The predictors of access to health services for people with disabilities: A cross sectional study in Iranian context

Backgrounds: The signing of the peace accords in Colombia created challenges that are inherent to post-conflict transitions. One of those is the process of reintegrating ex-combatants into society, in which ensuring their rights to health is a particularly significant challenge in rural areas affected by armed conflict. These areas, known as Territorial Spaces for Training and Reintegration (ETCR, in Spanish), are geographically dispersed throughout 24 municipalities and 13 departments in Colombia. This study aimed to describe how ex-combatants in ETCR regions perceived access to health services one year after the signing of the peace accords. Methods: A descriptive, cross-sectional study was performed between September and October 2018. It included 591 adults and their families, from 23 ETCRs. The study was designed, culturally validated, and piloted. Interviewers were trained and a structured survey was administered containing five dimensions that characterized the perception of effective access to health services. Results: The majority of interviewees were women, heads of household, young adults, ex-combatants, and residents in an ETCR. In total of 96.4% were enrolled in Colombia’s subsidized health system, and 20.8% indicated that a member of their household required emergency health services. The regional health center provided the majority of the services. Most of those surveyed (96.0%) reported that they did not have to pay for the services, and that they received respectful (91.6%) and good quality (66.6%) care. There were few referrals to disease prevention and health promotion activities, and only 19.0% of households reported having been visited by extramural health care teams, whose activities were highly valued (80%). Lastly, there was little knowledge about community health activities. Conclusions: While residents of ETCR regions have a favorable perception of their access to health services, they need to be made aware of extramural and public health activities.

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Advancing Migrant Access to Health Services in Europe (AMASE): Protocol for a Cross-sectional Study

JMIR Research Protocols ◽

10.2196/resprot.5085 ◽

2016 ◽

Vol 5 (2) ◽

pp. e74 ◽

Cited By ~ 13

Author(s):

Ibidun Fakoya ◽

Débora Álvarez-del Arco ◽

Susana Monge ◽

Andrew J Copas ◽

Anne-Francoise Gennotte ◽

...

Keyword(s):

Health Services ◽

Cross Sectional Study ◽

Sectional Study ◽

Access To Health Services ◽

Cross Sectional ◽

Access To Health

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Perception of effective access to health services in Territorial Spaces for Training and Reincorporation, one year after the peace accords in Colombia: a cross-sectional study

F1000Research ◽

10.12688/f1000research.21375.2 ◽

2020 ◽

Vol 8 ◽

pp. 2140

Author(s):

Julián Alfredo Fernández-Niño ◽

Lud Magdy Chavarro ◽

Ana Beatriz Vásquez-Rodríguez ◽

Maylen Liseth Rojas-Botero ◽

Ginna Esmeralda Hernández-Neuta ◽

...

Keyword(s):

Health Services ◽

Rural Areas ◽

Cross Sectional Study ◽

Sectional Study ◽

Access To Health Services ◽

Cross Sectional ◽

Post Conflict ◽

Access To Health ◽

Peace Accords ◽

One Year

Backgrounds: The signing of the peace accords in Colombia created challenges that are inherent to post-conflict transitions. One of those is the process of reintegrating ex-combatants into society, in which ensuring their rights to health is a particularly significant challenge in rural areas affected by armed conflict. These areas, known as Territorial Spaces for Training and ReintegrationReincorporation (ETCR, in Spanish), are geographically dispersed throughout 24 municipalities and 13 departments in Colombia. This study aimed to describe how ex-combatants in ETCR regions perceived access to health services one year after the signing of the peace accords. Methods: A descriptive, cross-sectional study was performed between September and October 2018. It included 591 adults and their families, from 23 ETCRs. The study was designed, culturally validated, and piloted. Interviewers were trained and a structured survey was administered containing five dimensions that characterized the perception of effective access to health services. Results: The majority of interviewees were women, heads of household, young adults, ex-combatants, and residents in an ETCR. In total of 96.4% were enrolled in Colombia’s subsidized health system, and 20.8% indicated that a member of their household required emergency health services. The regional health center provided the majority of the services. Most of those surveyed (96.0%) reported that they did not have to pay for the services, and that they received respectful (91.6%) and good quality (66.6%) care. There were few referrals to disease prevention and health promotion activities, and only 19.0% of households reported having been visited by extramural health care teams, whose activities were highly valued (80%). Lastly, there was little knowledge about community health activities. Conclusions: While residents of ETCR regions have a favorable perception of their access to health services, they need to be made aware of extramural and public health activities.

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Difficulties experienced by geriatric patients regarding respiratory devices and access to health services: A cross-sectional study

Journal of Surgery and Medicine ◽

10.28982/josam.869150 ◽

2021 ◽

Vol 5 (3) ◽

pp. 303-306

Author(s):

Deniz ÇELİK ◽

Sertan BULUT

Keyword(s):

Health Services ◽

Geriatric Patients ◽

Cross Sectional Study ◽

Sectional Study ◽

Access To Health Services ◽

Cross Sectional ◽

Access To Health ◽

Respiratory Devices

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Undernutrition and associated factors in orphan children aged 6–59 months in Gambella Southwest, Ethiopia: A community-based cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2020-045892 ◽

2021 ◽

Vol 11 (7) ◽

pp. e045892

Author(s):

Solomon Feleke ◽

Gudina Egata ◽

Firehiwot Mesfin ◽

Gizachew Yilak ◽

Abebaw Molla

Keyword(s):

Associated Factors ◽

Wealth Index ◽

Cross Sectional Study ◽

Sectional Study ◽

Access To Health Services ◽

Cross Sectional ◽

Orphaned Children ◽

Access To Health ◽

Study Participants ◽

Children Under 5

ObjectiveThe study aimed to assess the prevalence of stunting, wasting, underweight and associated factors in orphaned children under 5 years old.DesignA cross-sectional study.SettingGambella City, Ethiopia.ParticipantsA sample of 419 under 5 orphaned children included in the study. Eligible households with orphans had selected using a systematic random sampling method. The lottery method was used when more than one eligible study participants live in the household. An OR with 95% CI was performed to measure the strength of association between each dependent variable and independent variables. Variables with p<0.05 were declared statistically significant.Primary outcomeThe main outcome of this study was the prevalence of undernutrition among orphaned under 5 and its associated factors.ResultsPrevalence of stunting, wasting and underweight in orphan children under 5 were 12.2%, 37.8% and 21.7%, respectively. The prevalnce of wasting peaks among age group of 36–47 months (42.5%), whereas underweight peaks in 48–59 months (27.7%). Food insecurity, wealth index, family size, vitamin A supplementation, diarrhoea, fever 2 weeks before the survey, children under 5 and parents’ death were associated with undernutrition.ConclusionThe prevalence of stunting, wasting and underweight among orphan children under 5 was significantly high. Multisectoral collaborative efforts towards access to health services, improving income-generating activities, micronutrient supplementation and social support and protection targeting orphan and vulnerable populations have to be built up.

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Barriers and Facilitators to Accessing Health Services: A Qualitative Study Amongst People with Disabilities in Cameroon and India

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16071126 ◽

2019 ◽

Vol 16 (7) ◽

pp. 1126 ◽

Cited By ~ 4

Author(s):

Maria Zuurmond ◽

Islay Mactaggart ◽

Nanda Kannuri ◽

Gudlavalleti Murthy ◽

Joseph Oye ◽

...

Keyword(s):

Health Services ◽

Access To Health Care ◽

Social Inclusion ◽

Service Providers ◽

People With Disabilities ◽

Personal Factors ◽

Access To Health Services ◽

Structured Interviews ◽

Cross Sectional ◽

Access To Health

Background: Article 25 of the UNCRPD stipulates the right of people with disabilities to the highest attainable standard of health, and the timely uptake of appropriate health and rehabilitation services. This study seeks to explore the factors which influence access to health care among adults with disabilities in Cameroon and India. Methods: A total of 61 semi-structured interviews were conducted with a purposive sample of adults with vision, hearing or musculoskeletal impairments, using data from an earlier cross-sectional disability survey. In addition, 30 key informants were interviewed to provide contextual information about the local services and context. Results: Key themes included individual-level factors, understanding and beliefs about an impairment, and the nature of the impairment and interaction with environmental factors. At the community and household level, key themes were family dynamics and attitudes, economic factors, social inclusion and community participation. Intersectionality with gender and age were cross-cutting themes. Trust and acceptability of health service providers in India and poor understanding of referral processes in both countries were key service-level themes. Conclusions: The interaction of environmental and personal factors with the impairment and their levels of participation and inclusion in community structures, all contributed to the take up of services. This study illustrated the need for a multi-faceted response to improve access to health services for people with disabilities.

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Satisfaction with Access to Health Services: The Perspective of Estonian Patients with Rheumatoid Arthritis

The Scientific World JOURNAL ◽

10.1100/2012/257569 ◽

2012 ◽

Vol 2012 ◽

pp. 1-10 ◽

Cited By ~ 8

Author(s):

Kaja Põlluste ◽

Riina Kallikorm ◽

Kersti Meiesaar ◽

Margus Lember

Keyword(s):

Rheumatoid Arthritis ◽

Health Services ◽

Negative Impact ◽

Waiting Times ◽

Cross Sectional Study ◽

Access To Health Services ◽

Cross Sectional ◽

Access To Health ◽

Degree Of Satisfaction ◽

Determinants Of Satisfaction

In this cross-sectional study we explained the possible determinants of satisfaction with access to health services in patients with rheumatoid arthritis (RA). Of the 2000 randomly selected Estonian adult patients with RA, a total 1259 completed the survey. Regression analysis was used to analyse the predictors of patients' satisfaction with access to health services. Half of the respondents were satisfied with their access to health services. Factors that had a negative impact on satisfaction included pain intensity, longer waiting times to see the doctors, as well as low satisfaction with the doctors. Transportation costs to visit a rheumatologist and higher rehabilitation expenses also affected the degree of satisfaction. Patients who could choose the date and time at which they could visit the rheumatologist or who could visit their “own” doctor were more likely to be satisfied than patients whose appointment times were appointed by a healthcare provider.

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Polish Nurses’ Opinions on the Expansion of Their Competences—Cross-Sectional Study

Nursing Reports ◽

10.3390/nursrep11020029 ◽

2021 ◽

Vol 11 (2) ◽

pp. 301-310

Author(s):

Kinga Harpula ◽

Anna Bartosiewicz ◽

Jerzy Krukowski

Keyword(s):

Health Services ◽

Medical Science ◽

Cross Sectional Study ◽

Advanced Practice ◽

Access To Health Services ◽

Cross Sectional ◽

Significance Level ◽

Access To Health ◽

Survey Technique

The development of medical science creates new challenges for nurses to acquire new skills. Thanks to legal changes in Poland, nurses have gained the opportunity to independently provide health services in many areas, including consultations for patients. The aim of the survey is to analyze nurses’ opinions on the expansion of competences in their profession. This is a cross-sectional, descriptive study conducted among 798 nurses using the survey technique. The majority (65.48%) of the respondents believed that they were adequately prepared to take up new competences. Most of the respondents believed that the new competence would improve the efficiency of the healthcare system in Poland (71.06%) and facilitate patients’ access to health services (65.29%). According to the nurses, the scope of nursing advice will mainly concern the promotion of health education, wound treatment and prescribing medications. Age, seniority and education level significantly influenced the nurses’ opinions on the scope of nursing advice. The Mann–Whitney test and the Kruskal–Wallis test were used. A correlation between two quantitative variables was assessed with the Spearman’s rho coefficient. The significance level of p < 0.05 was assumed. The extension of the professional competences of nurses will increase the prestige of the profession and is another step toward introducing the role of Advanced Practice Nurse in Poland.

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Health and Demographic Characteristics of Patients Attending a Newly-Opened Medical Facility in a Remote Amazonian Community: A Descriptive Study

Medical Sciences ◽

10.3390/medsci6040106 ◽

2018 ◽

Vol 6 (4) ◽

pp. 106 ◽

Cited By ~ 1

Author(s):

Lucy Guile ◽

Devon Graham ◽

Anne Jachmann

Keyword(s):

Health Services ◽

Care Facility ◽

Cross Sectional Study ◽

Demographic Characteristics ◽

Access To Health Services ◽

Structured Interviews ◽

Cross Sectional ◽

Poor Access ◽

Access To Health ◽

High Prevalence

Peru is a country with wide regional disparities in health. Remote Amazonian communities have high rates of poverty and poor access to health services. There is a lack of data on morbidity and use of health services in the region. We describe a descriptive, cross-sectional study of the demographic characteristics and presenting complaints of attendees to a newly-opened primary care facility in a remote community. This was supplemented by structured interviews of adult attendees to build a picture of sociocultural determinants of health locally, including engagement with traditional forms of medicine. Our study provides novel insights into an under-studied and under-resourced area. We found a young population with a high prevalence of infectious illnesses, particularly dermatological infections - a previously under-recognised source of morbidity in these communities. Poor literacy rates and widespread use of traditional forms of medicine have important implications for the provision of healthcare in this region.

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