Equity and Health in Primary Health Care

2000 ◽  
Vol 6 (4) ◽  
pp. 54
Author(s):  
Alison McClelland
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Good Health ◽  
Quality Health Care ◽  
Factors Affecting ◽  
Equity And Access ◽  
Cost Of Health Care ◽  
Access To Health ◽  
Quality Health ◽  
The Cost

Health is one of the most significant factors affecting people's present enjoyment and participation in life as well as future wellbeing. There is a special community concern about equity and health. This concern has at least three facets. The first facet is equity and health status. Although it is unrealistic to expect equal health outcomes amongst individuals, there is an equity problem if people's socio-economic backgrounds have a significant impact on capacity to have good health. The second aspect is equity and access to health care. As access to health care can impact on the suffering connected with poor health as well as influencing the prospect of good health, there is an equity concern if people's backgrounds influence their ability to access appropriate, quality health care according to need. The third aspect concerns the cost and the financing of health care. We are concerned if the cost of health care acts as a barrier to access according to need. There is also a problem if the cost of health care substantially undermines people's capacity to have a decent standard of living by reducing disposable incomes, especially for those who are on low incomes and finding it difficult 'to make ends meet'.

Critical Issues in Assessing Sustainability and Feasibility of E-health

2008 ◽  
pp. 325-330 ◽  
Author(s):  
Nilmini Wickramasinghe ◽  
Santosh K. Misra
Keyword(s):  
Health Care ◽  
Cost Effective ◽  
Rapid Rate ◽  
Quality Health Care ◽  
Cost Of Health Care ◽  
Critical Issues ◽  
Quality Health ◽  
Adoption And Diffusion ◽  
The Cost ◽  
And Diffusion

The cost of health care is increasing exponentially worldwide. The adoption and diffusion of e-health and the application of Internet and Communication Technology (ICT) in health care is growing at a rapid rate in an attempt to find cost-effective methods of providing quality health care. Both European and US governments are making e-health a priority on their agendas. However, few, if any, discuss the critical issues of the sustainability and feasibility of e-health models. We attempt to fill this critical void by presenting a macro framework that identifies the key components of a generic e-health system and identifying factors playing a role in the assessment of e-health sustainability.

Mapping refugees and migrants’ access to health care in Tunisia

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
C Arfa
Keyword(s):  
Health Care ◽  
Civil Society ◽  
Health Services ◽  
Health Care Providers ◽  
Access To Health Care ◽  
Civil Society Organizations ◽  
Care Providers ◽  
Quality Health Care ◽  
Access To Health ◽  
Quality Health

Abstract Objectives of the study carried out under the request of the Office of Family Planning and population are collecting data on refugees and migrants, assessing their social and health needs, mapping health care providers and formulating recommendations to ensure equitable and affordable access to quality health services. The methodology has combined qualitative and quantitative research and focus group discussion scattered over the country, NGOs, ministries, and desk review. Results shown several gaps in relation to access to health care by refugees and migrants including: NGOs provide 55% of servicesVulnerability is increased by lack of official documents for residency and work permitLack of response of public and private providersCultural and linguistic barriersXenophobic and racist attitudes of both population and health care providers Based on gap analysis and inputs from several focus groups several recommendations were made to improve access of refugees and migrants to quality health care including the need: to fill the legal vacuum on refuge and migrationto establish an independent public authority on migrationto establish with support from civil society organizations a space for dialogue and communication with refugees and migrantsto improve health system responsiveness to refugees and migrants. As the issue of migrant's access to quality health care is multi-dimensional there is a need to establish inter sectoral task force involving concerned line ministries (i.e health, interior, migration, social affairs, etc..) national and international civil society organizations and concerned United Nations agencies. The objectives of the paper are to: Map the social, economic and health conditions of refugees and migrants in TunisiaTo assess gaps of health services access of refugees and migrantsTo advocate a right base approach to health of refugees and migrants in Tunisia.

Factors affecting Medicare affordability

2004 ◽  
Vol 10 (3) ◽  
pp. 144
Author(s):  
Hal Swerissen ◽  
Lucinda Jordan
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Health Care Policy ◽  
Care Policy ◽  
Factors Affecting ◽  
Primary Health ◽  
Access To Health ◽  
Commonwealth Government ◽  
Health Need ◽  
The Relationship

The Commonwealth Government, currently, does not have a primary health care policy. Instead, policy is heavily focused on general practitioners (GPs) and, in particular, on payment arrangements. Since 2000 bulk-billing rates have declined significantly in Australia, raising concerns about affordability and access to health care. This paper examines the relationship between affordability, health need, the supply of GPs, and capacity to pay. Bulk-billing and per capita consultation rates are likely to be higher and co-payments lower in areas where GP supply is higher, health needs are high and capacity to pay is low. Implications for the Commonwealth Government?s new MedicarePlus package are also discussed in light of the findings.

scholarly journals Access to Health Care and the Out‑of‑Pocket Burden of the European Elderly

2016 ◽  
Vol 64 (6) ◽  
pp. 1961-1970
Author(s):  
Veronika Krůtilová
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Health Care Systems ◽  
Unmet Need ◽  
Critical Issue ◽  
Factors Affecting ◽  
Care Burden ◽  
Access To Health ◽  
Health Care Burden ◽  
Care Systems

Provision of access to health care is a desirable feature of health care systems. Access to health care is caused to be restricted whether out‑of‑pocket burden is too high. The paper focuses on the European elderly with restricted access to health care and evaluates their health care burden and determines factors affecting the burden. The data from the Survey of Health, Ageing and Retirement in Europe from the fifth wave is used. The methods of descriptive and multivariate analysis are applied. A linear regression model with a bootstrapped method is used. The results showed that inequalities in access to health care exist. Unmet need is a critical issue in Estonia and Italy. The highest burden is found in Estonia, Italy and Belgium. Chronic diseases and limitation in activities significantly contributes to health care burden. Expenditure on drugs, outpatient and nursing care have a significant effect on the burden. The effect is found to be insignificant for inpatient care. Income and the employment status is a preventing factor.

scholarly journals Innovating in Health Care – Modern Challenges

2013 ◽  
Vol 3 (3) ◽  
pp. 261-266
Author(s):  
Sebija Izetbegović ◽  
Goran Stojkanović ◽  
Suvada Švrakić ◽  
Eldar Mehmedbašić
Keyword(s):  
Health Care ◽  
Prescription Drugs ◽  
Empirical Studies ◽  
Medical Science ◽  
Malignant Neoplasm ◽  
Developed Countries ◽  
Quality Health Care ◽  
National Priority ◽  
Quality Health ◽  
The Cost

Introduction: The goal of this article is to present that innovating in health care begins to become an imperative in present time. Innovating will enable the achievement of the highest quality health care results and the patients' satisfaction with the least amount of financial resources.Methods: The thorough literature review of multifaceted sources was conducted including: studies, books, monographies and peer – reviewed journals with the goal of achieving the clearer picture of today's modern challenges in the complex fi eld of health care innovation.Discussion: Theoretical and empirical studies clearly indicate that the innovation is one of the key factors in the competitiveness of the organization and its survival in the market. Developed countries of the world today are making significant efforts in order for innovation to become a national priority, with special emphasis placed on measuring innovation performance. Results of theoretical and practical studies show that in the future, treatment of the most diffi cult and complex diseases of our time, through the entirely new discoveries and results, derived from the process of innovation, will project entirely new positive forms and outcomes in the health care.Conclusion: There is no doubt that the humanity and medical science will through innovation succeed to win the battles against the majority of the most complex contemporary diseases. Malignant neoplasm of tomorrow, through the application of a new, innovative approaches to research, processes and treatments will become a chronic diseases. Among many, the particular problem in the process of innovation will represent the cost of research and development (R&D), production and the safety of prescription drugs.

Americans’ View of the Impact of COVID-19: Perspectives on Racial Impacts and Equity

2021 ◽  
Author(s):  
Katherine Carman ◽  
Anita Chandra ◽  
Carolyn Miller ◽  
Christopher Nelson ◽  
Jhacova Williams
Keyword(s):  
Health Care ◽  
African Americans ◽  
Access To Health Care ◽  
The Public ◽  
Equity And Access ◽  
Access To Health ◽  
The Face ◽  
Nationally Representative ◽  
The Impact ◽  
Over Time

Abstract Context: The COVID-19 pandemic has had a disparate effect on African Americans and Latino groups. But it is unknown how aware the public is of these differences, and how the pandemic has changed perceptions of equity and access to health care. Methods: We use panel data from nationally representative surveys fielded to the same respondents in 2018 and 2020 to assess views and changes in views over time. Findings: We found that awareness of inequity is highest among Non-Hispanic Black respondents and higher income and higher educated groups, and that there have been only small changes in perceptions of inequity over time. However, there have been significant changes in views of the government’s obligation ensure access to health care. Conclusions: Even in the face of a deadly pandemic, one that has killed disproportionately more African Americans and Latinos, many in the U.S. continue not to recognize that there are inequities in access to health care and the impact of COVID-19 on certain groups. But policies to address inequity may be shifting. We will continue to follow these respondents to see whether changes in attitudes endure over time or dissipate.

Sign in / Sign up

Export Citation Format

Share Document