scholarly journals Polish Nurses’ Opinions on the Expansion of Their Competences—Cross-Sectional Study

2021 ◽  
Vol 11 (2) ◽  
pp. 301-310
Author(s):  
Kinga Harpula ◽  
Anna Bartosiewicz ◽  
Jerzy Krukowski
Keyword(s):  
Health Services ◽  
Medical Science ◽  
Cross Sectional Study ◽  
Advanced Practice ◽  
Access To Health Services ◽  
Cross Sectional ◽  
Significance Level ◽  
Access To Health ◽  
Survey Technique

The development of medical science creates new challenges for nurses to acquire new skills. Thanks to legal changes in Poland, nurses have gained the opportunity to independently provide health services in many areas, including consultations for patients. The aim of the survey is to analyze nurses’ opinions on the expansion of competences in their profession. This is a cross-sectional, descriptive study conducted among 798 nurses using the survey technique. The majority (65.48%) of the respondents believed that they were adequately prepared to take up new competences. Most of the respondents believed that the new competence would improve the efficiency of the healthcare system in Poland (71.06%) and facilitate patients’ access to health services (65.29%). According to the nurses, the scope of nursing advice will mainly concern the promotion of health education, wound treatment and prescribing medications. Age, seniority and education level significantly influenced the nurses’ opinions on the scope of nursing advice. The Mann–Whitney test and the Kruskal–Wallis test were used. A correlation between two quantitative variables was assessed with the Spearman’s rho coefficient. The significance level of p < 0.05 was assumed. The extension of the professional competences of nurses will increase the prestige of the profession and is another step toward introducing the role of Advanced Practice Nurse in Poland.

Trends in access to health services and financial protection in China between 2003 and 2011: a cross-sectional study

The Lancet ◽  
2012 ◽  
Vol 379 (9818) ◽  
pp. 805-814 ◽  
Author(s):  
Qun Meng ◽  
Ling Xu ◽  
Yaoguang Zhang ◽  
Juncheng Qian ◽  
Min Cai ◽  
...  
Keyword(s):  
Health Services ◽  
Cross Sectional Study ◽  
Financial Protection ◽  
Sectional Study ◽  
Access To Health Services ◽  
Cross Sectional ◽  
Access To Health

scholarly journals Satisfaction with Access to Health Services: The Perspective of Estonian Patients with Rheumatoid Arthritis

2012 ◽  
Vol 2012 ◽  
pp. 1-10 ◽  
Author(s):  
Kaja Põlluste ◽  
Riina Kallikorm ◽  
Kersti Meiesaar ◽  
Margus Lember
Keyword(s):  
Rheumatoid Arthritis ◽  
Health Services ◽  
Negative Impact ◽  
Waiting Times ◽  
Cross Sectional Study ◽  
Access To Health Services ◽  
Cross Sectional ◽  
Access To Health ◽  
Degree Of Satisfaction ◽  
Determinants Of Satisfaction

In this cross-sectional study we explained the possible determinants of satisfaction with access to health services in patients with rheumatoid arthritis (RA). Of the 2000 randomly selected Estonian adult patients with RA, a total 1259 completed the survey. Regression analysis was used to analyse the predictors of patients' satisfaction with access to health services. Half of the respondents were satisfied with their access to health services. Factors that had a negative impact on satisfaction included pain intensity, longer waiting times to see the doctors, as well as low satisfaction with the doctors. Transportation costs to visit a rheumatologist and higher rehabilitation expenses also affected the degree of satisfaction. Patients who could choose the date and time at which they could visit the rheumatologist or who could visit their “own” doctor were more likely to be satisfied than patients whose appointment times were appointed by a healthcare provider.

scholarly journals Perception of effective access to health services in Territorial Spaces for Training and Reintegration, one year after the peace accords in Colombia: a cross-sectional study

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 2140
Author(s):  
Julián Alfredo Fernández-Niño ◽  
Lud Magdy Chaparro ◽  
Ana Beatriz Vásquez-Rodríguez ◽  
Maylen Liseth Rojas-Botero ◽  
Ginna Esmeralda Hernández-Neuta ◽  
...  
Keyword(s):  
Health Services ◽  
Rural Areas ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Access To Health Services ◽  
Cross Sectional ◽  
Post Conflict ◽  
Access To Health ◽  
Peace Accords ◽  
One Year

Backgrounds: The signing of the peace accords in Colombia created challenges that are inherent to post-conflict transitions. One of those is the process of reintegrating ex-combatants into society, in which ensuring their rights to health is a particularly significant challenge in rural areas affected by armed conflict. These areas, known as Territorial Spaces for Training and Reintegration (ETCR, in Spanish), are geographically dispersed throughout 24 municipalities and 13 departments in Colombia. This study aimed to describe how ex-combatants in ETCR regions perceived access to health services one year after the signing of the peace accords. Methods: A descriptive, cross-sectional study was performed between September and October 2018. It included 591 adults and their families, from 23 ETCRs. The study was designed, culturally validated, and piloted. Interviewers were trained and a structured survey was administered containing five dimensions that characterized the perception of effective access to health services. Results: The majority of interviewees were women, heads of household, young adults, ex-combatants, and residents in an ETCR. In total of 96.4% were enrolled in Colombia’s subsidized health system, and 20.8% indicated that a member of their household required emergency health services. The regional health center provided the majority of the services. Most of those surveyed (96.0%) reported that they did not have to pay for the services, and that they received respectful (91.6%) and good quality (66.6%) care. There were few referrals to disease prevention and health promotion activities, and only 19.0% of households reported having been visited by extramural health care teams, whose activities were highly valued (80%). Lastly, there was little knowledge about community health activities. Conclusions: While residents of ETCR regions have a favorable perception of their access to health services, they need to be made aware of extramural and public health activities.

scholarly journals Relationship between Financial Factors and Access to Health Care and Quality of Life for HIV / AIDS Patients

2021 ◽  
Vol 4 (1) ◽  
pp. 1
Author(s):  
Laila Salma Iklama ◽  
Nursalam Nursalam ◽  
Ni Ketut Alit Armini
Keyword(s):  
Quality Of Life ◽  
Health Services ◽  
Access To Health Care ◽  
Access To Health Services ◽  
Cross Sectional ◽  
Significance Level ◽  
Financial Factors ◽  
Access To Health ◽  
Hiv Aids

Introduction:Patients with HIV-AIDS experience various problems, one of which is related to financial factors and access to health services, this will also affect the patient's quality of life. The purpose of this study was to analyze the relationship between financial factors and access to health services.Method:This was a cross-sectional study with a sample size of 101 respondents who were selected using simple random sampling technique. The independent variable in this study is income and access to services, while the dependent variable in this study is quality of life. The instrument used was a demographic questionnaire and Health-Related Quality of Life, the data were analyzed using chi square with a significance level of p <0.05.Results:The results showed that there was a significant relationship between income (p = 0.044) and the availability of infrastructure (p = 0.003) with the quality of life of HIV-AIDS patients.Conclusion:The financial and access to healthcare factors  are related to the quality of life of clients with HIV-AIDS, so that patients with good quality of life will show that the level of fulfillment of needs and access to health services is also good.

scholarly journals Health and Demographic Characteristics of Patients Attending a Newly-Opened Medical Facility in a Remote Amazonian Community: A Descriptive Study

2018 ◽  
Vol 6 (4) ◽  
pp. 106 ◽  
Author(s):  
Lucy Guile ◽  
Devon Graham ◽  
Anne Jachmann
Keyword(s):  
Health Services ◽  
Care Facility ◽  
Cross Sectional Study ◽  
Demographic Characteristics ◽  
Access To Health Services ◽  
Structured Interviews ◽  
Cross Sectional ◽  
Poor Access ◽  
Access To Health ◽  
High Prevalence

Peru is a country with wide regional disparities in health. Remote Amazonian communities have high rates of poverty and poor access to health services. There is a lack of data on morbidity and use of health services in the region. We describe a descriptive, cross-sectional study of the demographic characteristics and presenting complaints of attendees to a newly-opened primary care facility in a remote community. This was supplemented by structured interviews of adult attendees to build a picture of sociocultural determinants of health locally, including engagement with traditional forms of medicine. Our study provides novel insights into an under-studied and under-resourced area. We found a young population with a high prevalence of infectious illnesses, particularly dermatological infections - a previously under-recognised source of morbidity in these communities. Poor literacy rates and widespread use of traditional forms of medicine have important implications for the provision of healthcare in this region.

scholarly journals Advancing Migrant Access to Health Services in Europe (AMASE): Protocol for a Cross-sectional Study

2016 ◽  
Vol 5 (2) ◽  
pp. e74 ◽  
Author(s):  
Ibidun Fakoya ◽  
Débora Álvarez-del Arco ◽  
Susana Monge ◽  
Andrew J Copas ◽  
Anne-Francoise Gennotte ◽  
...  
Keyword(s):  
Health Services ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Access To Health Services ◽  
Cross Sectional ◽  
Access To Health

scholarly journals Perception of effective access to health services in Territorial Spaces for Training and Reincorporation, one year after the peace accords in Colombia: a cross-sectional study

F1000Research ◽  
2020 ◽  
Vol 8 ◽  
pp. 2140
Author(s):  
Julián Alfredo Fernández-Niño ◽  
Lud Magdy Chavarro ◽  
Ana Beatriz Vásquez-Rodríguez ◽  
Maylen Liseth Rojas-Botero ◽  
Ginna Esmeralda Hernández-Neuta ◽  
...  
Keyword(s):  
Health Services ◽  
Rural Areas ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Access To Health Services ◽  
Cross Sectional ◽  
Post Conflict ◽  
Access To Health ◽  
Peace Accords ◽  
One Year

Backgrounds: The signing of the peace accords in Colombia created challenges that are inherent to post-conflict transitions. One of those is the process of reintegrating ex-combatants into society, in which ensuring their rights to health is a particularly significant challenge in rural areas affected by armed conflict. These areas, known as Territorial Spaces for Training and ReintegrationReincorporation (ETCR, in Spanish), are geographically dispersed throughout 24 municipalities and 13 departments in Colombia. This study aimed to describe how ex-combatants in ETCR regions perceived access to health services one year after the signing of the peace accords. Methods: A descriptive, cross-sectional study was performed between September and October 2018. It included 591 adults and their families, from 23 ETCRs. The study was designed, culturally validated, and piloted. Interviewers were trained and a structured survey was administered containing five dimensions that characterized the perception of effective access to health services. Results: The majority of interviewees were women, heads of household, young adults, ex-combatants, and residents in an ETCR. In total of 96.4% were enrolled in Colombia’s subsidized health system, and 20.8% indicated that a member of their household required emergency health services. The regional health center provided the majority of the services. Most of those surveyed (96.0%) reported that they did not have to pay for the services, and that they received respectful (91.6%) and good quality (66.6%) care. There were few referrals to disease prevention and health promotion activities, and only 19.0% of households reported having been visited by extramural health care teams, whose activities were highly valued (80%). Lastly, there was little knowledge about community health activities. Conclusions: While residents of ETCR regions have a favorable perception of their access to health services, they need to be made aware of extramural and public health activities.

scholarly journals Accessibility to health services among migrant workers in the Northeast of Thailand

F1000Research ◽  
2017 ◽  
Vol 6 ◽  
pp. 972 ◽  
Author(s):  
Suprawee Khongthanachayopit ◽  
Wongsa Laohasiriwong
Keyword(s):  
Health Services ◽  
Migrant Workers ◽  
Multiple Logistic Regression Analysis ◽  
Cross Sectional Study ◽  
P Value ◽  
Access To Health Services ◽  
Cross Sectional ◽  
Access To Health ◽  
One Year ◽  
Structured Questionnaire

Background. There is an increasing trend of trans-border migration from neighboring countries to Thailand. According to human rights laws, everyone must have access to health services, even if they are from other nationalities.  However, a small minority of health personnel in Thailand discriminate against immigrant workers, as they are from a lower financial bracket. Methods. This cross-sectional study aims to determine the prevalence of accessibility to health services and factors associated with access to health services among migrant workers who work along the Northeast border of Thailand. A total of 621 legal migrant workers were randomly selected to respond to a structured questionnaire about the satisfaction of health services, using the 5As of health services: availability; accessibility; accommodation; affordability; acceptability.  Associations between independent variables and access to health services were analysed   using multiple logistic regression analysis. Results. The results indicated that the majority of these registered migrant workers were female (63.9%) with an average age of 29± 8.61 years old, and were married (54.3%). Most of the workers worked at restaurants (80%), whereas only 20% were in agricultural sectors. Only 14% (95% CI: 11-17%) of migrant workers had access to health services. The factors that were significantly associated with accessibility to health service experienced ill health during the past one year (OR = 2.48; 95%CI; 1.54–3.97; p-value<0.001); have been married (OR = 2.32; 95% CI: 1.40 – 3.90; p-value <0.001). Conclusions. Most of the migrant workers could not access health services. The ones who did access health services were married or ill.

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