scholarly journals Concept of Health and Sickness of the Spanish Gypsy Population: A Qualitative Approach

2019 ◽  
Vol 16 (22) ◽  
pp. 4492 ◽  
Author(s):  
Ramos-Morcillo ◽  
Leal-Costa ◽  
Hueso-Montoro ◽  
del-Pino-Casado ◽  
Ruzafa-Martínez
Keyword(s):  
Causal Attribution ◽  
Health Indicators ◽  
Healthcare Systems ◽  
Structured Interviews ◽  
Concept Of Health ◽  
Health Response ◽  
Culture And Health ◽  
Spanish Gypsy ◽  
Health And Sickness ◽  
Value Of Health

The Roma community (RC) has poor health indicators, and providing them with adequate healthcare requires understanding their culture and cultural differences. Our objective was to understand the concept of the health and sickness of the RC in Spain, and for this, a qualitative study was conducted. A content analysis utilizing an inductive approach was used to analyze the data. Twenty-three semi-structured interviews were performed, and four main categories were obtained after the analysis of the data: perception of the state of health, the value of health, what was observed, and causal attribution. The inter-relations between the categories shows that the RC have a dichotomous worldview split between non-sickness (health) and sickness mediated by causal attribution. Their worldview is polarized into two values: not sick/sick. When not sick, optimism is prioritized along with happiness, and these two emotions are highly valued, as they also play a physical and social function. When a person becomes noticeably sick, this is understood as being in a negative and severe state, and when there are visible physical implications, then the need to act is made clear. When faced with the need to act, the behavior of the RC is mediated by causal attributions, influenced by nature and religion, timing, concealment by not mentioning the disease, and the origin of the healthcare information. For the organization of an adequate health response for the RC, it is necessary for healthcare systems to be able to merge culture and health care.

scholarly journals Situação dos Indicadores de Morbidade, Cobertura Vacinal e Demográfico no Município de Jataí – GO: Análise Comparativa entre os anos 2000 e 2009.

2012 ◽  
Vol 1 (1) ◽  
Author(s):  
João Paulo Pessoa ◽  
Flavio Henrique Lima ◽  
Cácia Paula ◽  
Lucila Ferri
Keyword(s):  
Secondary Data ◽  
Health Indicators ◽  
Relevant Information ◽  
Health Status Indicators ◽  
Microsoft Excel ◽  
Male Predominance ◽  
Concept Of Health ◽  
Health And Illness ◽  
The Difference ◽  
Evaluation Of Data

Relato de experiência sobre análise dos indicadores de morbidade, cobertura vacinal e demográfico no municípiode Jataí – GO entre os anos 2000 e 2009. Ao longo dos anos, o conceito saúde-doença em se modificando einserindo novos conceitos para melhor avaliação dos dados dos usuários do SUS, como por exemplo, a utilizaçãode indicadores de saúde, que são medidas sumárias que capturam informações relevantes de diferentes atributose dimensões de saúde e desempenho dos Sistemas de Saúde. Diante disso, este trabalho propôs realizar a análisedos indicadores citados acima no município de Jataí. Foram retirados dados secundários do DATASUS, RIPSAe IBGE e processados no programa Microsoft Excel®. Verificou-se que houve um aumento da expectativa devida acompanhada por uma redução no número de nascimentos, a população apresentou um aumento de 10.996habitantes com predomínio do sexo feminino. Vacinas foram incorporadas no SUS, com aumento na coberturada maioria das vacinas com redução apenas na oral poliomielite (2ª etapa). A diferença entre a morbidade entrehomens e mulheres foi de 34,98% com predominância do sexo masculino. As análises se mostraram relevantes,porém novas investigações permitiriam conhecer outros indicadores que influenciam o desempenho dosprogramas de saúde municipais.Descritores: Indicadores básicos de saúde, dados demográficosABSTRACTExperience report on the analysis of indicators of morbidity, and demographic coverage in the municipality ofJataí - GO between 2000 and 2009. Over the years, the concept of health and illness in changing and insertingnew concepts for better evaluation of data from SUS users, such as the use of health indicators, which aresummary measures that capture relevant information from different attributes and dimensions and performanceof health systems health Therefore, this paper proposed to perform the analysis of the indicators mentionedabove in the municipality of Jataí. Secondary data were taken from DATASUS RIPSA and IBGE and processedin Microsoft Excel ®. It was found that there was an increase in life expectancy accompanied by a reduction inthe number of births, the population increased by 10,996 people, predominantly women. Vaccines have beenincorporated into the SUS, with increased coverage of most vaccines with reduced only in the oral polio (2ndstage). The difference in morbidity between men and women was 34.98% with male predominance. The analysisto be relevant, but further investigations would meet other indicators that influence the performance of localhealth programs.Keywords: Health status indicators, demographics

The Value of Health and Healthy Lifestyle Among Russian Adolescents as a Bioinformatics Object

2019 ◽  
Vol 9 (1) ◽  
pp. 75-85
Author(s):  
Lilya Rozhkova ◽  
Svetlana Vlazneva ◽  
Olga Salnikova
Keyword(s):  
Young People ◽  
Information Technologies ◽  
Healthy Lifestyle ◽  
Health Indicators ◽  
Mental States ◽  
Creative Activity ◽  
Self Assessment ◽  
Specialized Software ◽  
Biological Objects ◽  
Value Of Health

Health is a qualitative prerequisite for the future self-fulfillment of young people, the ability to create a family and bear children, receive education and perform work, social, political, and creative activity. The attitude of young people to health is a system of personal, selective relations of individuals with various phenomena and social environment that contribute, or vice versa, threaten the health of the younger generation. It is also a certain self-assessment of the individual's physical and psychological condition. Bioinformatics technologies are implemented using methods that allow for collection, processing, and interpretation of data on biological objects. Considering a human and its subsystem, health as bioinformatics object, analysis of biological, social, intellectual, and mental states using materials and information technologies seems appropriate. Specialized software “Sociology,” which allows working with research materials of various health indicators, was used for data processing. The article presents the values of health in the views of modern adolescents.

scholarly journals Evaluating implementation outcomes (acceptability, adoption, and feasibility) of two initiatives to improve the medication prior authorization process

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Laney K. Jones ◽  
Ilene G. Ladd ◽  
Christina Gregor ◽  
Michael A. Evans ◽  
Jove Graham ◽  
...  
Keyword(s):  
Medical Staff ◽  
Cost Effective ◽  
Healthcare Systems ◽  
Insurance Companies ◽  
Prior Authorization ◽  
Structured Interviews ◽  
Related Information ◽  
Implementation Outcomes ◽  
Clinic Site ◽  
The One

Abstract Background Processes such as prior authorization (PA) for medications, implemented by health insurance companies to ensure that safe, appropriate, cost-effective, and evidence-based care is provided to all members, have created inefficiencies within healthcare systems. Thus, healthcare systems have implemented supplemental processes to reduce burden and ensure efficiency, timeliness, and appropriate care. Objective Evaluate implementation outcomes of two initiatives related to PA for medications: a common record that records all PA-related information that was integrated into the health record and an auto-routing of specialty prescriptions to a hospital-owned specialty pharmacy. Methods We conducted semi-structured interviews with medical staff to understand their experience, acceptability, adoption, and feasibility of these initiatives guided by Proctor’s Framework for Implementation Outcomes. Transcripts were analyzed using consensus coding. Results Eleven medical staff participated in semi-structured interviews. The two initiatives were analyzed together because the findings were similar across both for our outcomes of acceptability, adoption, and feasibility. Participants found the implemented initiatives to be acceptable and beneficial but felt there were still challenges with the new workflow. The initiatives were fully adopted by only one clinic site within the healthcare system, but limitations arose when adopting to another site. Individuals felt the initiatives were feasible and improved workflow, communication, and transparency. However, participants described future adaptations that would help improve this process including improved standardization, automation, and transparency. Conclusion The acceptability, adoption, and feasibility of two initiatives to improve the PA process within the one clinical site were well received but issues of generalizability limited the initiatives adoption system wide.

scholarly journals Determinants of self-preservation behavior Russian population

2020 ◽  
Vol 210 ◽  
pp. 17008
Author(s):  
Valentin Babintsev ◽  
Svetlana Vangorodskaya ◽  
Galina Gaidukova
Keyword(s):  
Health Indicators ◽  
Russian Population ◽  
Structured Interviews ◽  
Cultural Traditions ◽  
Nutrition Quality ◽  
Individual Health ◽  
Central Russia ◽  
Working Age ◽  
Main Factors ◽  
Restrictive Measures

On the basis of these semi-structured interviews conducted in the autumn of 2018 with the participation of residents of central Russia, the determinants of self-preservation behavior of Russia's population are identified in the context of a complex interaction of social and cultural traditions and innovations. Particular attention is paid to the analysis of behavioral patterns in the field of health, deterministic mental peculiarities of the Russians. Considers the environmental conditions in the place of residence, genetic predisposition to certain diseases, nutrition quality to be the main factors that have the greatest impact on individual health indicators, and also the presence (absence) of financial resources. The study revealed the ideas of Russians about the causes of "male super-mortality", which caused abnormal gender imbalances in mortality rates of the Russian population. It is concluded that the government's policy with regard to the formation of optimal models of self-preservation behavior should, first of all, to focus on the development and implementation of appropriate measures in relation to working-age men, and include not only the "prohibitive" and restrictive measures, but also activities to change the value-motivational foundations of self-preserving behavior.

scholarly journals Designing a toolkit for the assessment of Health in All Policies at a national scale in Iran

2020 ◽  
Vol 10 (3) ◽  
pp. 244-249 ◽  
Author(s):  
Behzad Damari ◽  
Alireza Heidari ◽  
Maryam Rahbari Bonab ◽  
Abbas Vosoogh Moghadam
Keyword(s):  
Audit Committee ◽  
Health Indicators ◽  
Intersectoral Collaboration ◽  
Health In All Policies ◽  
Structured Interviews ◽  
National Scale ◽  
Implementation Processes ◽  
Intersectoral Cooperation ◽  
Health Goals ◽  
Annual Reporting

Background: Equitable promotion of health indicators requires cooperation among different sectors more than ever. The "Health in All Policies" (HiAP) approach contributes to this process through strengthening intersectoral collaboration. To implement this approach at a national scale, indicators of health-oriented performance from various organizations, and their measurement methods, need to be precisely defined. The aim of present study was to design a toolkit for implementing HiAP in Iran. Methods: A review of literature and documents, as well as conducting semi-structured interviews and focus group discussions were undertaken to collect data for this qualitative study. Content analysis was applied to the collected data and the results were placed in three categories: criteria, sub-criteria and indicators; implementation processes; and implementation requirements. Results: The toolkit aims to achieve various objectives, including intersectoral excellence and the systematic development of intersectoral collaboration. In the process section, reports on measures taken by organizations are assessed by a three-member audit committee. The top three organizations, in terms of intersectoral cooperation in achieving public health goals, are introduced in a Health Week. Requirements for success in achieving the HiAP approach include financial resources to implement the HiAP, a database, an electronic method for submitting reports, training courses, monitoring and annual reporting of relevant indicators, and formulating regulations in order to assess organizations. Conclusion: Justification and training in various organizations to support the implementation of health-oriented measures, providing an annual ranking of organizations, and encouraging the organizations can contribute to the institutionalization of the toolkit through the SupremeCouncil for Health and Food Security. It is recommended that a Secretariat of sustainable development to be established under the Plan and Budget Organization (PBO) of the Islamic republic of Iran to monitor portfolio indicators.

scholarly journals Nursing strategies for child health surveillance

2018 ◽  
Vol 26 (0) ◽  
Author(s):  
Marina Sayuri Yakuwa ◽  
Sarah Neill ◽  
Débora Falleiros de Mello
Keyword(s):  
Early Childhood ◽  
Child Health ◽  
Early Childhood Development ◽  
Health Indicators ◽  
Child Growth ◽  
Health Surveillance ◽  
Childhood Development ◽  
Structured Interviews ◽  
Child Health Surveillance

ABSTRACT Objective: to appreciate the strategies promoted by nurses in the context of child health surveillance relevant to early childhood development. Method: this is a qualitative study with an inductive thematic analysis of the data, based on the conceptual principles of child health surveillance, and developed through semi-structured interviews with Brazilian nurses working with families in primary health care. Results: the nurses’ strategies in favor of child health surveillance focus on actions that anticipate harm with continuous follow-up and monitoring of health indicators. The process of child growth and development is the basis for responses and benefits to health, connection with the daily lives of families, active search, articulations between professionals and services, access to comprehensive care, and intrinsic actions between promotion, prevention and health follow-up. Conclusion: child health surveillance actions developed by nurses with families involve knowledge sharing, favor the resolution of problems, increase child health indicators, and strengthen the relationship between health and children’s rights, which support the promotion of development in early childhood.

From Ministry Towards Spiritual Competence. Changing Perspectives in Spiritual Care in the Netherlands

2014 ◽  
Vol 27 (1) ◽  
pp. 103-129 ◽  
Author(s):  
Wim Smeets ◽  
Tessa Morice-Calkhoven
Keyword(s):  
Professional Identity ◽  
Professional Practice ◽  
Spiritual Care ◽  
Healthcare Systems ◽  
Contemporary Society ◽  
Structured Interviews ◽  
Medical Specialists ◽  
The Core ◽  
Competence Profile

In the ‘crisis of ministry’ alternatives are considered to a worldview-based spiritual positioning of spiritual caregivers. One of the concepts in this discussion is that of spiritual competence. We addressed the question: what are the attitudes of spiritual caregivers (and their educators) towards ministry and spiritual competence? In terms of the volume the question is: to what extent does a specific denominational concept such as ministry still relate to religion as it is lived in contemporary society, more specifically in healthcare systems? Ministry we defined as worldview representation in public and semi-public settings. There is a tension between representation and communication of religion, or, between authorisation and competence in the role of the minister. Quantitative empirical research clarified that spiritual caregivers regard the ministry positively. But they doubt their representation task, and have a multiple worldview orientation towards communication. Spiritual competence can be situated on the level of the person, professional practice, professional identity and legitimation. This analysis can be related to, e.g. the competence profile of medical specialists and praxis-oriented models of spiritual care. Semi-structured interviews with educators of spiritual caregivers put forward a balance in personal and professional spirituality, the role of reflexivity and some basic —, core — and heuristic competencies. Spiritual competence is at the core of the identity of spiritual care. Further research should reveal the extent to which this concept is an umbrella term, an alternative or even a substitute for ministry, conceptually and organisationally.

scholarly journals Comparative Analysis of Lifetime Suicide Attempts among Mexican Adolescents, over the Past 12 Years

2021 ◽  
Vol 18 (10) ◽  
pp. 5419
Author(s):  
Rosario Valdez-Santiago ◽  
Aremis Villalobos ◽  
Luz Arenas-Monreal ◽  
Catalina González-Forteza ◽  
Alicia Edith Hermosillo-de-la-Torre ◽  
...  
Keyword(s):  
Suicide Attempts ◽  
National Policy ◽  
Health Indicators ◽  
Fold Increase ◽  
Lifetime Prevalence ◽  
Public Health Response ◽  
Targeted Interventions ◽  
The Past ◽  
Health Response ◽  
Nationally Representative

Objective. To compare the occurrence of suicide attempts across nationally representative samples of the Mexican adolescent population over the past 12 years, and to analyze its association with sociodemographic, lifestyle and mental-health indicators. Methodology. Data were drawn from the 2006, 2012 and 2018 National Health and Nutrition Surveys (n = 25,056; 21,509; and 17,925 adolescents, respectively). Estimates were based on standardized measurements. Results. The estimated lifetime prevalence rates of suicide attempts were 1.1% in 2006, 2.7% in 2012, and 3.9% in 2018, indicating a 3.4-fold increase. Across the three survey periods, women yielded rates nearly three times higher than men. Lifetime prevalence grew the most among adolescents aged 13–15 years. Compared to the other respondents, the odds of lifetime suicide attempts proved seven times as high for those who had been sexually abused during their childhood, five times as high for those who had been diagnosed with a depressive disorder, three times as high for those who had suffered physical aggression and twice as high for those who had smoked 100+ cigarettes in their lifetimes and those who consumed alcohol. Conclusion: The sharp increase in suicide attempts in Mexico calls for an urgent public-health response via universal and targeted interventions supported by national policy and sustained federal funding.

scholarly journals Psychosocial and Organizational Processes and Determinants of Health Care Workers’ (HCW) Health at Work in French Public EHPAD (Assisted Living Residences): A Qualitative Approach Using Grounded Theory

2021 ◽  
Vol 18 (14) ◽  
pp. 7286
Author(s):  
Anne Armant ◽  
Florian Ollierou ◽  
Jules Gauvin ◽  
Christine Jeoffrion ◽  
Baptiste Cougot ◽  
...  
Keyword(s):  
Grounded Theory ◽  
Assisted Living ◽  
Health Workers ◽  
Health Indicators ◽  
Qualitative Approach ◽  
Structured Interviews ◽  
Collective Control ◽  
Care Workers ◽  
Working Groups

In a context marked by negative health indicators that make structural aspects more salient, this paper aimed at understanding and explaining the processes and determinants at work that positively and negatively interfere with the professionals’ health in the French public nursing home environment. To this purpose, the qualitative approach by grounded theory was chosen. In total, 90 semi-structured interviews were recorded and 43 were transcribed; in addition, 10 observations of 46 participations in meetings and working groups were carried out in four public service and hospital establishments. Our results indicate that the role of health workers, its definition, and its execution are fundamental to the understanding of their health at work. Two protective and constructive processes are involved in the maintenance and development of the professionals’ health in this work, with considerable confrontations with death and suffering: individual and collective control of emotional and cognitive commitment, and the development of resources for formation, information, and cooperation. Nonetheless, they are jeopardized when a lasting imbalance is generated between the work’s demands and the available resources. This leads to a loss spiral in organizational, inter-individual, and individual resources that makes it difficult to sustain work.

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