scholarly journals Dificuldades no acesso aos serviços de saúde por lésbicas, gays, bissexuais e transgêneros

2020 ◽  
Vol 14 ◽  
Author(s):  
Alef Diogo da Silva Santana ◽  
Marcos Soares de Lima ◽  
Jefferson Wildes da Silva Moura ◽  
Isabel Cristina Sibalde Vanderley ◽  
Ednaldo Cavalcante de Araújo
Keyword(s):  
Health Services ◽  
Web Of Science ◽  
Hierarchical Classification ◽  
The United States ◽  
Access To Health Services ◽  
Final Sample ◽  
Access To Health ◽  
Politica Publica ◽  
Lgbt People ◽  
And Gender

Objetivo: analisar as dificuldades de acesso aos serviços de saúde pelas pessoas LGBT. Método: trata-se de um estudo bibliográfico, descritivo, do tipo revisão integrativa da literatura. Realizou-se a busca em janeiro de 2019 nas bases de dados: MEDLINE, Web of Science e SCOPUS. Pesquisaram-se artigos com delimitação atemporal. Avaliaram-se os artigos segundo o critério AHRQ e sua elegibilidade pelo CASP. Analisaram-se os dados no software IRAMUTEQ a partir da Classificação Hierárquica Descendente. Resultados: destaca-se que a amostra final foi composta por dez artigos, entre eles, 70% encontraram-se disponíveis na SCOPUS; 10%, na Web of Science e 20%, na MEDLINE. Notou-se que, referente à nacionalidade dos estudos, 10% foram da Alemanha; 10%, do Brasil; 10%, da Argentina; 20%, do Canadá; 20%, da África do Sul e 30%, dos Estados Unidos da América. Verificou-se que os anos de publicação dos estudos foram entre 2013 e 2018. Conclusão: evidencia-se que o acesso aos serviços de saúde pela população LGBT é permeado por constrangimentos e preconceitos. Ressalta-se que a exclusão, desamparo, omissão e indiferença ao acesso são sentimentos expressados por este público, mesmo existindo políticas públicas específicas. Descritores: Serviços de Saúde; Minorias Sexuais e de Gênero; Acesso aos Serviços de Saúde; Enfermagem; Vulnerabilidade em Saúde; Política Pública.AbstractObjective: to analyze the difficulties of access to health services by LGBT people. Method: this is a descriptive bibliographic study of the integrative literature review type. The search was performed in January 2019 in the databases: MEDLINE, Web of Science and SCOPUS. We searched for articles with timeless delimitation. The articles were evaluated according to the AHRQ criteria and their eligibility by CASP. Data was analyzed in the IRAMUTEQ software from the Descending Hierarchical Classification. Results: it is noteworthy that the final sample consisted of ten articles, among them, 70% were available at SCOPUS; 10% on Web of Science and 20% on MEDLINE. Regarding the nationality of the studies, 10% were from Germany; 10% from Brazil; 10% from Argentina; 20% from Canada; 20% from South Africa and 30% from the United States of America. It was found that the years of publication of the studies were between 2013 and 2018. Conclusion: it is evident that access to health services by the LGBT population is permeated by constraints and prejudices. It is emphasized that exclusion, helplessness, omission and indifference to access are feelings expressed by this public, even though there are specific public policies. Descriptors: Health Services; Sexual and Gender Minorities; Health Services Accessibility; Nursing; Health Vulnerability; Public Policy.ResumenObjetivo: analizar las dificultades de acceso a los servicios de salud por parte de las personas LGBT. Método: este es un estudio bibliográfico descriptivo del tipo revisión integradora de literatura. La búsqueda se realizó en enero de 2019 en las bases de datos MEDLINE, Web of Science y SCOPUS. Buscamos artículos con delimitación atemporal. Los artículos fueron evaluados de acuerdo con los criterios AHRQ y su elegibilidad por CASP. Los datos se analizaron en el software IRAMUTEQ de la Clasificación Jerárquica Descendente. Resultados: cabe destacar que la muestra final consistió en 10 artículos, entre ellos, 70% estaban disponibles en SCOPUS, 10% en Web of Science y 20% en Medline. Con respecto a la nacionalidad de los estudios, el 10% provino de Alemania, el 10% de Brasil, el 10% de Argentina, el 20% de Canadá, el 20% de Sudáfrica y el 30% de los Estados Unidos de América. Se descubrió que los años de publicación de los estudios fueron entre 2013 y 2018. Conclusión: es evidente que el acceso a los servicios de salud por parte de la población LGBT está impregnado de restricciones y prejuicios. Es de destacar que la exclusión, la impotencia, la omisión y la indiferencia al acceso son sentimientos expresados por este público, a pesar de que existen políticas públicas específicas. Descriptores: Servicios de Salud; Minorías Sexuales y de Género; Accesibilidad a los Servicios de Salud; Enfermería; Vulnerabilidad en Salud; Política Pública.

scholarly journals Parents´ perception of allergic or food intolerant children in relation to disease

2019 ◽  
Vol 29 (3) ◽  
pp. 354-364
Author(s):  
Suzely Adas Saliba Moimaz ◽  
Marcelo Augusto Amaral ◽  
Aline Maria Malachini Miotto ◽  
Cléa Adas Saliba Garbin ◽  
Tânia Adas Saliba
Keyword(s):  
Oral Health ◽  
Health Services ◽  
Hierarchical Classification ◽  
Oral Diseases ◽  
Access To Health Services ◽  
Nutritional Factors ◽  
Word Cloud ◽  
Access To Health ◽  
Sensitive Teeth

Introduction: Cow´s milk protein allergy (CMPA) and lactose intolerance (LI) negatively affect the quality of life of patients and their families. Objective: To analyse the perception parents of children with CMPA or LI regarding aspects of health, emphasising their oral health and the factors involved in the treatment of allergy/food intolerance. Methods: Qualitative research employing focus groups, with a sample of 12 parents of children with CMPA or LI (two groups), including the participation of a researcher/moderator, an observer, and six participants in each group and a plan with guiding questions. Discourses were recorded and transcribed, and textual contents were processed in software IRAMUTEQ and analysed by the descendant hierarchical classification (DHC) technique, content analysis, and word cloud. Results: Six categories were derived from DHC-multivariate analysis: (1) infant formula, (2) oral health, (3) nutritional aspects, (4) treatment, (5) disease´s stigma, and (6) health services. The thematic axes were derived from nutritional, assistance, and care categories. Reports of different oral diseases were given by parents regarding food allergy or intolerance in their children, such as frequent caries, teeth spots, pain, and sensitive teeth. Conclusion: Parents´ perception of CMPA/LI in their children is affected by nutritional factors and the stigma caused by the disease, with special reference to the importance given to children´s oral health and reports about difficulties in the access to health services with multi-professional teams.  

A Multi-Disciplinary Approach to Establishing a Community Wellness Program

2017 ◽  
Vol 6 (4) ◽  
pp. 329-334
Author(s):  
Royal E. Wohl ◽  
Park Lockwood ◽  
Kathy Ure
Keyword(s):  
Chronic Disease ◽  
Health Services ◽  
Low Income ◽  
The United States ◽  
Multiple Chronic Conditions ◽  
Access To Health Services ◽  
Wellness Program ◽  
Access To Health ◽  
Disease Condition ◽  
Community Wellness

Chronic disease is a leading cause of morbidity and mortality in the United States. One-half of U.S. adults have at least one chronic disease condition and 25% have multiple chronic conditions that can lead to a restriction in an ability to do basic daily living activities. Low-income adults have a high incidence of chronic disease that increases with aging due to ongoing psychological stress, higher risk exposure, less healthy living conditions, and limited access to health services. Community-based wellness programs, in collaboration with academic institutions, can serve this population by providing access to health services, quality educational and activity-based experiences, and continual assessment and support. Using a multidisciplinary approach, the expertise of numerous faculty, students, and staff can be used to help mitigate a myriad of health conditions presented by this population. This article shares one university’s creation, development, and delivery of an on-campus, multidisciplinary community wellness program for low-income adults.

Preliminary Study on Access to Health Services for Elderly Women: The Age and Socio-Economic Issues of Elderly Women in Pancuran Village, Salatiga

2019 ◽  
Vol 24 (3) ◽  
pp. 193
Author(s):  
Theresia Pratiwi Elingsetyo Sanubari ◽  
Catherina Frisca Yaniariyani
Keyword(s):  
Health Services ◽  
Elderly Women ◽  
The Elderly ◽  
Access To Health Services ◽  
Patient Centered ◽  
Access To Health ◽  
Preliminary Study ◽  
And Gender ◽  
Cultural Involvement ◽  
The Village

<p>The increasing number of elderly people from year to year shows the high life expectancy in elderly women. This situation coupled with cultural and social aspects can trigger vulnerability for elderly women, including the health aspect. This study aims to describe the factors of access to health services for elderly women in the village of Pancuran, Salatiga. The method used is descriptive-quantitative with data collection carried out in Pancuran Village using a questionnaire. Elderly women in Pancuran Village have different economic, educational, employment and social status backgrounds but have the same vulnerability to access health services due to the unavailability of <em>posyandu</em> for the elderly in Pancuran Village. Nevertheless, efforts to access health services are still underway. This research shows that cultural involvement in health care is needed to realize integrated, patient-centered, and gender-friendly health services.</p>

scholarly journals Telemedicine adoption issues in the United States and Brazil: Perception of healthcare professionals

2020 ◽  
Vol 26 (4) ◽  
pp. 2344-2361 ◽  
Author(s):  
Edimara Luciano ◽  
M Adam Mahmood ◽  
Parand Mansouri Rad
Keyword(s):  
United States ◽  
Health Services ◽  
Rural Areas ◽  
Healthcare Professionals ◽  
Critical Role ◽  
The United States ◽  
Security And Privacy ◽  
Access To Health Services ◽  
Security Breaches ◽  
Access To Health

Telemedicine has recently garnered more attention from healthcare professionals because it provides access to health services to patients in rural areas while making patient healthcare information more vulnerable to security breaches. The objective of this research is to identify factors that play a critical role in possible adoption of telemedicine in the United States and Brazil. A model with eight hypotheses was used to establish a research framework. A survey was conducted involving healthcare professionals in the aforementioned countries. The results show that telemedicine adoption is influenced by policies and culture in both countries and influenced by security and privacy in the United States. It can be inferred from the research that perceptions of the American and Brazilian healthcare professionals are similar in telemedicine issues covered in this research. These healthcare professionals, however, disagree on how patients’ privacy should be preserved in the two countries.

scholarly journals Racial/Ethnic Disparities in Chronic Diseases of Youths and Access to Health Care in the United States

2013 ◽  
Vol 2013 ◽  
pp. 1-12 ◽  
Author(s):  
James H. Price ◽  
Jagdish Khubchandani ◽  
Molly McKinney ◽  
Robert Braun
Keyword(s):  
United States ◽  
Health Disparities ◽  
Health Services ◽  
Chronic Diseases ◽  
Access To Health Care ◽  
Ethnic Disparities ◽  
The United States ◽  
Access To Health Services ◽  
Access To Health ◽  
Racial Ethnic

Racial/ethnic minorities are 1.5 to 2.0 times more likely than whites to have most of the major chronic diseases. Chronic diseases are also more common in the poor than the nonpoor and this association is frequently mediated by race/ethnicity. Specifically, children are disproportionately affected by racial/ethnic health disparities. Between 1960 and 2005 the percentage of children with a chronic disease in the United States almost quadrupled with racial/ethnic minority youth having higher likelihood for these diseases. The most common major chronic diseases of youth in the United States are asthma, diabetes mellitus, obesity, hypertension, dental disease, attention-deficit/hyperactivity disorder, mental illness, cancers, sickle-cell anemia, cystic fibrosis, and a variety of genetic and other birth defects. This review will focus on the psychosocial rather than biological factors that play important roles in the etiology and subsequent solutions to these health disparities because they should be avoidable and they are inherently unjust. Finally, this review examines access to health services by focusing on health insurance and dental insurance coverage and access to school health services.

Trends in access to health services and financial protection in China between 2003 and 2011: a cross-sectional study

The Lancet ◽  
2012 ◽  
Vol 379 (9818) ◽  
pp. 805-814 ◽  
Author(s):  
Qun Meng ◽  
Ling Xu ◽  
Yaoguang Zhang ◽  
Juncheng Qian ◽  
Min Cai ◽  
...  
Keyword(s):  
Health Services ◽  
Cross Sectional Study ◽  
Financial Protection ◽  
Sectional Study ◽  
Access To Health Services ◽  
Cross Sectional ◽  
Access To Health

scholarly journals Are nurses meeting the needs of men in primary care?

2017 ◽  
Vol 23 (4) ◽  
pp. 319
Author(s):  
Del Lovett ◽  
Bodil Rasmussen ◽  
Carol Holden ◽  
Patricia M. Livingston
Keyword(s):  
Health Services ◽  
Healthcare Access ◽  
Men’S Health ◽  
Men's Health ◽  
Service Access ◽  
Access To Health Services ◽  
Financing System ◽  
Healthcare Needs ◽  
Comprehensive Primary Health Care ◽  
Access To Health

Meeting men’s health needs by improving healthcare service access is a key objective of comprehensive primary health care. The aims of this qualitative study were to explore the perception of nurses in men’s health services and to describe men’s expectation of the nurse. The comparative component identifies the barriers and facilitators to improved access to health services. A purposive sample of 19 nurses and 20 men was recruited from metropolitan and regional settings in the state of Victoria, Australia, and each participant was interviewed individually or as part of three focus groups. The main findings were: nurses and men were unclear on the role of the nurse in men’s health; and health promotion provided by nurses was predominantly opportunistic. Both participant groups indicated barriers to healthcare access related to: the culture and environment in general practice; limitation of Australia’s Medicare healthcare financing system; out-of-pocket costs, waiting time and lack of extended hours; and men not wanting to be perceived as complainers. Facilitators related to: positive inter-professional relations; effective communication; personal qualities; and level of preparedness of nurse education. The findings demonstrate a need for the role to be better understood by both men and nurses in order to develop alternative approaches to meeting men’s healthcare needs.

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