Poor Access to Health Care as a Social Determinant of Mental Health

2014 ◽  
Vol 44 (1) ◽  
pp. 52-57
Author(s):  
Frederick J.P. Langheim
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Access To Health Care ◽  
Social Determinant ◽  
Poor Access ◽  
Access To Health

scholarly journals A Study Protocol for Increasing Access to Smoking Cessation Treatments for Low-Income Minority Smokers

2021 ◽  
Vol 9 ◽  
Author(s):  
Alicia K. Matthews ◽  
Karriem S. Watson ◽  
Cherdsak Duang ◽  
Alana Steffen ◽  
Robert Winn
Keyword(s):  
Health Care ◽  
Smoking Cessation ◽  
Health Care Providers ◽  
Low Income ◽  
Access To Health Care ◽  
Social Determinant ◽  
Evidence Based ◽  
Patient Portal ◽  
Care Providers ◽  
Access To Health

Background: Smoking rates among low-income patients are double those of the general population. Access to health care is an essential social determinant of health. Federally qualified health care centers (FQHC) are government-supported and community-based centers to increase access to health care for non-insured and underinsured patients. However, barriers to implementation impact adherence and sustainability of evidence-based smoking cessation within FQHC settings. To address this implementation barrier, our multi-disciplinary team proposes Mi QUIT CARE (Mile Square QUITCommunity-Access-Referral-Expansion) to establish the acceptability, feasibility, and capacity of an FQHC system to deliver an evidence-based and multi-level intervention to increase patient engagement with a state tobacco quitline.Methods: A mixed-method approach, rooted in an implementation science framework of RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance), will be used in this hybrid effectiveness-implementation design. We aim to evaluate the efficacy of a novel delivery system (patient portal) for increasing access to smoking cessation treatment. In preparation for a future randomized clinical trial of Mi QUIT CARE, we will conduct the following developmental research: (1) Examine the burden of tobacco among patient populations served by our partner FQHC, (2) Evaluate among FQHC patients and health care providers, knowledge, attitudes, barriers, and facilitators related to smoking cessation and our intervention components, (3) Evaluate the use of tailored communication strategies and patient navigation to increase patient portal uptake among patients, and (4) To test the acceptability, feasibility, and capacity of the partner FQHC to deliver Mi QUIT CARE.Discussion: This study provides a model for developing and implementing smoking and other health promotion interventions for low-income patients delivered via patient health portals. If successful, the intervention has important implications for addressing a critical social determinant of cancer and other tobacco-related morbidities.Trial Registration: U.S. National Institutes of Health Clinical Trials, NCT04827420, https://clinicaltrials.gov/ct2/show/NCT04827420.

Healthcare infrastructure development in rural India: a critical analysis of its status and future challenges

2019 ◽  
Vol 25 (12) ◽  
pp. 1-9
Author(s):  
Nenavath Sreenu
Keyword(s):  
Health Care ◽  
Rural Areas ◽  
Access To Health Care ◽  
Health Care Facilities ◽  
Rural India ◽  
Infrastructure Development ◽  
Poor Access ◽  
Access To Health ◽  
Future Challenges

At present, the development of healthcare infrastructure in India is poor and needs fundamental reforms in order to deal with emerging challenges. This study surveys the growth of the healthcare infrastructure. The development of infrastructure and health care facilities, the position of the workforce, and the quality of service delivery are important challenges that are confronting healthcare centres in rural India. This article critically analyses the future challenges of Indian healthcare infrastructure development in rural areas, discussing the burden of disease, widespread financial deficiency, the vaccination policy and poor access to health care as some of the main issues. Life expectancy, literacy and per capita income are further considerations.

scholarly journals Asylum seekers’ and refugees’ experiences of accessing health care: a qualitative study

BJGP Open ◽  
2021 ◽  
pp. BJGPO.2021.0059
Author(s):  
Ashrafunnesa Khanom ◽  
Wadad Alanazy ◽  
Lauren Couzens ◽  
Bridie Angela Evans ◽  
Lucy Fagan ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Focus Groups ◽  
Asylum Seekers ◽  
Access To Health Care ◽  
Research Approach ◽  
Written Information ◽  
Access To Health ◽  
Qualitative Focus Groups ◽  
Asylum Seekers And Refugees

BackgroundAsylum seekers and refugees often experience poor health in host countries. The United Nations High Commissioner for Refugees requires hosts to ensure these sanctuary seekers have access to basic health care.AimTo identify barriers and facilitators that affect access to health care by asylum seekers and refugees in Wales.Design & settingParticipatory research approach using qualitative focus groups across Wales, which hosts 10,000 refugees..MethodEight focus groups with asylum seekers, refugees and support workers and volunteers.(n=57)ResultsSpecialist NHS-funded services and grant-aided Non-Governmental Organisations (NGOs) facilitate access to health care, including primary care. Most asylum seekers and refugees understand the role of general practice in providing and coordinating care but are unaware of services out of hours. Reported barriers include: language difficulties, health literacy, unrecognised needs, and the cost of travel to appointments. Participants recognise the importance of mental health, but were disappointed by the state of mental health care. Some fear seeking support for mental health from their GP, but few are aware they have the right to move practice if they were unhappy. Written information about health care is not as accessible to refugees as to asylum seekers. While some participants read such material before consulting, others struggle to access information when in need. Few participants are aware of health prevention services. Even when they know about services like smoking cessation, these services’ difficulty in accommodating asylum seekers and refugees is a barrier.ConclusionMain barriers are: availability of interpreters; knowledge about entitlements; and access to specialist services.

scholarly journals Mental helath - Primary care: a promissory relationship

2011 ◽  
Vol 4 (1) ◽  
pp. 101
Author(s):  
Augusto Cesar de Farias Costa
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Access To Health Care ◽  
Basic Knowledge ◽  
Reform Movements ◽  
False Dichotomy ◽  
Access To Health ◽  
The Military ◽  
Hearts And Minds ◽  
Universal Health

The reform movements of the health care and mental health (in Brazil, Reforma Sanitária and Reforma Psiquiátrica), starting in the 1970’s, during the military regimen, provided us with a rich legacy and also with greater responsibility. There was a giant political task which, together with other simultaneous actions, championed greater freedom and respect for human rights. This represents the work of many hearts and minds which are still fighting for the construction of a model of universal health care. From these movements’ basis, Brazilian society has understood a new way of working in the health realm with equity, in spite of advancements and drawbacks of this historical process, looking for an integral and democratic access to health care. We understand revolutions as permanent changing processes, which imply that such transformations will never be finished because society is dynamic and will always demand solutions for new challenges that will be generated. The historical path in which these movements walk testify the impossibility of dissociate basic knowledge unmasking the false dichotomy between Mental Health and Public Health.

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