scholarly journals Health Problems, Financial Capacity, and Access to Healthcare of Older Persons in Metro Dumaguete, Negros Oriental, Philippines

2021 ◽  
Vol 4 (4) ◽  
pp. 62-70
Author(s):  
Theorose June Q. Bustillo ◽  
Enrique G. Oracion ◽  
Chereisle G. Pyponco
Keyword(s):  
Older Persons ◽  
Healthcare Services ◽  
Health Problems ◽  
Access To Healthcare ◽  
Economic Conditions ◽  
Financial Capacity ◽  
Face To Face ◽  
Healthcare Needs ◽  
Health Quality

This descriptive qualitative study explored the experiences of older persons how they availed of and assessed the quality of available healthcare services to address their needs given their capacity to pay. The focus revolved around the concept of financial capacity for healthcare needs to address health problems during old age. Experiences were documented through face-to-face interviews of purposively identified eight older persons using semi-structured guide questions. Thematic analysis was applied, which revealed that financial capacity matters in health quality relative to the particular health problems the older persons have endured. The findings further revealed differentiated access to healthcare services given the variable economic conditions of older persons. This paper reiterates their recommendations that providing them the needed healthcare assistance and information about the management and prevention of common ailments affecting them may avert their health problems from becoming worse and more expensive to cure beyond their financial capacity.

scholarly journals Global Perspective on Telemedicine for Parkinson’s Disease

2021 ◽  
pp. 1-8
Author(s):  
Ali Shalash ◽  
Meredith Spindler ◽  
Esther Cubo
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Multidisciplinary Care ◽  
Healthcare Services ◽  
Access To Healthcare ◽  
Global Perspective ◽  
Sensitive Information ◽  
Personal Connection ◽  
Healthcare Needs ◽  
Neurological Exam

Telemedicine programs are particularly suited to evaluating patients with Parkinson’s disease (PD) and other movement disorders, primarily because much of the physical exam findings are visual. Telemedicine uses information and communication technologist to overcome geographical barriers and increase access to healthcare services, and it is particularly beneficial for rural and underserved communities, groups that traditionally suffer from lack of access to healthcare. There is a growing evidence of the feasibility of telemedicine, cost and time savings, patients’ and physicians’ satisfaction, and its outcome and impact on patients’ morbidity and quality of life. In addition, given the unusual current situation with the COVID-19 pandemic, telemedicine has offered the opportunity to address the ongoing healthcare needs of patients with PD, to reduce in-person clinic visits, and human exposures (among healthcare workers and patients) to a range of infectious diseases including COVID-19. However, there are still several challenges to widespread implementation of telemedicine including the limited performance of parts of the neurological exam, limited technological savvy, fear of loss of a personal connection, or uneasiness about communicating sensitive information. On the other hand, while we are facing the new wave of COVID-19 pandemic, patients and clinicians are gaining increasing experience with telemedicine, facilitating equity of access to specialized multidisciplinary care for PD. This article summarizes and reviews the current state and future directions of telemedicine from a global perspective.

scholarly journals Sexual Assault and the Association With Health, Quality of Life, and Self-Efficacy in the General Norwegian Population

2020 ◽  
pp. 088626052092630
Author(s):  
Inger Schou-Bredal ◽  
Tore Bonsaksen ◽  
Øivind Ekeberg ◽  
Laila Skogstad ◽  
Tine K. Grimholt ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Sexual Assault ◽  
Self Efficacy ◽  
Mental Health Problems ◽  
Sleep Problems ◽  
Health Problems ◽  
Health Quality ◽  
Health Quality Of Life ◽  
General Self Efficacy

The lifetime prevalence of sexual assault was examined in a representative sample of the general Norwegian adult population ( n = 1,792), in addition to the association between sexual assault and health, quality of life, and general self-efficacy. Respondents completed questionnaires assessing these factors. Overall, 6.7% ( n = 120) of the respondents (10.9% of women and 1.9% of men) reported an experience of sexual assault. Respondents in the sexual assault group reported significantly worse mental and physical health as well as poorer quality of life and lower self-efficacy, compared with those without sexual assault experience. The most prevalent mental problems in the sexual assault group were depression (61.7%), sleep problems (58.3%), eating disorders (26.7%), and posttraumatic stress disorder symptoms at a clinical level (25.0%). The most prevalent physical problems were chronic pain (47.5%) and musculoskeletal disease (30.8%). The proportions of physical and mental health problems were not significantly different between male and female victims. Results indicated that having experienced sexual assault during one’s life appears to be associated with lifetime occurrence of multiple health problems for both genders and reduces a person’s perceived general self-efficacy and quality of life.

scholarly journals An encouragement to publish powerful studies on innovation in health: A journal preface

2021 ◽  
Vol 1 (1) ◽  
Author(s):  
Muji Setiyo ◽  
Heni Setyowati Esti Rahayu
Keyword(s):  
Higher Education ◽  
Quality Of Care ◽  
Academic Work ◽  
Healthcare Services ◽  
Health Problems ◽  
Community Practice ◽  
Health Innovation ◽  
Knowledge Triangle ◽  
Better Than

The health manifesto highlighted that studies on innovation flourish when all sides of the knowledge triangle (research, academia, and industry) work in tandem in terms of enhancing the quality of care. This opportunity should go much better than the implementation of theoretical and academic work in universities worldwide. To respond to this, health innovation is currently being developed by experts in higher education. Therefore, this preface coming from two experts in the field encourages how important to publish studies on innovation in health for reducing the health problems along with issues on healthcare services in clinical or community practice.

Government reports versus offenders’ experiences: toward the resolution of discrepancies in healthcare and healthcare delivery

2015 ◽  
Vol 11 (4) ◽  
pp. 225-242 ◽  
Author(s):  
Pegah Memarpour ◽  
Rose Ricciardelli ◽  
Pauline Maasarjian
Keyword(s):  
Mental Health ◽  
Prison Population ◽  
Healthcare Delivery ◽  
Healthcare Services ◽  
Physical And Mental Health ◽  
Healthcare Provision ◽  
Content Type ◽  
Former Prisoners ◽  
Healthcare Needs

Purpose – Canadian literature on federal correctional institutions and prison living indicate a shortage inadequate and available healthcare services to meet the needs of the prison population, despite prisoners higher rates of health challenges (e.g. mental health, addictions, HIV/AIDS) in comparison to the general population. With fewer resources, concerns arise about the delivery, quantity, and quality of penal healthcare provision. Thus, the authors examines former prisoners’ experiences of, in comparison to government reports on, wait-times, and request processes for healthcare services, as well as issues of access, quality of interactions with healthcare professionals and the regulations and policies governing healthcare provision. The paper aims to discuss these issues. Design/methodology/approach – The authors compare data gathered from interviews with 56 former-federal prisoners with publicly available Correctional Services Canada reports on healthcare delivery, staff-prisoner interactions, programmes and services, and overall physical and mental health to identify consistencies and inconsistencies between the government’s and former prisoners’ understandings of penal healthcare. Findings – Discrepancies exist between prisoners reported experiences of healthcare provision and government reports. Prisoners are dissatisfied with healthcare provision in more secure facilities or when they feel their healthcare needs are not met yet become more satisfied in less secure institutions or when their needs are eventually met. Originality/value – Theories of administrative control frame the analyses, including discrepancies between parolee experiences and Correctional Service Canada reports. Policy recommendations to improve healthcare provision are highlighted.

scholarly journals Migrants’ and refugees’ health status and healthcare in Europe: A scoping literature review

2020 ◽  
Author(s):  
Adele Lebano ◽  
Sarah Hamed ◽  
Hannah Bradby ◽  
Alejandro Gil-Salmerón ◽  
Estella Durá-Ferrandis ◽  
...  
Keyword(s):  
Health Status ◽  
Emergency Services ◽  
Mental Healthcare ◽  
Healthcare Services ◽  
Access To Healthcare ◽  
European Countries ◽  
Term Care ◽  
Healthcare Needs ◽  
Unmet Healthcare Needs ◽  
The Eu

Abstract Background There is increasing attention paid to the arrival of migrants from outwith the EU region to the European countries. Healthcare that is universally and equably accessible needs to be provided for these migrants throughout the range of national contexts and in response to complex and evolving individual needs. It is important to look at the evidence available on provision and access to healthcare for migrants to identify barriers to accessing healthcare and better plan necessary changes. Methods This review scoped seventy seven papers from nine European countries (Austria, Cyprus, France, Germany, Greece, Italy, Malta, Spain, and Sweden) in English and in country-specific languages in order to provide an overview of migrants’ access to healthcare. The review aims at identifying what is known about access to healthcare and healthcare use of migrants and refugees in the EU member states. The evidence included documents from 2011 onward. Results The literature reviewed confirms that despite the aspiration to ensure equality of access to healthcare, there is persistent inequalities between migrants and non-migrants in access to healthcare services. The evidence shows unmet healthcare needs, especially when it comes to mental and dental health as well as the existence of legal barriers in accessing healthcare. Language and communication barriers, overuse of emergency services and underuse of primary healthcare services as well as discrimination are described. Conclusions The European situation concerning migrants’ and refugees’ health status and access to healthcare is heterogenous and it is difficult to compare and draw any firm conclusions due to the scant evidence. Different diseases are prioritised by different countries, although these priorities do not always correspond to the expressed needs or priorities of the migrants. Mental healthcare, preventive care (immunization) and long term care in the presence of a growing migrant older population are identified as priorities that deserve greater attention. There is a need to improve the existing data on migrants’ health status, needs and access to healthcare to be able to tailor care to the needs of migrants. To conduct research that highlights migrants’ own views on their health and barriers to access to healthcare is key.

scholarly journals Response to and perception of nurses during the COVID-19: a qualitative assessment

2020 ◽  
Author(s):  
Furqan K. Hashmi ◽  
Qaiser Iqbal ◽  
Sajjad Haider ◽  
Fiaz ud Din Ahmed ◽  
Fahad Saleem ◽  
...  
Keyword(s):  
Content Analysis ◽  
Healthcare Services ◽  
Qualitative Assessment ◽  
Analysis Framework ◽  
Organizational Capability ◽  
Face To Face ◽  
Qualitative Research Design ◽  
Healthcare Needs ◽  
Interview Guide ◽  
Areas Of Concern

Abstract BackgroundThe COVID-19 outbreak was declared pandemic by the WHO on 11 March 2020. For that reason, we gathered insight from frontline healthcare professionals (nurses) regarding their perceptions, awareness, and familiarity of COVID-19. MethodsBeing a novel outbreak, we opted for a qualitative research design. With the help of a self-constructed and validated interview guide, face-to-face interviews were conducted with nurses to gain an in-depth knowledge. All interviews were audio-taped, transcribed verbatim, and were then analyzed for thematic contents by the standard content analysis framework. ResultsThe saturation was reached at the 12th interview. Two more interviews were carried out to ensure the saturation achieved at the 12th interview. Thematic content analysis yielded four major themes. (1) Perceived knowledge, awareness, and severity of COVID-19, (2) perceived personal capability of handling and managing the COVID-19, (3) perceived organizational capability of handling and managing the COVID-19, and (4) barriers in handling and managing the COVID-19. ConclusionFindings of our study and reservations of our nurses’ highlight areas of concern and scheme of improvement in the effective management of the COVID-19. The respondents are faced with substantial difficulties and barriers in providing healthcare services to patients. We believe that the current study can help in planning policies and generating guidelines that can meet the healthcare needs of the society while managing the COVID-19 as well as for future pandemic outbreaks of the same nature.

Telemedicine versus face-to-face care for treatment of patients with lower extremity ulcers

2021 ◽  
Vol 30 (11) ◽  
pp. 916-921
Author(s):  
Alexander Gamus ◽  
Elad Keren ◽  
Hanna Kaufman ◽  
Gila Brandin ◽  
Daniel Peles ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Conflicts Of Interest ◽  
Treatment Protocol ◽  
Healthcare Services ◽  
Face To Face ◽  
Group A ◽  
The Mean ◽  
The Difference ◽  
Improve Patient

Objective: Lower extremity ulcers (LEUs) are associated with a decline in patients' quality of life (QoL). Better healthcare availability in remote regions, facilitated by telemedicine (TM), may improve patient wellbeing. The aim of this study was to compare the QoL of patients treated via synchronous video TM with that of patients treated with standard face-to-face (FTF) care. Method: The study was performed in a large health services provider in Israel (Maccabi Healthcare Services). TM was used in four remote locations; the FTF method was applied in two regional clinics. The treatment protocol was performed by a nurse and supervised by the regional physician in both treatment modes. A validated Wound-QoL questionnaire in Hebrew was used to assess patient outcomes. Results: A total of 83 patients were treated via TM and 94 patients were treated FTF. The mean QoL for patients treated via TM was 0.546±0.249 compared with 0.507±0.238 for the FTF group. A similarity relating to outcomes in both treatment methods was demonstrated by a difference of 0.039 (95% confidence interval –0.33–0.111) and p=0.291. The probability of the difference being within the limits of the interval in a replicated study was 83.4%. The equivalence/non-inferiority was established within the accepted Δ=0.12 range. Conclusion: The results indicated no reduced QoL for patients with LEUs treated with telemedicine versus with standard FTF care. Declaration of interest: The authors have no conflicts of interest.

scholarly journals 2351 Environmental barriers and facilitators of health care access and utilization for elderly stroke survivors

2018 ◽  
Vol 2 (S1) ◽  
pp. 70-70
Author(s):  
Allison Brenner ◽  
Lesli E. Skolarus ◽  
Philippa J. Clarke ◽  
James F. Burke
Keyword(s):  
Health Care ◽  
Physical Environment ◽  
Psychological Needs ◽  
Access To Healthcare ◽  
Barriers And Facilitators ◽  
Stroke Survivors ◽  
Environmental Barriers ◽  
Face To Face ◽  
Healthcare Needs ◽  
Social Environmental

OBJECTIVES/SPECIFIC AIMS: This study will use face-to-face interviewers with Medicare-eligible stroke survivors, and adult caregivers of stroke survivors, to extend the aims of a quantitative study on healthcare utilization in elderly stroke survivors. The objective of this research is to better understand, in more detail, relevant barriers and facilitators to accessing healthcare among older stroke survivors. The ultimate goal of this research is to develop strategies to improve access to healthcare, such as home modifications; changes to the neighborhood physical environment; or interventions at the provider/service level. This research will also serve as a precursor for future intervention work that will be proposed as a part of a K01 proposal. METHODS/STUDY POPULATION: Participants were recruited from Ann Arbor and Flint, MI using an existing academic-community partnership as well as through the University of Michigan Stroke Clinic. A total of 8–10 stroke survivors and 1–2 caregivers were recruited through the partnership and clinic records, as well as some use of snowball sampling to obtain a socially, economically, and racially representative sample. Participants must be 65+ years old, eligible for Medicare, living in the community, identify as either White or Black, and have no major cognitive/language deficits that jeopardize informed consent. Face-to-face interviews were conducted, and open-ended questions emphasized environmental barriers and facilitators to accessing healthcare, with a focus on social and physical barriers in the home and neighborhood. Interviews were audio recorded and transcribed, and field notes from 1 to 2 sources were also documented and will be used to triangulate the data and increase coding validity. Audio recordings will be reviewed multiple times and quotes relevant to the research questions and underlying theoretical framework will be transcribed verbatim. The transcripts will be analyzed using thematic coding based on literature and the study objectives and hypotheses. I will identify primary themes related to environmental barriers and facilitators to accessing healthcare among the stroke-survivors. RESULTS/ANTICIPATED RESULTS: Preliminary results suggest that participants are primarily concerned about the social environment. Several interviews revealed that stroke survivors felt socially isolated and were often hesitant to ask for help because they did not want to be a burden on their family and friends. Transportation to appointments was also identified as a barrier due to the fact that many people are no longer able to drive, yet are not comfortable navigating other forms of transportation. We expect to identify additional physical and social environmental challenges to both health care utilization and well-being more generally, among older stroke survivors. Anticipated themes may include: barriers in the physical environment such as transportation to care and services, social support and social environmental factors to support feeling safe leaving home to access care. DISCUSSION/SIGNIFICANCE OF IMPACT: Despite the physical and economic burden of stroke, and attempts to improve outcomes for stroke survivors living in the community, stroke survivors have high rates of disability and unmet medical and psychological needs. The results from this research are anticipated to directly inform future partnerships and intervention in these, or in similar communities. Understanding how the environment influences access to healthcare for elderly stroke survivors is essential if we want to increase recommended preventative care and treatment in this vulnerable population with unique healthcare needs. The results of this study will be used to directly inform the aims and methods for other translational research projects, including a K01 proposal, in which I will develop and pilot a community-based intervention to ameliorate environmental barriers and enhance facilitators of access to healthcare for older, disabled adults.

scholarly journals Healthcare Utilization and Knee Osteoarthritis Symptoms among Urban Older Malaysian

2021 ◽  
Vol 18 (7) ◽  
pp. 3777
Author(s):  
Siti Salwana Kamsan ◽  
Devinder Kaur Ajit Singh ◽  
Maw Pin Tan ◽  
Saravana Kumar
Keyword(s):  
Knee Osteoarthritis ◽  
Healthcare Utilization ◽  
Older Persons ◽  
Longitudinal Research ◽  
Healthcare Services ◽  
Utilization Rate ◽  
Cross Sectional ◽  
Knee Oa ◽  
Healthcare Needs ◽  
Utilization Of Healthcare

Knee osteoarthritis (OA) is a prevalent chronic disorder in the older population. While timely management is important to minimize the consequences of knee OA, information on the utilization of healthcare services among this population remains limited. Therefore, the objectives of this study were to determine the healthcare utilization and its associated factors in older persons with knee OA. Cross-sectional data from 1073 participants aged 60 years and above from the Malaysian Elders Longitudinal Research (MELoR) study were included. The utilization rate of healthcare services was quantified. Factors related to the utilization of healthcare services were determined using logistic regression analysis. Healthcare utilization among participants with knee OA was significantly higher than those without knee OA (p < 0.01). Outpatient usage was higher (p < 0.01) in comparison to inpatient and pharmacotherapy. Being married and having an income were significantly associated with seeking outpatient care (OR: 11.136, 95% CI: 1.73–52.82, p < 0.01) and pharmacotherapy (OR: 10.439, 95% CI: 1.187–91.812, p < 0.05), while females were less likely to utilize inpatient care services (OR: 0.126, 95% CI: 0.021–0.746, p < 0.05). The higher rate of healthcare utilization among older persons with knee OA indicates the increased healthcare needs of this population, who are commonly assumed to suffer from a benign disease.

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