scholarly journals Immigrant Health and Changes to the Public-Charge Rule: Family Physicians’ Response

2020 ◽  
Vol 18 (5) ◽  
pp. 458-460
Author(s):  
Cynthia Haq ◽  
Isaure Hostetter ◽  
Laura Zavala ◽  
José Mayorga
2020 ◽  
Vol 3 (7) ◽  
pp. e2010391 ◽  
Author(s):  
Benjamin D. Sommers ◽  
Heidi Allen ◽  
Aditi Bhanja ◽  
Robert J. Blendon ◽  
E. John Orav ◽  
...  
Keyword(s):  

Vaccines ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 774
Author(s):  
Gabriela Loredana Popa ◽  
Andrei-Alexandru Muntean ◽  
Mădălina-Maria Muntean ◽  
Mircea Ioan Popa

Vaccines are fundamental instruments upon which all modern medicine is hinged. This has recently come into the light because of the COVID-19 pandemic caused by SARS-CoV-2. We aimed to assess the knowledge and attitudes of the public regarding vaccination. To this end, a questionnaire, which was disseminated to the general population between 2017 and 2019, was used. We evaluated the responses from 1647 individuals (61% female, with a median age of 37 years, mostly from urban settings). Most respondents (85%) had children and were in favor of vaccination. Our study underlines the role that family physicians have in the education and information of citizens. A small, but considerable, number of respondents (108, 7.84% of those with children) had not vaccinated their children according to the national vaccination scheme. Deterrents were considered to be lack of information and fear of side effects. However, 167 of our respondents (12.12% out of 1377 respondents with children) said that their child experienced adverse events—most of which were mild local reactions. Alternatives to vaccination were proposed by some. In this study, we highlight the attitudes of respondents and multiple gaps in general knowledge, both of which may need to be addressed, especially in light of the current pandemic situation and past failed campaigns.


Author(s):  
Sabrina Young ◽  
Jenny Guadamuz ◽  
Marian Fitzgibbon ◽  
Joanna Buscemi ◽  
Angela Odoms-Young ◽  
...  

Abstract Federal nutrition assistance programs, especially the Supplemental Nutrition Assistance Program (SNAP), are an important safety net for households in the USA. Although few immigrant households are eligible for SNAP, those who need the program are less likely to participate than nonimmigrant households. Documented barriers to participation include language challenges and anti-immigrant rhetoric. However, previous research indicates that when immigrant households do participate in SNAP, their young children experience less food insecurity and the household as a whole makes fewer tradeoffs between food and other necessities. The Public Charge Rule limits ability to obtain a green card based on participation in public assistance programs. A recent change to this rule added programs to include some noncash programs, including SNAP. Although the vast majority of immigrants who are subject to the Public Charge Rule are not eligible for SNAP, misunderstanding of the rule and fear threaten to reduce SNAP enrollment and consequently increase food insecurity in immigrant families. Spillover effects may occur for families not targeted by changes in the Public Charge Rule as well as decreasing access to other safety net programs that are not impacted by the proposed changes, such as The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) and school meals programs. In order to support the food security of immigrant families in the USA, we recommend that the Department of Homeland Security and the Department of State remove all non-cash safety net programs from the Public Charge Rule.


2018 ◽  
Vol 31 (12) ◽  
pp. 730
Author(s):  
Ana Moura ◽  
Pedro Pita Barros

Introduction: The percentage of citizens who were not registered with a family physician in Portugal reached 16.6% in 2011. In 2012 the Ministry of Health implemented several measures aiming at improving access to family physicians. One clear objective was that all individuals would be registered with a family physician by 2014. We evaluate the evolution of the socioeconomic inequalities regarding registration with family physicians in Portugal between 2009 and 2014.Material and Methods: We use data at the primary health care unit level on the number of individuals who are not registered with a family physician and the purchasing power of the population served by each unit. The analysis is done using concentration measures.Results: We find a higher concentration of individuals not registered with a family physician among units serving populations with higher socioeconomic status, although this has been decreasing over the years analyzed. Amongst units serving the most disadvantaged populations, we find a situation close to perfect equality.Discussion: Our results may reflect the fact that populations with higher economic status live in urban areas where there is greater shortage of family physicians. Alternatively, it may be that these populations choose not to have a family physician within the public system, thus relying on private providers. Conclusion: Our findings convey a reduction in existing socioeconomic inequalities in terms of registration with a primary care physician, during the period under analysis. This reduction took place among the populations which experienced more inequality.


PEDIATRICS ◽  
1975 ◽  
Vol 55 (5) ◽  
pp. 746-746
Author(s):  
J. B.J. McKendry

The College of Family Physicians of Canada has evolved a firm philosophy of its new image. The medical school graduate of the future will enter a two-year program partly hospital-based and partly community clinic-or private office-based to develop the adequate skills necessary to render primary care in internal medicine, pediatrics, obstetrics and gynecology, psychiatry, and trauma, with a continual infusion of knowledge related to the psychosocial dynamics of family life. This new physician will require the services of the social worker, the public health nurse, the school nurse, the psychologist, the family counsellor and the psychiatrist.


2019 ◽  
Vol 16 (2) ◽  
pp. 177-210 ◽  
Author(s):  
Medha D. Makhlouf

2018 ◽  
Vol 379 (10) ◽  
pp. 901-903 ◽  
Author(s):  
Krista M. Perreira ◽  
Hirokazu Yoshikawa ◽  
Jonathan Oberlander
Keyword(s):  

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 869-869
Author(s):  
Ariunsanaa Bagaajav

Abstract Every year, approximately 10% of older adults worldwide experience elder abuse (EA), a serious violation of human rights. A wide range of consequences of EA have been identified including increased vulnerability to morbidity and mortality. Some countries have regulations to protect victims of EA either under stand-alone EA laws or relevant laws such as mandatory reporting. As of 2016, family physicians (FPs) in Mongolia became mandatory reporters of domestic violence alongside other human service workers under the newly amended Law to Combat Domestic Violence. Evidence shows that health providers who report abuse cases have greater awareness of their mandatory obligations to report. No rigorous study has explored the extent to which FPs in Mongolia know about mandatory reporting and their perceptions about its effectiveness to help victims of EA. An exploratory qualitative study was conducted. Through purposive sampling, 15 FPs participated in semi-structured in-depth interviews. The data collection took place over Skype. All interviews were recorded, transcribed verbatim and analyzed using thematic analysis. Surprisingly, all participants were aware of their mandatory obligations to report cases of domestic violence including EA. However, the study revealed that FPs were doubtful that potential victims of EA would be effectively protected under the new regulation due to the public perception that services and legal resources are designed primarily for women and children. Addressing this misconception is critical for ensuring that resources are appropriately utilized for potential victims of EA as well.


Author(s):  
Ritika Tiwari ◽  
Robert Mash ◽  
Innocent Karangwa ◽  
Usuf Chikte

Abstract Background In South Africa, there is a need to clarify the human resources for health policy on family physicians (FPs) and to ensure that the educational and health systems are well aligned in terms of the production and employment of FPs. Objective To analyse the human resource situation with regard to family medicine in South Africa and evaluate the requirements for the future. Methods A retrospective review of the Health Professions Council of South Africa’s (HPCSA) database on registered family medicine practitioners from 2002 until 2019. Additional data were obtained from the South African Academy of Family Physicians and published research. Results A total of 1247 family medicine practitioners were registered with the HPCSA in 2019, including 969 specialist FPs and 278 medical practitioners on a discontinued register. Of the 969, 194 were new graduates and 775 from older programmes. The number of FPs increased from 0.04/10 000 population in 2009 to 0.16/10 000 in 2019, with only 29% in the public sector. On average, seven registrars entered each of nine training programmes per year and three graduated. New graduates and registrars reflect a growing diversity and more female FPs. The number of FPs differed significantly in terms of age, gender, provincial location and population groups. Conclusions South Africa has an inadequate supply of FPs with substantial inequalities. Training programmes need to triple their output over the next 10 years. Human resources for health policy should substantially increase opportunities for training and employment of FPs.


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