scholarly journals Barriers to the Accessibility and Continuity of Health-Care Services in People with Multiple Sclerosis

2017 ◽  
Vol 19 (6) ◽  
pp. 313-321 ◽  
Author(s):  
Chungyi Chiu ◽  
Malachy Bishop ◽  
J.J. Pionke ◽  
David Strauser ◽  
Ryan L. Santens
Keyword(s):  
Multiple Sclerosis ◽  
Health Care ◽  
Health Care Delivery ◽  
Health Care Access ◽  
Health Care Services ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Major Barrier ◽  
Care Services ◽  
Full Text Review

Background: Individuals with multiple sclerosis (MS) face a range of barriers to accessing and using health-care services. The aim of this review was to identify specific barriers to accessing and using health-care services based on a continuum of the health-care delivery system. Methods: Literature searches were conducted in the PubMed, PsycINFO, CINAHL, and Web of Science databases. The following terms were searched as subject headings, key words, or abstracts: health care, access, barriers, physical disability, and multiple sclerosis. The literature search produced 361 potentially relevant citations. After screening titles, abstracts, and citations, eight citations were selected for full-text review. Results: Health-care barriers were divided into three continuous phases of receiving health care. In the before-visit phase, the most commonly identified barrier was transportation. In the during-visit phase, communication quality was the major concern. In the after-visit phase, discontinued referral was the major barrier encountered. Conclusions: There are multiple interrelated barriers to accessing and using health-care services along the health-care delivery continuum for people with MS and its associated physical disabilities, ranging from complex and long-recognized barriers that will likely require extended advocacy to create policy changes to issues that can and should be addressed through relatively minor changes in health-care delivery practices, improved care coordination, and increased provider awareness, education, and responsiveness to patients' needs.

The Health Care Delivery System in Libya with Special Emphasis on Public Health Care Services in Benghazi

1996 ◽  
Vol 27 ◽  
pp. 99-123
Author(s):  
Salem F. Salem
Keyword(s):  
Health Care ◽  
Delivery System ◽  
Health Care Delivery ◽  
Health Care Services ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Health Care Facilities ◽  
Primary Health Care System ◽  
Care Services ◽  
Developed World

AbstractThis paper outlines the main features of the Libyan health care delivery system in general and the development of the primary health care system in particular. In spite of achieving tremendous success for extending health care coverage to meet continuous and mounting demand for health care services all over the country, health status levels in the country as a whole have not yet reached the required target that should make them comparable with the developed world. Three major reasons are thought to be responsible for this deficiency — the lack of appointment systems, a proper referral system and reliable health care information centres both locally and nationally. Moreover, despite the fact that a hierarchy of health care delivery system exists in the country, it is not well-defined with a fixed division of functions and strict referral routes between health care facilities as conceptualised in most parts of the developed world.

When Clock Time Governs Interaction: How Time Influences Health Professionals’ Intersectoral Collaboration

2018 ◽  
Vol 28 (13) ◽  
pp. 2059-2070 ◽  
Author(s):  
Anne Bendix Andersen ◽  
Kirsten Beedholm ◽  
Raymond Kolbæk ◽  
Kirsten Frederiksen
Keyword(s):  
Health Care ◽  
Elderly Patients ◽  
Health Care Delivery ◽  
Health Professionals ◽  
Health Care Services ◽  
Care Delivery ◽  
Intersectoral Collaboration ◽  
Clock Time ◽  
Care Services ◽  
Patient Pathways

When setting up patient pathways that cross health care sectors, professionals in emergency units strive to fulfill system requirements by creating efficient patient pathways that comply with standards for length of stay. We conducted an ethnographic field study, focusing on health professionals’ collaboration, of 10 elderly patients with chronic illnesses, following them from discharge to their home or other places where they received health care services. We found that clock time not only governed the professionals’ ways of collaborating, but acceleration of patient pathways also became an overall goal in health care delivery. Professionals’ efforts to save time came to represent a “monetary value,” leading to speedier planning of patient pathways and consequent risks of disregarding important issues when treating and caring for elderly patients. We suggest that such issues are significant to the future planning and improvement of patient pathways that involve elderly citizens who are in need of intersectoral health care delivery.

Healthcare System in Namibia

2020 ◽  
pp. 1-17
Author(s):  
Vistolina Nuuyoma ◽  
Daniel Opotamutale Ashipala
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Delivery System ◽  
Health Care Providers ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Care Services ◽  
Primary Health ◽  
Traditional Health Care

Primary health care is an approach adopted for the delivery of health services to the Namibian population. In terms of this approach, these services are made universally available, accessible, affordable, acceptable, and appropriate to meet the needs of communities. The health care delivery system in Namibia comprises services provided by both the Ministry of Health and Social Services (MoHSS) and the private sector. In addition to these services, some people consult traditional health care providers. All in all, health care comprises a combination of promotive, preventive, curative, and rehabilitative services. In addition to government funding, donations and technical support are also provided by non-governmental organisations. The MoHSS health care delivery system is coordinated at national, regional and district levels. This chapter elaborates on the Namibian health care delivery system, the structure and functions of each coordinating level, primary health care services in Namibia, as well as successes and challenges experienced.

Specialty Care Programme for Autism Spectrum Disorders in an Urban Population: A Case-Management Model for Health Care Delivery in an asd Population

2011 ◽  
Vol 28 (2) ◽  
pp. 102-109 ◽  
Author(s):  
M. Parellada ◽  
L. Boada ◽  
C. Moreno ◽  
C. Llorente ◽  
J. Romo ◽  
...  
Keyword(s):  
Health Care ◽  
Autism Spectrum Disorders ◽  
Case Management ◽  
Health Care Delivery ◽  
Health Care Services ◽  
Care Delivery ◽  
Autism Spectrum ◽  
Care Programme ◽  
Care Services ◽  
Spectrum Disorders

AbstractSubjects with autism spectrum disorders (ASD) have more medical needs and more difficulties accessing health care services than the general population. Their verbal and non-verbal communication difficulties and particular behaviors, along with lack of expertise on the part of physicians and failure of the services to make adjustments, make it difficult for them to obtain an appropriate health care.PurposeTo describe a model for health care delivery in an ASD population.MethodReview of relevant literature and a discussion process with stakeholders leading to the design of a service to meet the specialty health needs of subjects of all ages with ASD for a region with a population of 6,000,000.ResultsA service was designed centred around the concepts of case management, individualization, facilitation, accompaniment, continuous training and updating, and quality management. Five hundred and thirteen patients with ASD have been seen over a period of 18 months. The programme generated 1566 psychiatric visits and 1052 visits to other specialties (mainly Nutrition, Stomatology, Neurology, and Gastroenterology) in the same period.ConclusionPersons with ASD may benefit from adjustments of health care services in order to improve their access to adequate health care at the quality level of the rest of the population.

Social enterprises, health-care provision and ethical capital

2014 ◽  
Vol 10 (2) ◽  
pp. 105-120 ◽  
Author(s):  
Lucy Frith
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Health Care Services ◽  
Care Delivery ◽  
Social Enterprises ◽  
Ethical Perspective ◽  
Content Type ◽  
Care Services ◽  
The Relationship

Purpose – The aim of this paper is to advance a conceptual understanding of the role of social enterprises in health care by developing the concept of ethical capital. Social enterprises have been an important part of both the coalition and the previous government’s vision for improving health-care delivery. One of the central arguments for increasing the role of social enterprises in health care is they can provide the benefits of a public service ethos with the efficiencies and innovatory strategies of a business. Social enterprises are well placed to promote the type of values that should underpin health care delivery. Design/methodology/approach – This paper explores the conceptual issues raised by using social enterprises to provide health-care services that were previously provided by the National Health Service (NHS) from an ethical perspective. Findings – It will be argued that conceptualising social enterprises as organisations that can and should produce ethical capital could be a useful way of developing the debate over social enterprises in health care. Practical implications – The paper provides suggestions on how ethical capital might be produced and monitored in social enterprises. Originality/value – This paper advances the debate over the use of the concept of ethical capital in social enterprises and explores the relationship between ethical and social capital – both under researched areas. It also contributes to the emerging discussions of social enterprises in current health policy and their role in the radically reformed English NHS.

Nurse professionalisation and traditional values in Poland and Greece

2003 ◽  
Vol 16 (2) ◽  
pp. 153-162 ◽  
Author(s):  
Mike Dent
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Health Care Services ◽  
Care Delivery ◽  
Work Organisation ◽  
Traditional Values ◽  
Care Services ◽  
The Family

This paper examines the similarities and variations in the professional and work organisation of nursing in Greece and Poland. It evaluates the evidence of “convergence” as opposed to “embeddedness” in the professional and gendered organisation of nursing in these two countries. The feminised character of nursing is discussed, in relation to the family within the configuration of health‐care services. This issue also relates to the clientelistic relations and familialism that pervade health‐care delivery in both countries – although for different historical and cultural reasons – and which reflect and reinforce patriarchical relations within these societies.

Maldistributed Health Care Services: Restructuring the Current Regulatory System

1980 ◽  
Vol 6 (3) ◽  
pp. 406-423
Author(s):  
J. David Canarie
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Underserved Populations ◽  
Care Delivery ◽  
Health Planning ◽  
Regulatory System ◽  
Health Care Delivery System ◽  
Present System ◽  
Care Services ◽  
Regulatory Approach

AbstractThe American health care delivery system currently suffers from a variety of problems; among the most intractable of these is a maldistribution of health care services. This Note focuses on two aspects of this problem: unnecessary hospital beds, and medically underserved populations. The Note also discusses the related issues of hospital cost inflation and inefficient use of limited resources. It then examines the current statutory remedies for these problems, and subjects their effectiveness to a two-tiered test. The Note concludes that the existing mechanisms, while partially effective, ultimately result in a fragmented, uncoordinated, and unsuccessful health care regulatory system. Moreover, the Note suggests not only that the existing statutes fail to solve the problems they were enacted to correct, but that they actually add to health care inflation and complicate health planning by subjecting the entire health care industry to uncertainty. This Note proposes a comprehensive regulatory approach that will resolve health care imbalances in a manner that avoids the shortcomings inherent in the present system.

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