E-Healthcare Disparities Across Cultures

As e-healthcare becomes a reality for healthcare service provision across the world, challenges in acceptance, implementation, usage and effectiveness have begun to emerge. The infrastructure, readiness and literacy levels required for the effective delivery of e-healthcare services may be prohibitive in providing access to those most in need. As research brings to light the real effectiveness of e-healthcare programmes across the globe, this paper explores how e-healthcare has been implemented worldwide and how populations have been served by an innovation in Information Technology and healthcare that has sought to bring health services to remote areas, improve access to healthcare and narrow the divide between healthcare providers and patients. While notable achievements have seen real time clinical data captured and medical records digitalised, the very determinants responsible for actual health and social disparities are equally responsible for disparities is access to e-healthcare.

Download Full-text

E-Healthcare Disparities Across Cultures

International Journal of User-Driven Healthcare ◽

10.4018/ijudh.2014100101 ◽

2014 ◽

Vol 4 (4) ◽

pp. 1-16 ◽

Cited By ~ 3

Author(s):

Seema Biswas ◽

Keren Mazuz ◽

Rui Amaral Mendes

Keyword(s):

Service Provision ◽

Medical Records ◽

Healthcare Disparities ◽

Healthcare Providers ◽

Healthcare Services ◽

Social Disparities ◽

Remote Areas ◽

Effective Delivery ◽

Improve Access ◽

Actual Health

Download Full-text

The importance of psychological messages and the “questionbehavior effect” about remdesivir

Avanços em Medicina ◽

10.52329/avanmed.34 ◽

2021 ◽

pp. 124-126

Author(s):

Aloisio Antonio Gomes de Matos ◽

Séphora Natércia Albuquerque Oliveira ◽

Modesto Leite Rolim Neto

Keyword(s):

Mental Health ◽

Side Effects ◽

Health Services ◽

Drug Interactions ◽

Healthcare Providers ◽

Self Esteem ◽

Scientific Basis ◽

High Expectations ◽

The World

Background: The FDA has been requiring that information about using remdesivir to treat COVID-19 be made available to healthcare providers and patients, including dosing instructions, potential side effects, and drug interactions. It is important to observe the initial indicators of anxiety, fear, and euphoria for families during emergencies, including information on the possible side effects. This situational context is very important in all the world, because it opens doors for providing the use of updated information about treatment follow-up and for offering improved mental health services. Method: The studies were identified in well-known international journals found in two electronic databases: Scopus and Embase. The data were cross-checked with information from the main international newspapers. Results: The high expectations supported by an immediate discourse culminate in frustration and displeasure, while more consistent empirical results are not generated. These two are predictors of psychic suffering, especially due to the scarcity of information and uncertainties. In parallel, recent studies indicate that spreading information without scientific basis intensifies damage to the routine and health of people, which are already impacted by the pandemic situation. This misrepresented spread may be a factor for unleashing fear and, as a consequence, social despair. Conclusions: Based on the impulsive scenarios stimulated in the context of hydroxychloroquine and on the high spread of fake or distorted news, the psychiatric impacts of COVID-19 pandemic associated with the use of remdesivir may be worsened and reflected directly on the population’s self-esteem.

Download Full-text

Do community scorecards improve utilisation of health services in community clinics: experience from a rural area of Bangladesh

International Journal for Equity in Health ◽

10.1186/s12939-020-01266-5 ◽

2020 ◽

Vol 19 (1) ◽

Cited By ~ 1

Author(s):

S. M. A. Hanifi ◽

Aazia Hossain ◽

Asiful Haidar Chowdhury ◽

Shahidul Hoque ◽

Mohammad Abdus Selim ◽

...

Keyword(s):

Health Services ◽

Rural Area ◽

Service Providers ◽

Healthcare Providers ◽

Community Support ◽

Healthcare Services ◽

Public Health Services ◽

Community Clinics ◽

Community Awareness ◽

The Government

Abstract Background The government of Bangladesh initiated community clinics (CC) to extend the reach of public health services and these facilities were planned to be run through community participation. However, utilisation of CC services is still very low. Evidence indicates community score card is an effective tool to increase utilisation of services from health facility through regular interface meeting between service providers and beneficiary. We investigated whether community scorecards (CSC) improve utilisation of health services provided by CCs in rural area of Bangladesh. Methods This study was conducted from December 2017 to November 2018. Three intervention and three control CCs were selected from Chakaria, a rural sub-district of Bangladesh. CSC was introduced with the Community Groups and Community Support Groups in intervention CCs between January to October 2018. Data were collected through observation of CCs during operational hours, key informant interviews, focus group discussions, and from DHIS2. Utilisation of CC services was compared between intervention and control areas, pre and post CSC intervention. Results Post CSC intervention, community awareness about CC services, utilisation of clinic operational hours, and accountability of healthcare providers have increased in the intervention CCs. Utilisation of primary healthcare services including family planning services, antenatal care, postnatal care and basic health services have significantly improved in intervention CCs. Conclusion CSC is an effective tool to increase the service utilization provided by CCs by ensuring community awareness and participation, and service providers’ accountability. Policy makers and concerned authorities may take necessary steps to integrate community scorecard in the health system by incorporating it in CCs.

Download Full-text

Access Control for Healthcare

Encyclopedia of Information Ethics and Security ◽

10.4018/978-1-59140-987-8.ch002 ◽

2011 ◽

pp. 7-14

Author(s):

Yifeng Shen

Keyword(s):

Information Technology ◽

Information Systems ◽

Medical Information ◽

Rapid Development ◽

Healthcare Providers ◽

Healthcare Services ◽

Test Results ◽

High Quality ◽

Quality Healthcare ◽

Administrative Services

Thanks to the rapid development in the field of information technology, healthcare providers rely more and more on information systems to deliver professional and administrative services. There are high demands for those information systems that provide timely and accurate patient medical information. High-quality healthcare services depend on the ability of the healthcare provider to readily access the information such as a patient’s test results and treatment notes. Failure to access this information may delay diagnosis, resulting in improper treatment and rising costs (Rind et al., 1997).

Download Full-text

Examining Stakeholder’s Views On Refugee Healthcare Needs, Current Barriers in Accessing Healthcare Services and Future Healthcare Direction in New Zealand: A Qualitative Phenomenological Approach

10.21203/rs.3.rs-877910/v1 ◽

2021 ◽

Author(s):

Bafreen Sherif ◽

Ahmed Awaisu ◽

Nadir Kheir

Keyword(s):

New Zealand ◽

Health Services ◽

Qualitative Methodology ◽

Healthcare Delivery ◽

Healthcare Providers ◽

Healthcare Services ◽

Healthcare Personnel ◽

Structured Interviews ◽

Health Seeking ◽

Healthcare Needs

Abstract Background The annual New Zealand refugee quota was increased to 1500 places from 2020 onwards as a response to the global refugee crisis. The specific healthcare needs of refugees are not clearly understood globally and communication between healthcare providers and refugees remains poor. Methods A phenomenological qualitative methodology was employed to conduct semi-structured interviews among purposively selected stakeholders who work in refugee organisations and relevant bodies in New Zealand. Results The participants indicated the need for a national framework of inclusion, mandating cultural competency training for frontline healthcare and non-healthcare personnel, creation of a national interpretation phone line, and establishing health navigators. Barriers to accessing health services identified included some social determinants of health such as housing and community environment; health-seeking behaviour and health literacy; and social support networks. Future healthcare delivery should focus on capacity building of existing services, including co-design processes, increased funding for refugee-specific health services, and whole government approach. Conclusion Policymakers and refugee organisations and their frontline personnel should seek to address the deficiencies identified in order to provide equitable, timely and cost-effective healthcare services for refugees in New Zealand.

Download Full-text

Barriers to the use of health services among deaf and hard of hearing adults in Greece: a Cross-Sectional Study

European Journal for Person Centered Healthcare ◽

10.5750/ejpch.v6i4.1566 ◽

2018 ◽

Vol 6 (4) ◽

pp. 638 ◽

Cited By ~ 1

Author(s):

Dialechti Tsimpida ◽

Daphne Kaitelidou ◽

Petros Galanis

Keyword(s):

Health Services ◽

Sign Language ◽

Hard Of Hearing ◽

Healthcare Providers ◽

Healthcare Services ◽

Cross Sectional Study ◽

Minority Population ◽

Health Providers ◽

Cross Sectional ◽

Use Of Health Services

Rationale, Aims and Objectives: To explore the issues related to the use of health services by deaf and hard of hearing adults in Greece.Method: The study population consisted of 140 adults with hearing loss (86 deaf and 54 hard of hearing). We gathered information about sociodemographic characteristics, use of health services characteristics, satisfaction from health providers and complaints during the use of health services.Results: A considerable percentage of the participants did not make appropriate use of healthcare services, as they made avoidable visits to emergency departments even for minor, short-term conditions (p=0.002) or used to just wait for the symptoms to pass in an illness occurrence (p=0.06). They also experienced major difficulties as part of the health visit (p=0.01) and the quality of communication with health providers (p=0.002). The absence of assistive technology, along with the lack of low availability of Sign Language interpreters, were important barriers for those that communicate in Sign Language. Regarding the engagement with healthcare providers, there were high rates of dissatisfaction from doctors, nurses and receptionists related to issues during the use of health services.Conclusions: Our results underscore the fact that deaf and hard of hearing persons constitute a minority population that experience major barriers during the use of health services and considerable difficulties in the healthcare provider-patient relationship. In light of these findings, a special effort must be made to ensure that deaf and hard of hearing individuals receive appropriate, ethical and person-centered healthcare.

Download Full-text

In Honor of Dr. Abdul Hussein Taba: Iranian Physician and Former Director of the Eastern Mediterranean Region of the World Health Organization

Archives of Iranian Medicine ◽

10.34172/aim.2020.90 ◽

2020 ◽

Vol 23 (10) ◽

pp. 707-711

Author(s):

Leila Mounesan ◽

Ehsan Mostafavi

Keyword(s):

Health Services ◽

World Health Organization ◽

Mediterranean Region ◽

Eastern Mediterranean ◽

Eastern Mediterranean Region ◽

Healthcare Services ◽

World Health ◽

Regional Director ◽

The World ◽

Health Organization

The honorable Abdul Hussein Tabatabaei was born in 1911 in Iran and received his medical education in the United Kingdom. Famously known as Dr. A.H. Taba, he was a well-respected man for his significant impact on the improvement of the national and global healthcare services and support for social justice. Before joining the World Health Organization (WHO), he was twice elected to the Iranian national assembly and served as the under-secretary of health services in Iran. Later, he joined the WHO and was elected as the Director of the Eastern Mediterranean Region (EMRO) in Alexandria in 1957 – a position he maintained for 25 years. During his tenure as the Regional Director, he rendered valuable assistance to the development and expansion of major health issues such as development and expansion of the health workforce, improvement of the national health services and controlling of various communicable diseases in the member countries and across the WHO regional offices.

Download Full-text

Healthcare Service Delivery News in Pakistani Print Media: A Comparative Analysis of Daily Jang and Daily Dawn

Global Mass Communication Review ◽

10.31703/gmcr.2020(v-i).03 ◽

2020 ◽

Vol V (I) ◽

pp. 30-39

Author(s):

Abid Mehmood ◽

Sajjad Ali

Keyword(s):

Health Services ◽

Literature Review ◽

Healthcare Providers ◽

Healthcare Services ◽

Quantitative Methodology ◽

News Stories ◽

Governmental Organizations ◽

Non Governmental Organizations ◽

Health Related ◽

The Government

Health conditions in Pakistan are very bad. Government and non-governmental organizations are trying to meet international standard of health services. Some healthcare providers are educated, trained and certified from the government but some are unqualified and not certified. In this research two national newspapers are analyzed the daily Jang Urdu and the daily Dawn English. These newspapers cover healthcare services such as indoor patient, outdoor patient maternity and other health services in news stories. These services are also seen in the Literature Review. The researcher analyzed on coverage of healthcare in newspapers the daily Jang and the daily Dawn. This research has been performed by using content analysis technique under quantitative methodology. Media agenda setting theory was adopted in the theoretical framework as in the literature review. The statistical analyses of data analysis have been done in the form of frequency distribution and correlation analysis. SPSS is used to analyze the content of data. The results show that daily Jang is giving more coverage to health-related news stories than daily Dawn.

Download Full-text

Gender Differences in Youth Suicide and Healthcare Service Use

Crisis ◽

10.1027/0227-5910/a000387 ◽

2016 ◽

Vol 37 (4) ◽

pp. 290-298 ◽

Cited By ~ 4

Author(s):

Samantha Gontijo Guerra ◽

Helen-Maria Vasiliadis

Keyword(s):

Mental Health ◽

Gender Differences ◽

Healthcare Service ◽

Service Use ◽

Healthcare Providers ◽

Healthcare Services ◽

Outpatient Services ◽

Health Related ◽

Healthcare Service Use ◽

Ed Visits

Abstract. Background: Healthcare service use among suicide decedents must be well characterized and understood since a key strategy for preventing suicide is to improve healthcare providers' ability to effectively detect and treat those in need. Aims: To determine gender differences in healthcare service use 12 months prior to suicide. Method: Data for 1,231 young Quebec residents (≤ 25 years) who died by suicide between 2000 and 2007 were collected from public health insurance agency databases and coroner registers. Healthcare visits were categorized according to the setting (emergency department [ED], outpatient, and hospital) and their nature (mental health vs. non-mental health). Results: Girls were more likely than boys (82.5% vs. 74.9%, p = .011) to have used healthcare services in the year prior to death. A higher proportion of girls had used outpatient services (79.0% vs. 69.5%, p = .003), had been hospitalized (25.7% vs. 15.6%, p < .001) and had received a mental health-related diagnosis (46.7% vs. 33.1%, p < .001). However, no gender differences were observed in ED visits (59.5% vs. 54.5%, p = .150). Conclusion: There is an important proportion of suicide decedents who did not receive a mental health diagnosis and healthcare services in the year prior to death. Future studies should focus on examining gender-specific individual and health system barriers among suicide decedents as well as the quality of care offered regarding detection and treatment.

Download Full-text

Managing Public Healthcare Services in an International Economy

Research Anthology on Public Health Services, Policies, and Education ◽

10.4018/978-1-7998-8960-1.ch015 ◽

2021 ◽

pp. 353-377

Author(s):

Louise Dalingwater

Keyword(s):

Health Services ◽

Healthcare Service ◽

Healthcare Services ◽

International Exchange ◽

Public Healthcare ◽

British Government ◽

Future Challenges ◽

Full Picture ◽

The Uk ◽

National Framework

This chapter differs somewhat in its approach to governance issues compared with the previous chapters as it goes beyond the national framework. In essence, the national and sub-national issues at stake do not quite capture the full picture when considering the future challenges of the provision of public healthcare services in the UK. This chapter looks at healthcare service exchanges across borders. Indeed, there has been a significant expansion of services trade, and in particular health services, which have grown not only thanks to a number of institutional frameworks but also to the support of the British government and health stakeholders. However, there are also a number of risks involved in the international exchange of health services, which can have a significant impact on public healthcare systems.

Download Full-text