scholarly journals Health-care Accessibility Assessment in Kazakhstan

2021 ◽  
Vol 9 (E) ◽  
pp. 89-94
Author(s):  
Askhat Shaltynov ◽  
Aizhan Raushanova ◽  
Ulzhan Jamedinova ◽  
Aigerim Sepbossynova ◽  
Altay Myssayev ◽  
...  
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Secondary Data ◽  
Health Coverage ◽  
Readiness Assessment ◽  
Global Health Initiatives ◽  
Access To Health ◽  
Health Initiatives ◽  
Availability Index ◽  
Source Of Information

BACKGROUND: Global health initiatives such as health for all and universal health coverage aim to improve access to health care. These goals require constant comprehensive monitoring to eliminate inequalities in the availability of health care. AIM: The purpose of our study was to assess the physical availability of medical care in Kazakhstan. METHODS: A descriptive study based on a Service Availability and Readiness Assessment (SARA) general availability index calculation that used secondary data as a source of information. RESULTS: The general availability index calculated for the regions of Kazakhstan ranged from 95% to 100%. When considering individual indicators of the index, decrease trends of the volume of inpatient care were identified. Outpatient care had fluctuations with values better than benchmark after 2009. Stable upward trend illustrates positive picture of core health personnel. CONCLUSION: According to the SARA availability index, it can be concluded that health care in Kazakhstan exceeds the threshold values and is available in all regions. Trends for individual indicators of the index should be studied in more detail, taking into account the influence of health policy and other factors.

scholarly journals The Stories We Tell about Refugee Claimants: Contested Frames of the Health-Care Access Question in Canada

Refuge ◽  
2016 ◽  
Vol 32 (3) ◽  
pp. 125-134 ◽  
Author(s):  
Jesse Beatson
Keyword(s):  
Health Care ◽  
Federal Government ◽  
Health Care Access ◽  
Access To Health Care ◽  
Health Care Systems ◽  
Frame Theory ◽  
Health Coverage ◽  
Health Providers ◽  
Access To Health ◽  
Refugee Claimants

A contested issue is the extent to which refugee claimants should have access to health care in Western host countries with publicly subsidized health-care systems. In Canada, for a period of over fifty years, the federal government provided relatively comprehensive health coverage to refugees and refugee claimants through the Interim Federal Health Plan (IFHP). Significant cuts to the IFHP were implemented in June 2012 by the Conservative federal government (2006–15), who justified these cuts through public statements portraying refugee claimants as bring- ing bogus claims that inundate the refugee determination system. A markedly different narrative was articulated by a pan-Canadian coalition of health providers who characterized refugee claimants as innocent victims done further harm by inhumane health-care cuts. This article presents an analysis of these two positions in terms of frame theory, with a greater emphasis on the health-provider position. This debate can be meaningfully analyzed as a contest between competing frames: bogus and victim. Frame theory suggests that frames by nature simplify and condense, in this case packaging complex realities about refugee claimants into singular images (bogus and victim), aiming to inspire suspicion and compassion respectively. It will be argued that the acceptance of current frames impoverishes the conversation by reinforcing problematic notions about refugee claimants while also obscuring a rights-based argument for why claimants should have substantial access to health care.

scholarly journals Patients’ Perception of Morocco’s Medicine Pricing Reform and Determinants of Their Access to Health Care and Medicine

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Amine Cheikh ◽  
Meryem Moutahir ◽  
Ismail Bennani ◽  
Houda Attjioui ◽  
Wadie Zerhouni ◽  
...  
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Access To Health Care ◽  
Insurance Coverage ◽  
Access To Medicines ◽  
Third Party ◽  
Health Coverage ◽  
Access To Health ◽  
Medicine Prices ◽  
The Impact

Background. In 2014, the Ministry of Health of Morocco implemented a reform of medicine pricing that leads to lower prices. This reform has brought about a new method of pricing medicines and a reduction in the prices of more than 1,400 of the 5,000 medicines on the market. The objective of this study was to survey patients’ perceptions of the impact of the reform on medicine prices and affordability of health care, including medicine. Methods. Between September 2017 and September 2018, 360 patients that visited a community pharmacy in four selected areas of different socioeconomic levels were interviewed based on a questionnaire. Findings were studied through univariate and multivariate analyses. Results. Three hundred patients (83%) were included given their completed questionnaire. The majority (89%) of respondents considered medicine prices as a potential barrier to access to health care. Lower medicine prices following the reform were not perceived to have actually impacted respondents’ spending on health care. In some cases, care was delayed, in particular by lower-income respondents and people without insurance and health coverage. Conclusion. The majority of patients participating in the study did not perceive the decrease in medicine prices as sufficient. In addition, the study findings pointed to the relevance of further determinants of access to medicines, such as health insurance coverage. Patients think that the generalized third-party payment mode, which does not oblige patients to spend out of their pockets to have their treatment but rather their health insurance funds that will pay for them, provides optimal access to medicines.

scholarly journals Factors associated with access to health care among foreign residents living in Aichi Prefecture, Japan: secondary data analysis

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Michiyo Higuchi ◽  
Maki Endo ◽  
Asako Yoshino
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Secondary Data ◽  
Medical Facility ◽  
Unemployed People ◽  
Barriers To Health Care ◽  
Factors Associated ◽  
Left Behind ◽  
Access To Health ◽  
Barriers To Health

Abstract Background In Japan, foreign residents, and particularly new arrivals in the country, experience barriers to health care and show poorer health outcomes when compared to Japanese nationals. The health-care-related situation for foreign residents in Japan has been characterized by drastic changes over time; thus, there is difficulty identifying individuals who are “left behind” by the system. In this study, we aimed to identify, among foreign residents who attended informal free medical consultations, factors associated with “being advised to visit a medical facility” and “being referred to a medical facility,” which represented hypothetical proxy indicators of barriers to health care. Methods Secondary data analyses were conducted using the activity records of a non-governmental organization that provides free consultations targeting foreign residents in various locations in Aichi Prefecture, Japan. Participant characteristics, including insurance coverage, were determined. Bivariate and multi-variate analyses were performed to identify factors associated with having barriers to health care. Results Among 608 extracted cases, 164 (27.5%) cases were advised to visit a medical facility, and 72 (11.8%) were referred to a medical facility during the consultations. Those who were not covered by public insurance showed a 1.56-time (95% confidence interval [CI]: 1.19–2.05) higher prevalence of being advised to visit a medical facility when compared to those who were covered by public insurance. Unemployed people and students were more likely to be referred to a medical facility than were professional workers; the prevalence ratios were 3.28 (95% CI: 1.64–6.57) and 2.77 (95% CI: 1.18–6.46), respectively. Conclusions Although the majority were insured, almost 30% were advised to visit a medical facility, which implied that they had had limited access to the formal health-care system before availing of the free consultations. The findings highlight those uninsured, unemployed people and students, who are considered vulnerable to access to health care. It is vital to provide those who are vulnerable with the necessary support while updatinge evidence, so that no one is “left behind.”

scholarly journals Compact for care: how the Affordable Care Act marketplaces fell short for a vulnerable population in Hawaii

2021 ◽  
Vol 6 (11) ◽  
pp. e007701
Author(s):  
Joshua S Ng Kamstra ◽  
Teresa Molina ◽  
Timothy Halliday
Keyword(s):  
Health Care ◽  
Affordable Care Act ◽  
Access To Health Care ◽  
Care Delivery ◽  
Free Association ◽  
Marshall Islands ◽  
Health Coverage ◽  
Government Programs ◽  
Access To Health ◽  
The Usa

The Patient Protection and Affordable Care Act (ACA) was passed in 2010 to expand access to health insurance in the USA and promote innovation in health care delivery. While the law significantly reduced the proportion of uninsured, the market-based protection it provides for poor and vulnerable US residents is an imperfect substitute for government programs such as Medicaid. In 2015, residents of Hawaii from three Compact of Free Association nations (the Federated States of Micronesia, Palau and Marshall Islands) lost their eligibility for the state’s Medicaid program and were instructed to enrol in coverage via the ACA marketplace. This transition resulted in worsened access to health care and ultimately increased mortality in this group. We explain these changes via four mechanisms: difficulty communicating the policy change to affected individuals, administrative barriers to coverage under the ACA, increased out of pocket health care costs and short enrolment windows. To achieve universal health coverage in the USA, these challenges must be addressed by policy-makers.

scholarly journals Mobile Medical Units: An alternate Pathway to address the burden of Non Communicable disease in Urban Slums of India

2021 ◽  
Vol 33 (1) ◽  
pp. 217-221
Author(s):  
Ayesha Siddiqua Nawaz ◽  
Shailendra Kumar B Hegde ◽  
Vivek Pathania ◽  
Hardeep Singh Bambhrah
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Health Care Services ◽  
Communicable Disease ◽  
Significant Proportion ◽  
Secondary Data ◽  
Vulnerable Population ◽  
Health Coverage ◽  
Care Services ◽  
Non Communicable Disease

Background: In India despite the increase in health coverage, a small but significant proportion of people in several parts of the country still do not get access to health care services. Mobile Medical Units (MMUs) are a key service strategy to reach such vulnerable population. The present study intends to know the socio-demographic profile of population attending the MMU and the prevalence of Non-Communicable disease (NCD) among them. Materials and Methods: The MMU are located at five different locations in two states. The MMU is equipped to provide primary health care services, essential lab investigations, medications and counselling. The secondary data of beneficiaries attending the MMU during March 2018 to March 2019 was analysed. Results: A total of 84,239 beneficiaries attended the MMU, which comprised of 39 % males and 61% females. There were 55,934 beneficiaries aged 30 years and above. Out of these majority (62.6%) were females and 44.4% beneficiaries were aged between 30 to 45 years. The prevalence of Diabetes and Hypertension among the beneficiaries above 30 years of age was 38.8% and 46.2%respectively. Conclusion: MMU can help in delivering quality health services to the vulnerable population and help early diagnosis of NCD.

Using Technology to Improve Access to Health Care for Culturally and Linguistically Diverse Populations

2012 ◽  
Vol 19 (3) ◽  
pp. 71-76 ◽  
Author(s):  
Pauline A. Mashima
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Access To Health Care ◽  
Underserved Populations ◽  
Linguistically Diverse ◽  
Care Providers ◽  
Department Of Health ◽  
Use Of Technology ◽  
Access To Health ◽  
Improve Access

Important initiatives in health care include (a) improving access to services for disadvantaged populations, (b) providing equal access for individuals with limited or non-English proficiency, and (c) ensuring cultural competence of health-care providers to facilitate effective services for individuals from diverse racial and ethnic backgrounds (U.S. Department of Health and Human Services, Office of Minority Health, 2001). This article provides a brief overview of the use of technology by speech-language pathologists and audiologists to extend their services to underserved populations who live in remote geographic areas, or when cultural and linguistic differences impact service delivery.

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