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Relevant bibliographies by topics / Health services accessibility

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Academic literature on the topic 'Health services accessibility'

Author: Grafiati

Published: 4 June 2021

Last updated: 29 July 2024

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Journal articles on the topic "Health services accessibility"

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Nopiah, Ririn, and Heni Wahyuni. "Pengaruh Asuransi Kesehatan Dan Ekonomi Terhadap Aksesabilitas Layanan Kesehatan Penyandang Disabilitas Di Indonesia." Convergence: The Journal of Economic Development 3, no. 2 (July 19, 2022): 127–46. http://dx.doi.org/10.33369/convergence-jep.v3i2.22768.

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Health insurance is one of social health guarantees programs provided to the society in accessing health services in Indonesia. This program is implemented as a solution of equality problems on health services. This paper aims to analyze effect of health insurance ownership on accessibility health services to people with disabilities who included as vulnerable communities. This research have 1.288 respondents of people with disabilities from Indonesia Family Life Survey that analyzed by multinomial logit regression models. The results show that health insurance ownership of disabilities are not effective enough in accessibility of disabilities health services. To access health service, people with disabilities have main obstacle factor namely physical mobiltity services. Furthermore head of household, chronic disease, transportation costs, and years education variables have significant effect on preventive and curative health services to people with disabilities. Whereas sex and unemployed status significant effect on preventive health services. Keywords : People with Disabilities1, Health Insurance2, Accessibility3, Health Service4

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Fernández-Mayoralas, Gloria, Vicente Rodrı́guez, and Fermina Rojo. "Health services accessibility among Spanish elderly." Social Science & Medicine 50, no. 1 (January 2000): 17–26. http://dx.doi.org/10.1016/s0277-9536(99)00247-6.

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Zartaloudi, A. "Accessibility of migrants to mental health services." European Psychiatry 65, S1 (June 2022): S138. http://dx.doi.org/10.1192/j.eurpsy.2022.374.

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Introduction Cultural barriers and prejudices of mental healthcare professionals may promote inequalities in the provision of care to immigrant population and have a negative impact in provided service quality. Objectives To identify barriers and facilitators of immigrants’ accessibility to mental health services. Methods A literature review has been made through PubMed database. Results Immigrants’ accessibility to mental health services may be related to social insurance problems, inadequate knowledge about their health rights, inadequate knowledge of the local language, as well as the bureaucracy of Greek State which may complicate mental health examination and treatment. The challenges faced by mental healthcare professionals in terms of diagnosis and treatment of migrants include communication difficulties due to linguistic and cultural differences as far as verbal presentation of symptoms and illness behavior is concerned. Culturally competent mental health professionals should work to erase racism and prejudice, to be familiar with cultural issues and have adequate knowledge related to cultural groups, to learn the life story of each patient separately and encourage patients to explain how their illness affects their lives, promoting a trustful communication environment in the context of healthcare provision. Conclusions Exploring the specific needs of migrants as well as assessing the degree of satisfaction from their access to healthcare services are essential to providing integrated mental health care for people from different culture. Disclosure No significant relationships.

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KANOWNIK, GRETA. "Patient Safety And Accessibility To Health Services." Zeszyty Naukowe Uniwersytetu Szczecińskiego Finanse Rynki Finansowe Ubezpieczenia 85 (2017): 609–20. http://dx.doi.org/10.18276/frfu.2017.1.85-49.

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Plomp, HN. "Accessibility and utilization of occupational health services." Scandinavian Journal of Work, Environment & Health 22, no. 3 (June 1996): 216–22. http://dx.doi.org/10.5271/sjweh.134.

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Ozkiran, Umit. "Examination of health services for citizens." LAPLAGE EM REVISTA 7, no. 2 (January 7, 2021): 139–44. http://dx.doi.org/10.24115/s2446-6220202172696p.139-144.

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The aim of the study is to reveal the health services for disabled citizens upon accessibility and automation. The study relies on qualitative research which documentary analysis and self-report reflection of authorities form upon themes were employed. Automation and accessibility models and practice of social and health services from literature and workshop results revealed and compared with the results. System and welfare for the developing country needs automation and accessible services for disabled citizens. Physical and web accessibility create a big dilemma to reach services that needs to be considered urgently by governmental and institutional authorities.

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Forjanič, Miran, Valerij Dermol, and Valentina Prevolnik Rupel. "Factors affecting dental services accessibility." Obzornik zdravstvene nege 53, no. 4 (December 16, 2019): 269–79. http://dx.doi.org/10.14528/snr.2019.53.4.2984.

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Introduction: Access to dental services is a basic right included in the compulsory health insurance for patients and thus an important part of the healthcare system in Slovenia. The purpose of this research was to identify and explore the factors that have the greatest impact on the accessibility of dental services from the perspective of the system stakeholders in Slovenia.Methods: A qualitative study was conducted based on the focus group method. The focus group consisted of relevant system stakeholders, namely two representatives of the regulator, provider and payer, a total of six participants. A thematic analysis was carried out in order to identify the patterns and themes within thequalitative data obtained.Results: The results of the focus group revealed the views of system stakeholder on the accessibility of dental services in Slovenia. According to the system stakeholders' perspective, accessibility of dental services in Slovenia is not optimal and significant changes in terms of financing and organisation are required.Discussion and conclusion: We found that the lack of adequate human resources, insufficient health insurance and payment for services are the crucial factors in providing adequate access to dental health in Slovenia. In order to increase its accessibility, the dental programme needs to be expanded and the number of teams for its implementation increased.

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Arca, Muhammed, and Günay Saka. "Health Services Accessibility And Expectations of Disabled People." Eurasian Journal of Family Medicine 8, no. 2 (June 26, 2019): 69–77. http://dx.doi.org/10.33880/ejfm.2019080203.

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Aim: In this study, it was aimed to investigate the distribution of disability types, treatment and rehabilitation needs, utilization of the basic services provided, and determination of expectations of disabled persons. Methods: This descriptive study was carried out in Hazro district of Diyarbakır. Of the 1069 individuals screened by a cross-sectional study, 148 disabled individuals were identified. A face-to-face meeting was provided with the families of these disabled individuals. The demographic characteristics of the disabled person, information on the types of disability, the use of health services and the questionnaire form which asks the expectation status were used. Results: The prevalence of disability was 13.8%. 51.3% of the disabled were male, 48.2% were not literate and 16.7% did not have any social security. It was determined that 37.8% of people with disabilities did not receive treatment for their disability and 98.0% did not benefit from rehabilitation services. It was found that 70.9% of the disabled did not receive education, 60.1% of them did not know about vocational and skill courses and 51.4% of them could not benefit from public transportation services. Families stated that, the disabled people do not go to any institution or rehabilitation center with 44.8% because of absence in the close environment; 26.9% stated that they do not know if there is any. It was found that the most important expectation of 50% of disabled people and their families from institutions and organizations is to provide health services easily. Conclusion: Disabled persons have difficulty in accessing health services and cannot benefit from rehabilitation services. Basic services such as education, vocational courses and public transport are also insufficient. In this sense, health and social service institutions have important duties.

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Martin, Emma, and Gay Rabie. "Looking at the accessibility of sexual health services." British Journal of School Nursing 5, no. 10 (December 10, 2010): 508–11. http://dx.doi.org/10.12968/bjsn.2010.5.10.508.

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Edelman, Debra. "University Health Services Sponsoring Lesbian Health Workshops: Implications and Accessibility." Journal of American College Health 35, no. 1 (July 1986): 44–45. http://dx.doi.org/10.1080/07448481.1986.9938964.

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Dissertations / Theses on the topic "Health services accessibility"

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Bowerman, Robert Lorne. "Evaluating and improving the accessibility of primary health care services." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/nq22192.pdf.

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Johansson, Axel. "Patient Empowerment and Accessibilityin e-Health Services : Accessibility Evaluation of a Mobile WebSite for Medical Records Online." Thesis, Uppsala universitet, Avdelningen för visuell information och interaktion, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-262241.

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This thesis evaluates a DEMO version of the mobile web site for medical recordsonline, m.minavardkontakter.se, from a web accessibility point of view. The evaluationis an expert evaluation based on the ISO standard for web accessibility, Web ContentAccessibility Guidelines (WCAG) 2.0 that is complemented with an evaluation basedon fictitious characters, so called personas. The personas were used to representthree groups of people with different kinds of disabilities; perceptual impairment(aniridia), physical impairment (rheumatism) and cognitive impairment (aphasia). Bycombining and comparing these two methods of evaluation, the thesis also evaluatesthe methods themselves. It was seen from both evaluations that the mobile web sitedoes not entirely fulfill the requirements (success criteria) for web accessibility.WCAG 2.0 found more problems in accessibility than did the personas. However, thepersonas found some problems that were overseen by WCAG 2.0, especially whenthe mobile web site was explored using voice synthesis. The results from the twoevaluations were combined in a set of recommendations for improvement, ranked inorder of importance according to the author. The results conclude that WCAG 2.0 isa good tool for evaluating web accessibility but it is recommended to continue to usethe personas in the future development of the mobile web site.

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Scalli, Leanne Elizabeth. "Accessibility to Health Care Services for Children with Autism Spectrum Disorders." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5522.

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The study was an investigation into health care accessibility for children with autism spectrum disorder (ASD) following the transition to a private Medicaid system in the state of Florida. Pilot studies of managed Medicaid programs focused on costs and did not address how changes to the system impacted access to health care services. There were limited studies designed to understand how a change in the system, such as a privatization, would affect vulnerable populations such as young children with ASD. Additional concerns existed for children that were historically underserved by the health care system such as African American and Latino children because they typically had more difficulty accessing health care services in general. A modified version of the Consumer Assessment of Health Providers and System (CAHPS) Survey 4.0 was used in this study. The modifications to the survey included reducing the number of survey questions and adding open-ended questions. 86 participants were recruited from local organizations that supported children and families affected by ASD. Findings generated using nonparametric tests such as the Mann-Whitney U test and chi-square revealed delays in accessing therapeutic health care services that were pervasive in both private and public insurance groups. Furthermore, the qualitative analysis indicated that participants did not view their difficulties in accessing therapeutic health care services as related to race or ethnicity. Limitations of the study included the modifications made to the survey instrument. Implications for positive social change include a better understanding of the scope of the issue of therapeutic health care access for those advocating on behalf of children and families affected by autism.

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Sansourekidou, Patricia. "Accessibility of Innovative Services in Radiation Oncology." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7738.

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The field of radiation oncology (RO) involves the use of highly advanced techniques to treat cancer and safely spare healthy organs. The discipline has experienced rapid growth in the past 25 years, with technological advancement as the driving force. Available data and an instrument to effectively measure the accessibility of innovation in the field were lacking. The purpose of this study was to investigate the accessibility of innovative services in RO in the United States and assess possible diffusion patterns. Two hundred and forty medical physicists practicing in RO in the United States completed a custom Internet-based survey. The diffusion of innovation theory was used as the theoretical framework for the study. A quantitative cross-sectional analysis was performed to assess how innovation scores may vary depending on individual and organizational factors. ANOVA, Spearman correlation, and multiple linear regression were used to analyze the data. University affiliation, urbanicity, appreciation, and motivation were found to be statistically significant factors affecting accessibility to innovative services. Statistically significant barriers preventing innovation were lack of evidence, increased complexity, staffing constraints, lack of interest from others, lack of interoperability, and lack of reimbursement. Medical physicists are in a leadership position to influence the adoption of innovative services in RO. Encouraging the utilization of innovative and Food and Drug Administration-approved techniques may improve cancer outcomes and consequently have a positive social change effect on public health.

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Reynolds, Gillian. "Accessibility and consumer knowledge of services for deaf adolescents." CSUSB ScholarWorks, 2001. https://scholarworks.lib.csusb.edu/etd-project/1977.

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The percentage of deaf and hard of hearing people who need mental health crisis services is similar to the percentage of the general population needing such services. Yet, coordinated mental services for deaf and hard of hearing individuals are virtually nonexistent. People who are deaf and hard of hearing, like everyone else, find themselves, from time to time, in need of mental health services.

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Mayanja, Rehema. "Decentralized health care services delivery in selected districts in Uganda." Thesis, University of the Western Cape, 2005. http://etd.uwc.ac.za/index.php?module=etd&amp.

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Decentralization of health services in Uganda, driven by the structural adjustment programme of the World Bank, was embraced by government as a means to change the health institutional structure and process delivery of health services in the country. Arising from the decentralization process, the transfer of power concerning functions from the top administrative hierachy in health service provision to lower levels, constitutes a major shift in management, philosophy, infrastructure development, communication as well as other functional roles by actors at various levels of health care. This study focused its investigation on ways and levels to which the process of decentralization of health service delivery has attained efficient and effective provision of health services. The study also examined the extent to which the shift of health service provision has influenced the role of local jurisdictions and communities. Challenges faced by local government leaders in planning and raising funds in response to decentralized health serdelivery were examined.

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Nteta, Thembi Pauline. "Accessibility and utilization of the primary health care services in Tshwane Region." Thesis, University of Limpopo (Medunsa Campus), 2009. http://hdl.handle.net/10386/237.

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Thesis (MPH)--University of Limpopo, 2009.
Background Primary Health Care is a basic mechanism that brings healthcare as close as possible to the people. In South Africa, it is seen as a cost effective means of improving the health of the population. It is provided free of charge by the government. This service should be accessible to the population so as to meet the millennium health goals. Aims The aims and objectives of the study were: • To investigate whether Primary Health Care services were accessible to the communities of Tshwane Region. • To determine the utilization of the health care services in the three Community Health Care centres of Tshwane Region. Methodology Data were collected at the three Community Health Care centres of Tshwane Region using self-administered questionnaires. A document review of the Community Health Care centres records was conducted to investigate the utilization trends of services. Descriptive statistics were used. The analysis was based on the information that was elicited from the questionnaires that the people who utilize the Community Health Care centres of Tshwane Region provided. The extracted data emanating from the records from the three centres were also used. Results The study demonstrated that in terms of distance, the Community Health Care centres of Tshwane Region are accessible as most participants lived within 5km. They traveled 30 minutes or less to the clinic. The taxi and walking was the most common form used to access the clinic. The services were utilized with the Tuberculosis clinic being the most visited. Generally, people were satisfied with the service and their health needs are met. Conclusion The Community Health Care centres of Tshwane Region are accessible and utilized effectively. Key words: Primary Health Care, accessibility, utilization.

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Liu, Xiaohui, and 刘晓辉. "Change in access to health care in Guangzhou, 1990-2009." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2010. http://hub.hku.hk/bib/B4517328X.

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LaRoche, Kathryn J. "The Availability, Accessibility, and Provision of Post-Abortion Support Services in Ontario." Thesis, Université d'Ottawa / University of Ottawa, 2015. http://hdl.handle.net/10393/32786.

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In a study we conducted with Ontarian women about their abortion experiences (OAS), one third of participants expressed a desire for post-abortion support. Yet, there is some anecdotal evidence to suggest that organizations offering these services are using judgmental frameworks. In order to rigorously investigate this, we explored what post-abortion support services are offered across the province of Ontario. This multi-methods study included an analysis of OAS data, creating a directory of post-abortion support services in the province, conducting an analysis of how these services represent themselves online, and carrying out mystery client interactions. We found that the majority of organizations offering post-abortion support services in Ontario are crisis pregnancy centers. The services offered at these organizations are built upon frameworks that are both shaming and stigmatizing of abortion experiences. Efforts to increase the online visibility and overall accessibility of non-judgmental, medically accurate post-abortion support services in Ontario appear warranted.

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Rangel, Carlos Felix Garrocho. "The accessibility and utilization of public paediatric services in Toluca, Mexico." Thesis, University of Exeter, 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.304296.

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Books on the topic "Health services accessibility"

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Institute of Medicine (U.S.). Committee on Monitoring Access to Personal Health Care Services. Access to health care in America: Summary. Edited by Millman Michael L. Washington, D.C: National Academy Press, 1993.

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Unit, Uganda Health Planning, ed. Health facility inventory and access to health services, Uganda, 1992. Entebbe, Uganda: Health Planning Unit, Ministry of Health, 1993.

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N, Kristiansen Magnus, ed. Topics in aging research. New York: Nova Science Publishers, 2008.

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Mwanza, Patrick David. Lusaka Urban Health Project: A case study of neighbourhood health committees. [Lusaka: s.n., 1998.

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Canada, Canada Health. Moving forward in the health sector--: Consultative committees for English- and French-speaking minority communities : status report October 2005. [Ottawa]: Health Canada, 2005.

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(Denmark), Instituttet for fremtidsforskning. Sundhedsvæsenet i fremtiden. København: Ministeriet, 1999.

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Adams, Mary L. Health care access in Wyoming: Results from the 2003 Wyoming Behavioral Risk Factor Surveillance System. Cheyenne, Wyo: Wyoming Dept. of Health, 2005.

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South Africa. Commission of Inquiry into Health Services. Interim report on hospitals and state health services: Eighth interim report of the Commission of Inquiry into Health Services. Pretoria: Govt. Printer, 1986.

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Councils, Association of County, and Association of Metropolitan Authorities, eds. Who gets community care?: A survey of community care eligibility criteria. London: Association of County Councils, 1995.

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Technology, Queensland University of. Health inequalities in Australia: Morbidity, health behaviours, risk factors and health service use. Brisbane, QLD: School of Public Health, Queensland University of Technology, 2006.

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Book chapters on the topic "Health services accessibility"

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Blanford, Justine. "Accessibility Methods: Spatial Accessibility to Health Services and Essential Healthcare." In Geographic Information, Geospatial Technologies and Spatial Data Science for Health, 291–330. Boca Raton: Chapman and Hall/CRC, 2024. http://dx.doi.org/10.1201/9781003435082-8.

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Wu, Juhua, Zhenyi Zhao, Shunjun Jiang, and Lei Tao. "The Research on Spatial Accessibility to Healthcare Services Resources in Tianhe, Guangzhou." In Smart Health, 96–105. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-34482-5_9.

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Adamski, Marcin, Maciej Bogdański, Mikołaj Buchwald, Ludo Cuypers, Kinga Ćwiklińska, Michał Kosiedowski, Marcin Wieczorek, and Sergiusz Zieliński. "Application of a Comprehensive and Extendable Package of Personalizable Digital Services in Supporting Healthy Ageing." In ICT for Health, Accessibility and Wellbeing, 31–36. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-94209-0_3.

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Acosta-Vargas, Patricia, Paula Hidalgo, Gloria Acosta-Vargas, Mario Gonzalez, Javier Guaña-Moya, and Belén Salvador-Acosta. "Challenges and Improvements in Website Accessibility for Health Services." In Advances in Intelligent Systems and Computing, 875–81. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-39512-4_134.

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Lätzsch, Cornelius. "Dimensions of Health Care and Social Services Accessibility for Disabled Asylum Seekers in Germany." In Health in Diversity – Diversity in Health, 51–75. Wiesbaden: Springer Fachmedien Wiesbaden, 2020. http://dx.doi.org/10.1007/978-3-658-29177-8_4.

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Shrestha, Binjwala. "20. Mobility and accessibility to health services in rural Nepal." In Gender, Roads, and Mobility in Asia, 205–13. Rugby, Warwickshire, United Kingdom: Practical Action Publishing, 2012. http://dx.doi.org/10.3362/9781780440507.020.

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Ouma, Paul, Peter M. Macharia, Emelda Okiro, and Victor Alegana. "Methods of Measuring Spatial Accessibility to Health Care in Uganda." In Practicing Health Geography, 77–90. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-63471-1_6.

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AbstractEnsuring everyone has access to health care regardless of demographic, geographic and social economic status is a key component of universal health coverage. In sub-Saharan Africa, where populations are often sparsely distributed and services scarcely available, reducing distances or travel time to facilities is key in ensuring access to health care. This chapter traces the key concepts in measuring spatial accessibility by reviewing six methods—Provider-to-population ratio, Euclidean distance, gravity models, kernel density, network analysis and cost distance analysis—that can be used to model spatial accessibility. The advantages and disadvantages of using each of these models are also laid out, with the aim of choosing a model that can be used to capture spatial access. Using an example from Uganda, a cost distance analysis is used to model travel time to the nearest primary health care facility. The model adjusts for differences in land use, weather patterns and elevation while also excluding barriers such as water bodies and protected areas in the analysis. Results show that the proportion of population within 1-h travel times for the 13 regions in the country varies from 64.6% to 96.7% in the dry period and from 61.1% to 96.3% in the wet period. The model proposed can thus be used to highlight disparities in spatial accessibility, but as we demonstrate, care needs to be taken in accurate assembly of data and interpreting results in the context of the limitations.

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Marino, Andrea, Marco Pesce, and Raffaella Succi. "Access to emergency care services and inequalities in living standards: Some evidence from two Italian northern regions." In Proceedings e report, 135–40. Florence: Firenze University Press and Genova University Press, 2023. http://dx.doi.org/10.36253/979-12-215-0106-3.24.

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Rapid access to emergency medical care is crucial in reducing the implications of negative health events in terms of both mortality and disability. Thus, in a well-designed health system the geographical distribution of emergency care services should be able to minimize the share of people whose access time lies beyond critical thresholds. In spite of this, statistical information measuring accessibility to emergency care services at a highly disaggregated level is unavailable in Italy. This paper makes a step in filling this gap, by providing geographically detailed estimates of accessibility in two northern regions, Liguria and Lombardia. To do so, we use three data sources: 1) georeferenced population data measured at the currently most possible detailed level (census enumeration areas, CEAs) from the 2011 Population Census; 2) open data on location of emergency care services; 3) crowdsourced data on road travel distances. Elaborating these data with an efficient algorithm based on open source routing machine provides us with a clear mapping of particularly disadvantaged areas. We find that in 2013 the population share whose access time to emergency care services lies beyond a critical –and policy relevant- threshold of 60 minutes is fairly limited (about 0.1% in both regions). Regional differences emerge when setting lower thresholds. We briefly discuss how accessibility may have evolved in recent years, based upon some conjecture on population dynamics at the CEA level and updated information on emergency care centers. Finally, we analyze how differences in accessibility are related to a set of characteristics describing the population’s living conditions. Different results emerge. In particular, older and less educated people in Liguria face significantly lower access to emergency care. Overall, our results suggest that spatial differences in accessibility -within and between regions- should be considered a relevant determinant of health inequality.

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Lee, Po-Chang. "Introduction to the National Health Insurance of Taiwan." In Digital Health Care in Taiwan, 1–15. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-031-05160-9_1.

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AbstractThis chapter provides an overview of Taiwan’s National Health Insurance (NHI) system. In 1995, major social insurance programmes, such as labour insurance, government employee health insurance and farmers’ insurance, were merged and enlarged to form the NHI to deliver universal health coverage. Since its inception, the payment system of the NHI is the fee-for-service method. Moreover, most of the health care is provided by private sectors, and there are no restrictions on patients seeking medical care. Owing to the high medical accessibility, the volume of outpatient services is high, and the National Health Insurance Administration (NHIA) has to develop various measures to maintain its financial stability. Several strategies have been implemented by the NHIA for health equity, and the NHI MediCloud system, the NHI card and ‘My Health Bank’ were provided to ensure patients’ safety and enhance healthcare quality.

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Lopes, D. F., J. L. Marques, and E. A. Castro. "A MCDA/GIS-Based Approach for Evaluating Accessibility to Health Facilities." In Computational Science and Its Applications – ICCSA 2021, 311–22. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-86973-1_22.

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AbstractAccess to health care services is a key concept in the formulation of health policies to improve the population’s health status and to mitigate inequities in health. Previous studies have significantly enhanced our understanding and knowledge of the role played by spatial distribution of health facilities in sustaining population health, with extensive research being devoted to the place-based accessibility theory, with special focus on the gravity-based methods. Although they represent a good starting point to analyse disparities across different regions, the results are not intelligible for policy-making purposes. Given the weaknesses of these methods and the multidimensional nature of the topic, this study intends to: (i) highlight the main measurements of access and their major challenges; and (ii) propose a framework based on multiple criteria decision analysis methods and GIS to appraise the population’s accessibility to health facilities. In particular, this framework is based on a new variant of the UTASTAR method, which requires decision makers and/or experts preference information, in the form of an ordinal ranking, similarly to the UTASTAR method, but to which cardinal information is also added. A numerical example is presented to illustrate the application of the proposed methodology.

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Conference papers on the topic "Health services accessibility"

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Stanković, Ana, and Hrvoje Stančić. "Development of Health Care e-Services in the European Union." In INFuture2015: e-Institutions – Openness, Accessibility, and Preservation. Department of Information and Communication Sciences, Faculty of Humanities and Social Sciences, Zagreb, Croatia, 2015. http://dx.doi.org/10.17234/infuture.2015.33.

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Fan, Tao, Ying Sun, and Xuhe Xie. "Accessibility Analysis of Hospitals Medical Services in Urban Modernization." In ICMHI 2020: 2020 4th International Conference on Medical and Health Informatics. New York, NY, USA: ACM, 2020. http://dx.doi.org/10.1145/3418094.3418101.

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Crnkovič, Nuša, Katarina Cesar, Branko Gabrovec, Ivana Kršić, Teja Tovornik, Vesna Paveo, Andraž Ajdič, Mitja Vrdelja, and Špela Selak. "Dostopnost do storitev na področju duševnega zdravja v času epidemije covid-19." In Interdisciplinarity Counts. University of Maribor, University Press, 2023. http://dx.doi.org/10.18690/um.fov.3.2023.18.

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High levels of hospitalisations during the first year of covid-19 epidemic demanded a swift adjustment of the health system. This resulted in temporary reallocations of healthcare workers to different tasks, limiting or temporarily suspending certain health services and programs, including mental health services, despite an increase in mental health difficulties during the epidemic. The aim of the present study was to explore the level of accessibility of mental health services, in 2020, during the covid-19 epidemic and how was the accessibility of mental health services influenced by the reallocations of healthcare workers to different tasks. An online survey was forwarded to all health institutions within the Slovenian public health system that provide mental health services. The results indicated the lowest accessibility to mental health services during the spring lockdown in 2020, while at the same period the prevalence of reallocations of the healthcare workers was at its highest. Present results also show that lower accessibility to mental health services was present where the levels of reallocations of healthcare workers was high. Implications for management of mental health services in emergency situations like covid-19 epidemic are made.

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Ladapo, Taiwo, Sanjay Wazir Pandita, and Abiodun Adu. "219 Accessibility of child health care services during a national lock-down: a parental survey." In RCPCH Conference Singapore. BMJ Publishing Group Ltd, 2021. http://dx.doi.org/10.1136/bmjpo-2021-rcpch.118.

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Ursache (m. Dumitriu), Simona-Andreea, Ionel Muntele, Marinela Istrate, and Mihaela Orlanda Antonovici (Munteanu). "PERMANENT MEDICAL CENTERS – PREMISES FOR INCREASING ACCESSIBILITY TO HEALTH SERVICES IN RURAL COMMUNITIES (IASI COUNTY)." In 7th International Scientific Conference GEOBALCANICA 2021. Geobalcanica Society, 2021. http://dx.doi.org/10.18509/gbp210173u.

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Zhu, Xiaoning, and Siqi Chen. "Study on the Construction of Evaluation Dimensions of Accessibility of Basic Public Health Services in China." In 2021 6th International Conference on Social Sciences and Economic Development (ICSSED 2021). Paris, France: Atlantis Press, 2021. http://dx.doi.org/10.2991/assehr.k.210407.092.

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Soontorn, Thassanee, Praditporn Pongtraing, and Orapan Thosigha. "PW 1235 The accessibility of public health services in elderly with functional dependence during emergency illness." In Safety 2018 abstracts. BMJ Publishing Group Ltd, 2018. http://dx.doi.org/10.1136/injuryprevention-2018-safety.686.

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Zahnd, Whitney E., Sara McLafferty, Recinda Sherman, Susan Farner, Hillary Klonoff-Cohen, and Karin Rosenblatt. "Abstract C87: Spatial accessibility to mammography services in the Lower Mississippi Delta states." In Abstracts: Tenth AACR Conference on The Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; September 25-28, 2017; Atlanta, GA. American Association for Cancer Research, 2018. http://dx.doi.org/10.1158/1538-7755.disp17-c87.

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"A Multiple Deprivation Index and Its Relation to Health Services Accessibility in a Rural Area of Ecuador." In GI_Forum 2014 - Geospatial Innovation for Society. Vienna: Austrian Academy of Sciences Press, 2015. http://dx.doi.org/10.1553/giscience2014s188.

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Hubaybah, Hubaybah, Evy Wisudariani, and Usi Lanita. "Hiv/ Aids Prevention Program: A Mixed Method Study on the Implementation of Voluntary Counseling and Testing Services at Primary Health Center, Jambi." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.02.35.

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Background: The number of people infected HIV/ AIDS continues to increase, including in Jambi. The reports from January to September showed 51 people with HIV infection occurred in Jambi. The accessibility of HIV/ AIDS voluntary counseling and testing (VCT) services are important in high risk area. This study aimed to investigate the HIV/ AIDS prevention program through the implementation of voluntary counseling and testing services at primary health center, Jambi. Subjects and Method: The mix-method study was conducted at three locations, including Tanjung Pinang, Rawasari, and Pakuan Baru Community Health Centres, from March to May 2020. The study’s informants were HIV/ AIDS counselors, laboratorian/ pharmacists, and HIV / AIDS risk groups who visited the VCT clinic. The data were collected through in-depth interviews and direct observations. The data were reported descriptively. Results: The implementation of the VCT program was generally good (82%), i.e., counselors had attended the training at least once, and the education level of health workers was standard. The health professionals were friendly and used simple and understandable language to communicate with clients. The facilities and infrastructure showed that the cleanroom was clean, but the other facilities were still incomplete. There was only one door in the counseling room and the absence of an information board for the VCT service flow. Some of these HIV/ AIDS counselors also had responsibility for some other programs besides VCT services. There was a WhatsApp group with risk groups. Conclusion: The VCT program is well implemented. Some improvements in terms of periodic evaluation of the implementation of VCT services, upgrading staff skills and providing an adequate number of facilities and infrastructure. Keywords: VCT, HIV/ AIDS, counsellor Correspondence: Hubaybah. Faculty of Medicine and Health Sciences, Universitas Jambi. Jl. Letjend Soeprapto No 33 Telanai Pura Jambi. Email: hubaybah@unja.ac.id. Mobile: +628117453224. DOI: https://doi.org/10.26911/the7thicph.02.35

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Reports on the topic "Health services accessibility"

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Mason, Dyana, and Miranda Menard. The Impact of Ride Hail Services on the Accessibility of Nonprofit Services. Transportation Research and Education Center (TREC), 2021. http://dx.doi.org/10.15760/trec.260.

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Nonprofit organizations are responsible for providing a significant level of human services across the United States, often in collaboration with government agencies. In this work, they address some of the most pressing social issues in society – including homelessness, poverty, health care and education. While many of these organizations consider location and accessibility crucial to supporting their clients – often locating services near bus or train stops, for example – little is known about the impact of new technologies, including ride hail services like Lyft and Uber, on nonprofit accessibility. These technologies, which are re-shaping transportation in both urban and suburban communities, are expected to dramatically shift how people move around and the accessibility of services they seek. This exploratory qualitative study, making use of interviews with nonprofit executives and nonprofit clients, is among the first of its kind to measure the impact of ride hail services and other emerging technologies on community mobility and accessibility.

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Banco de España, Banco de España. In-person access to banking services in Spain: 2023 Monitoring Report. Madrid: Banco de España, January 2024. http://dx.doi.org/10.53479/35912.

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This paper presents an analysis of recent developments in the accessibility of banking services in Spain, from the perspective of both supply (the in-person access points available) and demand (customer use and assessment). According to the results obtained, the following main conclusions can be drawn: i) The reduction in the number of bank branches between 2021 and 2022 was offset by the establishment of mobile branches in smaller municipalities and financial agents in larger municipalities. ii) Between 2021 and 2022, the number of municipalities without any in-person points of access to banking services was reduced by 167 (2.1% of municipalities and 0.13% of the population). iii) The percentage of municipalities without any in-person point of access to banking services decreased to a greater extent than in the case of other services, both those provided privately (shops and bars) and those with a certain component of public provision (health care and pharmacies).

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Agarwal, Smisha, Madhu Jalan, Holly C. Wilcox, Ritu Sharma, Rachel Hill, Emily Pantalone, Johannes Thrul, Jacob C. Rainey, and Karen A. Robinson. Evaluation of Mental Health Mobile Applications. Agency for Healthcare Research and Quality (AHRQ), May 2022. http://dx.doi.org/10.23970/ahrqepctb41.

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Background. Mental health mobile applications (apps) have the potential to expand the provision of mental health and wellness services to traditionally underserved populations. There is a lack of guidance on how to choose wisely from the thousands of mental health apps without clear evidence of safety, efficacy, and consumer protections. Purpose. This Technical Brief proposes a framework to assess mental health mobile applications with the aim to facilitate selection of apps. The results of applying the framework will yield summary statements on the strengths and limitations of the apps and are intended for use by providers and patients/caregivers. Methods. We reviewed systematic reviews of mental health apps and reviewed published and gray literature on mental health app frameworks, and we conducted four Key Informant group discussions to identify gaps in existing mental health frameworks and key framework criteria. These reviews and discussions informed the development of a draft framework to assess mental health apps. Iterative testing and refinement of the framework was done in seven successive rounds through double application of the framework to a total of 45 apps. Items in the framework with an interrater reliability under 90 percent were discussed among the evaluation team for revisions of the framework or guidance. Findings. Our review of the existing frameworks identified gaps in the assessment of risks that users may face from apps, such as privacy and security disclosures and regulatory safeguards to protect the users. Key Informant discussions identified priority criteria to include in the framework, including safety and efficacy of mental health apps. We developed the Framework to Assist Stakeholders in Technology Evaluation for Recovery (FASTER) to Mental Health and Wellness and it comprises three sections: Section 1. Risks and Mitigation Strategies, assesses the integrity and risk profile of the app; Section 2. Function, focuses on descriptive aspects related to accessibility, costs, organizational credibility, evidence and clinical foundation, privacy/security, usability, functions for remote monitoring of the user, access to crisis services, and artificial intelligence (AI); and Section 3. Mental Health App Features, focuses on specific mental health app features, such as journaling and mood tracking. Conclusion. FASTER may be used to help appraise and select mental health mobile apps. Future application, testing, and refinements may be required to determine the framework’s suitability and reliability across multiple mental health conditions, as well as to account for the rapidly expanding applications of AI, gamification, and other new technology approaches.

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Toloo, Sam, Ruvini Hettiarachchi, David Lim, and Katie Wilson. Reducing Emergency Department demand through expanded primary healthcare practice: Full report of the research and findings. Queensland University of Technology, January 2022. http://dx.doi.org/10.5204/rep.eprints.227473.

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Demand for public hospital emergency departments’ services and care is increasing, placing considerable restraint on their performance and threatens patient safety. Many factors influence such demand including individual characteristics (e.g. perceptions, knowledge, values and norms), healthcare availability, affordability and accessibility, population aging, and internal health system factors (e.g patient flow, discharge process). To alleviate demand, many initiatives have been trialled or suggested, including early identification of at-risk patients, better management of chronic disease to reduce avoidable ED presentation, expanded capacity of front-line clinician to manage sub-acute and non-urgent care, improved hospital flow to reduce access block, and diversion to alternate site for care. However, none have had any major or sustained impact on the growth in ED demand. A major focus of the public discourse on ED demand has been the use and integration of primary healthcare and ED, based on the assumption that between 10%–25% of ED presentations are potentially avoidable if patients’ access to appropriate primary healthcare (PHC) services were enhanced. However, this requires not only improved access but also appropriateness in terms of the patients’ preference and PHC providers’ capacity to address the needs. What is not known at the moment is the extent of the potential for diversion of non-urgent ED patients to PHC and the cost-benefits of such policy and funding changes required, particularly in the Australian context. There is a need to better understand ED patients’ needs and capacity constraint so as to effect delivery of accessible, affordable, efficient and responsive services. Jennie Money Doug Morel

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Idris, Iffat. Increasing Birth Registration for Children of Marginalised Groups in Pakistan. Institute of Development Studies (IDS), July 2021. http://dx.doi.org/10.19088/k4d.2021.102.

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This review looks at approaches to promote birth registration among marginalised groups, in order to inform programming in Pakistan. It draws on a mixture of academic and grey literature, in particular reports by international development organizations. While there is extensive literature on rates of birth registration and the barriers to this, and consensus on approaches to promote registration, the review found less evidence of measures specifically aimed at marginalised groups. Gender issues are addressed to some extent, particularly in understanding barriers to registration, but the literature was largely disability-blind. The literature notes that birth registration is considered as a fundamental human right, allowing access to services such as healthcare and education; it is the basis for obtaining other identity documents, e.g. driving licenses and passports; it protects children, e.g. from child marriage; and it enables production of vital statistics to support government planning and resource allocation. Registration rates are generally lower than average for vulnerable children, e.g. from minority groups, migrants, refugees, children with disabilities. Discriminatory policies against minorities, restrictions on movement, lack of resources, and lack of trust in government are among the ‘additional’ barriers affecting the most marginalised. Women, especially unmarried women, also face greater challenges in getting births registered. General approaches to promoting birth registration include legal and policy reform, awareness-raising activities, capacity building of registration offices, integration of birth registration with health services/education/social safety nets, and the use of digital technology to increase efficiency and accessibility.

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Olson, Hannah, Madeleine Haas, and Megan L. Kavanaugh. State-Level Contraceptive Use and Preferences: Estimates from the US 2022 Behavioral Risk Factor Surveillance System. Guttmacher Institute, March 2024. http://dx.doi.org/10.1363/2024.300488.

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Contraception plays a key role in people’s realization of their sexual and reproductive health and well-being. The factors that shape contraceptive behaviors are complex and dynamic, and there is growing recognition among reproductive health service providers and advocates that contraceptive service delivery must prioritize patients’ values and preferences to help them exercise their reproductive autonomy.1 Similarly, research and public health surveillance systems that measure not only contraceptive use and method selection but also contraceptive preferences are best suited to evaluate service quality and track progress toward meeting the needs of reproductive-aged people. Building on findings from two previous Guttmacher Institute reports describing Behavioral Risk Factor Surveillance System (BRFSS) data on contraceptive use in 20172 and 2019,3 this report uses data from the 2022 BRFSS to provide an expanded set of state-level estimates of contraceptive use and preferences. In 2022, scientists at Guttmacher collaborated with the Centers for Disease Control and Prevention (CDC) to modify existing questions and include additional questions in the BRFSS family planning module. The resulting data set allows analysis not only of people’s primary contraceptive method use but also of multiple method use, overall contraceptive preferences and method-specific contraceptive preferences. Data collection for the 2022 BRFSS occurred during a pivotal time for reproductive health and rights due to the US Supreme Court’s June 2022 ruling in Dobbs v. Jackson Women’s Health Organization, which overturned the federal right to abortion. A wave of restrictive state laws and policies have followed, and as legislation concerning sexual and reproductive health care becomes increasingly politicized, state-level policies are key determinants of the quality and accessibility of contraceptive care.4 In this environment, state-level data, especially on person-centered measures of contraceptive preferences, are of paramount importance in understanding how shifts in reproductive health policy and service delivery are felt in the population. This report finds that contraceptive use is high across all reporting jurisdictions, but there is considerable variation in whether people are realizing preferences for which contraceptives they use or whether to use at all. People who report having used a method that requires some interaction with a provider, for example, are more likely than people using exclusively provider-independent or over-the-counter methods to report their current method as their preferred method of contraception. Throughout this report, we will explore how patterns of contraceptive use and preferences vary by type of method or combination of methods and jurisdiction. Given the elevated barriers to contraception that young people have historically experienced,5,6 we also highlight differences between two age-groups (18–24 and 25–49) where possible.*

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Bartolino, Valerio, Birgit Koehler, and Lena Bergström, eds. Climate effects on fish in Sweden : Species-Climate Information Sheets for 32 key taxa in marine and coastal waters. Department of Aquatic Resources, Swedish University of Agricultural Sciences, 2023. http://dx.doi.org/10.54612/a.4lmlt1tq5j.

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The purpose of this publication is to summarize the state of knowledge on the effects of environmental variability and climate change for individual species and stocks based on literature review, giving species-climate information for 32 key taxa in Swedish marine and coastal waters. The report is written in English. The extent and scale of recent changes in climate due to global warming is unprecedented and causes increasing effects on ecosystems. In oceans, ongoing warming leads to, for example, increased water temperatures, decreased ice cover and effects on hydrology and water circulation patterns that can in turn influence salinity. The environmental alterations affect species distribution, biology, and hence also the delivery of marine ecosystem services and human well-being. The results of this review on the effects of environmental variability and climate change on marine taxa are presented as species-climate information sheets designed in a user-friendly format aimed to enhance accessibility for professionals spanning different fields and roles, including e.g. scientific experts, NGOs affiliates and managers. The species-climate information sheets presented here cover 32 key taxa selected among the economically and ecologically most important coastal and marine fish and crustacean species in Swedish waters. The species-wise evaluations show that climate change leads to a wide range of effects on fish, reflecting variations in their biology and physiological tolerances. The review also highlights important data and knowledge gaps for each species and life stage. Despite the high variability and prevailing uncertainties, some general patterns appeared. On a general level, most fish species in Swedish marine and coastal waters are not expected to benefit from climate change, and many risks are identified to their potential for recruitment, growth and development. Boreal, marine and cold-adapted species would be disadvantaged at Swedish latitudes. However, fish of freshwater origin adapted to warmer temperature regimes could benefit to some extent in the Baltic Sea under a warming climate. Freshwater fish could also be benefitted under further decreasing salinity in the surface water in the Baltic Sea. The resulting effects on species will not only depend on the physiological responses, but also on how the feeding conditions for fish, prey availability, the quality of essential fish habitats and many other factors will develop. A wide range of ecological factors decisive for the development of fish communities are also affected by climate change but have not been explored here, where we focused on the direct effects of warming. The sensitivity and resilience of the fish species to climate change will also depend on their present and future health and biological status. Populations exposed to prolonged and intense fishing exploitation, or affected by environmental deterioration will most likely have a lower capacity to cope with climate change effects over time. For both the Baltic Sea and the North Sea, it is important to ensure continued work to update and improve the species-climate information sheets as results from new research become available. It can also be expected that new important and relevant biological information and improved climate scenarios will emerge continuously. Continued work is therefore important to update and refine the species-climate information sheets, help filling in currently identified knowledge gaps, and extend to other species not included here. Moreover, there is need to integrate this type of species-level information into analyses of the effects of climate change at the level of communities and ecosystems to support timely mitigation and adaptation responses to the challenges of the climate change.

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Testing a community-based distribution approach to reproductive health service delivery in Senegal (a study of community agents in Kébémer). Population Council, 2004. http://dx.doi.org/10.31899/rh17.1010.

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The Division of Reproductive Health (DSR) of the Senegal Ministry of Health and Social Action, in partnership with the Population Council’s FRONTIERS in Reproductive Health program and Management Sciences for Health (MSH), conducted a study to test and compare three ways of providing reproductive health services to rural communities in the Kébémer district of Senegal in terms of their effectiveness, cost, and cost-effectiveness. FRONTIERS and MSH collaborated with the DSR to design the interventions, MSH supported the DSR in implementing the interventions, and FRONTIERS undertook the evaluation. This study, funded by USAID, responded to the recommendations of a 1999 workshop, organized by FRONTIERS and the DSR, on the community-based distribution (CBD) approach, which defined alternative CBD models appropriate for Senegal. The DSR sees the development of community-based service delivery models as essential for the future of health care in Senegal. As noted in this report, the general objective of the study was to contribute to the development of an integrated cost-effective program to increase the accessibility and availability of reproductive health information and services in rural areas of Senegal.

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The Youth Empowerment Project: Strengthening NGO Management, Research and Service Delivery Capabilities in Botswana. Population Council, 1997. http://dx.doi.org/10.31899/pgy1997.1001.

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In an expansion of its efforts to fight a growing HIV epidemic and high teenage pregnancy rates, the Government of Botswana is encouraging nongovernmental organizations (NG0s) to be more active in providing reproductive health (RH) services, and especially HIV/AIDS education and care, to adolescents. NG0s have the potential to assume a larger role as health and education providers as well as implement pilot projects that the public health sector could learn from to increase the availability and quality of RH services for youth. The Africa OR/TA Project II designed and implemented the Youth Empowerment Project (YEP) to assist youth-oriented NG0s in taking on greater responsibility for adolescent RH and education in Botswana. YEP was part of USAID's Botswana Population Sector Assistance Project that assisted the Government of Botswana in improving the accessibility and effectiveness of RH care provided by the public and NGO sectors. This report describes YEP’s focus on strengthening the management and service delivery capabilities of the participating NG0s.

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District level baseline survey of family planning program in Uttar Pradesh: Kanpur. Population Council, 1995. http://dx.doi.org/10.31899/rh1995.1008.

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The Ministry of Health and Family Welfare (MOHFW) with financial support from the United States Agency for International Development (USAID) has sponsored the Innovations in Family Planning Services Project (under the management of the State Innovations in Family Planning Services Agency, Lucknow). The project aims to reduce fertility through increasing accessibility, improving quality, and generating demand for family planning services. It attempts to achieve its objectives by supporting service innovations in the public and nongovernmental sector and through social marketing of contraceptives. These intervention strategies are expected to increase the couple protection rate of the state in general and of Kanpur Nagar in particular. One of the prerequisites is to carry out a baseline survey in selected districts of Uttar Pradesh. The BSUP is primarily a household survey with an overall target sample size of 37,000 ever married women ages 13–49 years. The Population Council has collaborated with a number of Indian Consulting Organizations (COs) for survey implementation. Each CO has carried out the survey in one or more districts. The baseline survey was initiated in 15 out of the state’s 63 districts. This report pertains to district Kanpur Nagar.

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