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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&.
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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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Christian, Carmen Sue. "Access in the South African public health system: factors that influenced access to health care in the South African public sector during the last decade." University of the Western Cape, 2014. http://hdl.handle.net/11394/4211.
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Magister Commercii - MComThe aim of this mini-thesis is to investigate the factors linked to access in the South African public health sector - using General Household Survey Data - in order to contribute to a better understanding of the role of access in achieving the National Department of Health’s primary goal of universal coverage. Even though the multi-dimensional interpretation of health system performance has gained acceptance and traction in recent years, much of the research linked to it remains supply-focused. The implicit truth is that demand-side health issues are largely ignored, under-researched and ominously absent from health policies. This is particularly true with regard to the access dimension of health performance, where research and policy focus almost exclusively on availability and affordability perspectives of access while neglecting demand-side aspects of health-seeking behaviour, such as acceptability. The study, therefore, pursues an in-depth exploration of access across its three dimensions - availability, affordability and acceptability - in the South African public health sector and aims to empirically investigate access to public health care from 2002 to 2012. It also identifies the underlying reasons for the observed trends, supplementing and reorienting the current understanding of access to public health care. The empirical findings reveal mixed results: it supports current literature by suggesting that equity has been achieved in terms of making public health care services more affordable, especially for the most vulnerable groups of South African society. However, acceptability and availability issues persist. It is safe to say that the availability of public health care – mainly a supply-side issue – is being addressed in the South African context with Government taking steps to address it. Unfortunately the same attention has not been given to issues of acceptability on the demand-side. Failure to fully understand the demand-side dimension of access and the role health-seeking behaviour plays in public health issues threatens to weaken health policies aimed at improving access. It is imperative that demand-side aspects of health-seeking behaviour and institutional responsiveness to health-demand occupy a more prominent role in South African public health debates, research and policy.
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Gibson, P. Joseph. "Access to health care : Medicaid fee-for-service versus capitation /." Thesis, Connect to this title online; UW restricted, 1996. http://hdl.handle.net/1773/10882.
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Liao, Hsin-Chung. "The Association of Spatial Accessibility to Health Care Services with Health Utilization and Health Status Among People with Disabilities." Cleveland State University / OhioLINK, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=csu1295035743.
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Salem, Salem F. "The geography of health in Libya : accessibility to, utilisation of, and satisfaction with public polyclinics in Benghazi." Thesis, Durham University, 1995. http://etheses.dur.ac.uk/1709/.
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Larson, Eric Hugh. "Geographic variation in the risk of poor birth outcome in the non-metropolitan population of the United States, 1985-1987 /." Thesis, Connect to this title online; UW restricted, 1995. http://hdl.handle.net/1773/5634.
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Khe, Nguyen Duy. "Socioeconomic differences in a rural district in Vietnam : effects on health and use of health services /." Stockholm, 2004. http://diss.kib.ki.se/2004/91-7349-984-6/.
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Wen, Siying, and 溫思穎. "Health insurance effects on health care access for rural residents in Guangzhou city." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2011. http://hub.hku.hk/bib/B46942749.
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Buckley, L. C. "Going through changes : a single point of access for health and social care." Thesis, Coventry University, 2013. http://curve.coventry.ac.uk/open/items/7345dede-9192-4dad-827e-9b4ddd4503fa/1.
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Background: Integrated working between health and social care services within England has been encouraged by Government policy in the last decade, and has been argued to provide a seamless, joined up experience for service users (Department of Health 2011). One way of integrating care is through the use of a single point of access to health and social care services. A single point of access to services has been trialled in mental health and learning disability services to improve access, and following on from policy (e.g. Department of Health 2007) and support from literature (Rogers, Entwistle & Pencheon 1998; Lovell & Richards 2000; Raine, Carter, Sensky & Black 2005) a single point of access to health and social care for older adults has been implemented in parts of the UK. This thesis examines the implementation of one such single point of access. Objectives: The aim of the study was to examine the single point of access and whether it had any impact upon integrated working within a county in England, UK. Methods: An ethnographic approach was taken, using a combination of methods including interviews, focus groups and observations. This was complemented by a grounded theory approach to analysis. Findings: The single point of access had an adverse effect upon integration. The poor management of change and lack of communication led to issues within the single point of access such as failure of IT systems and duplication. Staff became frustrated and disengaged from the process, and consequently reported feeling disempowered, retreating back to their professional 'tribes'. Conclusion: Firm conclusions about the efficacy of a single point of access with regard to its effect upon integrated working could not be reached. However, the findings suggest that clear communication, continued change management and recognition of professional culture are decisive factors when attempting to integrate health and social care. Further research into the impact of a single point of access upon integration as well as outcomes for service users is recommended.
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Fleming, Robin Jo. "The role of school health services in reducing health and educational disparities : examining usage rates of student health services in the Seattle School District /." Thesis, Connect to this title online; UW restricted, 2008. http://hdl.handle.net/1773/7735.
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Whitener, Louise M. "Using Hongvivatana's model to evaluate health care access : a field study of adolescent women's access to reproductive health care services in rural Missouri counties /." free to MU campus, to others for purchase, 2000. http://wwwlib.umi.com/cr/mo/fullcit?p9974703.
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Park, Ju Moon Aday Lu Ann. "The determinants of physician and pharmacist utilization and equity of access under Korean universal health insurance /." See options below, 1994. http://proquest.umi.com/pqdweb?did=741485541&sid=1&Fmt=2&clientId=68716&RQT=309&VName=PQD.
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Fiszman, Pénélope. "Santé et recours aux soins en Belgique: disparités sociales et spartiales." Doctoral thesis, Universite Libre de Bruxelles, 2005. http://hdl.handle.net/2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/210970.
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Mallow, Peter J. "Access to Health Care Services and the Effect on Health Outcomes in a Region: A Spatial Perspective." University of Cincinnati / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1368013861.
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Vaughan, David James. "Acceptability of primary care a study of one community in Montana /." Thesis, Montana State University, 2007. http://etd.lib.montana.edu/etd/2007/vaughan/VaughanD0507.pdf.
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Al-Shahrani, Homoud. "The accessibility and utilization of primary health care services in Riyadh, Kingdom of Saudi Arabia." Thesis, University of East Anglia, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.410310.
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Kalkbrenner, Amy Elizabeth Daniels Julie Lynn. "Geographic influences on autism diagnosis accessibility of health services and exposure to hazardous air pollutants /." Chapel Hill, N.C. : University of North Carolina at Chapel Hill, 2009. http://dc.lib.unc.edu/u?/etd,2403.
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Thesis (Ph. D.)--University of North Carolina at Chapel Hill, 2009.Title from electronic title page (viewed Sep. 3, 2009). "... in partial fulfillment of the requirements for the degree of Doctor of Philosophy in the Department of Epidemiology." Discipline: Epidemiology; Department/School: Public Health.
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Queen, Courtney M. Yoder Kevin Allan. "Health status and access disparities among the uninsured working-age population in a safety-net healthcare network in Tarrant County, Texas." [Denton, Tex.] : University of North Texas, 2009. http://digital.library.unt.edu/ark:/67531/metadc12187.
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Gharani, Pedram. "Modeling spatial accessibility for in-vitro fertility (IVF) care services in Iowa." Thesis, University of Iowa, 2014. https://ir.uiowa.edu/etd/1459.
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Vitale, Michele. "Evaluating access barriers to primary health care servcies for Hispanic residents in toombs County, Georgia." Auburn, Ala., 2007. http://repo.lib.auburn.edu/2007%20Spring%20Theses/VITALE_MICHELE_14.pdf.
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Wikström, Daniel, and Ida Sandeberg. "Accessibility, With or Without Colour : A qualitative look on existing accessibility guidelines for colour vision deficiency and its effect on Swedish e-health services." Thesis, Tekniska Högskolan, Jönköping University, JTH, Datateknik och informatik, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-48237.
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Purpose WCAG is a set of guidelines to assist in developing websites accessible for everyone, for example people with colour vision deficiency (CVD). However, there are few guidelines relevant for CVD and with increasing dependant on websites the importance of accessibility on these websites increases as well. The purpose of the research study is therefore to investigate the impact the relevant guidelines for CVD in WCAG 2.1 has on Swedish health care websites and what the consequences are for people who live with CVD. Method An initial literature study was conducted to gain knowledge of previous findings and also evaluate the best approach for the research study. The research study is based on a qualitative approach to gain a deep understanding of the area and to gain insight into the feelings and experiences of the people affected. The methods used to gain the necessary knowledge are an evaluation of 1177.se and e-tjanster.1177.se also observations and interviews around these two websites. Findings The results show that WCAG 2.1 has a positive impact on Swedish health care websites, as well as on users with CVD. From evaluations, interviews and observations it is concluded that 1177.se and e-tjanster.1177.se are easy to perceive for people with CVD. Implications This research study was limited to the mobile version of the websites. However, the results could be different if the research was conducted on the desktop version due to the different structure of the websites and the inclusion of a cursor on desktop. The evaluation could have been affected by the sampling of pages while the interviews and observations should not have been. Limitations The research study was limited to Swedish health care website 1177.se and its subdomain etjanster. 1177.se. Further it was decided to evaluate the mobile version of these websites, although the elements should look similar on desktop and mobile. While not the initial intention, due to over representation of red-green CVD the study was also limited to people with red-green CVD. Also, the experience of browsing the web on a mobile device was considered to reduce the variables for frustrations. Further research For further research, another selection of WCAG guidelines could be considered to evaluate etjanster. 1177.se since the results shows that 1177.se’s and e-tjanster.1177.se's weaknesses seems to be in the structure of the website. A study researching the “blue-yellow colour blindness” compared to websites could contribute with new, relevant knowledge as well.
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Imam, Nimrah H. "The Limits of Accessibility Under the Affordable Care Act." Scholarship @ Claremont, 2017. http://scholarship.claremont.edu/scripps_theses/916.
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The Patient Protection and Affordable Care Act (ACA) aimed to increase accessibility to medical resources for those previously uninsured. Certainly, the ACA has expanded insurance to millions of Americans, however, the evidence and discourse surrounding health accessibility calls into question why, despite the growth of insured Americans, the increase in health insurance coverage under the ACA has not lead to greater accessibility for low income minorities. I propose that disparities in preventive care, the emergency room, and primary care provider services stand as barriers for low income minorities. Insurance coverage does not necessarily equate to greater accessibility if individuals do not have the means to utilize those resources.
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Lewis, LaTanya Renee. "Assessing service satisfaction: Experiences of individuals living with HIV/AIDS." CSUSB ScholarWorks, 2008. https://scholarworks.lib.csusb.edu/etd-project/3371.
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The purpose of this study was to explore HIV/AIDS client experiences with supportive services. The consumption of social services for individuals living with HIV/AIDS has assumed increasing importance. This is a crucial population that requires a multifaceted approach to treatment in order to remain active and productive for longer periods of time.
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Sbayou, Mariem. "Modélisation et simulation des systèmes de production de services : application à un système de sante." Thesis, Bordeaux, 2018. http://www.theses.fr/2018BORD0422/document.
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La croissance rapide du secteur des services est une tendance remarquable dans le monde entier. La complexité de conceptualisation des services est souvent liée à leur modélisation, leur conception, et la gestion des interactions possibles entre le client et le fournisseur. Parmi ces services, les services de santé constituent un des services publics fondamentaux de la société et de l'économie moderne. Les grands défis que doit relever ce secteur concernent sa gouvernance, la coordination et l’accessibilité aux soins. Cette dernière peut être liée à une répartition géographique déséquilibrée des médecins et des temps d’attente souvent élevés. Dans ce contexte, une approche basée sur la Modélisation et la Simulation, en tenant en compte de l’hétérogénéité possible des environnements, est proposée pour analyser les problèmes de gestion d’un territoire de service. Cette approche permet une vision globale du fonctionnement du système de service étudié, en tenant compte des facteurs impactant à la fois le choix des usagers des services et le processus de production du serviceThe rapid growth of the services sector, especially modern services, is a remarkable trend around the world. The complexity of conceptualizing services is often related to their modeling, their design, and the management of possible interactions between the customer and the provider. One of the fundamental public services is health services, the major challenges faced by health services are: governance, coordination and accessibility to care. The accessibility of care is usually linked to an unbalanced geographic distribution of doctors and a high waiting time. In this context, an approach based on Modeling and Simulation taking into account the possible heterogeneity of modeling environments is proposed in order to analyze the problems related to the management of a service territory. This approach aims to give a global vision of the functioning of the service system studied, by taking into account the related factors impacting both the choice of service users and the process of service production
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Elliott, Katherine Pauline. "The Role of Socioeconomic Status and Social Determinants in Predicting Accessibility and Barriers to Mental Health Services in the Canadian General Population." Thesis, Université d'Ottawa / University of Ottawa, 2015. http://hdl.handle.net/10393/33378.
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There is a tremendous discrepancy between the number of people likely meeting criteria for a mental disorder or substance dependence in Canada and the number of people actually receiving mental health or substance dependence treatment. Thus, it is important to examine what facilitates entrance into the mental health care system and what prevents people from receiving the treatment they need. Mixed findings exist as to whether socioeconomic status (SES) and other social determinants of health play a role in receiving treatment in Canada. However, due to several methodological issues with previous studies that have examined this issue, three studies were designed to re-examine and add to the literature in this area by investigating: (1) whether SES (i.e., income and education) and other social determinants as well as psychological distress predict the number of services received by any professional for any mental disorder or substance dependence, as well as predict overall satisfaction with the services received (2) the psychometric validity and reliability of the 3-factor model proposed by Statistics Canada to measure barriers due to accessibility, acceptability and availability, and (3) whether SES, other social determinants and psychological distress predict specific barriers to receiving mental health treatment for an unmet need. All data were obtained from the Canadian Community Health Survey, cycle 1.2, Mental Health and Wellbeing. In Study 1, the SES/social determinants model predicted the number of services received for both medication and psychotherapy. Out-of-pocket spending, was the strongest predictor of the number of consultations from any provider, however it was also inversely related to overall satisfaction with services. Higher levels of distress predicted greater dissatisfaction with services received. Study 2 revealed that the three factor model of accessibility, acceptability and availability was invalid and unreliable as a measure of barriers to mental health services. It is, therefore, recommended that each specific barrier be treated as an independent causal indicator of an index measuring overall accessibility to mental health services. Finally, in Study 3, when examining each barrier independently, both education and income played important roles in recognizing there was a problem, seeking services, and actually accessing the services needed. Other social determinants also played important roles which differed depending on the type of barrier being examined. The results of the three dissertation studies indicate a clear relation between SES, other social determinants and psychological distress, and accessibility and barriers to mental health services in Canada for those suffering any mental disorder or issue related to substance dependence. The findings have significant implications in terms of potential policy implications, recommendations for the design of future national level surveys, and recommendations for future research on this topic.
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Minn, Pierre H. "Health as a human right and medical humanitarianism on the Haitian-Dominican border." Thesis, McGill University, 2004. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=83129.
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At a government hospital in the town of Dajabon, in the northwestern Dominican Republic, doctors and nurses must make decisions on whether or not to treat Haitian patients who have crossed the border in search of health care. This thesis examines the discourses and practices of Haitian patients and Dominican health care providers in the context of two co-existing but contrasting rhetorics: health as a human right, and medical humanitarianism. Using data collected through semi-structured interviews and participant observation, I examine how social, political, and economic forces shape medical encounters on the Haitian-Dominican border.
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Burns-Johnson, Toshiba L. "Are Government Websites Achieving Universal Accessibility?: An Analysis of State Department of Health and Human Services’ Websites." Thesis, School of Information and Library Science, 2007. http://hdl.handle.net/1901/417.
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Research reports that the search for health information is the fourth most popular activity being done on the web (Pew Internet & American Life Project, 2004). However, for disabled persons, barriers experienced when interfacing with the Internet may cause healthcare websites to be inaccessible to them. This study explores the level of accessibility of healthcare websites and the relationship between accessibility and usability by determining how compliant state department of health and human services websites are with accessibility and usability guidelines. A content analysis of each state’s department of health and human services website was conducted. Results revealed that state department of health and human services websites are not very compliant with accessibility guidelines, are somewhat compliant with usability guidelines, and overall are not very accessible. The findings also indicate that there is a significant moderate relationship between accessibility and usability which suggests that the two concepts are interconnected.
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Xu, Biao. "Access to tuberculosis care in rural China : comparing the impact of alternative control projects /." Stockholm, 2006. http://diss.kib.ki.se/2006/91-7140-510-0/.
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Santos, Susana Abreu de Sousa. "Analise da organização da demanda e grau de satisfação do profissional e usuario nas unidades de serviço publico odontologico do municipio de Campos dos Goytacazes." [s.n.], 2005. http://repositorio.unicamp.br/jspui/handle/REPOSIP/289892.
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Orientador: Marcelo de Castro MeneghimDissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba
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Resumo: Este estudo teve como objetivo analisar os critérios usados na organização da demanda e avaliar o grau de satisfação do usuário e profissional das unidades de serviço público odontológico do Município de Campos dos Goytacazes (RJ). O estudo foi aprovado pelo CEP-FOP-UNICAMP n° 183/03. O estudo foi transversal, e a amostra de pacientes foi calculada, de forma representar 20% das unidades de cada região, totalizando em 320 pacientes e 153 dentistas, com erro amostral de 5%, por estrato e por conglomerados respectivamente. A forma de avaliação foi realizada utilizando questionários auto-aplicativos. A análise dos resultados foi descritiva. Os principais resultados foram que 61% dos pacientes consideraram organizado o sistema de agendamento da demanda. Quanto à avaliação da satisfação dos pacientes, o estudo mostrou que 70% estão satisfeitos em relação à facilidade no acesso aos serviços, e 75% dos mesmos estão satisfeitos com a qualidade do atendimento recebido. Em relação aos dentistas, o estudo mostrou que 81% gostariam que critérios de organização no agendamento dos pacientes fossem implantados nos serviços odontológicos do município. Conclui-se que em relação à organização da demanda o serviço não está organizado; em relação à satisfação do profissional esse se mostra insatisfeito; em relação à satisfação do usuário este mostra-se satisfeito
Abstract: The present papers aimed to análise the used criteria in the demand organization and evaluate the satisfaction level of the clients and employees of the odontology public service unit of the city of Campos dos Goytacazes (RJ). This study was approved by CEP-FOP-UNICAMP n° 183/03. It is a transversal study and the samples of patients was calculated, in a way it could represent 20% of the units of each region, quantifying 320 patients and 153 dentists, with sample error of 5%, by stratum and by conglomerate respectively. The evaluation was made with selfexplanatory questionnaire. The data analysis of the results was descriptive. The main results were that 61 % of the patients considered organized the demand booking system. Regarding the patients satisfation evaluation, this stady showed that 70% of them are satisfied in which concerns the availability of the services, and 75% of them are satisfied with the quality of the attending received. Regarding the dentists, the study showed that 81% of them wish they had the same patients booking organization criteria in the odontology servicer of the city. To conclude, considering the demand organisation, the service is not organised; regarding the satisfaction of the professional, these one showed themselves unsatisfied; regarding the satisfaction of the users of the system, these one showed themselves satisfied.
Mestrado
Saude Coletiva
Mestre em Odontologia
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Pessoa, Nivia Tavares. "Perfil das solicitaÃÃes administrativas e judiciais de medicamentos impetradas contra a Secretaria de SaÃde do Estado do CearÃ." Universidade Federal do CearÃ, 2007. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=3465.
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Conselho Nacional de Desenvolvimento CientÃfico e TecnolÃgicoIntroduÃÃo: A Carta Magna de 1988 estabelece em seu art.196 que âa saÃde à um direito de todos e dever do Estadoâ, incluindo, ainda no campo de atuaÃÃo do Sistema Ãnico de SaÃde (SUS), a execuÃÃo de aÃÃes de assistÃncia terapÃutica integral, inclusive farmacÃutica. No Brasil, encontrar o meio de garantir efetivamente esse direito à saÃde tem sido um dos grandes desafios que os gestores do SUS tÃm enfrentado. Objetivo: Descrever os processos administrativos e judiciais de solicitaÃÃo de medicamentos a Secretaria de SaÃde do Estado do Cearà (SESA-CE) e discutir os seus aspectos crÃticos. Metodologia: Estudo descritivo, retrospectivo, realizado no NÃcleo de AssistÃncia FarmacÃutica (NUASF/SESA-CE). Foram coletados dados dos processos datados de 01 de janeiro de 2004 a 31 de junho de 2006. As principais informaÃÃes coletadas foram: tipo, condutor e motivo de instauraÃÃo do processo, doenÃas declaradas, unidade de atendimento e medicamentos solicitados. Resultados e DiscussÃo: No perÃodo foram pesquisados 841 processos entre administrativos e judiciais.Os tipos de processos mais frequentes foram os administrativos (84,9%). Os principais condutores foram a Promotoria da JustiÃa de Defesa da SaÃde PÃblica e o Grupo TÃcnico Social da SESA-CE (79,5%). O principal motivo para instauraÃÃo dos processos foi a falta de condiÃÃes financeiras para adquirir o medicamento (52,6%). As prescriÃÃes eram originÃrias principalmente de unidades pÃblicas (41,4%). As doenÃas mais declaradas foram: DoenÃa de Alzheimer (15,6%), e Diabetes mellitus insulino-dependente (7,5%). Durante o perÃodo estudado foram pleiteados 1.481 medicamentos, divididos em 400 especialidades farmacÃuticas (EF). Os medicamentos mais solicitados foram: rivastigmina (12,7%) e insulina glargina (6,4%). Dos medicamentos solicitados, 60% nÃo tinham financiamento definido, 23,0% eram medicamentos excepcionais e 10% da AtenÃÃo BÃsica. Dos medicamentos sem financiamento, os mais freqÃentes foram: insulina glargina (8,6%), clopidogrel (5,2%) e aripiprazol (5,2%). ConclusÃo: Os processos administrativos e judiciais para fornecimento de medicamentos mostraram grande variabilidade entre os medicamentos solicitados, o que leva a supor que as tendÃncias de utilizaÃÃo se devam à introduÃÃo de inovaÃÃes terapÃuticas, a ausÃncia de alguns medicamentos nas listas padronizadas pelo Estado e ao desconhecimento e descumprimento dos protocolos clÃnicos pelos prescritores.
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Shreffler, Mary Jean. "Residents' views on access to care in frontier communities with medical assistance facilities /." Thesis, Connect to this title online; UW restricted, 1996. http://hdl.handle.net/1773/7225.
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Ibrahim, Asma Jirapron Chompikul. "Patient satisfaction with health services at the Outpatient Department of Indira Gandi Memorial Hospital, Amale' Maldives /." Abstract, 2008. http://mulinet3.li.mahidol.ac.th/thesis/2551/cd414/5037998.pdf.
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Thomas, Rosemary Hellen. "Access to health care services : East-End Montreal (Quebec) English-speaking elderly experience." Thesis, McGill University, 2008. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=111557.
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To better understand Anglophone elderly experience in accessing health care services in a Francophone area, it is important to look beyond availability of healthcare services near their homes. This study explored factors such as language competence, preference, motivation, reaching and waiting times, as contributors to elderly people's choice.A questionnaire designed for this study was administered to 199 males and females, aged 55 years and older, recruited from the only Anglophone Seniors' Centre in East-End Montreal. It was found that elderly people with limited French proficiency were more likely to travel out of their area for healthcare services, resulting in significantly longer average travel and waiting times. Of those who would have liked an interpreter, very few were actually able to get one. The most frequently expressed need was for more English or bilingual workers and services.
To improve access and enhance elderly people's quality of life, training and intervention programs need to be developed in collaboration with the government.
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Shivute, Meke Iyaloo. "The use of information and communication technology for health service delivery in Namibia." Thesis, Cape Peninsula University of Technology, 2007. http://hdl.handle.net/20.500.11838/1358.
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Thesis (MTech (Information Technology))--Cape Peninsula University of Technology, 2007Understanding the use of information and communication technology (ICT) in the Namibian's health sector is important in the global information society It is not clear how ICT is being deployed to support the delivery of health services to the Namibian patients. Health service providers (HSP) in both private and pUblic health sector must be aware of ICT use patterns because this may influence how they deliver services to their patients in the future. This study thus seeks to investigate how ICT have been used in the delivery of health services to patients in the Khomas and Oshana regions of Namibia. Based on the literature review and data collected from the HSP and patients, a 'generic' health service delivery landscape for Namibia was developed and regional landscapes for the Khomas and Oshana regions were further derived from it. The landscapes depicted health service provision to patients in the different health sectors in Namibia. After mapping the health landscapes primary data was collected from the health service providers (HSP) in private, mission and public health institutions using a questionnaire A second structured questionnaire was administered on the patients A total of 21 and 134 HSP patients respectively, responded to the survey questionnaire. Results from the descriptive analysis indicate a relatively high ICT use by both HSP and patients.
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Amin, Khan Mandokhail Boonyong Keiwkarnka. "Patient satisfaction towards outpatient department services of medicine in banphaeo autonomous hospital Samut Sakhon Province, Thailand /." Abstract, 2007. http://mulinet3.li.mahidol.ac.th/thesis/2550/cd399/4937996.pdf.
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Zinski, Anne. "Who is in a hurry for HIV test results? an exploration of presentation for OraQuick rapid result HIV andibody testing in urban clinical and outreach settings in Alabama /." Thesis, Birmingham, Ala. : University of Alabama at Birmingham, 2008. https://www.mhsl.uab.edu/dt/2009r/zinski.pdf.
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Pires, Olga Maria Dias Agostinho 1964. "Perfil dos usuários do tratamento regular e urgência no serviço público bucal no município de Embu, SP." [s.n.], 2011. http://repositorio.unicamp.br/jspui/handle/REPOSIP/288041.
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Orientador: Maria da Luz Rosário de SousaDissertação (mestrado profissional) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba
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Resumo: Estimou-se o perfil dos usuários do tratamento regular e urgência no serviço público de saúde bucal no município de Embu, em adultos, participantes do Levantamento Epidemiológico realizado em 2008, constituindo-se em um estudo transversal de base populacional, composta por pessoas de 35 a 44 anos (n=345), provenientes dos setores censitários, selecionadas através de amostragem probabilística. A amostra deste estudo foi examinada e entrevistada nos domicílios. O desfecho foi ser usuário do serviço público odontológico para tratamento regular ou atendimento de urgência. As variáveis independentes foram: agravos bucais (índice CPOD, condição periodontal: índice CPI e PIP, necessidade de prótese); condições socioeconômicas (renda familiar, aglomeração domiciliar, número de filhos, escolaridade); condições demográficas (sexo, estado civil, cor da pele); hábitos (uso de cigarros); utilização dos serviços (tempo da última consulta odontológica, informações sobre como evitar problemas bucais); percepção dos problemas bucais (dor de dente nos últimos seis meses, percepção de necessidade de tratamento e se sua situação bucal afeta relacionamentos). Para análise estatística foi utilizado o programa EPIINFO6 e STATA10, empregando-se análise bivariada dos usuários de serviço de saúde público odontológico em relação às variáveis independentes, utilizando razões de prevalência (RP), com respectivos intervalos de confiança de 95% (IC95%), ajustados para modelos complexos de amostragem com ponderação populacional. Ser usuário do serviço público para tratamento regular ou urgência representou 53% da amostra, sendo que o restante era usuário do serviço privado, convênio ou serviço filantrópico. O gênero feminino foi mais prevalente no uso do serviço público, [RP=1,33; IC95%: (1,14-1,54)]. O maior número de filhos também foi mais prevalente no uso do serviço [RP=1,15; IC95%: (1,01- 1,31)]. A aglomeração domiciliar [RP=1,88; IC95%: (1,42-2,50)] e menor renda familiar [RP=2,23; IC95%: (1,33-3,66)], mostraram-se fortes preditores no uso do serviço público, assim como o relato de dor nos últimos 6 meses [RP=1,43; IC95%: (1,06-1,42)], considerar que a condição bucal afeta os relacionamentos [RP=1,31; IC95%: (1,05-1,62)], e ser fumante ou ex fumante [RP=1,61; IC95%: (1,15-2,24)]. Este estudo mostrou associação ao uso do serviço público o baixo nível econômico, considerando o princípio da Equidade no Sistema Único de Saúde, este requisito vem sendo cumprido
Abstract: It was estimated the profile of users of regular and emergency treatment in the public oral health in the city of Embu, in adults, participants of an epidemiological survey conducted in 2008, thus becoming a cross-sectional study population comprised people aged 35 to 44 years (n=345), through probability sampling, people were examined and interviewed in their homes. The outcome was to be a user of public dental treatment for regular or emergency care. The independent variables were: dental caries (DMFT, periodontal condition: CPI index and PIP, need for prostheses, need for treatment), socioeconomic (family income, household crowding, number of children, schooling), demographic conditions (gender, civil status, skin color), habits (cigarette smoking), use of services (time of last dental visit, information on preventive oral health), perception of oral health problems (toothache in the last six months, feels that she needs treatment considers that the oral situation affects relationships). For statistical analysis program was used and EPIINFO6 STATA10, using bivariate analysis of users of public dental health service for the independent variables, using prevalence ratios (PR) with confidence intervals of 95% (CI95%) adjusted for complex sampling designs weighted population. Being a user of public emergency or for regular treatment represented 53% of the sample, the remaining user of the service was private, or philanthropic service agreement. Females were more prevalent in the public service use, with PR=1.33; CI95%: (1.14-1.54). The greatest number of children was also more prevalent in service use PR= 1.15; CI95%: (1.01-1.31). The household crowding PR= 1.88; CI95%: (1.42-2.50) and lower family income RP=2.23; CI95%: (1.33-3.66), were strong predictors in the use of public service, the report pain in the last 6 months PR=1.43; CI95%: (1.06-1.42), considering that the oral condition affects relationships PR=1.31; IC95%: (1.05-1.62), being a smoker or former smoker PR=1.61; CI95%: (1.15-2.24). This study showed an association between the use of public service and the low economic level, considering the principle of Equity in Health System, this requirement has been fulfilled
Mestrado
Odontologia em Saude Coletiva
Mestre em Odontologia em Saúde Coletiva
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Ndwandwe, Miriam. "Impact analysis of a down-referral chronic medication distribution system for stable chronic patients to primary health care facilities in an Eastern Cape District." Thesis, Nelson Mandela Metropolitan University, 2014. http://hdl.handle.net/10948/d1020644.
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The purpose of the study was to assess the level of patient satisfaction with service provided in the Buffalo City sub-district following the implementation of the down-referral chronic medication distribution system between the tertiary(ELHC) and primary (clinics) levels of health care. The intervention was aimed at improving accessibility and availability of medication to the chronic patients. Research Design: A non-experimental descriptive quantitative research methodology was used. The sampling method for the study was the non-probability purposive sampling. Data was collected using a self-administered questionnaire that was given to respondents as they arrived at the facilities, and who, after completing the questionnaire, gave it back to the researcher. Findings: The results of the study revealed that the patients were generally satisfied about the down-referral chronic medication distribution system. However the patients were not satisfied about the services that they receive from the primary health care facilities when they go to collect their down-referred medication. Lack of communication to the patients regarding their medication by the hospital staff (pharmacists in particular) was a concern for patients. Conclusion: The down-referral chronic medication distribution system can benefit both the patients and the hospitals. Patient will receive their medication closer to their homes and save on the cost of transport. The hospital will have less patient congestion in the outpatient dispensaries and queues and waiting times will be reduced. Some strategies must be sought to improve the services at the primary health care facilities. The hospital should explore various communication methods to put into place, that will save pharmacists time and satisfy the needs of the patients. This would require the health services management from both the hospitals and the primary health care facilities to work together to ensure continued support for the patients.
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Sun, He, and 孙赫. "Differential pricing strategy in improving access to medicine in developing countries." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B48425412.
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Background
Inadequate access to medicine is a key public health issue. It violates the basic human right, and impedes economics development and social progress.
Differential pricing means to charge according to variant ability to pay for the same products. Since differential pricing has been successfully used into many business sectors, its adoption in pharmaceutical industry seems to be necessary and feasible to help improve access to medicine for developing countries.
Objective
This project is to review the effect of “differential pricing “in pharmaceutical industry and to discuss its current situation and future development.
Methodology
A literature review was conducted on this topic. Keywords of “(Tiered OR differential OR segment*) AND (price*) AND (developing countries) AND (pharmacy OR drug OR medicine OR vaccine)” were used in databases of Pubmed, Medline and Google scholar for relevant studies and reports on differential pricing in pharmaceutical or vaccine markets.
Result
A total of 16 papers were included into this systematic review. In theory, differential pricing is a “win-win” solution with the ability to reconcile both static and dynamic costs. In practice, differential pricing works to help improve access, however, lower tiered price for patent drugs is still more expensive than generic drugs in most cases.
Conclusion
Differential pricing strategy has the potential to improve access to medicine. However it is still in an infancy stage, there are still lots of spaces for further improvement. Except for pricing policies, other mutual supportive policies also need to obtain a better access to medicine in developing countries.published_or_final_version
Public Health
Master
Master of Public Health
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Metello, Filho Alyrio. "Avaliação da acessibilidade ás ações clinicas em saúde bucal na estratégia saúde da família." Dissertação apresentada ao Programa de Pós-Graduação do Instituto de Saúde Coletiva, como requisito parcial para a obtenção do título de mestre em Saúde Coletiva, 2013. http://www.repositorio.ufba.br/ri/handle/ri/13090.
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Este estudo formulou um modelo de avaliação da acessibilidade a ações clínicas individuais em saúde bucal, principalmente relacionados à estratégia de Saúde da Família por meio de uma matriz elaborada adotando-se a concepção de acessibilidade organizacional e geográfica, submetida a um comitê de cinco experts para validação, que atribuía a cada critério uma nota de 0 a 10, onde o 0 (zero) significou exclusão total e 10 (dez), inclusão máxima. Dos dezoito critérios sugeridos, quatorze foram validados dentro da dimensão organizacional, apontando alguns consensos quanto a múltiplas formas de acesso às consultas odontológicas com várias possibilidades (10,0, DP=0); Atendimento diário para urgência (10,0, DP=0); marcação permanente diária de consultas (9,4, DP=0,9); Equipamentos em funcionamento (9,4, DP=1,3) e instrumentos odontológicos disponíveis (9,2, DP=1,1) e Taxa de Utilização em valor igual ou acima de 80% da oferta disponível (9,2, DP=1,1). Na dimensão do processo, a substituição permanente de faltosos, bem como ampliação dos modos de execução dos procedimentos clínicos por hemiarco ou segundo necessidades dos usuários também foram validados. Tais aspectos se apresentaram como os mais relevantes para o aumento da acessibilidade aos procedimentos odontológicos individuais. A dimensão geográfica neste contexto de avaliação foi descartada pelos experts em função da territorialização definida na estratégia saúde da família, em curso no Brasil. A partir das médias e respectivos desvios-padrões foram sugeridas ponderações ao interior da matriz. Deste modo, a matriz com critérios validados na dimensão organizacional teve seu somatório de 27 pontos para a subdimensão estrutura, 69 pontos para a subdimensão processo e 9 pontos para a subdimensão resultado, perfazendo um total de 105 pontos. A construção desta proposta metodológica trouxe evidências que a acessibilidade a serviços odontológicos é uma importante temática a ser desenvolvida em função das poucas produções teóricas existentes, principalmente quando voltados à atenção primária. Sugere-se estudos que explorem os processos de trabalhos das equipes de saúde bucal na estratégia de Saúde da Família no sentido de identificar e descrever as barreiras existentes, inclusive na perspectiva das desigualdades em saúde bucal.
Salvador
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Oliveira, Luciana Rocha de [UNESP]. "Avaliação do acesso à saúde aos níveis de atenção de maior complexidade no município de Marília/SP, sob a ótica da integralidade." Universidade Estadual Paulista (UNESP), 2010. http://hdl.handle.net/11449/96436.
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Este estudo teve o objetivo de avaliar o acesso dos usuários ao serviço público de saúde de maior complexidade no município de Marília/SP, sob a ótica da integralidade. Trata-se de um estudo epidemiológico inserido no campo da avaliação de serviços de saúde, cujos dados foram obtidos por meio de análise de documentos e relatórios administrativos existentes nos sistemas de informação em saúde do município, no ano de 2007. Foram analisadas 529 fichas de reclamação na ouvidoria advindas da rede básica, além da análise de documentos informatizados da Central de Vagas sobre a demanda e oferta de serviços a níveis de atenção de maior complexidade. Para análise do número de agendados nas especialidades médicas utilizaram-se parâmetros da Portaria nº 1.101 do Ministério da Saúde. Os dados de morbidade ambulatorial local foram obtidos pelo SIAL (Sistema de Informação Ambulatorial Local) com a finalidade de correlacionar as especialidades médicas, com o número de reclamações. Na análise dos resultados constatou-se que o maior número de reclamações na ouvidoria é referente à demanda reprimida para as especialidades médicas e exames especializados, e que o tempo médio para suprir a demanda é elevado. Embora os dados obtidos demonstrem um período longo de espera para o atendimento nas especialidades, os parâmetros da Portaria nº 1.101 são atendidos na sua totalidade e, não raras vezes, mais que o recomendado por esta. Assim sendo, interpretamos que há uma defasagem dos parâmetros de cobertura desta Portaria, que está muito aquém das demandas de encaminhamentos oriundos da rede básica, ou a atenção básica não está cumprindo com o seu papel de resolubilidade dos problemas de saúde da população. Quanto ao SIAL, uma das morbidades mais prevalentes são as doenças do aparelho respiratório...
This study aimed evaluates the user’s access to high complexity health service in the city of Marília – SP from the perspective of integrality. It’s an epidemiological study inserted in the field of health evaluation services, whose data were obtained through analysis of documents and administrative reports available in the city health information systems, in the year 2007. Were analyzed 529 complaints records of call service arising from basic network and digitized documents from Vacant Center about supply and demand services to levels of more complex care. For analysis the scheduled number of medical specialties this study used the parameters of the 1.101 ordinance Ministry of Health. The ambulatory morbidity data were obtained from SIAL (local Information System) with the purpose to correlate the medical specialties and the complaints number. The analysis of results evidenced that the majority number of complaints to the call service refers to the restrained demand for medical specialties and specialized exames, and the average time to supply the demand is high. Although the data show a long period of waiting to a specialty appointment, the parameters of the 1.101 ordinance are met in full and, often, more than recommended for this. Therefore, we interpret that there is unbalanced parameters of coverage, which is well below the demands of cases received from the basic network or primary care is not fulfilling its role in solving the problems of population health. About SIAL, one of the most prevalent morbidity are diseases of the respiratory system (16,0%), and the pneumology specialty, had one the minority numbers of complaints to the call service, which leads us to believe that the primary basic care are better prepared to take care of the common diseases of this specialty. In this context, we know that certainly... (Complete abstract click electronic access below)