scholarly journals "There's no point in complaining, nothing changes": rural disaffection with complaints as an improvement method

2006 ◽  
Vol 30 (3) ◽  
pp. 322 ◽  
Author(s):  
Judith A Jones ◽  
Terri A Meehan-Andrews ◽  
Karly B Smith ◽  
John S Humphreys ◽  
Lynn Griffin ◽  
...  
Keyword(s):  
Quality Assurance ◽  
Quality Improvement ◽  
Health Services ◽  
Service Improvement ◽  
Access To Health Services ◽  
Access To Health ◽  
Quality Of Health Services ◽  
Rural Consumers ◽  
Lack Of Knowledge

Objective: To validate earlier findings that lack of access to health services is the most likely issue of complaint by rural consumers, and that lack of knowledge about how to make effective complaints and scepticism that responses to complaints bring about service improvement account for the under-representation of complaints from rural consumers. Design: Unaddressed reply-paid mail survey to 100% of households in small communities, and 50%, 20% or 10% in progressively larger communities. Setting: Eight communities in the Loddon-Mallee region of Victoria. Participants: 983 householders most responsible for the health care of household members, responding to a mailed questionnaire. Main outcome measures: Issues of complaints actually made; issues of unsatisfactory situations when a complaint was not made; reasons for not complaining; to whom complaints are made; and plans for dealing with any future complaint. Results: Earlier findings were confirmed. Lack of access to health services was the most important issue, indicated by 54.8% of those who had made a complaint, and 72% of those who wanted to but did not. The most common reason given for not complaining was that it was futile to do so. Lack of knowledge of how to make effective complaints which might contribute to the quality assurance cycle was evident. Conclusions: Rural consumers? disaffection with health complaints as a means to quality improvement poses a significant barrier to consumer engagement in quality assurance processes. Provider practices may need to change to regain community confidence in quality improvement processes. CONSUMER VIEWS ABOUT the quality of health services provide a valuable source of information to those concerned with accountability and quality assurance in service provision.1,2 When such views are expressed as complaints which are responded to in ways which focus on quality improvement rather than allocation of blame, opportunities may arise to improve the quality of health services for all consumers.3,4

scholarly journals Factors associated with access to health services and quality of life in knee osteoarthritis patients: a multilevel cross-sectional study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Siriwan Choojaturo ◽  
Siriorn Sindhu ◽  
Ketsarin Utriyaprasit ◽  
Chukiat Viwatwongkasem
Keyword(s):  
Quality Of Life ◽  
Health Service ◽  
Health Services ◽  
Self Management ◽  
Access To Health Services ◽  
Patient Factors ◽  
Cross Sectional ◽  
Knee Oa ◽  
Access To Health

Abstract Background The main purpose of health service systems is to improve patients’ quality of life (QoL) and to ensure equitable access to health services. However, in reality, nearly half of knee osteoarthritis (OA) patients present to the health system do not have access to health services, and their QoL remains poor. These circumstances raise important questions about what (if any) factors can improve health care accessibility and QoL for knee OA patients. Methods A multicenter, cross-sectional survey was performed with 618 knee OA patients who received care at 16 hospitals in Thailand. Structural equation modeling (SEM) was conducted to investigate the association of health service factors and patient factors with access to health services and QoL. Results The QoL of knee OA patients was very poor (mean score = 33.8). Only 2.1% of the knee OA patients found it easy to obtain medical care when needed. Approximately 39.4% of them were able to access appropriate interventions before being referred for knee replacement. More than 85% of orthopedic health services had implemented chronic disease management (CDM) policy into practice. However, the implementation was basic, with an average score of 5.9. SEM showed that QoL was determined by both health system factors (β = .10, p = .01) and patient factors (β = .29, p = .00 for self-management and β = −.49, p = .00 for disease factors). Access to health services was determined by self-management (β = .10, p = .01), but it was not significantly associated with QoL (β = .00, p = 1.0). Conclusions This study provides compelling information about self-management, access to health services and QoL from the individual and health service system perspectives. Furthermore, it identifies a need to develop health services that are better attuned to the patient’s background, such as socioeconomic status, disease severity, and self-management skills.

The reported benefits of telehealth for rural Australians

2010 ◽  
Vol 34 (3) ◽  
pp. 276 ◽  
Author(s):  
Jennifer J. Moffatt ◽  
Diann S. Eley
Keyword(s):  
Professional Development ◽  
Cost Effectiveness ◽  
Health Services ◽  
Rural Health ◽  
Health Professionals ◽  
Access To Health Services ◽  
Rural And Remote ◽  
Remote Locations ◽  
Access To Health

Objective.A literature review was conducted to identify the reported benefits attributed to telehealth for people living and professionals working in rural and remote areas of Australia. Data sources.Scopus and relevant journals and websites were searched using the terms: telemedicine, telehealth, telepsychiatry, teledermatology, teleradiology, Australia, and each state and territory. Publications since 1998 were included. Study selection.The initial search resulted in 176 articles, which was reduced to 143 when research reporting on Australian rural, regional or remote populations was selected. Data synthesis.A narrative review was conducted using an existing ‘benefits’ framework. Patients are reported to have benefited from: lower costs and reduced inconvenience while accessing specialist health services; improved access to services and improved quality of clinical services. Health professionals are reported to have benefited from: access to continuing education and professional development; provision of enhanced local services; experiential learning, networking and collaboration. Discussion.Rural Australians have reportedly benefited from telehealth. The reported improved access and quality of clinical care available to rural Australians through telemedicine and telehealth may contribute to decreasing the urban–rural health disparities. The reported professional development opportunities and support from specialists through the use of telehealth may contribute to improved rural medical workforce recruitment and retention. What is known about the topic?An extensive international literature has reported on the efficacy of telehealth, and to a lesser extent the clinical outcomes and cost-effectiveness of telemedicine. Systematic reviews conclude that the quality of the studies preclude definitive conclusions being drawn about clinical and cost-effectiveness, although there is some evidence of effective clinical outcomes and the potential for cost-benefits. Little attention has been paid to the benefits reported for people who live in rural and remote Australia, despite this being a rationale for the use of telehealth in rural and remote locations. What does this paper add?Patients in rural and remote locations in Australia are reported to benefit from telehealth by increased access to health services and up-skilled health professionals. Health professionals are reported to benefit from telehealth by up-skilling from increased contact with specialists and increased access to professional development. The review findings suggest that one strategy, the increased use of telehealth, has the potential to reduce the inequitable access to health services and the poorer health status that many rural Australians experience, and contribute to addressing the on-going problem of the recruitment and retention of the rural health workforce. What are the implications for practitioners?The use of telehealth appears to be a path to up-skilling for rural and remote practitioners.

scholarly journals Access of the black population to health services: integrative review

2020 ◽  
Vol 73 (4) ◽  
Author(s):  
Nelma Nunes da Silva ◽  
Veronica Batista Cambraia Favacho ◽  
Gabriella de Andrade Boska ◽  
Emerson da Costa Andrade ◽  
Neuri Pires das Merces ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Services ◽  
Literature Review ◽  
Black Population ◽  
Limiting Factors ◽  
Structural Factors ◽  
Access To Health Services ◽  
Fundamental Factor ◽  
Access To Health

ABSTRACT Objectives: demonstrate and discuss how the black population’s access to health services occurs Methods: integrative literature review with the following question: How does the black population’s access to health services occur? The search was carried out in the Scholar, LILACS and SciELO databases and used the descriptor “access to health services” and the term “population,” resulting in a sample with twelve articles. Results: studies show that the difficulty of access is a fundamental factor for the quality of life of people, directly compromising preventive services, especially for women’s health and, in addition, it has significant impact on the illness process of the black population within its particularities. Final Considerations: several limiting factors compromise the black population’s access to health services, including institutional and structural factors

scholarly journals Relationship between Financial Factors and Access to Health Care and Quality of Life for HIV / AIDS Patients

2021 ◽  
Vol 4 (1) ◽  
pp. 1
Author(s):  
Laila Salma Iklama ◽  
Nursalam Nursalam ◽  
Ni Ketut Alit Armini
Keyword(s):  
Quality Of Life ◽  
Health Services ◽  
Access To Health Care ◽  
Access To Health Services ◽  
Cross Sectional ◽  
Significance Level ◽  
Financial Factors ◽  
Access To Health ◽  
Hiv Aids

Introduction:Patients with HIV-AIDS experience various problems, one of which is related to financial factors and access to health services, this will also affect the patient's quality of life. The purpose of this study was to analyze the relationship between financial factors and access to health services.Method:This was a cross-sectional study with a sample size of 101 respondents who were selected using simple random sampling technique. The independent variable in this study is income and access to services, while the dependent variable in this study is quality of life. The instrument used was a demographic questionnaire and Health-Related Quality of Life, the data were analyzed using chi square with a significance level of p <0.05.Results:The results showed that there was a significant relationship between income (p = 0.044) and the availability of infrastructure (p = 0.003) with the quality of life of HIV-AIDS patients.Conclusion:The financial and access to healthcare factors  are related to the quality of life of clients with HIV-AIDS, so that patients with good quality of life will show that the level of fulfillment of needs and access to health services is also good.

Hubungan Mutu Pelayanan Dengan Minat Kunjungan Ulang Pasien Rawat Inap RS Bhineka Bakti Husada

2020 ◽  
Vol 4 (2) ◽  
pp. 167
Author(s):  
Lela Kania Rahsa Puji ◽  
Nurwulan Adi Ismaya ◽  
Utami Ulfa
Keyword(s):  
Quality Assurance ◽  
Health Services ◽  
Service Quality ◽  
Direct Evidence ◽  
Quality Standards ◽  
Research Purpose ◽  
Cross Sectional ◽  
Five Dimensions ◽  
Quality Of Health Services

In line with regulation No.44 of 2009, explained that one of the hospital's requairements are implement, and maintain quality standards for health services in hospitals as a reference in helping patients. Based on research  May 18, 2019 at the Bhineka Bakti Husada Hospital determine that 96.1% of patients were interested in visiting again if needed health services and 3.9% were not interested in visiting again.research question is correlation between Service Quality and Interest in Revisiting Inpatients at Bhineka Bakti Husada Hospital in 2019. Research purpose is to identify correlation service quality and interest in revisiting inpatient. Method analitic survey cross sectional univariat and bivariate analisys. Technin sampling are total sampling 52 respondent. Result the correlation from the five dimensions of quality of health services (reliability, quality assurance, quality of direct evidence, empathy) are related to interest in revisiting inpatients at Bhineka Bakti Husada Hospital.Keywords:service qulityquality of Hospitalizationinterest patient Re-VisitABSTRAKSejalan dengan peraturan No.44 tahun 2009, dijelaskan bahwa salah satu persyaratan rumah sakit adalah menerapkan, dan mempertahankan standar kualitas untuk layanan kesehatan di rumah sakit sebagai referensi dalam membantu pasien. Berdasarkan penelitian 18 Mei 2019 di Rumah Sakit Bhineka Bakti Husada menentukan bahwa 96,1% pasien tertarik untuk berkunjung lagi jika membutuhkan layanan kesehatan dan 3,9% tidak tertarik mengunjungi lagi. di Rumah Sakit Bhineka Bakti Husada pada tahun 2019. Tujuan penelitian adalah untuk mengidentifikasi hubungan kualitas layanan  minat dalam mengunjungi kembali pasien rawat inap. Metode survei analitik cross sectional dengan analisis univariat dan bivariat. Teknik pengambilan sampel adalah total sampling 52 responden. Hasil korelasi dari lima dimensi kualitas layanan kesehatan (keandalan, jaminan kualitas, kualitas bukti langsung, empati) ada hubungan dengan minat mengunjungi kembali pasien rawat inap di Rumah Sakit Bhineka Bakti Husada.Kata Kunci:Mutu pelayananMutu rawat inapKunjungan ulang pasien

scholarly journals Nurse Navigation and the Transition to Cancer Survivorship: A Review of Determinants Essential to Program Success

2013 ◽  
Vol 3 (2) ◽  
pp. 26
Author(s):  
Amanda Giunti
Keyword(s):  
Health Services ◽  
Important Determinant ◽  
Access To Health Services ◽  
Program Success ◽  
Care Access ◽  
Access To Health ◽  
Navigation Program ◽  
Communication And Coordination ◽  
Active Cancer

<div class="page" title="Page 26"><div class="layoutArea"><div class="column"><p><span>Nurse navigation programs are becoming prominent in the field of cancer care. As a newly emerging field, nurse navigation employs nurses and other health care profes- sionals who assist patients in overcoming barriers throughout the cancer continuum. The concept of nurse navigation is being extended to focus on survivorship, which is described as the period following active cancer treatment where patients often en- counter barriers affecting their care and quality of life. By utilizing specific skills and modalities, including education, communication, and coordination, survivorship navigators are able to assist in reducing disparities such as knowledge and communi- cation inadequacies, thus, facilitating optimal access to survivorship care. Access to health services is an important determinant of health in Canada. Survivorship navi- gation programs incorporate health services, providing a method in which cancer patients can overcome challenges and improve their health outcomes. This review will discuss the origins of nurse navigation, highlight navigator skills and modalities, which are essential to program success, and finally discuss the implications of a sur- vivorship navigation program. </span></p></div></div></div>

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.  

scholarly journals Community based approach to address health disparities among Roma in North Macedonia

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
B Pavlovski ◽  
J Frishchikj
Keyword(s):  
Health Services ◽  
National Level ◽  
Access To Health Services ◽  
Community Members ◽  
Community Based ◽  
Access To Health ◽  
Health Related ◽  
Self Reported Health Status ◽  
Health Rights

Abstract Issue Roma represent vulnerable group regarding health and health outcomes. Most health research and policies perceive Roma as a coherent group, although there are disparities within different subgroups. This is due to social determinants of health and other causes. Perceiving Roma community as monolith group may result in provision of activities for persons that don’t have need and leaving behind the vulnerable. Situation is similar with other marginalized and vulnerable populations. Description In 2016 started community based intervention including social accountability and legal empowerment regarding coverage,quality of health services and health rights violation. Work conducted in ShutoOrizari municipality with estimated 30.000 Roma. In 4 localities where most vulnerable Roma live, each comprised of 200 households. 2 persons from Roma NGOs and 4 community members work as team in 1 locality. Mapping of the community conducted and community inquiry. Findings shared with the community members. Findings used to conduct education of community and toconduct advocacy on local and national level with community participation in 2018for improvement of coverage and quality of services. Results Approach identified disparities among Roma.1256 persons surveyed from 4 localities. 4 localities have high unemployment rate (above 70%),monthly income related to the locality (p &lt; 0.0002). Disparities in health and access to health services among localities noted. Self-reported health status is related to locality(p &lt; 0.002). Coverage with health services also,including having registered gynecologist(p &lt; 0.001),regular gynecological examinations(p &lt; 0.00001),antenatal care(p &lt; 0.0003). Lessons Identifying needs among Roma living in smaller localities enables tailoring of health interventions based on needs. Identification of the problems on micro level is relevant for the community concerned,increasing their involvement in demanding improvement and advocacy. Key messages Working in strictly defined localities/groups from Roma communities provides accurate insight in the health related issues. Working with defined localities/groups enables greater involvement of the community in advocacy for fulfillment of their rights.

Assessing Social Skills in Health Professional Services

2005 ◽  
Vol 21 (3) ◽  
pp. 173-181
Author(s):  
Francisco Gil ◽  
Jesús Sanz ◽  
María Paz García-Vera ◽  
José M. León ◽  
Silvia Medina ◽  
...  
Keyword(s):  
Social Skills ◽  
Health Services ◽  
Health Professional ◽  
Aggressive Behavior ◽  
Psychometric Properties ◽  
Internal Consistency ◽  
Intervention Program ◽  
Professional Services ◽  
Quality Of Health Services

Abstract. The quality of health services depends on the contribution of all the professionals involved in the system, including certain groups, usually forgotten and underrated, such as the health-transport technicians (HTT). With the aim of improving this group's performance, an intervention program, focusing on the development of the workers' technical and social skills, was designed in a collective of enterprises. Information about the first stage of this program, consisting of the assessment of these workers' social skills, is offered in this study. A specific questionnaire was developed: The Health-Transport Technicians Social Skills Questionnaire (HTT-SSQ), made up of three scales (assertive, passive, and aggressive behavior). It was administered to a large sample (N = 530) from the above-mentioned association. The psychometric properties of the questionnaire were analyzed, with quite satisfactory indexes of internal consistency and factor validity, and the group's deficiencies (excess or deficit) were evaluated.

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