scholarly journals The Relations between Disability and Environmental Factors: A Pilot Study in Iranian Older Adults

2016 ◽  
Vol 8 (12) ◽  
pp. 87 ◽  
Author(s):  
Mohammadreza Shahbazi ◽  
Mahshid Foroughan ◽  
Mahdi Rahgozar ◽  
Reza Salmanroghani

<p><strong>OBJECTIVE: </strong>This study explored disability and its correlations with the environmental factors in a group of Iranian older adults.</p><p><strong>MATERIALS &amp; METHODS</strong><strong>:</strong> A cross sectional study was performed. One hundred participants receiving adult day care services in Kahrizak center in Iran were selected by using the complete enumeration method. The World Health Organization Disability Assessment Schedule 2 (WHODAS II) and the Craig Hospital Inventory of Environmental Factors (CHIEF) questionnaires were used to collect data.</p><p><strong>RESULTS:</strong> The mean score of disability was 20.61±13.66, and the scores were higher in women compared to men (P=0.001). Among the CHIEF-25 items‚ the most frequently perceived barrier by the participants was transportation followed by home design and unavailability of health care services. There was a significant association between the disability scores and the environmental factors (P&lt;0.001). Also, significant relationships were found between the disability and all the subscales investigated in the study (polices‚ physical/structural‚ attitude/support‚ services/assistance) (P&lt;0.001).<strong></strong></p><p><strong>CONCLUSION: </strong>Appropriate transportation‚ availability to health care services and removing physical/structural barriers should be taken in consideration.</p>

Author(s):  
Sandhya Mishra ◽  
Ankur Shrivastava ◽  
Vijay Kumar ◽  
Anamika Chandra ◽  
Jaun Zeb Rizvi

Background: On January 30, 2020, the World Health Organization declared the COVID-19 outbreak a global health emergency. With nearly 25000 fresh cases registered daily, the COVID-19 tally in India rose to 13 lakh till mid of July 2020, according to the Ministry of Health and Family Welfare. Understanding the inclination of doctors to work in COVID-19 outbreak is essential for betterment of health care services. Objective were to assess the willingness of Doctors to work in COVID-19 outbreak and to determine the factors affecting willingness to work in COVID-19 outbreak.Methods: The study was conducted among doctors working in various medical colleges, specialist hospitals and research centers across various states of India. A predesigned self-administered questionnaire in Google form was emailed to the participants. Data was collected and analysed using SPSS version 13.Results: Out of 342 participants, 61% were willing to work in the COVID-19 pandemic. Female participants and those staying with their family were found to be significantly more afraid of COVID-19 pandemic and also willingness to work was significantly lower among them than their male counterparts living away from family.Conclusions: The COVID-19 pandemic caused emotional distress among the doctors. However our results suggest that during an outbreak majority of doctors are willing to work and will be available in the future. Staying with family drives them away from work more due to fear of infection or death of their family members.


2017 ◽  
Vol 16 (1) ◽  
pp. 20-24 ◽  
Author(s):  
Andrea Obročníková ◽  
Ľudmila Majerníková

AbstractAim. The purpose of cross-sectional study is to investigate the patient satisfaction with health care services provided in inpatient departments of clinical oncology and radiation oncology at the Faculty Hospital in Prešov and at East Slovak Oncology Institute in Košice (Slovakia). The assessment of patient satisfaction contributes to identification of services (factors) which are needed to be constantly improved and to maintenance of the quality of provided healthcare.Material and methods. For the collection of data a questionnaire EORTC IN-PATSAT 32 with closed answers in a five-point Likert scale was used. Out of 64 recruited patients, who were hospitalized in oncology departments over a week, 63 returned a completed questionnaire. Patient satisfaction was assessed in relation to gender, age, marital status.Results. patients reported low satisfaction with the hospital access and comfort in inpatients. In terms of the monitored variables, women and patients without life partner reported a lower level of satisfaction with providing care (waiting time, hospital access, comfort).Conclusions. Patients referred to the deficits in health care in areas such as worse access to care in terms of transport accessibility and orientation in health care facilities. At the same time the environment was not rated high value. These defects are very important elements that significantly affect the survival of cancer patients. The management of health organization should focus attention on this issue and implement internal measures to improve patient satisfaction.


2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Walusa Assad Gonçalves-Ferri ◽  
◽  
Fábia Martins Pereira-Cellini ◽  
Kelly Coca ◽  
Davi Casale Aragon ◽  
...  

Abstract Background The World Health Organization recognizes exclusive breastfeeding a safe source of nutrition available for children in most humanitarian emergencies, as in the current pandemic caused by the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Despite the Brazilian national guideline protecting breastfeeding practices, there are many concerns about protecting infants from their infected mothers. This study aimed to analyze how the Brazilian hospitals and maternity services promote and support mothers suspected or diagnosed with coronavirus disease (COVID-19). Methods This is a descriptive cross-sectional and multicenter study which collected data from 24 Brazilian hospitals and maternity services between March and July 2020. Representatives of the institutions completed a questionnaire based on acts to promote and support breastfeeding, the Baby-Friendly Hospital Initiative, and Brazil’s federal law recommendations. Results The results showed that in delivery rooms, 98.5% of the services prohibited immediate and uninterrupted skin-to-skin contact between mothers and their infants and did not support mothers to initiate breastfeeding in the first hour. On the postnatal ward, 98.5% of the services allowed breastfeeding while implementing respiratory hygiene practices to prevent transmission of COVID-19. Companions for mothers were forbidden in 83.3% of the hospitals. Hospital discharge was mostly between 24 and 28 h (79.1%); discharge guidelines were not individualized. Additionally, a lack of support was noticed from the home environment’s health community network (83.3%). Hospital and home breast pumping were allowed (87.5%), but breast milk donation was not accepted (95.8%). There was a lack of guidance regarding the use of infant comforting strategies. Guidelines specific for vulnerable populations were not covered in the material evaluated. Conclusions In Brazil, hospitals have not followed recommendations to protect, promote, and support breastfeeding during the COVID-19 outbreak. The disagreement between international guidelines has been a major issue. The absence of recommendations on breastfeeding support during the pandemic led to difficulties in developing standards among hospitals in different regions of Brazil and other countries worldwide. The scientific community needs to discuss how to improve maternal and infant care services to protect breastfeeding in the current pandemic.


1992 ◽  
Vol 16 (6) ◽  
pp. 340-342 ◽  
Author(s):  
Greg Wilkinson ◽  
Linda Gask ◽  
John Henderson

For more than a decade there has been no opportunity for formal post-graduate training in psychiatry in Romania. In February 1992, as part of a World Health Organization (Regional Office for Europe) initiative, we travelled to Romania as WHO temporary advisers to give seminars on: (i) the role of primary health care services in providing mental health care; and (ii) the development of community-based services for the mentally ill and disabled. Our seminars were designed to complement the biological and clinical elements of a developing psychiatric training programme.


Author(s):  
Ernawaty ◽  
Kendra Wardhani K ◽  
Stefanus Supriyanto ◽  
Nuzulul Kusuma Putri ◽  
Yeni Rahmah Husniyawati

Background: Health care utilization is one of the key indicators in measuring performance of health care services. Strong brand equity suggests positive correlation with great attraction for consumers to use a product. Design and Methods: A cross-sectional study was conducted to identify the effects of brand equity to health care utilization. 381 students were selected by simple random sampling. Multiple logistic regression tests were used to analyze the influence between variables. Results: Findings showed that there was an influence between brand equity and health care utilization (P=0.001). In the three attributes, brand equity was known to have an influence to the utilization of health care. The highest influence of the three attributes was brand association (Exp (B) = 2.501). Conclusions: It can be concluded that brand equity affects patient visits to AHCC showing that the brand equity significantly influence patient visits. Promotion to create familiarity and good impression was required to enhance brand equity and increase health care utilization.


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