How Low-Income Mothers Seek Quality Health Care for Their Children: An Ethnographic Study

2012 ◽  
Author(s):  
Marquia Blackmon ◽  
Sherry C. Eaton ◽  
Linda M. Burton ◽  
Whitney Welsh ◽  
Dwayne Brandon ◽  
...  
Keyword(s):  
Health Care ◽  
Low Income ◽  
Ethnographic Study ◽  
Quality Health Care ◽  
Quality Health ◽  
Low Income Mothers

Epidemiology and course of intellectual disabilities

2020 ◽  
pp. 216-222
Author(s):  
Sally-Ann Cooper
Keyword(s):  
Health Care ◽  
Intellectual Disabilities ◽  
Low Income ◽  
Age Groups ◽  
Low Income Countries ◽  
Quality Health Care ◽  
Physical Health Problems ◽  
Quality Health ◽  
People With Intellectual Disabilities ◽  
Improving Health Care

In high-income countries, about 5/1000 adults have intellectual disabilities. Population prevalence of intellectual disabilities is higher in children/young persons than adults, and prevalence decreases in older age groups to about 2/1000 over the age of 65. Intellectual disabilities are more common in boys/men, and in low-income countries; prevalence varies with geography and over time. Mental ill health is more common in people with intellectual disabilities than in the general population, with a point prevalence of 41% in adults and 36% in children/young people. Physical health problems and disabilities are common, and multi-morbidity and polypharmacy typical in people with intellectual disabilities; hence, clinical assessment and management are complex. The lifespan of people with intellectual disabilities is currently about 20 years less than that of other people, and more than 37% of their deaths are preventable deaths amenable to high-quality health care. Improving health care for people with intellectual disabilities needs to become a priority for clinicians, service commissioners, and policymakers.

scholarly journals Effects of primary care cost-sharing among young adults: varying impact across income groups and gender

2019 ◽  
Vol 20 (8) ◽  
pp. 1271-1280 ◽  
Author(s):  
Naimi Johansson ◽  
Niklas Jakobsson ◽  
Mikael Svensson
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Young Adults ◽  
Low Income ◽  
Cost Sharing ◽  
Care Physician ◽  
Quality Health Care ◽  
Income Groups ◽  
Quality Health ◽  
And Gender

AbstractWe estimate the price sensitivity in health care among adolescents and young adults, and assess how it varies across income groups and gender, using a regression discontinuity design. We use the age differential cost-sharing in Swedish primary care as our identification strategy. At the 20th birthday, the copayment increases from €0 to approx. €10 per primary care physician visit and close to this threshold the copayment faced by each person is distributed almost as good as if randomized. The analysis is performed using high-quality health care and economic register data of 73,000 individuals aged 18–22. Our results show that the copayment decreases the average number of visits by 7%. Among women visits are reduced by 9%, for low-income individuals by 11%, and for low-income women by 14%. In conclusion, modest copayments have significant utilization effects, and even in a policy context with relatively low income inequalities, the effect is substantially larger in low-income groups and among women.

Strategies Used by Interprofessional Teams to Counter Healthcare Marginalization and Engage Complex Patients

2020 ◽  
Vol 30 (7) ◽  
pp. 1058-1071
Author(s):  
Erin Fanning Madden ◽  
Summers Kalishman ◽  
Andrea Zurawski ◽  
Patricia O’Sullivan ◽  
Sanjeev Arora ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Health Care Providers ◽  
Low Income ◽  
Care Providers ◽  
Quality Health Care ◽  
Complex Patients ◽  
Quality Health ◽  
Sociocultural Resources ◽  
Poor Outcomes

Low-income U.S. patients with co-occurring behavioral and physical health conditions often struggle to obtain high-quality health care. The health and sociocultural resources of such “complex” patients are misaligned with expectations in most medical settings, which ask patients to mobilize forms of these assets common among healthier and wealthier populations. Thus, complex patients encounter barriers to engagement with their health behaviors and health care providers, resulting in poor outcomes. But this outcome is not inevitable. This study uses in-depth interviews with two interprofessional primary care teams and surveys of all six teams in a complex patient program to examine strategies for improving patient engagement. Five primary care team strategies are identified. While team member burnout was a common byproduct, professional support offered by the team structure reduced this effect. Team perspectives offer insight into mechanisms of improvement and the professional burdens and benefits of efforts to counter health care marginalization among complex patients.

scholarly journals “It’s been like a miracle”: Low-income Arkansans and access to health care services following Medicaid reform

2020 ◽  
Vol 57 ◽  
pp. 004695802098116
Author(s):  
Traci H. Abraham ◽  
Sacha A. McBain ◽  
Anthony Goudie ◽  
Teresa Hudson ◽  
Joseph W. Thompson
Keyword(s):  
Health Care ◽  
Health Literacy ◽  
Low Income ◽  
Access To Health Care ◽  
Health Care Services ◽  
Qualitative Assessment ◽  
Quality Health Care ◽  
Health Care Coverage ◽  
Care Services ◽  
Quality Health

This article reports qualitative results from a mixed-methods evaluation of the Arkansas Health Care Independence Program. Qualitative data was collected using telephone interviews with 24 low-income Arkansans newly enrolled in Medicaid or a Qualified Health Plan in 2014. We used methods developed for rapid qualitative assessment to explore a range of general barriers and facilitators to accessing health care services. Secondary analysis guided by the most significant change technique aided in the construction of case summaries that permitted insights into participants’ experiences of managing their health over time. Barriers to accessing health care services included treatment costs, beliefs and values related to health, limited health literacy, poor quality health care, provider stigma, and difficulties that made travel challenging. For 1 participant who was no longer eligible for Medicaid or a QHP, lacking health care coverage was also problematic. Facilitators included having health care coverage, life experiences that re-enforced the value of prevention, health literacy, and enhanced health care services. Low-income Arkansans experiences accessing health care elucidate access as multi-dimensional, involving not only the availability of affordable services, but treatment effectiveness and patient experiences interacting with providers and clinic staff. We use these findings to formulate recommendations for programs and policies aimed at further increasing access to high-quality health care as a strategy for reducing health disparities.

Three Cases of Joubert Syndrome in a Consanguineous Syrian Family and a Interesting Case of Multinational Collaboration

2021 ◽  
Author(s):  
Davor Petrović ◽  
Vida Čulić ◽  
Zofia Swinderek-Alsayed
Keyword(s):  
Low Income ◽  
Autosomal Recessive ◽  
Autosomal Recessive Disorder ◽  
Joubert Syndrome ◽  
Interesting Case ◽  
Low Income Countries ◽  
Ocular Motor ◽  
Quality Health Care ◽  
Quality Health ◽  
Motor Apraxia

AbstractJoubert syndrome (JS) is a rare congenital, autosomal recessive disorder characterized by a distinctive brain malformation, developmental delay, ocular motor apraxia, breathing abnormalities, and high clinical and genetic heterogeneity. We are reporting three siblings with JS from consanguineous parents in Syria. Two of them had the same homozygous c.2172delA (p.Trp725Glyfs*) AHI1 mutation and the third was diagnosed prenatally with magnetic resonance imaging. This pathogenic variant is very rare and described in only a few cases in the literature. Multinational collaboration could be of benefit for the patients from undeveloped, low-income countries that have a low-quality health care system, especially for the diagnosis of rare diseases.

Sign in / Sign up

Export Citation Format

Share Document