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.

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.

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.

scholarly journals Effects of the first quarantine in health care services on the Portuguese population

2021 ◽  
Vol 31 (Supplement_2) ◽  
Author(s):  
Alexandre Cavaleiro ◽  
Joel Marouvo ◽  
Marina Saraiva ◽  
António Brito ◽  
Maria Castro
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Online Survey ◽  
Wilcoxon Test ◽  
P Value ◽  
Portuguese Population ◽  
Sample Distribution ◽  
Full Field ◽  
Care Services ◽  
The Impact

Abstract Background With the COVID-19 pandemic, the lack of information about this new virus, and its high transmissibility in humans, quarantine was declared to avoid spread. During early times of confinement, several health services closed or limited the patients' access. This study aims to analyze the impact of the first quarantine in health care services on the Portuguese population. Methods An online survey, approved by the IPC ethics committee, inquired about the health care services people attended before and during the quarantine period. 536 Portuguese with mean age 42.2 years (14.8) full-field the survey. The responses were gathered from the 18th of March till the 30th of April 2020. Differences between paired samples were established using the Wilcoxon test (P-value &lt; 0.05), due to an abnormal sample distribution (t = 0.0515, P &lt; 0.0001). Results The table shows the number of appointments that people attended before and after the quarantine and the statistics analysis (P) between the two moments. Conclusions There was a reduction in the number of appointments or treatments among all health care services. The total number of appointments decreased from 118 to 7 (P &lt; 0.001).

A comparative study of Turkish-speaking migrants and natives living in Vienna/Austria concerning their life satisfaction – with a particular focus on satisfaction regarding their health

2015 ◽  
Vol 11 (3) ◽  
pp. 206-217 ◽  
Author(s):  
Zeliha Özlü-Erkilic ◽  
Dietmar Winkler ◽  
Christian Popow ◽  
Heidi Elisabeth Zesch ◽  
Türkan AKKAYA-KALAYCI
Keyword(s):  
Health Care ◽  
Life Satisfaction ◽  
Health Care Services ◽  
Mental Health Problems ◽  
Preventive Health Care ◽  
Migration Background ◽  
Health State ◽  
Content Type ◽  
Care Services ◽  
The Impact

Purpose – The migration background can influence the life satisfaction of migrants. The purpose of this paper is to examine the life satisfaction of migrants and particularly the satisfaction regarding their health in comparison to natives. Design/methodology/approach – The life satisfaction of 50 Turkish-speaking migrants living in Vienna was compared with the life satisfaction of 50 native Austrians by the questionnaire of life satisfaction by Fahrenberg et al. (2000). Findings – Turkish-speaking migrants had lower values than natives in all scales of the questionnaire concerning life satisfaction. Turkish-speaking women reported the lowest satisfaction regarding their health state. In the migrant group the satisfaction regarding health decreased with increasing age. Research limitations/implications – The Turkish version of the questionnaire was translated into Turkish by authors but not formally validated. Furthermore acculturation strategies as well as the mental and physical health state of the participant, which can crucially influence the life satisfaction of migrants, were not surveyed. Practical implications – Migrants have lower life satisfaction possibly because of their physical and mental health problems. Therefore in countries with a high proportion of migrants the health-care system should be adapted for the needs of migrants, especially for the needs of women and older migrants in order to increase the utilization of the health-care services, primarily the use of the preventive health-care services. Social implications – The results of the present study can be helpful to develop strategies for improving the life satisfaction of migrants, especially the satisfaction regarding their health. Originality/value – To the authors’ knowledge, the present study is the first research project in Vienna conducted to estimate the impact of migration background on life satisfaction.

scholarly journals Psychiatric Impact of Organized and Ritual Child Sexual Abuse: Cross-Sectional Findings from Individuals Who Report Being Victimized

2018 ◽  
Vol 15 (11) ◽  
pp. 2417 ◽  
Author(s):  
Johanna Schröder ◽  
Susanne Nick ◽  
Hertha Richter-Appelt ◽  
Peer Briken
Keyword(s):  
Health Care ◽  
Sexual Abuse ◽  
Child Sexual Abuse ◽  
Health Care Services ◽  
Online Survey ◽  
Cross Sectional ◽  
Care Services ◽  
Mailing Lists ◽  
Related Symptom ◽  
Care Situation

Organized and ritual child sexual abuse (ORA) is often rooted in the child’s own family. Empirical evidence on possible associations between ORA and trauma-related symptoms in those who report this kind of extreme and prolonged violence is rare. The aim of our study was to explore socio-demographic and clinical characteristics of the individuals reporting ORA experiences, and to investigate protective as well as promotive factors in the link between ORA and trauma-related symptom severity. Within the framework of a project of the Independent Inquiry into Child Sexual Abuse in Germany, we recruited 165 adults who identified themselves as ORA victims via abuse- and trauma-specific networks and mailing lists, and they completed an anonymous online survey. We used variance analyses to examine correlations between several variables in the ORA context and PTSD symptoms (PCL-5) as well as somatoform dissociation (SDQ-5). Results revealed a high psychic strain combined with an adverse health care situation in individuals who report experiences with ORA. Ideological strategies used by perpetrators as well as Dissociative Identity Disorders experienced by those affected are associated with more severe symptoms (η2p = 0.11; η2p = 0.15), while an exit out of the ORA structures is associated with milder symptoms (η2p = 0.11). Efforts are needed to improve health care services for individuals who experience severe and complex psychiatric disorders due to ORA in their childhood.

The impact of anxiety on health care utilization among Hispanic and non-Hispanic youth

2017 ◽  
Vol 25 (7) ◽  
pp. 986-992
Author(s):  
Sarah A Bilsky ◽  
Aubrey R Dueweke ◽  
Ana J Bridges
Keyword(s):  
Health Care ◽  
Anxiety Disorder ◽  
Health Care Utilization ◽  
Service Utilization ◽  
Health Care Services ◽  
Care Utilization ◽  
Hispanic Youth ◽  
Medical Visits ◽  
Care Services ◽  
The Impact

This study examined differences in health service utilization among anxious and non-anxious youth primary care patients. We further examined the moderating role of Hispanic ethnicity on the relation between anxiety and service utilization. Past 4-year health care utilization was examined in a group of 6962 American youth (51.10% male; 53.10% Hispanic). Youth with an anxiety disorder had significantly more medical visits over the prior 4-year period than youth without an anxiety disorder. Hispanic youth utilized health care services at higher rates than non-Hispanic youth; however, ethnicity did not moderate the relation between youth anxiety and health care utilization.

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.

The Impact of War on Population Health

2014 ◽  
Vol 1 (1) ◽  
Author(s):  
Turkan Ahmet
Keyword(s):  
Health Care ◽  
Health Status ◽  
Health Care Services ◽  
Negative Effects ◽  
The Past ◽  
Care Services ◽  
Physical Environments ◽  
The Social ◽  
Personal Experiences ◽  
The Impact

The past few decades of ongoing war in Iraq has had a dramatic impact on the health of Iraq’s population. Wars are known to have negative effects on the social and physical environments of individuals, as well as limit their access to the available health care services. This paper explores the personal experiences of my family members, who were exposed to war, as well as includes information that has been reviewed form many academic sources. The data aided in providing recommendations and developing strategies, on both local and international levels, to improve the health status of the populations exposed to war.

A Study on the Impact of Demonetization on Utilisation of Private Health Care Services in a South Indian City

2020 ◽  
Vol 11 (2) ◽  
pp. 485
Author(s):  
Vijay K. Yalanchmanchili ◽  
N. Partha Sarathy ◽  
U. Vijaya Kumar ◽  
M. Ravi Kiran ◽  
Kalapala Abhilash
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Private Health Care ◽  
Care Services ◽  
South Indian ◽  
Indian City ◽  
The Impact
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