Experiences of Family Members in Caring of Stroke Patients: A Case Study in the Border Provinces of the Upper Northeast of Thailand

BACKGROUND: Stroke patients require continued care, which makes stroke family caregivers unlikely to anticipate the end of home health-care service. AIM: The objectives of this study aimed, therefore, to seek understanding of stroke family caregivers in relation to caring experience, problems and barriers, and needs of family caregivers in the context of border provinces of the upper northeast of Thailand. METHODS: The current study was based on the phenomenological approach. The study samples included 16 informants. Data collection, conducted between February and August 2020, was performed using in-depth interviews. The collected data then were analyzed using the van Manen’s approach. RESULTS: Experiences of the stroke family caregivers were reflected and fell in van Manen’s 4 points under 12 thematic categories: (1) Lived body including lack of knowledge, fatigue, and sense of obligation; (2) lived time including paying gratitude, uncertainty, and paying retribution; (3) lived space including just long distance, being isolated in the wide world and living in a remote area; and (4) lived relation including blood thicker than water, community network, and needs from health-care services. CONCLUSION: The findings may be exploited to develop health service preparedness for health outcome promotion for stroke patients and stroke family caregivers.

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"This Case Is Closed": Family Caregivers and the Termination of Home Health Care Services for Stroke Patients

Milbank Quarterly ◽

10.1111/j.1468-0009.2006.00449.x ◽

2006 ◽

Vol 84 (2) ◽

pp. 305-331 ◽

Cited By ~ 22

Author(s):

CAROL LEVINE ◽

STEVEN M. ALBERT ◽

ALENE HOKENSTAD ◽

DEBORAH E. HALPER ◽

ANDREA Y. HART ◽

...

Keyword(s):

Health Care ◽

Family Caregivers ◽

Home Health Care ◽

Health Care Services ◽

Home Health ◽

Stroke Patients ◽

Care Services

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The Perceptions and Usage Intention of a Telecare System: An Empirical Study in Taiwan

Key Engineering Materials ◽

10.4028/www.scientific.net/kem.467-469.1056 ◽

2011 ◽

Vol 467-469 ◽

pp. 1056-1065

Author(s):

Hui Lung Hsieh ◽

Chung Hung Tsai ◽

Bi Kun Chuang

Keyword(s):

Health Care ◽

Health Care Services ◽

Comprehensive Evaluation ◽

Care Service ◽

Health Care Service ◽

Care Services ◽

Individual Privacy ◽

Telemedicine Technology ◽

Patient Health ◽

Biomedical Technologies

With the growing number of aging population and chronic illnesses, how to help elderly residents access the health care service timely is a challenge for health care institutions in Taiwan. Recent advances in information, communication and biomedical technologies have combined to allow the development of various types of telemedicine technology designed to enhance or expand the health care services of elderly residents. However, most telecare studies focused only on medical care or development of technology rather than on comprehensive evaluation of residents’ (or patients’) perception about service processes. The purpose of this study was to explore rural residents’ perceptions and usage intention of a telecare system after they have used it. Results from this exploratory study showed that most elderly people have never heard or touched telecare systems before the study was conducted. However, the general perceptions of such systems included improvement of interacting with medical staffs, safety protection, convenient care, and one needed item of services in daily life. Especially, the mostly risk perception was privacy risk, that is, data confidentiality and individual privacy. Generally, most elderly residents evaluated their telecare experiences and perceptions as being positive. Besides, most elderly resident were willing to use the telecare system without fees. However, they felt risky about confidentiality and privacy toward this technology. To improve trustworthy perception of this novel technology, telecare providers should implement appropriate safeguards to protect patient health information exchanged in a telecare setting. Also, the physicians/nurses should take the time to communicate with the residents, especially in the form of education, about the benefits of technology. To optimize the effectiveness of this promising technique, more research on the relationship between residents’ (or patients’) perceptions and influences of technology will need to be conducted continually in future.

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Use of health care services 6 months following major trauma

Australian Health Review ◽

10.1071/ah070628 ◽

2007 ◽

Vol 31 (4) ◽

pp. 628 ◽

Cited By ~ 10

Author(s):

Belinda J Gabbe ◽

Ann M Sutherland ◽

Owen D Williamson ◽

Peter A Cameron

Keyword(s):

Health Care ◽

Health Care Services ◽

Service Use ◽

Major Trauma ◽

Injury Severity ◽

Care Service ◽

Health Care Service ◽

Trauma Patients ◽

Care Services ◽

Use Of Health Care

To establish the use of health care services 6 months following major trauma, 243 blunt major trauma patients were recruited during their acute hospital stay and followed up by telephone interview at 6 months post-injury. Data collected at 6 months included health care service usage and their level of disability according to the Glasgow Outcome Scale ? Extended (GOSE). Ninety-four percent of patients were living in the community at 6 months, and most (69%) reported continued use of health care services. Of those with ongoing disability, non-compensable patients were significantly more likely (OR 3.7; 95% CI, 1.6?8.6) to have ceased health care service use than compensable patients, independent of injury severity.

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The assessment of the knowledge and awareness about glaucoma in glaucoma patients and general population: a sample from Turkey

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20175708 ◽

2017 ◽

Vol 6 (1) ◽

pp. 35 ◽

Cited By ~ 1

Author(s):

Gökçe Dağtekin ◽

Zeynep Demirtaş ◽

Aziz Soysal ◽

Nilgün Yildirim ◽

Fatih M. Önsüz ◽

...

Keyword(s):

Health Care ◽

Health Care Services ◽

Care Service ◽

Health Care Service ◽

Preventive Health Care ◽

Population Based ◽

Healthy People ◽

Care Services ◽

Level Of Knowledge ◽

Age Range

Background: The study aimed to evaluate the level of knowledge and awareness of glaucoma and their possible determinants in a group of people diagnosed with glaucoma and in a population based group without glaucoma.Methods: The study included people with an age range of 40 to 80years; 410 patients without glaucoma who admitted to primary health care service and 113 patients who admitted to hospitals with diagnosis of glaucoma. In addition to Glaucoma Knowledge Level Questionnaire (GKLQ), participants were asked about their socio-demographic characteristics, level of awareness and resources of the information about glaucoma. Multivariate logistic regression and multiple linear regression analyses were used to assess the variants which have impact on the level of the awareness about glaucoma and to evaluate the factors effective on the score of GKLQ, respectively.Results: The ratio of awareness about glaucoma was found to be 64.1% in people without glaucoma. The knowledge and awareness about glaucoma were found to be higher in glaucoma patients compared to healthy people but not at a desired level. The education level was the only factor effecting both awareness and knowledge about glaucoma.Conclusions: As awareness about glaucoma can lead to early detection, the assessment of the knowledge and awareness about glaucoma is very important in terms of disease prevention. Health education and preventive health care services should be programmed including for both glaucoma patients and healthy people based on the level of their education.

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Experience and overall satisfaction of foreign patients with the health care services received in Latvia

SHS Web of Conferences ◽

10.1051/shsconf/20208502009 ◽

2020 ◽

Vol 85 ◽

pp. 02009

Author(s):

Daiga Behmane ◽

Anda Batraga ◽

Mara Greve ◽

Didzis Rutitis

Keyword(s):

Health Care ◽

Patient Experience ◽

Health Care Services ◽

Care Service ◽

Health Care Service ◽

Service Evaluation ◽

Care Services ◽

The Difference ◽

High Level ◽

Patients Experience

The study evaluates foreign patients' experience and satisfaction in relation to the health care received in Latvia. By applying the gap model of service evaluation, the study reveals the difference between expected and received service outcome in Latvia, and draws conclusions about the importance of individual and patient experience factors related to the overall patient satisfaction. The study concludes that in all groups of factors matrix proposed in the study: (1) general travel or destination factors; (2) communication factors; (3) factors related to the choice of service and (4) factors related to the choice of health care institution, patients evaluated the perceived health care outcome higher than the expected outcome. The results of the study lead to the conclusion that there is a significant gap in foreign patients' knowledge regarding the possibilities of receiving a high-level health care service in Latvia. The results also reveal the most important determinants of patient experience and related satisfaction.

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Financial Affordability, Health Insurance, and Use of Health Care Services by the Elderly: Findings From the China Health and Retirement Longitudinal Study

Asia Pacific Journal of Public Health ◽

10.1177/1010539519877054 ◽

2019 ◽

Vol 31 (6) ◽

pp. 510-521 ◽

Cited By ~ 3

Author(s):

Jiaojiao Ren ◽

Ding Ding ◽

Qunhong Wu ◽

Chaojie Liu ◽

Yanhua Hao ◽

...

Keyword(s):

Health Care ◽

Health Insurance ◽

Longitudinal Study ◽

Health Care Services ◽

Care Service ◽

Health Care Service ◽

The Elderly ◽

Cluster Sampling ◽

Service Usage ◽

Care Services

The rapidly growing aging population has attracted global attention. This study explores the associations between 3 basic health insurances, and it identifies factors associated with health care services among the elderly populations. This study is based on multistage stratified cluster sampling method from the 2013 China Health and Retirement Longitudinal Study (CHARLS) resulting in 7589 participants. Medical Insurance for Urban Employees (MIUE) members were more likely to use inpatient health care services. Health insurance programs were associated with inpatient services usage but not outpatient services usage. There are significant disparities in medical costs and health care service usage among the 3 insurance programs. Health insurance program is only associated with inpatient care. These findings may provide some suggestions to support improvements to the Chinese health care system.

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Measuring and Validating Consumer Based Brand Equity of Emergency Health Care Services by Using 5Q Model of Health Care Service Quality

SSRN Electronic Journal ◽

10.2139/ssrn.2860580 ◽

2016 ◽

Cited By ~ 1

Author(s):

Nageena Tabassum Rana

Keyword(s):

Health Care ◽

Service Quality ◽

Brand Equity ◽

Health Care Services ◽

Care Service ◽

Health Care Service ◽

Emergency Health Care ◽

Care Services

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â€˜Out of Pocket Expenditureâ€™ of Health Care Services in India: Factors, Consequences and Solution

Journal of Global Economy ◽

10.1956/jge.v9i2.298 ◽

2013 ◽

Vol 9 (2) ◽

Author(s):

Shatabdi Bagchi ◽

Priyanka Bakhshi

Keyword(s):

Health Care ◽

Health System ◽

Health Care Services ◽

Care Service ◽

Health Care Service ◽

Secondary Data ◽

Critical Factor ◽

World Health ◽

World Health Survey ◽

Care Services

Financing is the most crucial part of the of the health care service delivery system and health care finance is one of the most critical factor contributing in the poverty scenario of any country.Â In developing countries like India where the health system should be more equitable and cost effective, the soaring problem of â€˜out of pocket expenditureâ€™ on Health System has shown a gloomy face and raises question on health equity. Evidences from several studies In India show that out of pocket expenditures on health care services intensify poverty. Â In the World Health Survey of 2011, India was ranked 42nd in the list of countries with highest average of out of pocket expenditure. The survey found that 74.4 per cent of private expenditure on health was paid out of pocket. The article discusses the triggering factors which lead to the inequitable out of pocket health expenditure. Secondary Data from World Health Statistics 2010, NSSO 52nd and 60th round have been used here as evidence.

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Preventable infant mortality and quality of health care: maternal perception of the child's illness and treatment

Cadernos de Saúde Pública ◽

10.1590/s0102-311x2002000600004 ◽

2002 ◽

Vol 18 (6) ◽

pp. 1519-1527 ◽

Cited By ~ 9

Author(s):

Salime Hadad ◽

Elisabeth França ◽

Elizabeth Uchôa

Keyword(s):

Health Care ◽

Health Care Professionals ◽

Health Care Services ◽

Qualitative Methodology ◽

Care Service ◽

Health Care Service ◽

Health Care Facilities ◽

Health Care Personnel ◽

Care Services ◽

Belo Horizonte

This study used a qualitative methodology to analyze the discourse of mothers from Greater Metropolitan Belo Horizonte, Minas Gerais, Brazil, whose infant children had died from what were considered avoidable causes (diarrhea, malnutrition, and pneumonia), seeking to elucidate the factors associated with utilization of health care services. Identification of the illness by the mother was related to perception of specific alterations in the child's state of health. Analysis of the alterations helped identify the principal characteristics ascribed to each alteration and their relationship to the search for treatment. The authors also studied the mother's assessment of treatment received at health care facilities; 43.0% of the cases involved problems related to the structure of health care services or the attending health care professionals. In 46.0% of the cases, mothers associated the child's death with flaws in the health care service. The study group showed a variety of interpretations of illness, often distinct from the corresponding biomedical concepts. The fact that attending health care personnel overlooked or underrated the mother's perception of the illness and the lack of communications between health care personnel and the child's family had an influence on the child's evolution and subsequent death.

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