Journal articles on the topic 'Barriers to service access'
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Puckett, Lisa Morrison. "Barriers to access." International Social Work 48, no. 5 (September 2005): 621–31. http://dx.doi.org/10.1177/0020872805055327.
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Despite the small size of the Polish Romani population, the status and treatment of this group deserve special attention. This descriptive study identifies potential disconnects between the Roma and social services in the community and suggests practices to strengthen the connections between the marginalized Roma and the social service community. French Nonobstant la faible population Roma en Pologne, le statut et le traitement accordé à ce groupe mérite l'attention. Cette étude descriptive identifie des coupures potentielles entre les Roma et les services sociaux dans la communauté et suggère des pratiques visant à renforcer les liens entre les Roma marginalisés et les services sociaux. Spanish A pesar de la pequeña población de los Roma en Polonia, el estatus y tratamiento de este grupo merece especial atención. Este estudio descriptivo identifica la potencial desconexión entre los Roma y los servicios sociales en la comunidad; y sugiere prácticas para fortalecer las conexiones entre los Roma marginalizada y los servicios sociales comunitarios.
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Norman, Wendy V., Barbara Hestrin, and Royce Dueck. "Access to Complex Abortion Care Service and Planning Improved through a Toll-Free Telephone Resource Line." Obstetrics and Gynecology International 2014 (2014): 1–4. http://dx.doi.org/10.1155/2014/913241.
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Background. Providing equitable access to the full range of reproductive health services over wide geographic areas presents significant challenges to any health system. We present a review of a service provision model which has provided improved access to abortion care; support for complex issues experienced by women seeking nonjudgmental family planning health services; and a mechanism to collect information on access barriers. The toll-free pregnancy options service (POS) of British Columbia Women’s Hospital and Health Centre sought to improve access to services and overcome barriers experienced by women seeking abortion.Methods. We describe the development and implementation of a province-wide toll-free telephone counseling and access facilitation service, including establishment of a provincial network of local abortion service providers in the Canadian province of British Columbia from 1998 to 2010.Results. Over 2000 women annually access service via the POS line, networks of care providers are established and linked to central support, and central program planners receive timely information on new service gaps and access barriers.Conclusion. This novel service has been successful in addressing inequities and access barriers identified as priorities before service establishment. The service provided unanticipated benefits to health care planning and monitoring of provincial health care related service delivery and gaps. This model for low cost health service delivery may realize similar benefits when applied to other health care systems where access and referral barriers exist.
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Rodríguez-Echeverría, María Alejandra, and Angélica María Páez-Castro. "Access barriers to visual health." Ciencia & Tecnología para la Salud Visual y Ocular 16, no. 1 (March 20, 2018): 95–109. http://dx.doi.org/10.19052/sv.5057.
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A number of factors and conditions hinder and restrict access to the health care system and its different services; these barriers to access put at risk the health of people by affecting adequate processes. Objective: To carry out a literature review on barriers to access to the health care system and visual health services in Colombia and around the world. Methodology: A literature review was carried out based on a search of the Medline, ScienceDirect, and Pubmed databases, as well as indexed public health journals and the websites of the Local Health Authority, the World Health Organization, the Pan American Health Organization, the UNESCO, and the Brien Holden Vision Institute. Results: The main barriers related to demand, both in general services and in visual health, are the lack of perception on the need for service and lack of economic resources; at the offer level, the existing policies constitute a real obstacle. Conclusions: Awareness-raising in the population, together with the implementation of health policies that grant equal access to health care services, are fundamental to prevent people from being affected, to a large extent, by barriers related to demand or offer, regardless of their location or level of income.
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Hawley, Pippa. "Barriers to Access to Palliative Care." Palliative Care: Research and Treatment 10 (January 1, 2017): 117822421668888. http://dx.doi.org/10.1177/1178224216688887.
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Despite significant advances in understanding the benefits of early integration of palliative care with disease management, many people living with a chronic life-threatening illness either do not receive any palliative care service or receive services only in the last phase of their illness. In this article, I explore some of the reasons for failure to provide palliative care services and recommend some strategies to overcome these barriers, emphasizing the importance of describing palliative care accurately. I provide language which I hope will help health care professionals of all disciplines explain what palliative care has to offer and ensure wider access to palliative care, early in the course of their illness.
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Sangeetha and Lakshmana Govindappa. "Service Providers' Perception of Barriers to Access Mental Health Services." Indian Journal of Psychiatric Social Work 10, no. 1 (January 26, 2019): 3. http://dx.doi.org/10.29120/ijpsw.2019.v10.i1.124.
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Stefaniak, Joanna. "Barriers for service providers in the EU internal market." Współczesna Gospodarka, no. 1 (April 18, 2018): 1–10. http://dx.doi.org/10.26881/wg.2018.1.01.
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The free provision of services in the European Internal Market is still being prevented from coming into fruition by serious obstacles. The crucial step to the elimination of barriers and liberalization of market access for service providers was to be the implementation of the Services Directive in 2009. However, the provision of services across the EU is still subject to restrictions stemming mostly from differences in the Member States’ national regulations and, therefore, service providers cannot exploit the potential of the EU Internal Market to the full extent. The aim of the paper is to identify barriers preventing service providers from free access to the European Internal Market and to present the most important ones. The paper is based on an analysis of the literature, especially of documents and reports of the EU institutions and other European research bodies. The obstacles facing service providers in the European Internal Market are mainly of a regulatory nature. The most significant ones include differences in legislation and a lack of initiative to simplify it, problems with access to information, differences in the recognitionm of qualifications resulting in restrictions on access to service activities, divergent and disproportionate regulations of service professions and, last but not least, problems with civil liability insurance for service providers.
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Zuza, Ines, Beatriz Pérez Bernabé, Sanjay Kumar, Sophie Woodhead, Eleanor Rogers, Jose Luis Alvarez Moran, and Clara Ituero. "Gender-Related Barriers to Service Access and uptake in nutrition programmes." World Nutrition 8, no. 2 (December 8, 2017): 251. http://dx.doi.org/10.26596/wn.201782251-260.
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Background
Approximately 17 million children under five years suffer from Severe Acute Malnutrition (SAM). Although the most frequent barriers to service access in Community Management of Acute Malnutrition (CMAM) programmes have already been identified, there has been no analysis of the relationship between gender-related barriers and access to treatment.
Approach
The main objective is to review the key gender barriers to service access and uptake of treatment in CMAM programmes based on evidence gathered from coverage assessments carried out in Sub-Saharan Africa and Asia. A retrospective review of twenty-five coverage assessments was undertaken in 2013.
Main findings
Gender-related barriers were detected in 24 of the 25 coverage assessments. The main barriers detected were related to traditional gender roles: Women busy with duties (27.8%) followed by men control household expenditures and decision-making in the family (16.7%) and women sick (15.3%).
Principal conclusions
Gender-related barriers are present in the majority of the nutrition programs, so if the aim is universal coverage, gender should be considered during the coverage assessment
Initiatives contributing to gender equality would contribute to overcoming coverage barriers in CMAM programmes
The traditional use of the CMAM model considered gender with regards to the impact that the intervention could have on gender relations. However gender is now shown to also be a key factor contributing to poor nutrition.
Further research and assessments should include Gender Based Violence as a single barrier, or as a component of other barriers
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Schiwal, Alex T., and Elizabeth B. Fauth. "BARRIERS AND SOLUTIONS TO IMPROVE AGE-RELATED SERVICE ACCESS IN UTAH: A QUALITATIVE STUDY." Innovation in Aging 3, Supplement_1 (November 2019): S884—S885. http://dx.doi.org/10.1093/geroni/igz038.3238.
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Abstract Utah is projected to be in the top 10 states for growth in the aging population, but it is among the most rural. Local and regional contexts guide policy and practice, and these perspectives will inform solutions as more older adults require services in rural and other under-served areas in the coming decades. Guided by Bronfenbrenner’s Process-Person-Context-Time model, this study used a qualitative participatory research orientation involving stakeholders in Utah’s aging service system in order to identify local barriers and solutions to accessing rural aging services. The stakeholders included service providers, caregivers, older adults, state-administrators, and other community members. There were 3 male and 7 female participants ranging in age from 40 to 80. Thematic analysis revealed that communities faced barriers common to rural areas (local service insufficiencies, distance and time concerns, systemic issues such as healthcare and ageism, finances - both personal and programmatic were deemed a recurrent barrier, in addition to transportation issues. However, participants reported assets in rural areas, such as a strong sense of belonging in the community and creative problem solving. Solutions for improving access to age-related services included strategies for making information more available, publicized, and centralized and increasing access to telehealth or internet-delivered services and health information. These barriers and solutions were nested across the levels of context in Bronfenbrenner’s model, with both person, time, and in interactions (processes) having influence, but localized analysis of the barriers is necessary to ensure that the solutions are appropriate in a specific context.
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Sweeney, Leigh-Ann, Leonard Taylor, and Michal Molcho. "Sex workers access to health and social care services: A social justice response." Irish Journal of Sociology 28, no. 3 (July 14, 2020): 333–48. http://dx.doi.org/10.1177/0791603520937279.
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This research explores service providers’ views on the barriers that prevent women in the sex work industry in Ireland from accessing co-ordinated health services. A purposive sample of eight service providers in the field of women’s health and social care in the West of Ireland were selected and interviewed for this study. The service providers were asked about their perception of the barriers of sex workers accessing health and social care services. Using thematic analysis, three key themes were identified: (1) lack of knowledge of women’s involvement in sex work; (2) identified barriers to health services; and (3) legislative and policy barriers to providing supportive services. While the service providers acknowledged that they do not knowingly provide services for sex workers, they all recognise that some of their service users are at risk of, and potentially are, involved in sex work. Yet, they were able to identify some of the barriers sex workers face when accessing their services. All these barriers were the result to the services’ limited capacity to support women engaging in sex work. At the time of data collection, the legislative context meant that selling sex under certain conditions was outside the law. This study highlights the consequences that criminalisation can have on the health of sex workers and the need for a paradigm shift in existing health and social care services. In this paper, we propose that a social justice rather than a criminal justice approach has the potential to address sex workers’ right to access appropriate health care. This paper gives due recognition to marginalised women, and advocates for better provision of services for women in the sex industry, while considering the new legislation of 2017.
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Zablotska, I., A. Frankland, J. Imrie, P. Adam, R. Westacott, P. Canavan, and G. Prestage. "Current issues in care and support for HIV-positive gay men in Sydney." International Journal of STD & AIDS 20, no. 9 (September 2009): 628–33. http://dx.doi.org/10.1258/ijsa.2008.008432.
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We explored current access to care among HIV-positive people in Australia. In 2006, 270 HIV-positive gay men from a community-based Positive Health cohort in Sydney were asked about their health (including medical and social) service needs and, subsequently, about difficulty in accessing services. We report the prevalence of specific needs, barriers and associated factors. Participants most commonly used general practitioners (64%) for HIV management and needed at least one HIV-related medical service (usually several: doctors experienced in HIV management, dentists and hospital pharmacies). Most participants were able to access them. Barriers in accessing services were related to their convenience rather than lack or quality. Cost emerged as a substantial barrier to dental care and psychological counselling (91% and 48% respectively of those in need). Need for an HIV-related social service was reported by 46% of respondents. Difficulties in accessing these related to poor services and staff attitudes. Income was associated with limited access to multiple services. In Australia, HIV-related medical service needs outweigh those for social services. Complex health services remain essential to HIV-positive people, but some services are currently not meeting their needs. To remain adequate, services need to understand and constantly adapt to the changing needs of HIV-positive people.
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Lee, Rochelle, and Nicola North. "Barriers to Maori sole mothers' primary health care access." Journal of Primary Health Care 5, no. 4 (2013): 315. http://dx.doi.org/10.1071/hc13315.
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INTRODUCTION: International research consistently shows that sole mothers experience poorer health and suboptimal health care access. New Zealand studies on sole mothers’ health report similar findings. The aim of this exploratory research was to better understand the experiences of Maori sole mothers’ access to health services, particularly primary health care, for personal health needs. METHODS: This qualitative study employed a general inductive design informed by a Kaupapa Maori approach, providing guidance on appropriate cultural protocols for recruiting and engaging Maori participants. Distributing written information and snowballing techniques were used to purposively recruit seven Maori sole mothers. Data collection involved semi-structured interviews which were digitally recorded and transcribed verbatim. Data were analysed using general inductive thematic analysis to identify commonalities and patterns in participants’ experiences. FINDINGS: The dominant themes that emerged captured and described participants’ experiences in accessing health care. The major barrier to access reported was cost. Compounding cost, transport difficulties and location or scheduling of services were additional barriers to health service accessibility. Child-related issues also posed a barrier, including prioritising children’s needs and childcare over personal health needs. CONCLUSION: The findings illuminate Maori sole mothers’ experiences of accessing health care and the complex socioeconomic inequalities affecting access options and uptake of services. Further investigation of barriers to access is needed. The study has implications for addressing barriers to access at policy, funding and practice levels to improve health outcomes and equitable health care access for Maori sole mothers. KEYWORDS: Health services accessibility; Maori; primary health care; single parent; single-parent family; socioeconomic factors
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Gupta, Shivam, Priyanka Das, Siddhartha Kumar, Arindam Das, and P. R. Sodani. "Mapping of Household Surveys to Measure Barriers to Access to Maternal and Child Health Services in India." Journal of Health Management 23, no. 1 (March 2021): 10–19. http://dx.doi.org/10.1177/0972063421995026.
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Objective: To map the range of access barrier indicators for which data can be derived from the three most common health related household surveys in India. Methods: A mapping review study was conducted to identify access dimensions and indicators of access barriers for maternal and child health (MCH) services included in three household surveys in India: National Family Health Survey (NFHS), District Level Household and Facility Survey (DLHS) and Annual Health Survey (AHS). Results: The Tanahashi framework for effective coverage of health services was used in this study, and 12 types of access barriers were identified, from which 23 indicators could be generated. These indicators measure self-reported access barriers for unmet healthcare needs through delayed care, as well as forgone care, and unsatisfactory experiences during health service provision. Multiple barriers could be identified, although there was marked heterogeneity in variables included and how barriers were measured. Conclusions: This study identified tracer indicators that could be used in India to monitor the population that experiences healthcare needs but fails to seek and obtain appropriate healthcare, and determine what the main barriers are. The surveys identified are well validated and allow the disaggregation of these indicators by equity stratifiers. Given the variability of the frequency and methodologies used in these surveys, comparability could be limited.
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Umar, Suraiya, Adam Fusheini, and Martin Amogre Ayanore. "The shared experiences of insured members and the uninsured in health care access and utilization under Ghana’s national health insurance scheme: Evidence from the Hohoe Municipality." PLOS ONE 15, no. 12 (December 23, 2020): e0244155. http://dx.doi.org/10.1371/journal.pone.0244155.
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Background The National Health Insurance Scheme (NHIS) was introduced in Ghana in 2003 to remove financial barriers and to promote equitable access to health care services. Post implementation has been characterized by increases in access and utilization of services among the insured. The uninsured have been less likely to utilize services due to unaffordability of health care costs. In this study, we explored the experiences of the insured members of the NHIS, the uninsured and health professionals in accessing and utilizing health care services under the NHIS in the Hohoe Municipality of Ghana. Methods Qualitative in-depth interviews were held with twenty-five NHIS insured, twenty-five uninsured, and five health care professionals, who were randomly sampled from the Hohoe Municipality to collect data for this study. Data was analyzed using thematic analysis. Results Participants identified both enablers or motivating factors and barriers to health care services of the insured and uninsured. The major factors motivating members to access and use health care services were illness severity and symptom persistence. On the other hand, barriers identified included perceived poor service quality and lack of health insurance among the insured and uninsured respectively. Other barriers participants identified included financial constraints, poor attitudes of service providers, and prolonged waiting time. However, the level of care received were reportedly about the same among the insured and uninsured with access to quality health care much dependent on ability to pay, which favors the rich and thereby creating inequity in accessing the needed quality care services. Conclusion The implication of the financial barriers to health care access identified is that the poor and uninsured still suffer from health care access challenges, which questions the efficiency and core goal of the NHIS in removing financial barrier to health care access. This has the potential of undermining Ghana’s ability to meet the Sustainable Development Goal 3.8 of universal health coverage by the year 2030.
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Raspa, Melissa, Rebecca Moultrie, Danielle Toth, and Saira Naim Haque. "Barriers and Facilitators to Genetic Service Delivery Models: Scoping Review." Interactive Journal of Medical Research 10, no. 1 (February 25, 2021): e23523. http://dx.doi.org/10.2196/23523.
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Background Advances in diagnostics testing and treatment of genetic conditions have led to increased demand for genetic services in the United States. At the same time, there is a shortage of genetic services professionals. Thus, understanding the models of service delivery currently in use can help increase access and improve outcomes for individuals identified with genetic conditions. Objective This review aims to provide an overview of barriers and facilitators to genetic service delivery models to inform future service delivery. Methods We conducted a scoping literature review of the evidence to more fully understand barriers and facilitators around the provision of genetic services. Results There were a number of challenges identified, including the limited number of genetics specialists, wait time for appointments, delivery of services by nongenetics providers, reimbursement, and licensure. The ways to address these challenges include the use of health information technology such as telehealth, group genetic counseling, provider-to-provider education, partnership models, and training; expanding genetic provider types; and embedding genetic counselors in clinical settings. Conclusions The literature review highlighted the need to expand access to genetic services. Ways to expand services include telehealth, technical assistance, and changing staffing models. In addition, using technology to improve knowledge among related professionals can help expand access.
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Bhattacharya, Rahul, Hugh Rickards, and Niruj Agrawal. "Commissioning neuropsychiatry services: barriers and lessons." BJPsych Bulletin 39, no. 6 (December 2015): 291–96. http://dx.doi.org/10.1192/pb.bp.114.047290.
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Aims and methodPrevious studies have shown variations in commissioning of neuropsychiatry services and this makes access to neuropsychiatric services a postcode lottery. In this survey, we approached all mental health and neuropsychiatric service commissioners within London to map current funding and commissioning arrangements, and explored perceived barriers to neuropsychiatric service commissioning.Results 83% of commissioners within London responded. There was significant variability between neuropsychiatric services commissioned through the mental health stream. Contracting arrangements were variable. Lack of earmarked fund for neuropsychiatry and disjointed funding stream for such services were identified by commissioners as a barrier, as was the critical mass of neuropsychiatric cases.Clinical implicationsNeuropsychiatric service development continues to be hindered by lack of clear commissioning process. Strategic drive is needed to promote more equitable neuropsychiatric services. National or regional commissioning covering a large population will provide a better model for neuropsychiatric services to be commissioned.
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Unnarsdottir, Magnea, Henry Ascher, Jonas Hermansson, and Louise Danielsson. "Call me, later! Patients’ experiences of Swedish healthcare call-back services and access to healthcare." Journal of Hospital Administration 7, no. 5 (June 27, 2018): 8. http://dx.doi.org/10.5430/jha.v7n5p8.
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Objective: Despite the wide use of telephone call-back services in Swedish healthcare, there has been little research on how it affects patients. This study explores individual experiences of a call-back service, concentrating on barriers to healthcare, and healthcare-seeking behavior.Methods: The study was conducted at Angered Hospital and Angered Primary Care Rehabilitation Center in Gothenburg, Sweden. Ten informants, 28-82 years old, who had used the call-back service participated in interviews about their experience of the call-back service. Thematic analysis was used to analyze data from the interviews.Results: Three themes were identified in the analysis: (1) features and functions of the call-back service; (2) the call-back service as a barrier to or facilitator of healthcare; and (3) adjustments to the call-back service. Most informants were content with the call-back function. Negative experiences were related to language difficulties and the length of time allowed during the phone call. Lack of available appointments and telephone access were problems reported. Informants suggested a longer time frame for calls, longer opening hours regarding telephone access, more language and voicemail options, and the possibility of speaking to a person.Conclusions: Informants in this study mostly had a positive impression of seeking healthcare using call-back services. Barriers related to language and time frame for calls could be explored in larger studies. The results from this explorative study suggests that a combination of approaches – with other options added to the call-back services - might increase equal access to health care. The use and effects of call-back services warrant further investigation.
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Valibhoy, Madeleine Claire, Josef Szwarc, and Ida Kaplan. "Young service users from refugee backgrounds: their perspectives on barriers to accessing Australian mental health services." International Journal of Human Rights in Healthcare 10, no. 1 (March 13, 2017): 68–80. http://dx.doi.org/10.1108/ijhrh-07-2016-0010.
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Purpose The purpose of this paper is to examine barriers to accessing mental health services, from the perspective of young people of refugee background who have been service users, and to suggest strategies to improve access to mental health services. Design/methodology/approach A qualitative study was conducted with 16 young people (aged 18-25), who had been refugees and who had attended mental health professionals in Australia. Interview transcripts were analysed thematically to examine participants’ perspectives on what hinders initial access to mental health services. Findings Stigma about mental health problems was particularly prominent. Many believed a high level of disturbance was the threshold for entering services, and for some there was no knowledge of such services’ existence. Options for assistance other than mental health services were often preferred, according to young people’s explanatory models. Apprehension was expressed that sessions would be uncomfortable, distressing or ineffective. The desire to be self-reliant functioned as a further barrier. Finally, structural obstacles and social exclusion deterred some young refugees from accessing services. Practical implications Implications include the need for service providers to be equipped to provide culturally sensitive, responsive services that ideally offer both practical and psychological assistance. Potential referrers, including health professionals and community leaders, could facilitate increased access if trained to recognise and address barriers. Finally, findings indicate potential content for awareness-raising initiatives for young refugees about mental health problems and services. Originality/value This paper is original in its sample, method, topic and findings; being drawn from the first known qualitative research exploring views of young mental health service users who have been refugees about barriers to accessing mental health services.
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Salami, Bukola, Alleson Mason, Jordana Salma, Sophie Yohani, Maryam Amin, Philomena Okeke-Ihejirika, and Tehseen Ladha. "Access to Healthcare for Immigrant Children in Canada." International Journal of Environmental Research and Public Health 17, no. 9 (May 10, 2020): 3320. http://dx.doi.org/10.3390/ijerph17093320.
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Immigrants experience poorer health outcomes than nonimmigrants in Canada for several reasons. A central contributing factor to poor health outcomes for immigrants is access to healthcare. Previous research on access to healthcare for immigrants has largely focused on the experience of immigrant adults. The purpose of this study was to investigate how immigrants access health services for their children in Alberta, Canada. Our study involved a descriptive qualitative design. Upon receiving ethics approval from the University of Alberta Research Ethics Board, we invited immigrant parents to participate in this study. We interviewed 50 immigrant parents, including 17 fathers and 33 mothers. Interviews were audio recorded, transcribed, and analyzed according to the themes that emerged. Findings reveal that systemic barriers contributed to challenges in accessing healthcare for immigrant children. Participants identified several of these barriers—namely, system barriers, language and cultural barriers, relationship with health professionals, and financial barriers. These barriers can be addressed by policymakers and service providers by strengthening the diversity of the workforce, addressing income as a social determinant of health, and improving access to language interpretation services.
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Salami, Bukola, Benjamin Denga, Robyn Taylor, Nife Ajayi, Margot Jackson, Msgana Asefaw, and Jordana Salma. "Access to mental health for Black youths in Alberta." Health Promotion and Chronic Disease Prevention in Canada 41, no. 9 (September 2021): 245–53. http://dx.doi.org/10.24095/hpcdp.41.9.01.
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Introduction The objective of this study was to examine the barriers that influence access to and use of mental health services by Black youths in Alberta. Methods We used a youth-led participatory action research (PAR) methodology within a youth empowerment model situated within intersectionality theory to understand access to health care for both Canadian-born and immigrant Black youth in Alberta. The research project was co-led by an advisory committee consisting of 10 youths who provided advice and tangible support to the research. Seven members of the advisory committee also collected data, co-facilitated conversation cafés, analyzed data and helped in the dissemination activities. We conducted in-depth individual interviews and held four conversation café-style focus groups with a total of 129 youth. During the conversation cafés, the youths took the lead in identifying issues of concern and in explaining the impact of these issues on their lives. Through rigorous data coding and thematic analysis as well as reflexivity and member checking we ensured our empirical findings were trustworthy. Results Our findings highlight key barriers that can limit access to and utilization of mental health services by Black youth, including a lack of cultural inclusion and safety, a lack of knowledge/information on mental health services, the cost of mental health services, geographical barriers, stigma and judgmentalism, and limits of resilience. Conclusion Findings confirm diverse/intersecting barriers that collectively perpetuate disproportional access to and uptake of mental health services by Black youths. The results of this study suggest health policy and practice stakeholders should consider the following recommendations to break down barriers: diversify the mental health service workforce; increase the availability and quality of mental health services in Black-dominated neighbourhoods; and embed anti-racist practices and intercultural competencies in mental health service delivery.
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KOEHN, SHARON. "Negotiating candidacy: ethnic minority seniors' access to care." Ageing and Society 29, no. 4 (April 21, 2009): 585–608. http://dx.doi.org/10.1017/s0144686x08007952.
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ABSTRACTThe ‘Barriers to Access to Care for Ethnic Minority Seniors’ (BACEMS) study in Vancouver, British Columbia, found that immigrant families torn between changing values and the economic realities that accompany immigration cannot always provide optimal care for their elders. Ethnic minority seniors further identified language barriers, immigration status, and limited awareness of the roles of the health authority and of specific service providers as barriers to health care. The configuration and delivery of health services, and health-care providers' limited knowledge of the seniors' needs and confounded these problems. To explore the barriers to access, the BACEMS study relied primarily on focus group data collected from ethnic minority seniors and their families and from health and multicultural service providers. The applicability of the recently developed model of ‘candidacy’, which emphasises the dynamic, multi-dimensional and contingent character of health-care access to ethnic minority seniors, was assessed. The candidacy framework increased sensitivity to ethnic minority seniors' issues and enabled organisation of the data into manageable conceptual units, which facilitated translation into recommendations for action, and revealed gaps that pose questions for future research. It has the potential to make Canadian research on the topic more co-ordinated.
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Rajeswari, C., and Rajeshwari Vaidhyanathan. "Perceived Barriers for Health Service access by Women Prisoners." International Journal of Nursing Education and Research 5, no. 3 (2017): 335. http://dx.doi.org/10.5958/2454-2660.2017.00069.2.
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Krishnan, Lakshmi, Tokunbo Akande, Anita V. Shankar, Katherine N. McIntire, Celine R. Gounder, Amita Gupta, and Wei-Teng Yang. "Gender-Related Barriers and Delays in Accessing Tuberculosis Diagnostic and Treatment Services: A Systematic Review of Qualitative Studies." Tuberculosis Research and Treatment 2014 (2014): 1–14. http://dx.doi.org/10.1155/2014/215059.
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Background. Tuberculosis (TB) remains a significant global public health problem with known gender-related (male versus female) disparities. We reviewed the qualitative evidence (written/spoken narrative) for gender-related differences limiting TB service access from symptom onset to treatment initiation.Methods. Following a systematic process, we searched 12 electronic databases, included qualitative studies that assessed gender differences in accessing TB diagnostic and treatment services, abstracted data, and assessed study validity. Using a modified “inductive coding” system, we synthesized emergent themes within defined barriers and delays limiting access at the individual and provider/system levels and examined gender-related differences.Results. Among 13,448 studies, 28 studies were included. All were conducted in developing countries and assessed individual-level barriers; 11 (39%) assessed provider/system-level barriers, 18 (64%) surveyed persons with suspected or diagnosed TB, and 7 (25%) exclusively surveyed randomly sampled community members or health care workers. Each barrier affected both genders but had gender-variable nature and impact reflecting sociodemographic themes. Women experienced financial and physical dependence, lower general literacy, and household stigma, whereas men faced work-related financial and physical barriers and community-based stigma.Conclusions. In developing countries, barriers limiting access to TB care have context-specific gender-related differences that can inform integrated interventions to optimize TB services.
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Campo, John V., Rose Geist, and David J. Kolko. "Integration of Pediatric Behavioral Health Services in Primary Care: Improving Access and Outcomes with Collaborative Care." Canadian Journal of Psychiatry 63, no. 7 (April 19, 2018): 432–38. http://dx.doi.org/10.1177/0706743717751668.
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Objective: To examine collaborative care interventions to integrate pediatric mental health services into primary care as a means of addressing barriers to mental health service delivery, improving access to care, and improving health outcomes. Method: Selective review of published literature addressing structural and attitudinal barriers to behavioural health service delivery and the integration of behavioural health services for pediatric mental problems and disorders into primary care settings, with a special focus on Canadian and U.S. studies. Results: Integration of pediatric behavioural health services in primary care has potential to address structural and attitudinal barriers to care delivery, including shortages and the geographical misdistribution of behavioural health specialists. Integration challenges stigma by communicating that health cannot be compartmentalized into physical and mental components. Stepped collaborative care interventions have been demonstrated to be feasible and effective in improving access to behavioural health services, outcomes, and patient and family satisfaction relative to existing care models. Conclusion: Collaborative integration of behavioural health services into primary care is a promising means of improving access to care and outcomes for children and adolescents struggling with mental problems and disorders. Dissemination to real-world practice settings will likely require changes to existing models of reimbursement and the culture of health service delivery.
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Banik, Bijoy Krishna, and Md Saidur Rashid Sumon. "Barriers to access maternal health services among urban poor women in Bangladesh: A Case of Rajshahi City." South East Asia Journal of Public Health 8, no. 1 (July 17, 2019): 22–31. http://dx.doi.org/10.3329/seajph.v8i1.42269.
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Bangladesh has made tremendous achievements in the health sector over the last few decades, albeit worse in maternal health (MH) compared to other South Asian countries. The fact that women, particularly poor, have less access to maternal health care (MHC) services is one of the prime reasons. The main objective of this study was to explore what types of barriers poor mothers faced during the service use. A triangulation of method (interviews of service recipients through interview schedule and service providers through checklist, focus group discussion and observation) was used for the collection of primary data (sample 200) from two slum areas in Rajshahi City between March and April, 2013. The study found socio-cultural and organizational barriers to access to MHC services more acute than physical and financial barriers. As suggested, building awareness of bad consequences of early marriage on MH, ensuring a strong coordination among service providing organizations in dispensing free drugs and posting female doctors in study areas are urgently needed for further improvement of MH.
South East Asia Journal of Public Health Vol.8(1) 2018: 22-31
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Al Ghamdi, Abdulmohsen, Abdullah Al Shehri, Oscar Ramirez, Sharick Shamshi, and Shabana Khan. "Perceived Barriers Among Healthcare Professionals for Access to Physical Therapy Service in Saudi Arabia." Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin 29, no. 01 (February 2019): 26–38. http://dx.doi.org/10.1055/s-0043-124973.
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Abstract Objective To examine physical therapy scope of practice and to describe the barriers and facilitators for access to physical therapy services as reported by healthcare professionals in Saudi Arabia. Methods Ninety physical therapists from the 6 hospitals in the cities of Riyadh, Jeddah, and Dammam were surveyed by the cross-sectional questionnaire. The questionnaire was distributed through email invitation or in-person. The questionnaire was developed to determine the perceived barriers to direct access to physical therapy service among healthcare professionals. Results The present study had a response rate of 77.7% (70 out of 90 physical therapists). Majority of the participants were in the age group range of 21–30 years (41.4%) and 68.6% of the respondents’ highest educational qualification is a Baccalaureate degree. The gender distribution showed that the majority of the respondents were female (51.4%). More than a quarter of the participants had a clinical experience that ranges from 6 to 10 years. Majority of the participants were working in the city hospital (88.6%). Most of the participants strongly agreed or -agreed that the factors included in the questionnaire such as geographical accessibility, availability, affordability, and acceptability of services were barriers to provide access to physical therapy services in Saudi Arabia. Conclusions This study documents many of the perceived barriers for access to providing physical therapy services in Saudi Arabia such as geographical accessibility, availability, affordability, and acceptability of services. Furthermore, the identified barriers could be used as a framework by policymaker and the third party payment system in order to further improve access to physical therapy services in Saudi Arabia.
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Silva, Roberta Borges, Cecilia Farinasso, Daniela Rego, Dalila Fernandes Gomes, Aurelina Aguiar de Aguiar, Betânia Leite, Lenilson Goncalves, Luciana Simões, Camara Leão, and Camile Giaretta Sachetti. "VP71 Barriers To Access Biologic Products: A Rapid Review." International Journal of Technology Assessment in Health Care 35, S1 (2019): 92. http://dx.doi.org/10.1017/s0266462319003271.
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IntroductionThe elevated costs with biologic products threaten the sustainability of health services, and, therefore, the access to these medicines in the perspectives of user, health professional, health manager and system. The entry of biosimilar products in the market could be an option to subsidize the search for solutions to those problems.MethodsWe conducted a rapid review using the databases Medline (via PubMed), EMBASE, Cochrane Library and CRD. The eligibility criteria were HTAs, systematic reviews and cross-sectional studies.ResultsLiterature search retrieved 640 registries and, after duplicate removal, screening of titles and abstracts and full text reading, nine cross-sectional studies were selected. From a user's point of view, the following barriers were identified: lack of knowledge about the medicine, distance between the place of living and the health service (especially in the rural area), long waiting periods for service, passivity in regard to treatment. From a health professional's point of view the barriers were: acceptability of the expert in regard to treatment, interchangeability and substitution, the perception of lack of data showing efficacy and safety. Finally, from the payer's (or health manager) point of view, the barriers were: high cost of medicine, problems with reimbursement and bureaucracy. We did not retrieve any barriers from the health system's perspective from the selected studies.ConclusionsThe entry of biosimilar medicines in the market can induce competition and, therefore, reduce prices of biologic treatments. It is necessary to search for potential solutions to the access barriers identified in this rapid review.
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Majumder, P., P. Vostanis, and M. O’Reilly. "Barriers for unaccompanied refugee minors in accessing mental health care: Is it the therapy or the therapist?" European Psychiatry 41, S1 (April 2017): S339. http://dx.doi.org/10.1016/j.eurpsy.2017.02.297.
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IntroductionRefugee children, particularly unaccompanied refugee minors, present with disproportionately high prevalence of mental health and emotional difficulties. However, the mental health service access and treatment engagement of this vulnerable group has been consistently shown to be poorer than the general population. Despite of this, so far there hasn’t been much research to explore the possible underlying reasons or barriers for these young people to access mental health service in their host countries.Aims and objectivesThis research aims to understand unaccompanied refugee children's barriers to access and utilize mental health services. To explore any potential characteristics in the service provision that can be linked with the observed poor treatment engagement and service access is also an objective of this study.MethodsThe study was conducted by using semi-structured interviews with 15 unaccompanied asylum seeking minors and their carers to elicit their views, perceptions and beliefs based on their experience of receiving treatment from a specialist mental health service in the UK.ResultsThe interview transcripts were analysed using thematic analysis. The main findings were categorised into two broad themes, the participants’ perceptions of the intervention received, and perception of the professionals involved. The different elements and pertinent issues within these two broad areas were discussed.ConclusionsFindings will help stimulate further exploratory research gaining better understanding of the barriers for these young people to access treatment, and contribute in developing innovative services that are more efficient in engaging this vulnerable group and suitable to meet their specific needs.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Wearn, A. M., and S. M. Greenfield. "Access to complementary medicine in general practice: survey in one UK health authority." Journal of the Royal Society of Medicine 91, no. 9 (September 1998): 465–70. http://dx.doi.org/10.1177/014107689809100904.
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Complementary therapy (CT) has become increasingly popular with the general public and interest from the health professions has been rising. There has been no study focusing on the pattern of availability of CT within urban and inner-city general practice. We aimed to describe the prevalence and pattern of access to complementary therapy in this setting, identifying the characteristics of practices offering CT and the perceived barriers to service provision. We sent a postal questionnaire to all 254 general practices on the Birmingham Family Health Services Authority list. Practices were asked whether they offered any access to CTs, how services were organized and which therapies were available and to identify any barriers to provision. 175 practices (68.9%) responded. Half of the practices offered access to CT. Of these, half offered an in-house service, usually provided by the doctor (81.8%). Of GPs practising therapies themselves, 58% began in or after 1990. Seventeen separate therapies were offered, most commonly acupuncture, osteopathy, chiropractic, hypnotherapy and homoeopathy. Practices significantly more likely to offer access to CT were of larger list size and training or teaching practices. They were equally likely to be fundholders or non-fundholders. Practices offering an in-house service tended to be fundholding, training and of larger list size. Finance was perceived as the major barrier. In the area studied, many patients now have some access to CT within primary care, often within their own practice. In the main, therapies offered are the ‘medically acceptable face' of complementary medicine.
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Colleran, Ann, Anne O'Connor, Michael J. Hogan, Owen M. Harney, Hannah Durand, and Michelle Hanlon. "Who asked you? Young People and practitioners identify ways to facilitate access to mental health supports." HRB Open Research 4 (July 14, 2021): 74. http://dx.doi.org/10.12688/hrbopenres.13328.1.
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Background: Despite representing the highest level of total population mental health burden, young people are the least likely to seek help from mental health services. It has been suggested that service design can influence the likelihood that young people will look for help, but little is known about how young people would like a service to be designed. This study addresses a gap in research regarding how mental health services can be designed to facilitate access for young people. Methods: A collective intelligence, scenario-based design methodology was used to facilitate stakeholders to identify and prioritise ways to improve youth mental health services. In total, 74 15–17-year-olds from three geographically diverse schools in Ireland worked to identify barriers to help-seeking and to generate and prioritise options in response to barriers. Nine practitioners with experience of working in youth mental health services rated all options in terms of both potential impact on help-seeking and feasibility for service implementation. Results: A total of 326 barriers across 15 themes were generated by youth stakeholders, along with 133 options in response to barriers. Through a process of voting, young people identified 30 options as the most impactful for improving access to mental health services. Of these options, 12 were also rated by practitioners as having both high potential impact and high feasibility. These 12 options focused on four areas: making services more familiar and welcoming; providing specialist mental health input in schools; improving parental understanding; and improving the visibility of appropriate supports. Conclusions: The results of the current study inform mental health service innovation and development, in particular, by highlighting potentially impactful and feasible ways to adapt existing mental health services to improve young people’s help-seeking behaviour.
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Bayly, Melanie, Debra Morgan, Amanda Froehlich Chow, Julie Kosteniuk, and Valerie Elliot. "Dementia-Related Education and Support Service Availability, Accessibility, and Use in Rural Areas: Barriers and Solutions." Canadian Journal on Aging / La Revue canadienne du vieillissement 39, no. 4 (January 24, 2020): 545–85. http://dx.doi.org/10.1017/s0714980819000564.
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ABSTRACTThis scoping review mapped and synthesized published literature related to education and support services for individuals with dementia and their caregivers living rurally. Specifically, we investigated education and support service needs, availability and use of services, barriers to service access and use, and solutions to these barriers. Empirical, English-language articles (2,381) were identified within MEDLINE, CINAHL, PSYCINFO, and EMBASE. Articles were screened according to Arksey and O’Malley’s (2005) five-stage scoping review methodology and the recommendations of Levac et al. (2010). Findings suggest limited availability of rural dementia-related support and education services, particularly respite care and day programs. Service use varied across studies, with barriers including low knowledge regarding services, practicality, and resource issues (e.g., transportation, financial), values and beliefs, stigma, and negative perceptions of services. Solutions included tailored and person-centred services, technological service provision, accessibility assistance, inter-organization collaboration, education regarding services, and having a “point of entry” to service use.
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Vipperman, A. S., J. Savla, Karen A. Roberto, A. Harris, E. Hoyt, R. Blieszner, A. L. Knight, and S. Borowski. "SERVICE USE AND BARRIERS TO SERVICE ACCESS AMONG FAMILY CAREGIVERS IN RURAL APPALACHIA." Innovation in Aging 2, suppl_1 (November 1, 2018): 868. http://dx.doi.org/10.1093/geroni/igy023.3241.
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Dinakaran, Damodharan, Chethan Basavarajappa, Narayana Manjunatha, Channaveerachari Naveen Kumar, and Suresh Bada Math. "Telemedicine Practice Guidelines and Telepsychiatry Operational Guidelines, India—A Commentary." Indian Journal of Psychological Medicine 42, no. 5_suppl (September 25, 2020): 1S—3S. http://dx.doi.org/10.1177/0253717620958382.
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Recent advancements in technology, access to smartphone, and gains achieved in increased internet speed and data transfer have expanded the scope of health care service delivery through the digital platforms. In India, telemedicine services remain poorly adopted and integrated due to various barriers. The important reasons are lack of legal and administrative clarity in using technology for service delivery and inertia from health service providers to adopt newer developments. However, during coronavirus disease (COVID-19) pandemic, these equations are changing. The Telemedicine practice guidelines released in March, 2020, and Telepsychiatry operational guidelines released in May, 2020, appear to remove these barriers and promote equitable access to health care. In this article, the authors discuss the scope of these guidelines.
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Ensor, T. "Overcoming barriers to health service access: influencing the demand side." Health Policy and Planning 19, no. 2 (February 1, 2004): 69–79. http://dx.doi.org/10.1093/heapol/czh009.
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Canady, Valerie A. "Service access barriers for working class, blacks due to bias." Mental Health Weekly 26, no. 23 (June 6, 2016): 3–6. http://dx.doi.org/10.1002/mhw.30637.
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Babazadeh, Saleh, Julie Hearnandez, Philip Anglewicz, and Jane Bertrand. "The relationship between spatial access and modern contraceptive use: is proximity to a healthcare facility a determinant of use among women in Kinshasa, DRC?" Gates Open Research 5 (May 13, 2021): 80. http://dx.doi.org/10.12688/gatesopenres.13229.1.
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Background: Spatial access has a direct effect on health service utilization in many settings. Distance to health facility has proven to affect family planning (FP) service use in many Sub-Saharan countries. Studies show that women who reside closer to facilities offering family planning services are more likely to use modern contraceptives. However, researchers often test the theory of distance decay. This study analyzed the significance of proximity to family planning services, service availability, and quality of family planning services on modern contraceptive use in Kinshasa, Democratic Republic of the Congo. Methods: We used a pool of four rounds of facility- and population-based survey data in Kinshasa from PMA2020 between 2014 and 2016. We used GPS coordinates to calculate the distance between the health facilities and households. We tested if women who live closer to service delivery points with higher level of availability and quality are more likely to use modern contraceptives or less likely to have unmet need for contraceptive services. Results: 10,968 women were interviewed over four rounds of data collection. Our findings show that living closer to an SDP is not a determinant of modern contraceptive use or having unmet need for FP services. Lack of cognitive access, economic barriers, bypassing the closest facility, and sociocultural norms are strong barriers for women in Kinshasa to use modern contraceptives. Proximity to quality services did not necessarily result in increased FP use among women of reproductive age living in Kinshasa, thus suggesting that a bypass phenomenon may occur when obtaining modern contraceptive services. Conclusions: This study notes that barriers other than proximity to access may be substantial determinants of contraceptive use or unmet need. More research should be conducted that directly measures multidimensional components of access in order to interpret women’s contraceptive seeking behaviors in urban areas of Sub-Saharan Africa.
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Watson, Sidney Dean. "Minority Access and Health Reform: A Civil Right to Health Care." Journal of Law, Medicine & Ethics 22, no. 2 (1994): 127–37. http://dx.doi.org/10.1111/j.1748-720x.1994.tb01285.x.
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Health care reform that includes universal coverage could lower a major barrier to care for people of color and ethnic minorities—the inability to pay for care. But universal coverage alone, even with comparable fee-for-service payment or appropriately risk-adjusted capitated reimbursement, will not eradicate the racial and ethnic inequities in health care delivery. Restrictive admissions practices, geographic inaccessibility, culture, racial stereotypes, and the failure to employ minority health care professionals will still create barriers to minority health care. In addition to universal financing, health care reform should include new civil rights legislation to address and reduce these noneconomic barriers to minority health care.
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Antill, Kendra. "Family-Centered Applied Behavior Analysis for Children With Autism Spectrum Disorder." Intervention in School and Clinic 55, no. 3 (May 6, 2019): 185–91. http://dx.doi.org/10.1177/1053451219842240.
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Applied behavior analysis (ABA) services can improve the quality of life for individuals with autism spectrum disorder (ASD). However, not all children receive services based in ABA. The disconnect between available services and accessing services may be the result of families experiencing barriers. Online parent training addresses many of these barriers by connecting families with service providers that they otherwise would not have access to. Furthermore, this approach allows for a family centered approach that empowers parents. A combination of parent training modules and video conferencing sessions allow parents to learn techniques and try them out with the support of a service provider. This article provides service providers with guidelines and suggestions for developing and providing services online.
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McConkey, Stephanie. "Indigenous access barriers to health care services in London, Ontario." University of Western Ontario Medical Journal 86, no. 2 (December 3, 2017): 6–9. http://dx.doi.org/10.5206/uwomj.v86i2.1407.
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Introduction: Indigenous peoples in Canada suffer higher rates of health inequalities and encounter a number of health services access barriers when compared to their non-Indigenous counterparts. Indigenous peoples experience social and economic challenges, cultural barriers, and discrimination when accessing mainstream health services.
Methods: In London, Ontario, 21 interviews and 2 focus groups (n = 25) with service providers were completed, each session spanning approximately 1 to 1.5 hours. Interviews were voice recorded and transcribed verbatim. Themes were identified using NVIVO 10 software.
Findings: Approximately 2 to 5% of clients are Indigenous in hospital-based services. There are a number of social factors that influence whether Indigenous peoples access health services. Indigenous peoples do not have access to adequate pain medications because physicians are reluctant to provide Indigenous patients with pain medications due to common perceptions of addiction. Indigenous peoples also have barriers accessing a family physician because physicians are reluctant to take on new patients with complex health needs.
Conclusion: Systemic discrimination is still alive in the health care system; therefore, there is a need for cultural safety training among physicians to increase awareness of access barriersand challenges that many Indigenous patients face when seeking health care.
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Thanawala, Sachi, and Renee R. Taylor. "Service Utilization, Barriers to Service Access, and Coping in Adults with Chronic Fatigue Syndrome." Journal of Chronic Fatigue Syndrome 14, no. 1 (January 2007): 5–21. http://dx.doi.org/10.1300/j092v14n01_02.
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Tulli, Mia, Bukola Salami, Lule Begashaw, Salima Meherali, Sophie Yohani, and Kathleen Hegadoren. "Immigrant Mothers’ Perspectives of Barriers and Facilitators in Accessing Mental Health Care for Their Children." Journal of Transcultural Nursing 31, no. 6 (February 4, 2020): 598–605. http://dx.doi.org/10.1177/1043659620902812.
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Introduction: Data on immigrant and refugees’ access to services in Canada typically focus on adult populations generally but not children specifically. To fill this gap, this study explored immigrant and refugee mothers’ perceptions of barriers and facilitators for mental health care for their children in Edmonton, Alberta, Canada. Method: In this qualitative descriptive study, researchers conducted 18 semistructured interviews with immigrant and refugee mothers who live in Edmonton, self-identify as women, and have children living in Canada. Results: Barriers included financial strain, lack of information, racism/discrimination, language barriers, stigma, feeling isolated, and feeling unheard by service providers. Facilitators included schools offering services, personal levels of higher education, and free services. Discussion: Nurses can improve access to mental health services by addressing issues related to racism within the health system, by creating awareness related to mental health, and by providing trained interpreters to help bridge barriers in communications.
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Gannon-Leary, Pat, Linda Banwell, and Sue Childs. "Barriers and Enablers in Access Services." Journal of Access Services 1, no. 1 (January 2002): 105–17. http://dx.doi.org/10.1300/j204v01n01_05.
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Dwyer, Judith, Kim O'Donnell, Eileen Willis, and Janet Kelly. "Equitable Care for Indigenous People: every health service can do it." Asia Pacific Journal of Health Management 11, no. 3 (October 1, 2016): 11–17. http://dx.doi.org/10.24083/apjhm.v11i3.143.
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Problem and its context: Indigenous peoples in many countries suffer poorer health and poorer access to good healthcare than their non-Indigenous counterparts. In Australia, enduring barriers to good health and good healthcare remain, in spite of long-standing policy priorities. These barriers include the ongoing reality of colonisation, and silence about its implications. People working in and using the health system need to relate across cultures, but they approach this endeavour witha complex mixture of goodwill, defensiveness, guilt and anxiety.
Methods: We analysed what is known in Australia about differentials in access to good care, and the underlying factors that entrench them, as well as strategies for developing mainstream competence in care for Aboriginal and Torres Strait Islander patients and communities.
Analysis and Conclusions: The available evidence of differentials in access and quality that are not explained by clinical or demographic variables is unequivocal. Official policy needs to be implemented at the system and organisation level through operational policies, programs and protocols, and through relationships with Aboriginal healthcare providers and community organisations. The concept of racism anxiety provides a way of making one important barrier visible, and moving beyond it can enable people of goodwill to ‘see’ where change is needed, and to see themselves as part of the solution. It is time to get beyond the barriers and attend to practical improvements in care, focused on the care system, not simply on the skills and knowledge of individuals within it.
Abbreviations: ACCHO – Aboriginal Community Controlled Health Organisation; CC – Cultural Competence.
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Rahman, Md Mahbubur, Md Shafiqur Rahman, Abu Noman Mohammed Mosleh Uddin, Shammi Sultana Ferdousi, Nargis Nahar, and Shahajadi Shanjida Parveen. "Barriers to Access Reproductive Health Care Services by Urban Women." Journal of Armed Forces Medical College, Bangladesh 13, no. 2 (May 13, 2019): 7–10. http://dx.doi.org/10.3329/jafmc.v13i2.41364.
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Introduction: Health care is a continuous care from womb to tomb. Bangladesh has made tremendous achievement in the health sector over the last few decades. Early marriage, perception about pregnancy and high financial cost are the factors for less utilization of health care services. Many other barriers like gender inequality, cultural norms and traditions are important barriers too for seeking reproductive health care services. Objectives: To further unpack the pattern of dynamic social barriers faced by urban women in accessing reproductive health care services, which in turn may assist the service stakeholders to design programs to overcome the barriers.
Materials and Methods: This is a descriptive empirical social study was executed in Dhaka city from January 2019 to April 2019. Interviewer administered face to face in depth interview was employed to collect data from 122 samples, estimated by peer review and picked up by haphazard sampling, from among married women of reproductive age 15-45years. Data were analyzed by SPSS 20. Emic and etic interpretation were done on the information generated. All ethical issues were taken care of. Results: The perceived barriers to antenatal, natal, postnatal care and family planning practices were poverty, ignorance and husband non co-operation. As many as 78.7% respondents were house wives, about 71.0% respondent’s age at marriage was 13- 18 years, 36.1% were qualified up to intermediate level, 53.3% are 25-35yrs age group, 80% received antenatal care, 32% gone for home delivery and 68.7% were unwilling for postnatal care services. The present study found that ignorance and poverty were the main reasons for non-utilizing health care facilities.
Conclusion: There is scope to improve the utilization of reproductive health care services of urban women. Social and cultural barriers are more common. Health care services are needed to be scaled up and the health education component should be strengthened in health care delivery system to achieve Sustainable Development Goal (SDG).
Journal of Armed Forces Medical College Bangladesh Vol.13(2) 2017: 7-10
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Houghton, Natalia, Ernesto Bascolo, and Amalia del Riego. "Monitoring access barriers to health services in the Americas: a mapping of household surveys." Revista Panamericana de Salud Pública 44 (August 15, 2020): 1. http://dx.doi.org/10.26633/rpsp.2020.96.
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Objective. To map the range of access barriers indicators for which data can be derived from household surveys in the Americas. Methods. A systematic mapping review study was conducted to identify access dimensions and indicators of access barriers for general health services already described in the literature; and identify whether data for those indicators could be derived from household surveys in the Americas and what was the methodology used in these surveys. Results. The study found 49 eligible surveys (287 datasets) from 31 countries in the Americas from which 23 measures of access barriers could be generated. These indicators measure self-reported access barriers for unmet healthcare needs through forgone care, as well as delayed care, unsatisfaction with care and experiences during health service provision. Multiple barriers could be identified, although there was marked heterogeneity in variables included and how barriers were measured. Conclusions. This study identified tracer indicators that countries in the Americas could use to monitor the population that experience healthcare needs but fail to seek and obtain appropriate healthcare, and what the main barriers are. The surveys identified are well validated and allow the disaggregation of these indicators by equity stratifiers. Given the variability of the methodologies used in these surveys, comparability across countries could be limited. As such, their virtue lies in helping stakeholders compare levels of access barriers over time for a given country or a group of countries. Country buy-in will directly affect the extent to which access barriers data are collected, reported, and used.
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Chierchini, Sara, Gianluca Ingrosso, Simonetta Saldi, Fabrizio Stracci, and Cynthia Aristei. "Physician And Patient Barriers To Radiotherapy Service Access: Treatment Referral Implications." Cancer Management and Research Volume 11 (October 2019): 8829–33. http://dx.doi.org/10.2147/cmar.s168941.
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Vadasz, Danny, Hannah Neven-Gorr, Maria Garrett, Denise Azar, and Liz Craig. "Barriers to health service access for older people; voices from Gippsland." International Journal of Integrated Care 20, no. 3 (February 26, 2021): 142. http://dx.doi.org/10.5334/ijic.s4142.
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Seers, Kara, Lynley Cook, Gillian Abel, Philip Schluter, and Paul Bridgford. "Is it time to talk? Interpreter services use in general practice within Canterbury." Journal of Primary Health Care 5, no. 2 (2013): 129. http://dx.doi.org/10.1071/hc13129.
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INTRODUCTION: Effective communication is fundamental to successful health care service delivery, and has a positive impact on access, quality of care, health outcomes, and patient satisfaction. Although there are a growing number of New Zealanders who do not speak English proficiently, underutilisation of trained interpreter services appears to be common in primary health care settings. AIMS: To describe the pattern of interpreter service need and utilisation by general practice services, and to identify key barriers and enabling factors to the use of trained interpreters. METHODS: A mixed methods study was employed. Census and Partnership Health Canterbury Te Kei o Te Waka (PHC) databases were combined, and quantitative analysis used to derive interpreter service need and utilisation patterns. Transcripts of focus groups and interviews from general practitioners, practice nurses and practice administration staff within the PHC were analysed, using qualitative methods to identify barriers and enablers to interpreter service use. RESULTS: For the years 20082010, approximately 10 742 consultations per year involved a non-English-speaking patient, yet in only approximately 74.8 (0.7%) consultations per year were interpreter services utilised. Analysis of focus groups and interviews identified four global themes that represented barriers for interpreter service utilisation; namely, practicalities, expectations, knowledge of service, and systems. DISCUSSION: The current use of interpreter services in PHC general practice appears to be significantly less than the need. In order to maximise health outcomes and reduce risk, strategies must be initiated to counter the barriers currently inhibiting interpreter service use, including adopting best practice policies. KEYWORDS: Communication; communication barriers; general practice; primary health care
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Winston, Carole A., Paula Leshner, Jennifer Kramer, and Gillian Allen. "Overcoming Barriers to Access and Utilization of Hospice and Palliative Care Services in African-American Communities." OMEGA - Journal of Death and Dying 50, no. 2 (March 2005): 151–63. http://dx.doi.org/10.2190/qqkg-epfa-a2fn-ghvl.
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While there is ample evidence to support the need for hospice and palliative care services for African Americans, only 8% of patients who utilize those services are from African-American communities. The underutilization of end-of-life and palliative care can be attributed to several barriers to service access including incompatibility between hospice philosophy and African-American religious, spiritual, and cultural beliefs; health care disparities; distrust of the medical establishment; physician influence; financial disincentives, and hospice admission criteria. Suggestions for dismantling barriers to care access include developing culturally competent professionals in the health and human services, expanding the philosophy of hospice to include spiritual advisors from client communities, and funding national initiatives to promote improved access to health care at all stages in the life cycle of members of all underserved communities.
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Sanders, Gregory F., Margaret A. Fitzgerald, and Marlys Bratteli. "Mental Health Services for Older Adults in Rural Areas: An Ecological Systems Approach." Journal of Applied Gerontology 27, no. 3 (March 11, 2008): 252–66. http://dx.doi.org/10.1177/0733464807311646.
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Groups of North Dakota professionals from health and aging services participated in a focus group study of mental health needs and barriers to service among older adults. Data were collected from 13 focus groups that included human service providers, public health nurses, out-reach workers, and advisory groups who discuss mental health and aging issues in a number of ecological systems contexts. Lack of knowledgeable care providers, funding cutbacks, accessibility of services, and ageism were frequently cited barriers to mental health services for older adults in rural areas. Focus groups also discussed the needs of older adults including information on services, how to access services, the need for service providers in rural areas, and routine assessments by physicians. Participants suggested that the main needs of providers were education, more services, and changes or flexibility in the types of services.
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Stout, Katie Ambrose, and Kristina Martinez. "Telehealth Forging Ahead: Overcoming Barriers in Licensure to Improve Access to Care for Service Members." International Journal of Telerehabilitation 3, no. 2 (December 20, 2011): 23–26. http://dx.doi.org/10.5195/ijt.2011.6081.
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The telehealth initiatives of the Department of Defense (DoD) and Veterans’ Health Administration (VHA) continue to test the limits of technology to provide the best care to our service members, veterans and their families. The DoD and VHA have credentialing systems in place to allow clinical practice between facilities. New legislation in the form of the Servicemembers’ Telemedicine and E-Health Portability (STEP) Act will potentially expand telehealth clinical services across state lines into the homes of our service members and veterans.