Rural and Urban Canadians with Dementia: Use of Health Care Services

2006 ◽  
Vol 25 (3) ◽  
pp. 321-330 ◽  
Author(s):  
Dorothy A. Forbes ◽  
Debra Morgan ◽  
Bonnie L. Janzen
Keyword(s):  
Health Care ◽  
Rural Areas ◽  
Health Care Services ◽  
Canadian Community Health Survey ◽  
Health Services Use ◽  
Care Needs ◽  
Cross Sectional ◽  
Care Services ◽  
The Impact ◽  
Use Of Health Care

ABSTRACTThe purpose of this research was to examine the characteristics of older Canadians with dementia (compared to those without dementia), their use of health care services, and the impact of place (rural/urban) on use of services. Andersen and Newman's Behavioural Model of Health Services Use (1973) guided the study. A cross-sectional design used data from the Canadian Community Health Survey (CCHS) Cycle 1.1 (N=49,995 older Canadians; those with dementia =313). Results indicated that among Canadian females between the ages of 50 and 64, those with dementia were more likely than those without dementia to live in rural areas. Among females 80 years of age and over, those with dementia had higher levels of education and income than those without dementia. In addition, a higher proportion of white than of visible minority Canadians was afflicted with dementia. The results further suggest that Canadians with dementia primarily required support services and that they were more likely than persons without dementia to report that their health care needs were unmet. It is recommended that publicly funded national home care programs be expanded to ensure that the supportive services needed by this population are available.

scholarly journals Health care needs and use of health care services among newly arrived Syrian refugees: a cross-sectional study

CMAJ Open ◽  
2017 ◽  
Vol 5 (2) ◽  
pp. E354-E358 ◽  
Author(s):  
Anna Oda ◽  
Andrew Tuck ◽  
Branka Agic ◽  
Michaela Hynie ◽  
Brenda Roche ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Cross Sectional Study ◽  
Syrian Refugees ◽  
Health Care Needs ◽  
Sectional Study ◽  
Care Needs ◽  
Cross Sectional ◽  
Care Services ◽  
Use Of Health Care

scholarly journals Impact of COVID-19 and mitigation plans on essential health services: institutional experience of a hospital in Ethiopia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Firaol Dandena ◽  
Berhanetsehay Teklewold ◽  
Dagmawi Anteneh
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care Services ◽  
Cross Sectional Study ◽  
Vital Role ◽  
Treatment Center ◽  
Cross Sectional ◽  
Poor Countries ◽  
Care Services ◽  
The Impact

Abstract Background Health systems around the world are being challenged by an on-going COVID-19 pandemic. The COVID-19 pandemic and associated response can have a significant downstream effect on access to routine health care services, and indirectly cause morbidity and mortality from causes other than the disease itself, especially in resource-poor countries such as Ethiopia. This study aimed to explore the impact of the pandemic on these services and measures taken to combat the effect. Methods The study was conducted at St. Paul’s hospital millennium medical college (SPHMMC) from December 15, 2020 to January 15, 2021 using a comparative cross-sectional study design. We collected data on the number of clients getting different essential health care services from May to October 2019 (Pre COVID) and the same period in 2020 (during a COVID-19 pandemic) from the patient registry book. The analysis was done with SPSS version 24 software. Result Overall, the essential services of SPHMMC were affected by the COVID-19 pandemic. The most affected service is inpatient admission, which showed a 73.3% (2044 to 682) reduction from the pre-COVID period and the least affected is maternal service, which only decreased by 13% (3671 to 3177). During the 6 months after the COVID-19 pandemic, there was a progressive increment in the number of clients getting essential health services. Conclusion and recommendation The establishment of a triple setup for fighting against COVID-19, which encompasses non-COVID services, an isolation center and a COVID-19 treatment center, played a vital role in preserving essential health services.

scholarly journals Understanding Satisfaction with Health care Services among Congolese Refugees in Bujumbura, Burundi

2021 ◽  
Author(s):  
Nadine Misago ◽  
Desire Habonimana ◽  
Ann Alero Roberts ◽  
Patrick Bitangumutwenzi
Keyword(s):  
Health Care ◽  
Quality Of Health Care ◽  
Health Care Services ◽  
Care Needs ◽  
Cross Sectional Survey ◽  
Quality Health Care ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Care Services

Abstract Background3502 Congolese refugees based in Bujumbura possess the United Nations Higher Commissioner for Refugees (UNHCR) health insurance covering primary health care needs offered by CMC SOLIS clinic. This study sought to assess the quality of health care services received by Congolese refugees and determine factors affecting satisfaction. MethodsA cross-sectional survey was conducted on 400 refugees visiting CMC SOLIS for health care from June to August 2018. A questionnaire based on SERQUAL tool composed of five health quality dimensions was used to collect data on reliability, tangibility, assurance, responsiveness, and empathy. Logistic models were used to determine factors affecting satisfaction. ResultsOverall, 43% of refugees reported satisfaction with health care services. Age and gender significantly determined overall satisfaction. Other determinants such as education did not have significant effects. ConclusionsOverall, results from this study claim that CMC SOLIS does not offer quality health care services to Congolese refugees living in Bujumbura. Most importantly, the quality of health care services worsened with an increasing age as older ages were associated with less likelihood of satisfaction. Also, health care services offered to females seem to be deficient. Trial registration: N/A

The Impact of Community Based Health Insurance in Enhancing Better Accessibility and Lowering the Chance of Having Financial Catastrophe Due to Health Service Utilization

2015 ◽  
Vol 47 (3) ◽  
pp. 504-518 ◽  
Author(s):  
Somdeth Bodhisane ◽  
Sathirakorn Pongpanich
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Household Income ◽  
Health Care Services ◽  
Lower Probability ◽  
Community Based ◽  
Cross Sectional ◽  
Community Based Health Insurance ◽  
Care Services ◽  
The Impact

The Lao population mostly relies on out-of-pocket expenditures for health care services. This study aims to determine the role of community-based health insurance in making health care services accessible and in preventing financial catastrophe resulting from personal payment for inpatient services. A cross-sectional study design was applied. Data collection involved 126 insured and 126 uninsured households in identical study sites. Two logistic regression models were used to predict and compare the probability of hospitalization and financial catastrophe that occurred in both insured and uninsured households within the previous year. The findings show that insurance status does not significantly improve accessibility and financial protection against catastrophic expenditure. The reason is relatively simple, as catastrophic health expenditure refers to a total out-of-pocket payment equal to or more than 40% of household income minus subsistence. When household income declines as a result of inability to work due to illness, the 40% threshold is quickly reached. Despite this, results suggest that insured households are not significantly better off under community-based health insurance. However, compared to uninsured households, insured households do have better accessibility and a lower probability of reaching the financial catastrophe threshold.

The impact of depression and anxiety on well being, disability and use of health care services in nursing home patients

2006 ◽  
Vol 21 (4) ◽  
pp. 325-332 ◽  
Author(s):  
Martin Smalbrugge ◽  
Anne Margriet Pot ◽  
Lineke Jongenelis ◽  
Chad M. Gundy ◽  
Aartjan T. F. Beekman ◽  
...  
Keyword(s):  
Health Care ◽  
Nursing Home ◽  
Health Care Services ◽  
Well Being ◽  
Depression And Anxiety ◽  
Care Services ◽  
Nursing Home Patients ◽  
The Impact ◽  
Use Of Health Care

scholarly journals The Impact Of Cost Sharing Arrangements In The Use Of Health Care Services During The Economic Crisis In Greece And The Attitudes Of Citizens

2016 ◽  
Vol 19 (7) ◽  
pp. A461
Author(s):  
K Kyriklidis ◽  
D Kaitelidou ◽  
G Angelopoulos ◽  
A Samoutis ◽  
O Konstantakopoulou ◽  
...  
Keyword(s):  
Health Care ◽  
Economic Crisis ◽  
Cost Sharing ◽  
Health Care Services ◽  
Care Services ◽  
The Impact ◽  
Use Of Health Care

scholarly journals RELUCTANCE TO SERVE IN RURAL AREAS: DOCTORS' PERSPECTIVE

1970 ◽  
Vol 7 (3) ◽  
pp. 157-162 ◽  
Author(s):  
Tamkeen Nishat Jaffry ◽  
Samiha Mirza ◽  
Shehla Farheen ◽  
Sadaf Khalid
Keyword(s):  
Health Care ◽  
Rural Areas ◽  
Health Care Services ◽  
Cross Sectional Study ◽  
Working Environment ◽  
Cross Sectional ◽  
Public And Private ◽  
Care Services ◽  
Rural And Remote Areas ◽  
Public And Private Hospitals

Background: Pakistan's health care system has been adversely affected by the non-availability of doctors in its rural and remote areas. It is the high time to realize that the improvement in the standard of health care services can be achieved with willingness and dedication of doctors to work in these areas which is only possible by providing them with suitable working environment. Methods: This was a descriptive cross-sectional study conducted on 200 doctors working in public and private hospitals/clinics of Islamabad, Pakistan. Data was collected through a questionnaire and processed in SPSS software version 16. Results: 200 doctors comprising of 113 males and 87 females were recruited for the study. The mean age was 30 years (0.65 SD). Majority (86.5 %) of the doctors were of the view; that indeed it was the non-availability of doctors at rural health care centres for poor health services in such areas. 83.9 % agreed that basic facilities were lacking in rural areas. Regarding transportation, 74.5 % had the opinion that these facilities were inadequate in rural areas. Nevertheless, 84.5 % agreed that by improving the basic facilities of life, working conditions could be improved. However, 72.5 % supported the idea of extra hard area grant to improve doctors' motivation towards serving rural areas. Conclusion: Doctors were reluctant to serve in rural areas because of the difficulties affecting their social, professional and family life. By developing the infra-structure of health centres and by providing some special incentives to the serving doctors, this issue can be resolved to a considerable extent.

scholarly journals Barriers to Access Health Care Services among Rural Adolescent Girls in Raina I Block, Purba Bardhaman, West Bengal

2021 ◽  
Vol 9 (3) ◽  
pp. 61-72
Author(s):  
Mousumi Dholey ◽  
Sumana Sarkar
Keyword(s):  
Health Care ◽  
Adolescent Girls ◽  
Rural Areas ◽  
Access To Health Care ◽  
Health Care Services ◽  
Future Health ◽  
Quality Health Care ◽  
Cross Sectional ◽  
Care Services ◽  
Rural Adolescent

Adolescence in girls is a crucial transition phase during which they experience biological and psychological changes along with changes in social outlook. This phase provides an opportunity to lay the foundation for their future health. But, in rural areas, adolescent girls are often deprived of better nutrition and proper health care guide, resulting in serious health issues like malnutrition, stunting, wasting, and anaemia. Moreover, their access to health care services is subjected to various constraints as infrastructural and societal barriers such as regressive norms, social stigma, gendered family structure, etc. Thus, the present study attempts to explore the perceived barriers that prevent rural adolescent girls from accessing health care services at the micro-level. A community-based cross-sectional study was carried out after randomly selecting 120 adolescent girls in the age cohort of 10-19 years in the Raina-I block of Purba Bardhaman district. The results suggested that societal barriers have a significant influence over health-related decision-making. Besides, lack of quality health care services and economic burden are some of the other significant obstacles observed here.

scholarly journals Relationship between anxiety and insomnia in clinical clerkship students during COVID-19 pandemic

2021 ◽  
Vol 4 (1) ◽  
pp. 21
Author(s):  
Maria Sekartaji ◽  
Resty Puspita Sari ◽  
Muhammad Irsan ◽  
Muhammad Adnan ◽  
Labitta Pachira Aquaira ◽  
...  
Keyword(s):  
Health Care ◽  
Anxiety Disorder ◽  
Health Care Services ◽  
Online Survey ◽  
Mental Health Problems ◽  
Learning Performance ◽  
Clinical Clerkship ◽  
Cross Sectional ◽  
Care Services ◽  
The Impact

During the COVID-19 pandemic, there is an increase in anxiety disorder towards the general population, including those clinical clerkship students who are associated with health care services. There has been limited study conducted regarding to the topic, especially during the COVID-19 pandemic. This study was aimed to know the prevalence of anxiety and insomnia, as well as the correlation between them, in clinical clerkship students during COVID-19 pandemic. An online survey was conducted using a cross-sectional approach to 229 clinical clerkship students batch 2015 at the Faculty of Medicine, Public Health, and Nursing Universitas Gadjah Mada. This study used the Insomnia Severity Index (ISI) and General Anxiety Disorder-7 (GAD-7), administered using Google Forms. Data were analysed using the Chi-Square test. We collected 101 responses. There were 41.6% of males and 58.4% of females with ages ranging from 21 to 26. The result shows 26.7% (95% CI: 8.1-35.4%) of students undergo anxiety and 44.6% (95% CI: 34.9-54.3%) of students experienced insomnia throughout the COVID-19 pandemic. There is a correlation between anxiety and insomnia on clinical clerkship students during the COVID-19 pandemic. Clinical clerkship students with an anxiety disorder have 2.62 times greater risk of experiencing insomnia (p<0.001). The correlation between insomnia and anxiety during COVID-19 pandemic is vital because clinical clerkship students are directly involved in health care services and could risk the safety of patients. Thus, it is important to conduct the course of actions to reduce the risk of mental health problems during pandemic conditions. Also, further research is needed to have a better understanding of the impact on learning performance.

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