scholarly journals Factors associated with the waiting time for access to specialized oral healthcare services in Brazil

2021 ◽  
Vol 50 (1) ◽  
pp. 58-66
Author(s):  
Ronald Pereira Cavalcanti ◽  
Rênnis Oliveira Silva ◽  
Petrônio José de Lima Martelli ◽  
José Eudes de Lorena Sobrinho ◽  
Gilberto Alfredo Pucca Júnior ◽  
...  
Keyword(s):  
Waiting Time ◽  
Healthcare Services ◽  
Factors Associated

scholarly journals Factors associated with cognitive performance in elderly caregivers

2018 ◽  
Vol 76 (10) ◽  
pp. 685-691 ◽  
Author(s):  
Sofia Cristina Iost Pavarini ◽  
Allan Gustavo Brigola ◽  
Ana Carolina Ottaviani ◽  
Bruna Moretti Luchesi ◽  
Érica Nestor Souza ◽  
...  
Keyword(s):  
Cognitive Performance ◽  
Verbal Fluency ◽  
Family Income ◽  
Healthcare Services ◽  
Cognitive Domains ◽  
Factors Associated ◽  
Dependent Variables ◽  
Attention Memory ◽  
Elderly Caregivers ◽  
Addenbrooke’S Cognitive Examination

Abstract Objectives: To explore the socioeconomic, demographic and psychosocial factors associated with cognitive performance in elderly caregivers from Brazil. Methods: We evaluated 351 Brazilian elderly caregivers attending primary healthcare services regarding sociodemographic and care variables. Addenbrooke's Cognitive Examination-Revised (ACE-R) domains of orientation/attention, memory, verbal fluency, language and visuospatial were used as dependent variables in the Tobit model. Results: Literacy and family income were positively associated with all ACE-R domains. Age, gender, time of care (days/week) were negatively associated with some cognitive domains. Moreover, receiving emotional help and the level of hope were positively associated with specific domains. Discussion: The results may be useful for planning interventions aimed at elderly caregivers in order to prevent deficits in the different cognitive domains.

scholarly journals An Analysis for the Use of Simulation Modeling in Reducing Patient Waiting Time in Emergency Departments (EDs) in Hospitals

2020 ◽  
Vol 7 (1) ◽  
pp. 52-64
Author(s):  
Shailesh Narayanrao Khekale ◽  
Ramesh D. Askhedkar ◽  
Rajesh H. Parikh
Keyword(s):  
Waiting Time ◽  
Simulation Modeling ◽  
Healthcare Services ◽  
Healthcare Systems ◽  
Simulation Studies ◽  
Patient Dissatisfaction ◽  
Patient Waiting Time ◽  
Speed Accuracy ◽  
Patient Waiting

The emergency department (ED) plays crucial role in providing 24-hour healthcare services to the ill with speed, accuracy, and sympathy. ED faces the problem of patient waiting time, which leads to patient dissatisfaction and patient crowding. This paper presents a systematic literature review of simulation of ED in healthcare systems from 1970 to 2013. The objectives of this review are to highlight the importance and role of simulation studies to solve the problem of patient waiting time faced by the ED. It also discusses how simulation can be better applied as a tool to solve these problems. The authors found that these simulation studies focus important insights into ED problems, but they also had some limitations that should be addressed.

scholarly journals Factors associated with cervical cancer screening participation among migrant women in Europe: a scoping review

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Patrícia Marques ◽  
Mariana Nunes ◽  
Maria da Luz Antunes ◽  
Bruno Heleno ◽  
Sónia Dias
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Scoping Review ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Migrant Women ◽  
Factors Associated ◽  
Screening Participation ◽  
Cancer Screening Participation

Abstract Background Cervical cancer screening has been effective in reducing incidence and mortality of cervical cancer, leading European countries to implement screening programs. However, migrant women show lower screening participation compared to nationals. This scoping review aims to provide a synthesis of the growing evidence on factors associated with participation in cervical cancer screening among migrant women in Europe. Methods Electronic peer-reviewed databases were searched in November 2019 for studies on factors related to the participation of migrants in cervical cancer screening conducted in EU/EFTA countries, using comprehensive search expressions. Retrieved articles were screened and those eligible were selected for data extraction. Quantitative and qualitative studies were included. Factors were classified in barriers and facilitators and were divided into further categories. Results Twenty out of 96 articles were selected and analyzed. Factors associated with participation in cervical cancer screening were classified in categories related to sociodemographic, healthcare-system, psychological, migration, knowledge, language, and cultural factors. Lack of information, lack of female healthcare providers, poor language skills, and emotional responses to the test (especially fear, embarrassment and discomfort) were the most reported barriers to cervical cancer screening. Encouragement from healthcare providers and information available in migrants’ languages were frequently stated as facilitators. Results on the role of sociodemographic factors, such as age, education, employment and marital status, are the most conflicting, highlighting the complexity of the issue and the possibility of interactions between factors, resulting in different effects on cervical cancer screening participation among migrant women. Several identified barriers to screening are like those to access to healthcare services in general. Conclusions Efforts to increase migrant women’s participation in CCS must target barriers to access to healthcare services in general but also specific barriers, including cultural differences about sexuality and gender, past traumatic personal experiences, and the gender and competences of healthcare professionals performing CCS. Healthcare services should strengthen resources to meet migrants’ needs, including having CCS information translated and culturally adapted, as well as healthcare providers with skills to deal with cultural background. These findings can contribute to improve CCS programs among migrant women, reducing health disparities and enhancing their overall health and well-being.

scholarly journals Determinants of the Continuum of Maternal Healthcare Services in Northwest Ethiopia: Findings from the Primary Health Care Project

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Asmamaw Atnafu ◽  
Adane Kebede ◽  
Bisrat Misganaw ◽  
Destaw Fetene Teshome ◽  
Gashaw Andargie Biks ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Regression Analysis ◽  
Service Delivery ◽  
Health Facility ◽  
Logistic Regression Analysis ◽  
Healthcare Services ◽  
Multivariable Logistic Regression Analysis ◽  
Maternal Healthcare ◽  
Factors Associated ◽  
The Continuum

Background. The maternity continuum of care is the continuity of maternal healthcare services that a woman uses, which includes antenatal care (ANC 4+), skill birth attendant (SBA), and postnatal care (PNC) within 48 hours of delivery. It is one of the essential strategies for reducing maternal and newborn mortality. This study aimed to assess the factors associated with the completion of a continuum of maternal healthcare services among mothers who gave birth in the past five years. Methods. A community-based cross-sectional study was conducted from May 01 to June 29, 2019, among 565 randomly selected mothers who gave birth in five years before the study in primary healthcare project implementation districts of north Gondar zone, Amhara National Regional State, Ethiopia. Bivariable and multivariable logistic regression analysis were computed, and in the multivariable logistic regression analysis, adjusted odds ratio (AOR) with 95% confidence interval (CI) and a p value of less than 0.05 were used to identify the associated factors with completion of the continuum of maternal healthcare services. Results. The study revealed that the overall completion of the continuum of maternal healthcare services was 21.60% (95% CI: 18.20, 24.90). Women who were able to read and write (AOR: 2.70, 95% CI: 1.22, 6.04), using car/motorcycle as a means of transportation to get the health facility (AOR: 5.59, 95% CI: 2.29, 9.50), travel time less than an hour to get the health facility (AOR: 4.98, 95% CI: 2.97, 8.38), being satisfied with the service delivery (AOR: 1.89, 95% CI: 1.15, 3.11), and getting health education on maternal healthcare services in the last 6 months (AOR: 2.77, 95% CI: 1.52, 5.05) were factors associated with the completion of the continuum of maternal healthcare services. Conclusions. The completion of the continuum of maternal healthcare services was relatively low, indicating that women were not getting the likely health benefit from the present health services. Therefore, interventions should focus on increasing women’s awareness, improving the availability of services at nearby health facilities, and improving service delivery by considering women’s preferences and needs to increase their satisfaction are essential to increase the completion of maternal healthcare services.

scholarly journals Performance Modeling of Proposed GUISET Middleware for Mobile Healthcare Services in E-Marketplaces

2014 ◽  
Vol 2014 ◽  
pp. 1-9 ◽  
Author(s):  
Alaba Olu Akingbesote ◽  
Mathew Olusegun Adigun ◽  
Sibisuso Xulu ◽  
Edgar Jembere
Keyword(s):  
South Africa ◽  
Waiting Time ◽  
Queuing Theory ◽  
Performance Modeling ◽  
Healthcare Services ◽  
Pricing Strategy ◽  
Preemptive Priority ◽  
Mobile Healthcare ◽  
Utility Services ◽  
Priority Model

GUISET is a proposed middleware engine currently under study in South Africa. The goal is to provide utility services for small, medium, and macroenterprises in the context of mobile e-services. Three things are important to make this engine effective and efficient: the implementation, performance, and the pricing strategy. The literature has delved richly into implementation issue of similar projects. Both the performance and the pricing strategy issues have not been fully discussed especially in the context of mobile healthcare services. Some literature has addressed the performance issue using the exogenous nonpriority and the preemptive model. However, with providers offering different services using that approach may prove to be difficult to implement. This work extends existing and widely adopted theories to non-preemptive model by using the queuing theory and the simulation model in the context of mobile healthcare services. Our evaluation is based on non-preemptive priority and nonpriority discipline. Our results reveal that the unconditional average waiting time remains the same with reduction in waiting time over the non-preemptive priority model in four out of the five classes observed. This is envisaged to be beneficial in mobile healthcare services where events are prioritized and urgent attention is needed to be given to urgent events.

scholarly journals Ambulatory health service users' experience of waiting time and expenditure and factors associated with the perception of low quality of care in Mexico

2010 ◽  
Vol 10 (1) ◽  
Author(s):  
Alma Lucila Sauceda-Valenzuela ◽  
Veronika J Wirtz ◽  
Yared Santa-Ana-Téllez ◽  
Maria de la Luz Kageyama-Escobar
Keyword(s):  
Quality Of Care ◽  
Health Service ◽  
Waiting Time ◽  
Service Users ◽  
Factors Associated

scholarly journals Medical and Social Factors Associated with Referral for Elder Abuse Services in a National Healthcare System

2021 ◽  
Author(s):  
Lena K Makaroun ◽  
Carolyn T Thorpe ◽  
Maria K Mor ◽  
Hongwei Zhang ◽  
Elijah Lovelace ◽  
...  
Keyword(s):  
Healthcare System ◽  
Elder Abuse ◽  
Healthcare Services ◽  
Veterans Health ◽  
Health Administration ◽  
Next Of Kin ◽  
Eligibility Criteria ◽  
Logistic Regression Models ◽  
Neighborhood Socioeconomic Status ◽  
Factors Associated

Abstract Background Elder abuse (EA) is common and has devastating health consequences yet is not systematically assessed or documented in most health systems, limiting efforts to target healthcare-based interventions. Our objective was to examine sociodemographic and medical characteristics associated with documented referrals for EA assessment or services in a national US healthcare system. Methods We conducted a national case-control study in US Veterans Health Administration facilities of primary care (PC)-engaged Veterans age ≥60 years who were evaluated by social work (SW) for EA-related concerns between 2010-18. Cases were matched 1:5 to controls with a PC visit within 60 days of the matched case SW encounter. We examined the association of patient sociodemographic and health factors with receipt of EA services in unadjusted and adjusted models. Results Of 5,567,664 Veterans meeting eligibility criteria during the study period, 15,752 (0.3%) received services for EA (cases). Cases were mean age 74, and 54% unmarried. In adjusted logistic regression models (aOR; 95%CI), age ≥85 (3.56 v. age 60-64; 3.24-3.91), female sex (1.96; 1.76-2.21), child as next-of-kin (1.70 v. spouse; 1.57-1.85), lower neighborhood socioeconomic status (1.18 per higher quartile; 1.15-1.21), dementia diagnosis (3.01; 2.77-3.28) and receiving a VA pension (1.34; 1.23-1.46) were associated with receiving EA services. Conclusion In the largest cohort of patients receiving EA-related healthcare services studied to date, this study identified novel factors associated with clinical suspicion of EA that can be used to inform improvements in healthcare-based EA surveillance and detection.

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