scholarly journals Patient-Reported Experiences in Accessing Primary Healthcare among Immigrant Population in Canada: A Rapid Literature Review

2020 ◽  
Vol 17 (23) ◽  
pp. 8724
Author(s):  
Bishnu Bahadur Bajgain ◽  
Kalpana Thapa Bajgain ◽  
Sujan Badal ◽  
Fariba Aghajafari ◽  
Jeanette Jackson ◽  
...  
Keyword(s):  
Literature Review ◽  
Primary Healthcare ◽  
English Language ◽  
Quality Care ◽  
Healthcare Providers ◽  
Strong Support ◽  
Active Role ◽  
Healthcare Services ◽  
Patient Experiences ◽  
Patient Reported

(1) Background: Immigrants represent around 21.9% of the total population in Canada and encounter multifaceted obstacles in accessing and receiving primary healthcare. This literature review explores patient experiences in primary care from the perspective of immigrants and identifies areas for further research and improvement. (2) Methods: A comprehensive search was performed on PubMed, MEDLINE, Embase, SCOPUS, and Google scholar to identify studies published from 2010 to July 2020. Relevant articles were peer-reviewed, in English language, and reported patient experiences in primary healthcare in Canada. (3) Results: Of the 1566 searched articles, 19 articles were included in this review. Overall, the finding from articles were summarized into four major themes: cultural and linguistic differences; socioeconomic challenges; health system factors; patient–provider relationship. (4) Conclusion: Understanding the gaps to accessing and receiving appropriate healthcare is important to shape policies, enhance the quality of services, and deliver more equitable healthcare services. It is therefore pertinent that primary healthcare providers play an active role in bridging these gaps with strong support from policymakers. Understanding and respecting diversity in culture, language, experiences, and systems is crucial in reducing health inequalities and improving access to quality care in a respectful and responsive manner.

scholarly journals Choosing Wisely: The Canadian Rheumatology Association’s List of 5 Items Physicians and Patients Should Question

2015 ◽  
Vol 42 (4) ◽  
pp. 682-689 ◽  
Author(s):  
Shirley L. Chow ◽  
J. Carter Thorne ◽  
Mary J. Bell ◽  
Robert Ferrari ◽  
Zarnaz Bagheri ◽  
...  
Keyword(s):  
Literature Review ◽  
Delphi Method ◽  
Antinuclear Antibodies ◽  
Quality Care ◽  
Healthcare Providers ◽  
Potential Effect ◽  
Survey Results ◽  
Bone Scans ◽  
Bone Density Testing ◽  
Perceived Relevance

Objective.To develop a list of 5 tests or treatments used in rheumatology that have evidence indicating that they may be unnecessary and thus should be reevaluated by rheumatology healthcare providers and patients.Methods.Using the Delphi method, a committee of 16 rheumatologists from across Canada and an allied health professional generated a list of tests, procedures, or treatments in rheumatology that may be unnecessary, nonspecific, or insensitive. Items with high content agreement and perceived relevance advanced to a survey of Canadian Rheumatology Association (CRA) members. CRA members ranked these top items based on content agreement, effect, and item ranking. A methodology subcommittee discussed the items in light of their relevance to rheumatology, potential effect on patients, and the member survey results. Five candidate items selected were then subjected to a literature review. A group of patient collaborators with rheumatic diseases also reviewed these items.Results.Sixty-four unique items were proposed and after 3 Delphi rounds, this list was narrowed down to 13 items. In the member-wide survey, 172 rheumatologists responded (36% of those contacted). The respondent characteristics were similar to the membership at large in terms of sex and geographical distribution. Five topics (antinuclear antibodies testing, HLA-B27 testing, bone density testing, bone scans, and bisphosphonate use) with high ratings on agreement and effect were chosen for literature review.Conclusion.The list of 5 items has identified starting points to promote discussion about practices that should be questioned to assist rheumatology healthcare providers in delivering high-quality care.

scholarly journals Implementation of Primary Healthcare Services in Community Health Stations in Highly Urbanized City

2021 ◽  
Vol 4 (3) ◽  
pp. 123-132
Author(s):  
Hanna B. Gella ◽  
Merlita V. Caelian
Keyword(s):  
Community Health ◽  
Primary Healthcare ◽  
Healthcare Providers ◽  
Well Being ◽  
Healthcare Services ◽  
Health Improvement ◽  
Patient Centeredness ◽  
Sustainable Development Goal ◽  
The Sustainable Development ◽  
Child Healthcare

Primary healthcare is integral to the Sustainable Development Goal (SDG) of ensuring healthy lives and promoting well-being.  A descriptive study assessed the implementation of primary healthcare services in community health stations through a researcher-made questionnaire among healthcare providers and beneficiaries of 30 community health stations.  The results revealed that, as a whole, the implementation of primary healthcare services in community health stations is great, with maternal and child healthcare implemented to a very great extent while the treatment of non-communicable diseases to a great extent only.  The major challenges encountered are the lack of medical drugs, supplies and equipment, and medical professionals.  Primary healthcare has made contributions to the community's health improvement; however, challenges imply that the quality and efficiency of the services need improvement. The study contributed to new knowledge on implementing healthcare at the lowest level of government, emphasizing patient-centeredness.

scholarly journals Healthcare Service Delivery News in Pakistani Print Media: A Comparative Analysis of Daily Jang and Daily Dawn

2020 ◽  
Vol V (I) ◽  
pp. 30-39
Author(s):  
Abid Mehmood ◽  
Sajjad Ali
Keyword(s):  
Health Services ◽  
Literature Review ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Quantitative Methodology ◽  
News Stories ◽  
Governmental Organizations ◽  
Non Governmental Organizations ◽  
Health Related ◽  
The Government

Health conditions in Pakistan are very bad. Government and non-governmental organizations are trying to meet international standard of health services. Some healthcare providers are educated, trained and certified from the government but some are unqualified and not certified. In this research two national newspapers are analyzed the daily Jang Urdu and the daily Dawn English. These newspapers cover healthcare services such as indoor patient, outdoor patient maternity and other health services in news stories. These services are also seen in the Literature Review. The researcher analyzed on coverage of healthcare in newspapers the daily Jang and the daily Dawn. This research has been performed by using content analysis technique under quantitative methodology. Media agenda setting theory was adopted in the theoretical framework as in the literature review. The statistical analyses of data analysis have been done in the form of frequency distribution and correlation analysis. SPSS is used to analyze the content of data. The results show that daily Jang is giving more coverage to health-related news stories than daily Dawn.

We-care ibd score: assessing high-quality care in the perspective of patients with inflammatory bowel diseases

2020 ◽  
Author(s):  
Serena Barello ◽  
Elena Guida ◽  
Andrea Bonanomi ◽  
Julia Menichetti ◽  
Salvatore Leone ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Quality Care ◽  
Psychometric Evaluation ◽  
Healthcare Services ◽  
Care Patient ◽  
Psychosocial Needs ◽  
High Quality ◽  
Patient Reported ◽  
Inflammatory Bowel

Abstract Background and Aims PREMs are today a core asset to orient healthcare quality improvements. They are particularly relevant in clinical situations requiring frequent interactions between patients and the healthcare system, like inflammatory bowel disease (IBD). Indeed, IBD chronic care requires continuous therapies, psychological interventions and follow-ups. The characteristics of healthcare services play an important role in the life of these patients and in their satisfaction with the care received. The aim of this study was to develop and validate an IBD-specific questionnaire (WE-CARE IBD SCORE) able to capture IBD patients’ needs and priorities for their own healthcare and rooted in patients’ perspectives. Methods The WE-CARE IBD SCORE was developed and validated through a multi-stage process (qualitative and quantitative) and administered to 1176 patients with IBD. Psychometric evaluation included an assessment of internal consistency and factor analysis. Results The WE-CARE IBD SCORE is a short and self-administered questionnaire that includes six items assessing one unique dimension of “IBD patients-rooted high-quality of care” . Psychometric evaluations demonstrate the reliability (Cronbach’s Alpha =0.93) and validity (invariance to gender and diagnosis) of the questionnaire as an instrument able to detect and assess IBD patients’ main psychosocial needs and priorities for receiving healthcare services. Conclusions The WE-CARE IBD SCORE contributes to the panorama of existing quality of care patient-reported measures by providing a patient-rooted, psychosocial perspective in the evaluation of a key aspect for chronic - and particularly for IBD patients - care.

scholarly journals Demographics matter: the potentially disproportionate effect of COVID-19 on hospital ratings

2021 ◽  
Vol 33 (1) ◽  
Author(s):  
Ariel R Belasen ◽  
Marlon R Tracey ◽  
Alan T Belasen
Keyword(s):  
Quality Care ◽  
Healthcare Providers ◽  
Patient Experiences ◽  
Care Providers ◽  
Exogenous Shocks ◽  
The Usa ◽  
Hospital Consumer Assessment ◽  
Group A ◽  
Consumer Assessment ◽  
Hospital Compare

Abstract Objective To identify how features of the community in which a hospital serves differentially relate to its patients' experiences based on the quality of that hospital. Design A Finite Mixture Model (FMM) is used to uncover a mix of two latent groups of hospitals that differ in quality. In the FMM, a multinomial logistic equation relates hospital-level factors to the odds of being in either group. A multiple linear regression relates the characteristics of communities served by hospitals to the patients' expected ratings of their experiences at hospitals in each group. Thus, this association potentially varies with hospital quality. The analysis was conducted via Stata. Setting Hospital ratings are measured by Hospital Compare using the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey, a patient satisfaction survey required by the Centers for Medicare and Medicaid Services for hospitals in the USA. Participants 2,816 Medicare-certified acute care hospitals across all US states. Intervention None. Main Outcome Measure Differences in the marginal impacts of key community demographics on patient experiences between the two groups of hospitals. Results We provide evidence that low-rated hospitals have much more variability in patient experience ratings than high-rated ones. Moreover, the experiences at low-rated hospitals are more sensitive to county demographic factors, which means exogenous shocks, like coronavirus disease-2019 (COVID-19), will likely affect these hospitals differently, as such shocks are known to disproportionately affect their communities. Conclusions Our results imply that low-rated hospitals with more variability in their HCAHPS responses are more likely to face adverse patient experiences due to COVID-19 than high-rated hospitals. Pandemics like COVID-19 create conditions that intensify the already high demands placed on hospitals and care providers and make it even more challenging to deliver quality care.

scholarly journals Healthcare Service Delivery News in Pakistani Print Media: A Comparative Analysis of Daily Jang and Daily Dawn

2020 ◽  
Vol V (II) ◽  
pp. 1-10
Author(s):  
Abid Mehmood ◽  
Sajjad Ali
Keyword(s):  
Health Services ◽  
Literature Review ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Quantitative Methodology ◽  
News Stories ◽  
Governmental Organizations ◽  
Non Governmental Organizations ◽  
Health Related ◽  
The Government

Health conditions in Pakistan are very bad. Government and non-governmental organizations are trying to meet international standard of health services. Some healthcare providers are educated, trained and certified from the government but some are unqualified and not certified. In this research two national newspapers are analyzed the daily Jang Urdu and the daily Dawn English. These newspapers cover healthcare services such as indoor patient, outdoor patient maternity and other health services in news stories. These services are also seen in the Literature Review. The researcher analyzed on coverage of healthcare in newspapers the daily Jang and the daily Dawn. This research has been performed by using content analysis technique under quantitative methodology. Media agenda setting theory was adopted in the theoretical framework as in the literature review. The statistical analyses of data analysis have been done in the form of frequency distribution and correlation analysis. SPSS is used to analyze the content of data. The results show that daily Jang is giving more coverage to health-related news stories than daily Dawn.

Patient-Reported Experiences with Dialysis Care and Provider Visit Frequency

2021 ◽  
Vol 16 (7) ◽  
pp. 1052-1060
Author(s):  
Brian M. Brady ◽  
Bo Zhao ◽  
Bich N. Dang ◽  
Wolfgang C. Winkelmayer ◽  
Glenn M. Chertow ◽  
...  
Keyword(s):  
Patient Experience ◽  
Healthcare Providers ◽  
Cross Sectional Study ◽  
Patient Experiences ◽  
Cross Sectional ◽  
Content Type ◽  
Face To Face ◽  
Visit Frequency ◽  
Patient Reported ◽  
Consumer Assessment

Background and objectivesNew payment models resulting from the Advancing American Kidney Health initiative may create incentives for nephrologists to focus less on face-to-face in-center hemodialysis visits. This study aimed to understand whether more frequent nephrology practitioner dialysis visits improved patient experience and could help inform future policy.Design, setting, participants, & measurementsIn a cross-sectional study of patients receiving dialysis from April 1, 2015 through January 31, 2016, we linked patient records from a national kidney failure registry to patient experience data from the In-Center Hemodialysis Consumer Assessment of Healthcare Providers and Systems survey. We used a multivariable mixed effects linear regression model to examine the association between nephrology practitioner visit frequency and patient-reported experiences with nephrologist care.ResultsAmong 5125 US dialysis facilities, 2981 (58%) had ≥30 In-Center Hemodialysis Consumer Assessment of Healthcare Providers and Systems surveys completed between April 2015 and January 2016, and 243,324 patients receiving care within these facilities had Medicare Parts A/B coverage. Face-to-face practitioner visits per month were 71% with four or more visits, 17% with two to three visits, 4% with one visit, and 8% with no visits. Each 10% absolute greater proportion of patients seen by their nephrology practitioner(s) four or more times per month was associated with a modestly but statistically significant lower score of patient experience with nephrologist care by −0.3 points (95% confidence interval, −0.5 to −0.1) and no effect on experience with other domains of dialysis care.ConclusionsIn an analysis of patient experiences at the dialysis facility level, frequent nephrology practitioner visits to facilities where patients undergo outpatient hemodialysis were not associated with better patient experiences.

scholarly journals Impacts of English language proficiency on healthcare access, use, and outcomes among immigrants: a qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mamata Pandey ◽  
R. Geoffrey Maina ◽  
Jonathan Amoyaw ◽  
Yiyan Li ◽  
Rejina Kamrul ◽  
...  
Keyword(s):  
Health Outcomes ◽  
Focus Groups ◽  
Healthcare Provider ◽  
Language Proficiency ◽  
English Language ◽  
Healthcare Access ◽  
Healthcare Providers ◽  
Language Barriers ◽  
Healthcare Services ◽  
English Language Proficiency

Abstract Background Immigrants from culturally, ethnically, and linguistically diverse countries face many challenges during the resettlement phase, which influence their access to healthcare services and health outcomes. The “Healthy Immigrant Effect” or the health advantage that immigrants arrive with is observed to deteriorate with increased length of stay in the host country. Methods An exploratory qualitative design, following a community-based research approach, was employed. The research team consisted of health researchers, clinicians, and community members. The objective was to explore the barriers to healthcare access among immigrants with limited English language proficiency. Three focus groups were carried out with 29 women and nine men attending English language classes at a settlement agency in a mid-sized city. Additionally, 17 individual interviews were carried out with healthcare providers and administrative staff caring for immigrants and refugees. Results A thematic analysis was carried out with transcribed focus groups and healthcare provider interview data. Both the healthcare providers and immigrants indicated that limited language proficiency often delayed access to available healthcare services and interfered with the development of a therapeutic relationship between the client and the healthcare provider. Language barriers also impeded effective communication between healthcare providers and clients, leading to suboptimal care and dissatisfaction with the care received. Language barriers interfered with treatment adherence and the use of preventative and screening services, further delaying access to timely care, causing poor chronic disease management, and ultimately resulting in poor health outcomes. Involving untrained interpreters, family members, or others from the ethnic community was problematic due to misinterpretation and confidentiality issues. Conclusions The study emphasises the need to provide language assistance during medical consultations to address language barriers among immigrants. The development of guidelines for recruitment, training, and effective engagement of language interpreters during medical consultation is recommended to ensure high quality, equitable and client-centered care.

scholarly journals Determinants for use of direct-to-consumer telemedicine consultations in primary healthcare—a registry based total population study from Stockholm, Sweden

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Cecilia Dahlgren ◽  
Margareta Dackehag ◽  
Per Wändell ◽  
Clas Rehnberg
Keyword(s):  
Primary Healthcare ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Educational Background ◽  
Face To Face ◽  
Factors Associated ◽  
Direct To Consumer ◽  
Inequality In Health ◽  
Higher Educational Attainment ◽  
Main Determinants

Abstract Background In recent years, telemedicine consultations have evolved as a new form of providing primary healthcare. Telemedicine options can provide benefits to patients in terms of access, reduced travel time and no risk of disease spreading. However, concerns have been raised that access is not equally distributed in the population, which could lead to increased inequality in health. The aim of this paper is to explore the determinants for use of direct-to-consumer (DTC) telemedicine consultations in a setting where telemedicine is included in the publicly funded healthcare system. Methods To investigate factors associated with the use of DTC telemedicine, a database was constructed by linking national and regional registries covering the entire population of Stockholm, Sweden (N = 2.3 million). Logistic regressions were applied to explore the determinants for utilization in 2018. As comparators, face-to-face physician consultations in primary healthcare were included in the study, as well as digi-physical physician consultations, i.e., telemedicine consultations offered by traditional primary healthcare providers also offering face-to-face visits, and telephone consultations by nurses. Results The determinants for use of DTC telemedicine differed substantially from face-to-face visits but also to some extent from the other telemedicine options. For the DTC telemedicine consultations, the factors associated with higher probability of utilization were younger age, higher educational attainment, higher income and being born in Sweden. In contrast, the main determinants for use of face-to-face visits were higher age, lower educational background and being born outside of Sweden. Conclusion The use of DTC telemedicine is determined by factors that are generally not associated with greater healthcare need and the distribution raises some concerns about the equity implications. Policy makers aiming to increase the level of telemedicine consultations in healthcare should consider measures to promote access for elderly and individuals born outside of Sweden to ensure that all groups have access to healthcare services according to their needs.

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