scholarly journals Using an Adapted Case Study Approach to Understand Rural Veteran Experiences in Patient Engagement and Patient-Centered Care Research

2020 ◽  
Vol 4 (2) ◽  
Author(s):  
Kara A. Zamora ◽  
Traci H. Abraham ◽  
Christopher J. Koenig ◽  
Coleen C. Hill ◽  
Jeffrey M. Pyne ◽  
...  
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Patient Engagement ◽  
Health Concern ◽  
Case Study Approach ◽  
Public Health Concern ◽  
Study Approach

How to best engage rural veterans in mental health care is challenging and a topic of public health concern. Rural-dwelling veterans experience greater mental health burden and poorer outcomes than their urban counterparts, making rural veteran engagement in mental health care a public health concern. In this article, we describe how institutional notions of “patient engagement” align with or diverge from rural veteran patient experiences of engagement in mental health care. Using an adapted case study approach developed for our study, we detail the mental health care experiences of three rural-dwelling veteran participants. These case studies illustrate varied forms of mental health care engagement, including use of community resources and self-management activities, that might not be recognized by clinicians as contributing to mental health treatment. Our findings highlight how critical gaps in institutional definitions of care engagement fail to acknowledge veterans’ experiences.

scholarly journals Mental Readiness and Challenges faced by Health care Front liners during COVID-19 Pandemic in Malaysia

2021 ◽  
Vol 5 (1) ◽  
pp. 28
Author(s):  
Siti Hajar Johari ◽  
Abu Yazid Abu Bakar ◽  
Salleh Amat ◽  
Kadek Suranata
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Structured Interview ◽  
Study Data ◽  
Health Issues ◽  
Case Study Approach ◽  
Study Approach ◽  
Mental Health Issues ◽  
Study Participants

The readiness and mental challenges of health care front-liners are one of the big issues that need to be addressed by the Ministry of Health Malaysia (MOH) and also the Malaysian Board of Counselors (MBC). This is to ensure that all threats to health care front-liners can be overcome in order to streamline the duties of fighting the COVID-19 pandemic in Malaysia. Therefore, this study aims to understand the readiness and mental challenges of health front workers (Font liners) in facing the COVID-19 pandemic. This study uses a qualitative design with a case study approach. The study participants consisted of two medical officers and two nurses from the states of Johor and Sabah who had more than six months of experience in handling COVID-19 cases. Study data were obtained through semi-structured interview techniques. The findings state that there are two sub-theme codes from the mental readiness of health care front liners and four subtrahend codes from the mental challenges of health care front liners in facing the COVID-19 pandemic. Information from this study can be used by the MOH and MBC in dealing with the possible mental health issues of the health care front liner, post-COVID-19 in Malaysia.

Transitioning Concussion Care to Mental Health Care: A Case Study of an Elite Athlete

2021 ◽  
Vol 5 (1) ◽  
pp. 135-144
Author(s):  
Natalie S. Sherry ◽  
Abigail Feder ◽  
Raymond Pan ◽  
Shawn R. Eagle ◽  
Anthony P. Kontos
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Biopsychosocial Model ◽  
Elite Athlete ◽  
Clinical Presentation ◽  
Health Changes ◽  
Memory Problems ◽  
Treatment Focus

Athletes with recent concussion experience a constellation of physical (e.g., headache, nausea), cognitive (e.g., memory problems, difficulty concentrating), sleep, and emotional (e.g., anxiety, depressed mood) symptoms after injury. Mental health changes may also be a product of typical maturation in adolescents/young adults, making mood disruption difficult to disentangle from concussion sequelae. In this case study, we present the case of a high-achieving 18-year-old female rower whose concussion clinical trajectory exhibits this type of difficulty. Specifically, we provide a detailed chronological summary of the athlete’s visits with a multidisciplinary concussion team. We highlight in this case study (a) an individualized, biopsychosocial model of concussion care and (b) subtle aspects of her clinical presentation that led the clinical team to transition her treatment focus from concussion specific to formal mental health care.

Behavioral Health Patient Engagement in Video-based Visits through a Patient Portal at an Urban Safety-Net Hospital During COVID-19: Direct Patient Outreach and Case-Control Study (Preprint)

2021 ◽  
Author(s):  
Han Yue ◽  
Victoria Mail ◽  
Maura DiSalvo ◽  
Christina Borba ◽  
Joanna Piechniczek-Buczek ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Behavioral Health ◽  
Patient Engagement ◽  
Safety Net ◽  
Patient Portal ◽  
Patient Portals ◽  
Safety Net Hospital ◽  
Urban Safety

BACKGROUND Patient portals are a safe and secure way for patients to connect with providers for video-based telepsychiatry and help to overcome the financial and logistical barriers associated with face-to-face mental health care. Due to the coronavirus disease 2019 (COVID-19) pandemic, telepsychiatry has become increasingly important to obtaining mental health care. However, financial, and technological barriers, termed the “digital divide,” prevent some patients from accessing the technology needed to utilize telepsychiatry services. OBJECTIVE As part of an outreach project during COVID-19 to improve patient engagement with video-based visits through the hospital’s patient portal among adult behavioral health patients at an urban safety net hospital, we aimed to assess patient preference for patient portal-based video visits or telephone-only visits, and to identify the demographic variables associated with their preference. METHODS Patients in an outpatient psychiatry clinic were contacted by phone and preference for telepsychiatry by phone or video through a patient portal, as well as device preference for video-based visits, were documented. Patient demographic characteristics were collected from the electronic medical record. RESULTS One hundred and twenty-eight patients were reached by phone. Seventy-nine patients (61.7%) chose video-based visits and 69.6% of these patients preferred to access the patient portal through a smartphone. Older patients were significantly less likely to agree to video-based visits. CONCLUSIONS Among behavioral health patients at a safety-net hospital, there was a relatively low engagement with video-based visits through the hospital’s patient portal, particularly among older adults.

scholarly journals Integrated Diabetic Clinic in a Rural Hospital of Nepal

2019 ◽  
Vol 2 (1) ◽  
pp. 77-78
Author(s):  
Niresh Thapa ◽  
Muna Maharjan
Keyword(s):  
Public Health ◽  
Health Care ◽  
Developing Countries ◽  
Cost Effective ◽  
Rural Setting ◽  
Health Concern ◽  
Public Health Concern ◽  
Mortality And Morbidity ◽  
Important Public Health ◽  
Diabetic Clinic

Diabetes is an important public health concern which is increasing rapidly in developing countries. It is challenging to prevent and manage diabetes in a rural setting. The Integrated Diabetic Clinic is comprehensive diabetes care under one roof. Its aim is to provide efficient accessible and affordable comprehensive care. It will make a huge difference in the management of diabetes. This clinic will play a major role in unifying different aspects of health care under one roof and offer the most comprehensive and cost-effective accessible health care to minimize mortality and morbidity associated with diabetes.

scholarly journals Impact of COVID-19 pandemic on socioeconomic and mental health aspects in Nepal

2020 ◽  
Vol 66 (8) ◽  
pp. 748-755 ◽  
Author(s):  
Kritika Poudel ◽  
Pramod Subedi
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Developing Countries ◽  
Spiritual Health ◽  
Health Concern ◽  
Limited Resources ◽  
Public Health Concern ◽  
Psychosocial Effects ◽  
Safety Nets ◽  
The People

Background: Public health concern is increasing with recent rise in the number of COVID-19 cases in Nepal. To curb this pandemic, Nepal is facing some forms of lockdown, encouraging people to implement social distancing so as to reduce interactions between people which could eventually reduce the possibilities of new infection; however, it has affected the overall physical, mental, social and spiritual health of the people. Methods: Published articles related to psychosocial effects due to COVID-19 and other outbreaks were searched and reviewed. Conclusion: While many countries are supporting their citizens with sophisticated health safety-nets and various relief funds, some developing countries have unique challenges with vulnerable populations and limited resources to respond to the pandemic. This review presents the consequences of pandemic and lockdown on socioeconomic, mental health and other aspects in Nepalese society.

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