts in the prevention and control of hypertension disease in the elderly in Sukosari Hamlet, Pandansari Village, sub-district Poncokusumo, Malang.Key Word: Degenerative, Elderly, Hypertension.

scholarly journals The incidence of tuberculosis and its relation to social inequalities: Integrative Review Study on PubMed Base

2020 ◽  
Vol 24 (1) ◽  
Author(s):  
Maria Rita Bertolozzi ◽  
Renata Ferreira Takahashi ◽  
Francisco Oscar de Siqueira França ◽  
Paula Hino
Keyword(s):  
Social Inequalities ◽  
Integrative Review ◽  
Unskilled Labor ◽  
Access To Health Services ◽  
Comprehensive Understanding ◽  
Access To Health ◽  
The Social ◽  
Review Study ◽  
Tuberculosis Disease ◽  
Empirical Material

Abstract Objective: to identify how the literature presents the relation between tuberculosis and social inequalities. Method: integrative review in which the combination of the descriptors “tuberculosis” and “social iniquity” guided the search for articles available in PubMed. A total of 274 articles were identified, and after reading the title and abstract, 13 studies were selected. The empirical material was analyzed according to the hermeneutics, highlighting the variables related to social inequalities, seeking to understand the main themes that embody the association between tuberculosis and social inequalities. Results: In general, the literature presents the social inequalities as factors that can interfere in the cure and/or control of the disease, such as age, income, unemployment, unskilled labor, access to health services, among others. Therefore, it does not include a deeper relationship between the organization of society and the production of the disease. Conclusion and implications for practice: A comprehensive understanding of tuberculosis disease is required, in order to expand interventions to support the control and elimination of the disease and, above all, the reduction of social inequalities. The understanding of tuberculosis as a disease enables expanding strategies to face it.

scholarly journals Workshop: Access to health services in health systems providing universal coverage

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
Keyword(s):  
Health Care ◽  
Access To Care ◽  
Health Systems ◽  
Universal Health Coverage ◽  
Expert Panel ◽  
Health Coverage ◽  
Access To Health Services ◽  
Research Teams ◽  
Access To Health ◽  
Universal Health

Abstract Universal health coverage (UHC) is part of the global WHO strategy to improve health. UHC and equity in access to care fall within the shared principles and values of EU health systems. However, as reported in 2016 by the Expert panel on effective ways of investing in health (EXPH), significant amount of unmet needs persisted both between and within EU member states. Access to health services encompasses the dimensions of affordability, user experience and availability of services with potential barriers arising at individual, providers or health systems levels. Health needs are constantly evolving as a consequence of population ageing and of health care technology development. Consequently access to care does not simply mean availability of a single component of care, but rather to an array of pertinent, coordinated, cost-effective and timely primary and specialized health and social interventions. Measuring performance in that respect is beyond the ability of commonly used “national level” indicators of access. Available research suggests that achieving ubiquitous access to optimal care across territories and populations (eg socioeconomic groups) is hard to achieve. This applies to the whole spectrum of health interventions, from preventive care such as immunizations to multidisciplinary interventions required for the management of chronic diseases. In this context, the workshop proposes to present examples of policy initiatives and results from research projects focusing on access and use of health care conducted in a variety of settings. The aims are to share knowledge about methods used in measuring variations of access, to improve understanding of their determinants and to identify avenues for improving performance. The workshop is proposed by a multidisciplinary and international group of research teams. It will start with a short introduction from the chair (5 minutes, Olivier Grimaud) followed by five presentations (10 minutes) addressing the issues of variations in access and use of care from different research teams and in a variety of settings. The first presentation will report on an innovative policy aiming at improving UHC in India. The following presentations will illustrate the challenges of providing access in high income countries, including, Scotland, France and Australia. In the last part of the workshop (30 minutes) comments from Prof Helmut Brand (former expert panel member of the EXPH) will introduce a general discussion with the audience moderated by the chair. Key messages Even when the conditions for universal health coverage are in place, providing equitable access to quality care remains a challenge. Understanding variations in access to care would help improve performance and equity.

If the Pillars are Shaky, Does Faith in Medicare Crumble?

2003 ◽  
Vol 16 (1) ◽  
pp. 11-16 ◽  
Author(s):  
Rein Lepnurm ◽  
Roy Dobson ◽  
Allen Backman
Keyword(s):  
British Columbia ◽  
Health Insurance ◽  
Health Services ◽  
Healthcare System ◽  
Urban Areas ◽  
Mail Survey ◽  
Access To Health Services ◽  
Full Coverage ◽  
Family Practitioners ◽  
Access To Health

The objectives of the study described in this article were to determine whether the faith of physicians in the Canadian system of health insurance depends on their assessment of quality and access to health services and whether their assessments of quality and access to health services affect their support of out-of-pocket and other methods of financing healthcare. To this end, a mail survey of 600 physicians in British Columbia and 240 physicians in Saskatchewan was conducted. The sample was stratified to ensure equal representation from urban and non-urban areas and between female and male specialists and family practitioners. Our conclusions indicate that physicians seem to be open minded in their views on financing. Their overriding concerns are to ensure the provision of sufficient resources to the healthcare system and to maintain full coverage of the population.

Desigualdade social em doentes renais crônicos/ Social inequality in chronic renal patients

1970 ◽  
Vol 1 (1) ◽  
pp. 44-49
Author(s):  
Beatriz Bertolaccini Martínez ◽  
Fernanda Marcelino Da Silva ◽  
Vinícius Tavares Veiga ◽  
Rodrigo Pereira Custódio ◽  
José Vítor Da Silva
Keyword(s):  
Social Inequality ◽  
Access To Health Care ◽  
Young Patients ◽  
Cross Sectional Study ◽  
Access To Health Services ◽  
Access To Treatment ◽  
Cross Sectional ◽  
Economic Class ◽  
Access To Health ◽  
Clinical Background

Introdução: A pobreza influencia na evolução dos pacientes com doenças crônicas, porque contribui para o seu agravamento e dificulta o acesso à assistência médica. O objetivo deste trabalho foi avaliar os aspectos relacionados à desigualdade social de pacientes em hemodiálise. Métodos: Estudo transversal com 123 pacientes em hemodiálise no Hospital Samuel Libânio – Pouso Alegre, MG, divididos, de acordo com a classe econômica, em 3 grupos: AB (n=23), C (n=60) e DE (n=40),. Foram coletados dados sociodemográficos e econômicos, antecedentes clínicos e informações sobre o acesso a serviços de saúde. Para a análise dos resultados, foi utilizada estatística analítica e descritiva. Adotou-se p £ 0,05. Resultados: O grupo AB apresentou um menor número de pacientes jovens (4,3% em AB vs 40% em C e 25% em DE, p < 0,05), um maior número de indivíduos com mais anos de escolaridade (65,3% em AB vs 18,3% em C e 2,5% em DE; p < 0,05), predomínio de pacientes com menos de um ano em tratamento de hemodiálise (65,2% em AB vs 10% em C e 5% em DE, p < 0,05), menor número de usuários do SUS (40% em C e 25% em DE vs 4,3% em AB; p < 0,05) e maior acesso ao tratamento com nefrologista (73,9% em AB vs 46,7% em C e 52,5 em DE; p < 0,05). Conclusão: Classes economicamente desfavorecidas agregam indivíduos mais jovens, com menor escolaridade, usuários do SUS, com maior tempo em hemodiálise e pior acesso ao tratamento com nefrologista.Introduction: The poverty influence on the evolution of patients with chronic diseases because it contributes to your aggravation and hinders access to health care. Our goal was to evaluate the aspects related to social inequality on hemodialysis patients. Methods: cross-sectional study with 123 patients on hemodialysis in Samuel Libânio Hospital – Pouso Alegre, MG, divided according to the economic class, into 3 groups: AB (n = 23), C (n = 60) and DE (n = 40). Were collected socio-demographic and economic data, clinical background and information about access to health services. For analysis of the results has been used statistical analytical and descriptive. We take p £ 0,05.  Results: The AB group has fewer young patients (4,3% in AB vs 40% in C and 25% in DE, p< 0,05), a greater number of individuals with more years of schooling (65,3% in AB vs 18,3% in C and 2,5% in DE; p< 0,05), predominance of patients with less than a year on haemodialysis treatment (65,2% in AB vs 10% in C and 5% in DE, p< 0,05), smaller number of users of SUS (40% in C and 25% in DE vs 4,3% in AB; p< 0,05), greater access to treatment with nephrologist (73,9% in AB vs 46,7% in C and 52,5% in DE; p< 0,05). Conclusion: Economically disadvantaged classes bring younger patients, with less schooling, users of SUS, patients with greater time on hemodialysis and worse access to treatment with nephrologist. 

The Artificial Pancreas in Cyborg Bodies

2020 ◽  
pp. 412-430
Author(s):  
Anthony Ryan Hatch ◽  
Julia T. Gordon ◽  
Sonya R. Sternlieb
Keyword(s):  
Glucose Sensor ◽  
Social Inequalities ◽  
Infusion Pump ◽  
Artificial Pancreas ◽  
Small Scale ◽  
Glucose Levels ◽  
Loop Design ◽  
Access To Health ◽  
Do It Yourself ◽  
And Control

The new artificial pancreas system includes a body-attached blood glucose sensor that tracks glucose levels, a worn insulin infusion pump that communicates with the sensor, and features new software that integrates the two systems. The artificial pancreas is purportedly revolutionary because of its closed-loop design, which means that the machine can give insulin without direct patient intervention. It can read a blood sugar and administer insulin based on an algorithm. But, the hardware for the corporate artificial pancreas is expensive and its software code is closed-access. Yet, well-educated, tech-savvy diabetics have been fashioning their own fully automated do-it-yourself (DIY) artificial pancreases for years, relying on small-scale manufacturing, open-source software, and inventive repurposing of corporate hardware. In this chapter, we trace the corporate and DIY artificial pancreases as they grapple with issues of design and accessibility in a content where not everyone can become a diabetic cyborg. The corporate artificial pancreas offers the cyborg low levels of agency and no ownership and control over his or her own data; it also requires access to health insurance in order to procure and use the technology. The DIY artificial pancreas offers patients a more robust of agency but also requires high levels of intellectual capital to hack the devices and make the system work safely. We argue that efforts to increase agency, radically democratize biotechnology, and expand information ownership in the DIY movement are characterized by ideologies and social inequalities that also define corporate pathways.

scholarly journals Undernutrition and associated factors in orphan children aged 6–59 months in Gambella Southwest, Ethiopia: A community-based cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e045892
Author(s):  
Solomon Feleke ◽  
Gudina Egata ◽  
Firehiwot Mesfin ◽  
Gizachew Yilak ◽  
Abebaw Molla
Keyword(s):  
Associated Factors ◽  
Wealth Index ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Access To Health Services ◽  
Cross Sectional ◽  
Orphaned Children ◽  
Access To Health ◽  
Study Participants ◽  
Children Under 5

ObjectiveThe study aimed to assess the prevalence of stunting, wasting, underweight and associated factors in orphaned children under 5 years old.DesignA cross-sectional study.SettingGambella City, Ethiopia.ParticipantsA sample of 419 under 5 orphaned children included in the study. Eligible households with orphans had selected using a systematic random sampling method. The lottery method was used when more than one eligible study participants live in the household. An OR with 95% CI was performed to measure the strength of association between each dependent variable and independent variables. Variables with p<0.05 were declared statistically significant.Primary outcomeThe main outcome of this study was the prevalence of undernutrition among orphaned under 5 and its associated factors.ResultsPrevalence of stunting, wasting and underweight in orphan children under 5 were 12.2%, 37.8% and 21.7%, respectively. The prevalnce of wasting peaks among age group of 36–47 months (42.5%), whereas underweight peaks in 48–59 months (27.7%). Food insecurity, wealth index, family size, vitamin A supplementation, diarrhoea, fever 2 weeks before the survey, children under 5 and parents’ death were associated with undernutrition.ConclusionThe prevalence of stunting, wasting and underweight among orphan children under 5 was significantly high. Multisectoral collaborative efforts towards access to health services, improving income-generating activities, micronutrient supplementation and social support and protection targeting orphan and vulnerable populations have to be built up.

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