scholarly journals Medicinal Plant Use Influenced by Health Care Service in Mestizo and Indigenous Villages in the Peruvian Amazon

2017 ◽  
Vol 10 (3) ◽  
pp. 19 ◽  
Author(s):  
Miki Toda ◽  
Misa Masuda ◽  
Elsa L. Rengifo
Keyword(s):  
Health Care ◽  
Medicinal Plants ◽  
Medicinal Plant ◽  
Health Care Services ◽  
Care Service ◽  
Health Care Service ◽  
Modern Medicine ◽  
Care Utilization ◽  
Peruvian Amazon ◽  
Plant Use

Medicinal plants, as a type of non-timber forests (NTFP), have been expected to support the livelihoods of people globally, especially in rural and forest areas in developing nations. As medicinal plants occupy a unique position, with direct repercussions for people’s health and as a potential income resource, it is necessary to take the interaction with, and influence of, modern medicine into account when they are considered as a NTFP. This study pursued the influence of the health care service on medicinal plant utilization in mestizo and indigenous villages near secondary population agglomerations in the Peruvian Amazon. The study found some influence of the health care services on medicinal plant use in the study site, indicating that 1) medicinal plants are not necessarily a highly dependable approach for health care, 2) there are insufficient conditions for the development of a commercial market for medicinal plants, and 3) mestizo and indigenous households have similar health care utilization behaviours, although indigenous households are more affected by modern medicine, especially health care insurance, than the mestizo households. The health care service is an important factor for medicinal plant use for both health and livelihood. Without considering this factor, the potential of medicinal plants as NTFP cannot be fully understood.

scholarly journals THE CORRELATION BETWEEN DEMAND FACTORS AND HEALTH CARE SERVICE UTILIZATION BY CONTRIBUTION BENEFICIARY PATIENTS

2019 ◽  
Vol 7 (2) ◽  
pp. 185
Author(s):  
Leli Rachmawati ◽  
Isma Faridatus Sholihah
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
General Hospital ◽  
Health Care Services ◽  
Care Service ◽  
Health Care Service ◽  
Care Utilization ◽  
Care Services ◽  
Outpatient Unit ◽  
Health Care Service Utilization

Background: National Health Insurance is the government's effort to increase public access to health care services. As the implementer of the National Health Insurance, the Outpatient Unit of Haji General Hospital, Surabaya has undergone the decrease of contribution beneficiaries’ visits from 2010-2013. This condition indicates a decrease in health care utilization by the low-income community.Aim: This study aims to identify the correlation between health care demands and health care utilization by the contribution beneficiary patients.Method: The study was an observational analytic using a cross-sectional design. A systematic random sampling technique was used to determine the sample of the study. The respondents were 74 contribution beneficiary patients who possessed a district government free care scheme and had ever utilized the health care services at the Outpatient Unit of Haji General Hospital, Surabaya, and at least 13 years old. The data were collected through questionnaires and analyzed with Spearman and Chi-Square tests (α =0.05).Results: Health status, insurance needs, additional costs, gender, ethnicity, education, and income did not have a significant correlation with the health care service utilization by the contribution beneficiary patients at the Outpatient Unit of Haji General Hospital. It was identified that the older the people are, the higher the frequency of health care utilization is. Besides, service time was proven to be the determinants of health care utilization (p = 0.006).Conclusion: The most influential factors in utilizing the health care services by contribution beneficiary patients are service time and age. Based on those factors, the Haji General Hospital requires to improve its services and service timeliness for the elderly contribution beneficiary patients.Keywords: demand, contribution beneficiary patients, utilization.

The Ethics of End-of-Trial Obligations in a Pediatric Malaria Vaccine Trial: The Perspectives of Stakeholders From Ghana and Tanzania

2018 ◽  
Vol 13 (3) ◽  
pp. 258-269 ◽  
Author(s):  
Claire Leonie Ward ◽  
David Shaw ◽  
Evelyn Anane-Sarpong ◽  
Osman Sankoh ◽  
Marcel Tanner ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Malaria Vaccine ◽  
Care Service ◽  
Health Care Service ◽  
Vaccine Trial ◽  
Health Indicators ◽  
Treatment Access ◽  
Post Trial ◽  
The Impact

This study explores stakeholder experiences and perspectives on end-of-trial obligations at the close of a phase II/III Pediatric Malaria Vaccine Trial (PMVT) [GSK/PATH-MVI RTS, S) (NCT00866619]. We conducted 52 key informant interviews with major stakeholders of an international multicentre PMVT in Ghana and Tanzania. The responses fell into four main themes: (a) Communicating End-of-Trial, (b) Maintaining Health Care Services, (c) Dissemination of Results, and (d) Post-Trial Access. Interviewee responses shared important practical experiences and insights that complement current thinking in the literature on research ethics guidance: (a) accompany end-of-trial communication with information on personal and family health care responsibilities, (b) establish public health indicators to measure the impact of research on a health care system, (c) design a gradual exit strategy with opportunities to address unplanned events, (d) endorse a principled approach of continuity of care when designing a health care service handover, and (e) devise an actionable post-trial treatment access pathway with diverse stakeholder representatives.

The Perceptions and Usage Intention of a Telecare System: An Empirical Study in Taiwan

2011 ◽  
Vol 467-469 ◽  
pp. 1056-1065
Author(s):  
Hui Lung Hsieh ◽  
Chung Hung Tsai ◽  
Bi Kun Chuang
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Comprehensive Evaluation ◽  
Care Service ◽  
Health Care Service ◽  
Care Services ◽  
Individual Privacy ◽  
Telemedicine Technology ◽  
Patient Health ◽  
Biomedical Technologies

With the growing number of aging population and chronic illnesses, how to help elderly residents access the health care service timely is a challenge for health care institutions in Taiwan. Recent advances in information, communication and biomedical technologies have combined to allow the development of various types of telemedicine technology designed to enhance or expand the health care services of elderly residents. However, most telecare studies focused only on medical care or development of technology rather than on comprehensive evaluation of residents’ (or patients’) perception about service processes. The purpose of this study was to explore rural residents’ perceptions and usage intention of a telecare system after they have used it. Results from this exploratory study showed that most elderly people have never heard or touched telecare systems before the study was conducted. However, the general perceptions of such systems included improvement of interacting with medical staffs, safety protection, convenient care, and one needed item of services in daily life. Especially, the mostly risk perception was privacy risk, that is, data confidentiality and individual privacy. Generally, most elderly residents evaluated their telecare experiences and perceptions as being positive. Besides, most elderly resident were willing to use the telecare system without fees. However, they felt risky about confidentiality and privacy toward this technology. To improve trustworthy perception of this novel technology, telecare providers should implement appropriate safeguards to protect patient health information exchanged in a telecare setting. Also, the physicians/nurses should take the time to communicate with the residents, especially in the form of education, about the benefits of technology. To optimize the effectiveness of this promising technique, more research on the relationship between residents’ (or patients’) perceptions and influences of technology will need to be conducted continually in future.

scholarly journals Effects of Health Sector Information Asymmetry on Patient Satisfaction: An Appilication on Yalova Oral and Dental Care Centre

2013 ◽  
Author(s):  
Selami Özcan ◽  
Kerim Baş ◽  
H. Yunus Taş
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Information Asymmetry ◽  
Health Care Services ◽  
Care Service ◽  
Health Care Service ◽  
Health Sector ◽  
Practical Applications ◽  
Information Level ◽  
Level Difference

Effects of excessive information level difference between providers and receivers of health care services on patients will be presented with this work. Fundamental concepts like health care service, information asymmetry and it’s effects will be explained. Information levels of attempts and treatments that were put in practice to the patients, surgical operations and billing will be studied and the outputs of the information level difference between the provider and the receiver will be determined. In this research, it will be revealed if the practical applications and the concepts in the literature overlap each other and developing a new method towards evaluating the information level difference will be attempted. Patients who received a certain number of treatments will be targeted. Survey questions that will be asked to the patients will try to reveal the amount of information on the procedure they have undertaken and the between this level of information and the their satisfaction. SPSS software is used for the analysis of the data. Resolving of the relation between patient satisfaction themeasured percentage of level of information about the procedure the subject have undertaken will be attempted during the evaluation of the survey results. The effects of gender, age and education on level of information-customer satisfaction will also be investigated while determining the patients level of information with this survey.

scholarly journals Exploration of an Intelligent and Secure Wireless Body Area Networks for Health Monitoring

2019 ◽  
Vol 8 (2S3) ◽  
pp. 681-685
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Care Service ◽  
Elderly Care ◽  
Health Care Service ◽  
Body Area Networks ◽  
Wireless Body Area Networks ◽  
Security And Privacy ◽  
Body Area ◽  
Internet Service

Today’s Wireless Body Area Networks technology augmented the wireless sensors communication more smart in the e-health line. With this sensors deployment prominent body parameters simply monitored remotely and the corresponding data is stored and transmitted the same for treatment purpose to the e-healthcare destination. Primarily Wireless Body Area Networks health care service is deliberately used in telemedicine, mobile health, elderly care, to monitor the chronic diseases and in emergency cases- the medical rehabilitations provided immediately without delay to the respective patient by the medical professional through internet service. As the demand of Wireless Body Area Networks e-health service increases, its ability is further enhanced once it is provided with more security and privacy to the enabled user’s data with more integrity, confidentiality, availability features. Wireless Body Area Networks makes the people to improve their quality of life provided with affordable cost and flexibility in usage having minimum operation of events. Researcher’s shows an interest over the past years in e-health care services adaptability and concerns more on real-world complications. This survey paper mainly focuses on the conceptual structure of Wireless Body Area Networks communication, security and privacy issues, and allocated frequency bands.

scholarly journals Herbalists and their Mode of Health Care Service Delivery in Debre Markos Town, Northwest Ethiopia

2019 ◽  
Vol 6 (1) ◽  
pp. 122-137
Author(s):  
Eliyas Taha ◽  
Mindaye Shimekit Woldeyohannes
Keyword(s):  
Herbal Medicine ◽  
Medicinal Plants ◽  
Care Service ◽  
Health Care Service ◽  
Modern Medicine ◽  
Northwest Ethiopia ◽  
Primary Data ◽  
Drug Preparation ◽  
Structured Interviews ◽  
Secondary Sources

The administration of medicinal plants for treating human ailments is an age-old practice. Although several studies have been conducted, most of them focused on documentation of the medicinal plants and herbal knowledge. This study investigated why people use herbal medicine, from what conviction, and explains how the plants are collected, prepared and put to purpose. In order to get deeper information about the issue, both primary and secondary sources are consulted. Observation, semi structured interviews, and key informant interviews were used to collect the primary data.15 herbalists were used as informants to obtain information on knowledge acquisition, plant collection, drug preparation, preservation and administration. The study found that healers got the wisdom of herbal medicine from family; friends or relatives; as gift of God; and religious books. The study also uncovered that people visit herbal healers because of cost, cultural acceptability, easy accessibility, and dissatisfaction with modern medicine. Herbal healers are providing health services for a huge segment of the populations’ in spite of several challenges. Dominance of biomedicine, proliferation of quack healers, inheritance problems, absence of support from government authorities, and deforestation stand out as the major challenges for the progress and the very existence of indigenous medicine in general and herbal healers in particular.

scholarly journals Outcome of Single- vs Multiple-visit Endodontic Therapy of Nonvital Teeth: A Meta-analysis

2017 ◽  
Vol 18 (4) ◽  
pp. 330-336 ◽  
Author(s):  
Dulce O Almeida ◽  
Sônia CL Chaves ◽  
Ronaldo A Souza ◽  
Felipe F Soares
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Randomized Clinical Trials ◽  
Therapy Group ◽  
Care Service ◽  
Meta Analysis ◽  
Health Care Service ◽  
Single Visit ◽  
Multiple Visit ◽  
Microbiological Control

ABSTRACT Introduction Endodontic therapy is a specialized procedure more demanded by patients within public oral health care in the country. Then, single-visit endodontic therapy may offer advantages to the health care services, to the professionals, and to the patients by reducing access barriers. Materials and methods A meta-analysis was done and the variables evaluated were periapical repair, microbiological control, and postobturation pain in randomized clinical trials (RCTs) involving endodontic treatment of nonvital teeth at single- or multiple visits. Results About 17 RCTs were included. There were no differences found in periapical repair or microbiological control in single- and multiple-visit therapy. Single-visit endodontic therapy resulted in 21% less postobturation pain (relative risks = 0.79; 95%, confidence interval: 0.66-0.94). Conclusion There was less postobturation pain in the single-visit endodontic therapy group. In the public dental care, this analysis favors the adoption of this one therapy because it will be possible to increase the patient access and the supply of this therapy. Clinical significance It is possible to get a better cost-effectiveness for the patients and the health care service. This is very important because the reduction of the cost to the patient allows it to become a complete treatment. The health service, in turn, is able to be better used, with a greater supply of this service. How to cite this article Almeida DO, Chaves SCL, Souza RA, Soares FF. Outcome of Single- vs Multiple-visit Endodontic Therapy of Nonvital Teeth: A Meta-analysis. J Contemp Dent Pract 2017;18(4):330-336.

scholarly journals Use of health care services 6 months following major trauma

2007 ◽  
Vol 31 (4) ◽  
pp. 628 ◽  
Author(s):  
Belinda J Gabbe ◽  
Ann M Sutherland ◽  
Owen D Williamson ◽  
Peter A Cameron
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Service Use ◽  
Major Trauma ◽  
Injury Severity ◽  
Care Service ◽  
Health Care Service ◽  
Trauma Patients ◽  
Care Services ◽  
Use Of Health Care

To establish the use of health care services 6 months following major trauma, 243 blunt major trauma patients were recruited during their acute hospital stay and followed up by telephone interview at 6 months post-injury. Data collected at 6 months included health care service usage and their level of disability according to the Glasgow Outcome Scale ? Extended (GOSE). Ninety-four percent of patients were living in the community at 6 months, and most (69%) reported continued use of health care services. Of those with ongoing disability, non-compensable patients were significantly more likely (OR 3.7; 95% CI, 1.6?8.6) to have ceased health care service use than compensable patients, independent of injury severity.

scholarly journals The assessment of the knowledge and awareness about glaucoma in glaucoma patients and general population: a sample from Turkey

2017 ◽  
Vol 6 (1) ◽  
pp. 35 ◽  
Author(s):  
Gökçe Dağtekin ◽  
Zeynep Demirtaş ◽  
Aziz Soysal ◽  
Nilgün Yildirim ◽  
Fatih M. Önsüz ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Care Service ◽  
Health Care Service ◽  
Preventive Health Care ◽  
Population Based ◽  
Healthy People ◽  
Care Services ◽  
Level Of Knowledge ◽  
Age Range

Background: The study aimed to evaluate the level of knowledge and awareness of glaucoma and their possible determinants in a group of people diagnosed with glaucoma and in a population based group without glaucoma.Methods: The study included people with an age range of 40 to 80years; 410 patients without glaucoma who admitted to primary health care service and 113 patients who admitted to hospitals with diagnosis of glaucoma. In addition to Glaucoma Knowledge Level Questionnaire (GKLQ), participants were asked about their socio-demographic characteristics, level of awareness and resources of the information about glaucoma. Multivariate logistic regression and multiple linear regression analyses were used to assess the variants which have impact on the level of the awareness about glaucoma and to evaluate the factors effective on the score of GKLQ, respectively.Results: The ratio of awareness about glaucoma was found to be 64.1% in people without glaucoma. The knowledge and awareness about glaucoma were found to be higher in glaucoma patients compared to healthy people but not at a desired level. The education level was the only factor effecting both awareness and knowledge about glaucoma.Conclusions: As awareness about glaucoma can lead to early detection, the assessment of the knowledge and awareness about glaucoma is very important in terms of disease prevention. Health education and preventive health care services should be programmed including for both glaucoma patients and healthy people based on the level of their education.

scholarly journals Delivery of Health Care Service in the Organization of Islamic Cooperation (OIC) Member States and Regional Diversity: A Bootstrap Dea Analysis

2019 ◽  
Vol 5 (1) ◽  
pp. 59-66
Author(s):  
Nabila Asghar ◽  
Majid Ali ◽  
Fatima Farooq ◽  
Urooj Talpur
Keyword(s):  
Health Care ◽  
Health System ◽  
Health Care System ◽  
Health Care Services ◽  
Care Service ◽  
Health Care Service ◽  
Allocative Efficiency ◽  
Truncated Regression ◽  
Regression Approach ◽  
Care System

For the last few decades, demographic changes require new and expensive medical innovations, which ultimately put the health care system under financial pressure. Therefore, provision of efficient services for the sustainability in health care system is mandatory. The objective of this study is to explore the performance of health care services provided in 55 OIC member countries during 2011 and 2015.The bootstrap Data Envelopment Analysis and Truncated regression approach have been applied to observe the health system and estimate the efficiency score  in 55 OIC member countries. The findings of DEA show that cost efficiency (CE), technical efficiency (TE) and allocative efficiency (AE) of health care system of OIC member countries on average are 0.52, 0.72, and 0.70, respectively. It indicates that OIC countries are not good at selecting cost efficient input mix. The results of truncated regression approach indicate that out-pocket health expenditures is the most important determinant relative to other indicators. It is suggested that it is hard to improve the overall health system at most efficient level. For this purpose there is a need to educate the mass and provide the better opportunities so that people can earn handsome amount, through which they may have better health care.

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