Demographic Characteristics as Predictors of Medicine and Health Services Access Difficulties and Economic Problems during Covid 19 in Java, Indonesia

Research indicates that people living in rural and remote areas of Canada face challenges to accessing health services. This article reports on a community-engaged research project conducted by investigators at Memorial University of Newfoundland in collaboration with the Rural Secretariat Regional Councils and Regional Partnership Planners for the Corner Brook–Rocky Harbour and Stephenville–Port aux Basques Rural Secretariat Regions of Newfoundland and Labrador. The aim of this research was to gather information on barriers to accessing health services, to identify solutions to health services’ access issues and to inform policy advice to government on enhancing access to health services. Data was collected through: (1) targeted distribution of a survey to communities throughout the region, and (2) informal ‘kitchen table’ discussions to discuss health services’ access issues. A total of 1049 surveys were collected and 10 kitchen table discussions were held. Overall, the main barriers to care listed in the survey included long wait times, services not available in the area and services not available at time required. Other barriers noted by survey respondents included transportation problems, financial concerns, no medical insurance coverage, distance to travel and weather conditions. Some respondents reported poorer access to maternal/child health and breast and cervical screening services and a lack of access to general practitioners, pharmacy services, dentists and nurse practitioners. Recommendations that emerged from this research included improving the recruitment of rural physicians, exploring the use of nurse practitioners, assisting individuals with travel costs, developing specialist outreach services, increasing use of telehealth services and initiating additional rural and remote health research.Keywords: rural, remote, healthcare, health services, social determinants of health

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The use of telehealth to increase mental health services access and promote medication adherence in rural locations

Journal of the American Association of Nurse Practitioners ◽

10.1097/jxx.0000000000000495 ◽

2021 ◽

Vol Publish Ahead of Print ◽

Author(s):

Irene Talarico

Keyword(s):

Mental Health ◽

Medication Adherence ◽

Mental Health Services ◽

Health Services ◽

Health Services Access

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Analysis of health administration data to inform health service planning for paediatric palliative care

BMJ Supportive & Palliative Care ◽

10.1136/bmjspcare-2020-002449 ◽

2020 ◽

pp. bmjspcare-2020-002449

Author(s):

Alison Pauline Bowers ◽

Natalie Bradford ◽

Raymond Javan Chan ◽

Anthony Herbert ◽

Patsy Yates

Keyword(s):

Palliative Care ◽

Health Service ◽

Health Services ◽

Hospital Admissions ◽

Demographic Characteristics ◽

Service Planning ◽

Service Usage ◽

Paediatric Palliative Care ◽

Icd 10 ◽

Limiting Condition

BackgroundHealth service planning in paediatric palliative care is complex, with the diverse geographical and demographic characteristics adding to the challenge of developing services across different nations. Accurate and reliable data are essential to inform effective, efficient and equitable health services.AimTo quantify health service usage by children and young people aged 0–21 years with a life-limiting condition admitted to hospital and health service facilities in Queensland, Australia during the 2011 and 2016 calendar years, and describe the clinical and demographic characteristics associated with health services usage.DesignRetrospective health administrative data linkage of clinical and demographic information with hospital admissions was extracted using International Statistical Classification of Diseases and Related Health Problems, Tenth Revision Australian Modification (ICD-10-AM) diagnostic codes. Data were analysed using descriptive statistics.Setting/participantsIndividuals aged 0–21 years with a life-limiting condition admitted to a Queensland Public Hospital and Health Service or private hospital.ResultsHospital admissions increased from 17 955 in 2011 to 23 273 in 2016, an increase of 5318 (29.6%). The greatest percentage increase in admissions were for those aged 16–18 years (58.1%, n=1050), and those with non-oncological conditions (36.2%, n=4256). The greatest number of admissions by ICD-10-AM chapter for 2011 and 2016 were by individuals with neoplasms (6174, 34.4% and 7206, 31.0% respectively). Overall, the number of admissions by Indigenous children and young people increased by 70.2% (n=838).ConclusionsAdministrative data are useful to describe clinical and demographic characteristics and quantify health service usage. Available data suggest a growing demand for health services by children eligible for palliative care that will require an appropriate response from health service planners.

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Variation in the costs of dying and the role of different health services, socio-demographic characteristics, and preceding health care expenses

Social Science & Medicine ◽

10.1016/j.socscimed.2014.09.020 ◽

2014 ◽

Vol 120 ◽

pp. 110-117 ◽

Cited By ~ 11

Author(s):

Herbert J.A. Rolden ◽

David van Bodegom ◽

Rudi G.J. Westendorp

Keyword(s):

Health Care ◽

Health Services ◽

Demographic Characteristics

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Actualizing a Provider Alliance to Expand Health Services Access to a Low-Income Urban Community

Social Work in Public Health ◽

10.1080/19371918.2010.494987 ◽

2011 ◽

Vol 26 (7) ◽

pp. 651-671 ◽

Cited By ~ 3

Author(s):

David Tataw ◽

Shahrzad Bazargan-Hejazi ◽

Frederick W. James

Keyword(s):

Health Services ◽

Low Income ◽

Urban Community ◽

Health Services Access

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Evidence for Policy Making: Health Services Access and Regional Disparities in Kerman

Iranian Journal Of Health Sciences ◽

10.18869/acadpub.jhs.1.3.35 ◽

2013 ◽

Vol 1 (3) ◽

pp. 35-42 ◽

Cited By ~ 2

Author(s):

Mina Anjomshoa ◽

Seyyed Meysam Mousavi ◽

Hesam Seyedin ◽

Aidin Ariankhesal ◽

Jamil Sadeghifar ◽

...

Keyword(s):

Health Services ◽

Policy Making ◽

Regional Disparities ◽

Health Services Access ◽

Evidence For Policy

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Demographic characteristics of subjective cognitive decline studies’ samples. A systematic review

10.5327/1516-3180.627 ◽

2021 ◽

Author(s):

Natália Menegassi Pedrini ◽

Matheus da Silva Calabresi Machado ◽

Matheus Fernando Manzolli Ballestero ◽

Francisco de Assis Carvalho do Vale

Keyword(s):

Systematic Review ◽

Health Services ◽

Cognitive Decline ◽

Early Stage ◽

Demographic Characteristics ◽

Subjective Cognitive Decline ◽

Self Perception ◽

The Mean ◽

Number Of Publications ◽

High Level

Background: Subjective cognitive decline (SCD) consists on self-perception of cognition decline without an objective impairment. It has gotten attention from researchers because it may be an early stage of Alzheimer’s disease, before dementia Objectives: This research aimed to determine the characteristics of the SCD studies’ samples across the countries. Methods: It was searched for complete articles from 2014 to 2020 on MEDLINE, PubMed, EMBASE and others, using the keyword “Subjective Cognitive Decline” and its respective translations in both Spanish and Portuguese. Results: Of 3,470 papers, 487 were eligible. The mean age of SCD participants was 71.98 in 2014 to 66.14 in 2020, (mean 66.81) as the number of participants, there were 104 in 2014 and 5233 in 2020 (mean: 1729), and 59% of the participants were women. The mean scholar years were 13.4, in 2014 there were 8 articles and 167 in 2020. Conclusions: The increased number of publications and samples represents the crescent importance of the theme. The decrease in the mean age, possibly demonstrates efforts to an earlier detection of the condition. The majority of women, could represent a prevalence of this gender on the disease, or be related with the fact that woman participate more in scientific studies and also use the health services more than men. The high level of scholarly contrasts with the wrong conception of dementia being related only to poor education, showing that it also affects higher levels of schooling.

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Impact of COVID-19 and Partial Lockdown on Access to Care, Self-Management and Psychological Well-being among People with Diabetes: A Cross-sectional Study

10.22541/au.160770440.01726562/v1 ◽

2020 ◽

Author(s):

Ester Yeoh ◽

Sooon Guan Tan ◽

Yingshan Lee ◽

Ying Yee Low ◽

Su Chi Lim ◽

...

Keyword(s):

Mental Health ◽

Psychological Distress ◽

Health Services ◽

Clinical Care ◽

Self Care ◽

Well Being ◽

Cross Sectional ◽

Disinhibited Eating ◽

Health Services Access ◽

The Impact

Background The impact of lockdown measures can be widespread, affecting both clinical and psychosocial aspects of health. This study aims to assess changes in health services access, diabetes self-care, behavioral and psychological impact of COVID-19 and partial lockdown in Singapore. Methods We conducted a cross-sectional online survey amongst people with diabetes with the Diabetes Health Profile-18 (DHP-18). Hierarchical regression analyses were performed for each DHP-18 subscale (Psychological Distress, Disinhibited Eating and Barriers to Activity) as dependent variables in separate models. Results Among 301 respondents, 45.2% were women, majority were ethnic Chinese (67.1%), aged 40 to 49 years (24.2%), have Type 2 diabetes (68.4%) and on oral medications (42.2%). During the lockdown, nearly all respondents were able to obtain their medications, supplies (94%) and contact their doctors (97%) when needed. Respondents reported less physical activity (38%), checking of blood pressure (29%) and blood glucose (22%). Previous diagnosis of mental health conditions (β=11.44, p= 0.017), diabetes-related comorbidities (β= 3.98, p= 0.001) and Indian ethnicity (β= 7.73, p= 0.018) were significantly associated with higher psychological distress. Comorbidities were associated with higher disinhibited eating (β= 2.71, p= 0.007) while mental health condition was associated with greater barriers to activities (β= 9.63, p= 0.033). Conclusion Health services access were minimally affected but COVID-19 and lockdown had mixed impact on self-care and management behaviors. Greater clinical care and attention should be provided to people with diabetes with greater number of comorbidities and previous mental health disorders during the pandemic and lockdown.

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