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The role of tinnitus distress in the development of somatization symptoms among patients: implications for health care in Pakistan 耳鸣窘迫在患者躯体化症状发展中的作用:对巴基斯坦医疗保健的影响
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2022-01-11 DOI: 10.1108/ijhrh-09-2021-0183
A. Ahmed, N. Aslam
PurposeTinnitus patients are among the most vulnerable group to develop psychopathological symptoms over time if left unresolved. This study aims to investigate the role of tinnitus distress between tinnitus magnitude, cognitions and functional difficulties in the development of somatization symptoms among male and female patients experiencing ear-related problems due to lack of proper access to health care.Design/methodology/approachThis study was based on a purposive sampling technique and sample consisted on 159 patients (97 male, 62 female) having tinnitus complaints, with age range 18–87 (M = 47.94, SD = 17.47) years, recruited from various clinics and hospitals of Islamabad, Pakistan, from December 2020 to July 2021.FindingsThe findings of this study showed that tinnitus distress is significant positively associated with tinnitus-related magnitude, negative cognitions, functional difficulties and somatization symptoms. Gender-related differences between male and female tinnitus patients revealed that females are more prone to depict higher levels of tinnitus distress, tinnitus magnitude, negative cognitions and somatization symptoms than male patients. Mediation analysis demonstrated that tinnitus distress serves as a mediator between tinnitus magnitude, cognitions, functional difficulties and somatization symptoms.Research limitations/implicationsCross-sectional nature and self-reporting measures serve as a limitation of the study. An experimental study appears to be vital to ascertain the time-based relationship with tinnitus magnitude in the development of various psychopathological issues. The findings of this study contribute to the literature by highlighting the role of tinnitus distress in the origination of psychopathological symptoms like somatization and need of upgraded health-care systems in Pakistan.Originality/valueThis study has explored the mediating role of tinnitus distress between magnitude, cognitions, functional difficulties and somatization symptoms among Pakistani population, specifically mentioning the development of somatization symptoms among this population, which can contribute in the loss of earning and increased health expenses due to unawareness of proper health-care approach.
目的耳鸣患者是最容易出现精神病理症状的群体之一,如果不及时解决。本研究旨在探讨耳鸣痛苦在耳鸣程度、认知和功能障碍之间在因缺乏适当的医疗保健而出现耳鸣相关问题的男性和女性患者躯体化症状发展中的作用。设计/方法/方法本研究基于目的抽样技术,样本包括159例耳鸣患者(男性97例,女性62例),年龄18-87岁(M = 47.94, SD = 17.47),于2020年12月至2021年7月从巴基斯坦伊斯兰堡的各个诊所和医院招募。研究结果表明,耳鸣窘迫与耳鸣相关程度、负面认知、功能困难和躯体化症状呈正相关。男性和女性耳鸣患者的性别差异表明,女性患者比男性患者更倾向于描述更高程度的耳鸣痛苦、耳鸣幅度、负面认知和躯体化症状。中介分析表明,耳鸣窘迫在耳鸣大小、认知、功能困难和躯体化症状之间起中介作用。研究局限性/启示横断面性质和自我报告措施是研究的局限性。一项实验研究似乎是至关重要的,以确定时间为基础的关系与耳鸣大小在各种精神病理问题的发展。这项研究的发现通过强调耳鸣窘迫在巴基斯坦躯体化等精神病理症状的起源中的作用以及对升级医疗保健系统的需求,为文献做出了贡献。本研究探讨了巴基斯坦人群中耳鸣痛苦程度、认知、功能困难和躯体化症状之间的中介作用,特别提到了躯体化症状在该人群中的发展,这可能导致收入损失和由于不了解适当的医疗保健方法而增加的医疗费用。
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引用次数: 2
Eliciting preference for private health services among patients in Iran: evidence from a discrete choice experiment 伊朗患者对私人医疗服务的偏好:来自离散选择实验的证据
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2022-01-05 DOI: 10.1108/ijhrh-06-2021-0137
Fahimeh Ansari, S. Rafiei, E. Kakemam, Mohammad Amerzadeh, B. Ahadinezhad
PurposeThe provision of private health-care services by public hospitals is common in Iran. Examining factors associated with patients’ preferences to use private health services and using this knowledge in health planning and policymaking can help expand the use of such services. Thus, this study aims to investigate patients’ preferences for private health services delivered in public hospitals.Design/methodology/approachBased on a discrete choice experiment from a sample of 375 patients in a public training hospital in Qazvin, northwest city of Iran, the authors evaluated participants’ preference over the health-care attributes affecting their choice to use private health-care services delivered in the hospital. The authors also estimated the marginal willingness to pay to determine the maximum amount a patient was willing to pay for the improvement in the level of each health-care attributes.FindingsThe findings revealed that patients were 2.7 times more likely to choose private hospital services when the waiting time was reduced to less than a week. Furthermore, as patients had complimentary insurance coverage, they were over 60% more likely to receive such services from training hospitals. Finally, continuity of care and reduced health-care tariffs were significant factors that increased patients’ preference to choose private services by 52 and 37%, respectively.Originality/valueExamining factors associated with patients’ preferences to use private health services and using this knowledge in policymaking can help expand such services. The findings affirmed that various incentives, including service quality factors, are required to increase the likelihood of patients choosing private services.
目的在伊朗,公立医院提供私人保健服务很普遍。审查与病人偏好使用私人保健服务有关的因素,并在保健规划和决策中利用这方面的知识,有助于扩大这类服务的使用。因此,本研究旨在调查患者对公立医院提供的私人医疗服务的偏好。设计/方法/方法基于伊朗西北部城市加兹温一家公立培训医院的375名患者样本的离散选择实验,作者评估了参与者对影响他们选择使用医院提供的私人医疗保健服务的医疗保健属性的偏好。作者还估计了边际支付意愿,以确定患者愿意为每个医疗保健属性水平的改善支付的最大金额。调查结果显示,当轮候时间缩短至不到一周时,病人选择私立医院服务的可能性增加2.7倍。此外,由于患者享有免费保险,他们从培训医院接受此类服务的可能性增加了60%以上。最后,护理的连续性和降低保健费用是使患者选择私营服务的意愿分别增加52%和37%的重要因素。独创性/价值审查与患者偏好使用私人保健服务相关的因素,并在决策中利用这方面的知识,有助于扩大这类服务。调查结果证实,需要各种激励措施,包括服务质量因素,以增加患者选择私人服务的可能性。
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引用次数: 0
Russian and UK Dementia Action Plans: a comparative analysis 俄罗斯和英国痴呆症行动计划:比较分析
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2022-01-03 DOI: 10.1108/ijhrh-09-2021-0166
Nadezhda Koberskaya, Bogdan Kobierskij
PurposeThis study aims to compare two national dementia plans and analyse the approach of each state to the issue.Design/methodology/approachComparative analysis, legal analysis, policy analysisFindingsAlthough research is central to both plans, the practical implementation of the Russian and UK plans differs. The Russian action plan on dementia is advisory in nature and does not propose specific programmes for research funding. Two plans have different approach to the role of education and risk factors.Research limitations/implicationsLack of information on Russian regional strategies does not allow to compare regional differences between two countries.Originality/valueThis study illustrates several weak points in the UK and Russian dementia policies, which should be addressed to tackle the dementia problem in both countries.
目的本研究旨在比较两个国家的痴呆症计划,并分析每个州解决这一问题的方法。设计/方法/方法比较分析、法律分析、政策分析发现尽管研究是两个计划的核心,但俄罗斯和英国计划的实际实施情况不同。俄罗斯关于痴呆症的行动计划是咨询性质的,没有提出具体的研究资助方案。两个计划对教育的作用和风险因素采取了不同的方法。研究局限性/含义缺乏关于俄罗斯区域战略的信息,无法比较两国之间的区域差异。独创性/价值这项研究说明了英国和俄罗斯痴呆症政策的几个弱点,应该解决这两个国家的痴呆症问题。
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引用次数: 0
Psychometric development and validation of personal growth initiative scale across male and female in early adulthood population in Pakistan: a comparative study 巴基斯坦成年早期男性和女性个体成长倡议量表的心理测量发展和验证:一项比较研究
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2021-12-27 DOI: 10.1108/ijhrh-12-2020-0123
Bisma Zahid, Saima Ehsan, M. Ashraf, Nimra Shoukat, Aaisha Rafi, Hina Naukhaiz, Zoia Nawaz
PurposeThe active and intentional involvement of a person in changing and developing as a person is a crucial and worth considering phenomenon that comes under the umbrella of positive psychology. There has been a previous study done on personal growth initiative (PGI) but that study did not explain whether this phenomenon exceeds in men or in women. Plus, previous studies were confined to college students only. This study aims to assess how gender influences PGI, to validate the psychometric properties of the PGI scale and to evaluate the relationship of PGI with mental well-being, career orientation and to examine whether this factor dominates in men or women and to critically validate at what age an individual starts initiating personal growth. The other main objective of the study is to work on the limitations and gaps left in previous studies on PGI by establishing a psychometrically reliable and valid scale/instrument.Design/methodology/approachTo develop a scale, first, focus group discussions were conducted with six groups. Through random sampling, a sample of 50 men and 50 women were taken for the pilot study and N = 449 (156 men and 293 women) for the main study with ages ranging from 18 to 35 years were taken (M = 42.30, SD = 12.61). The study consisted of focus group discussions followed by thematic analysis and item pool generation which further followed the main study analysis. For the development of the scale, a theoretical basis along with focus group discussion was conducted to establish an item pool of 123 items. Afterward, 7 experts in the surroundings examined those 123 items to perform subject expert matter to establish content validity. Mixed method was used as a research method in which exploratory sequential design was used. Focus groups were used as a data collection technique. Random sampling is used to collect participants for study/methodology/approach – the study consisted of focus group discussions followed by thematic analysis and item pool generation which further followed the main study analysis. A 19 item five-point Likert-type scale is constructed for public administration on a sample of N = 449 (men = 156 and women = 293). Alpha reliability of the scale (0.83), Kaiser-Meyer-Olkin (KMO) (0.88) and Bartlett’s, psychometric properties of study variables skewness (0.47), kurtosis (−0.17). Inter item correlation matrix, item-total correlation, Scree plotting, t-test (t = −1.90) and (p = 0.05) and linear regression analysis are analyzed on the data and items. This scale is kept parsimonious so that it could be understood by the general population as well.FindingsA 19 item five-point Likert-type scale is constructed for public administration on a sample of N = 449 (men = 156 and women = 293). High Alpha reliability of the scale (a = 0.83), KMO (0.88) and Bartlett’s, psychometric properties of study variables skewness (0.47), kurtosis (−0.17). Inter item correlation matrix, Scree plotting, t-test (t = −1.90)
目的一个人积极和有意地参与改变和发展是一种重要的、值得考虑的现象,属于积极心理学的范畴。之前有一项关于个人成长主动性(PGI)的研究,但该研究没有解释这种现象是在男性中还是在女性中更为严重。此外,以前的研究仅限于大学生。本研究旨在评估性别如何影响PGI,验证PGI量表的心理测量特性,评估PGI与心理健康、职业取向的关系,并检查这一因素是否在男性或女性中占主导地位,并批判性地验证个人在多大年龄开始开始个人成长。本研究的另一个主要目标是通过建立一个心理测量学上可靠和有效的量表/工具来弥补以往PGI研究中留下的局限性和空白。设计/方法/方法为了制定量表,首先与六组进行了焦点小组讨论。通过随机抽样,试点研究抽取了50名男性和50名女性样本,主要研究抽取了449名(156名男性和293名女性),年龄从18岁到35岁不等 年(M=42.30,SD=12.61)。该研究包括焦点小组讨论,然后是主题分析和项目库生成,然后是主要研究分析。为了开发量表,进行了理论基础和焦点小组讨论,以建立一个由123个项目组成的项目库。之后,7名专家在周围环境中对这123个项目进行了检查,以执行主题专家事项来确定内容的有效性。混合法是一种探索性序列设计的研究方法。焦点小组被用作数据收集技术。随机抽样用于收集研究/方法/方法的参与者——该研究包括焦点小组讨论,然后是主题分析和项目库生成,这进一步遵循了主要研究分析。构建了一个19项的五点Likert型公共管理量表,样本为N=449(男性=156,女性=293)。量表的Alpha信度(0.83)、Kaiser-Meyer-Olkin(KMO)(0.88)和Bartlett’s、研究变量的心理测量特性偏度(0.47)、峰度(-0.17)。对数据和项目进行项目间相关矩阵、项目总相关、Scree图、t检验(t=-1.90)和(p=0.05)以及线性回归分析。这个规模保持吝啬,以便普通民众也能理解。结果:构建了一个19项五点Likert型公共管理量表,样本为N=449(男性=156,女性=293)。量表的高阿尔法信度(a=0.83)、KMO(0.88)和Bartlett’s、研究变量的心理测量特性偏度(0.47)、峰度(−0.17)。对数据和项目进行了项目间相关矩阵、Scree图、t检验(t=−1.90)和(p=0.05)以及线性回归分析。通过探索性因素分析形成了有效性、塑造性和能力倾向三个因素。0.88的KMO值表明样本足以进行EFA。回归分析表明,性别正预测PGI,因为结果具有统计学意义。研究局限性/含义未来研究人员可以使用的这个量表的一些局限性是,样本只包括18岁以上的参与者,因此对于未来的研究人员来说,他们可以包括这个年龄以下的参与者,并找出其中的PGI因素。该样本还包括大多数未婚者,因此在未来的申请中,他们可以了解与未婚相比,已婚对PGI因素的影响程度。另一件需要提及的事情是,主要目标是找出PGI在男性和女性之间是否不同,因为结果表明,它确实因性别而异,但对于未来的研究,研究人员可以研究(在全民教育期间形成的)三个分量表中男性和女性是否也存在差异。实际含义该量表是使用一种称为个人成长的重要人格因素开发的,适用于社会的各种类别和环境,以衡量PGI的能力和倾向。该量表可以有效地用于研究目的,将成长态度作为一个可靠的预测因素,与职业发展等其他预期变量相结合。独创性/价值研究结果表明,该仪器在心理测量方面是有效和可靠的,在许多领域都有帮助,如工业组织、职业咨询领域以及临床和研究环境。此外,该工具有利于未来的研究,以确定与多个变量的其他可能关系。 目前的研究是评估男性和女性PGI水平的原创工作,因为之前的研究不包括25岁以下的参与者,而且他们也没有对男性和女性的PGI倾向进行比较评估。
{"title":"Psychometric development and validation of personal growth initiative scale across male and female in early adulthood population in Pakistan: a comparative study","authors":"Bisma Zahid, Saima Ehsan, M. Ashraf, Nimra Shoukat, Aaisha Rafi, Hina Naukhaiz, Zoia Nawaz","doi":"10.1108/ijhrh-12-2020-0123","DOIUrl":"https://doi.org/10.1108/ijhrh-12-2020-0123","url":null,"abstract":"\u0000Purpose\u0000The active and intentional involvement of a person in changing and developing as a person is a crucial and worth considering phenomenon that comes under the umbrella of positive psychology. There has been a previous study done on personal growth initiative (PGI) but that study did not explain whether this phenomenon exceeds in men or in women. Plus, previous studies were confined to college students only. This study aims to assess how gender influences PGI, to validate the psychometric properties of the PGI scale and to evaluate the relationship of PGI with mental well-being, career orientation and to examine whether this factor dominates in men or women and to critically validate at what age an individual starts initiating personal growth. The other main objective of the study is to work on the limitations and gaps left in previous studies on PGI by establishing a psychometrically reliable and valid scale/instrument.\u0000\u0000\u0000Design/methodology/approach\u0000To develop a scale, first, focus group discussions were conducted with six groups. Through random sampling, a sample of 50 men and 50 women were taken for the pilot study and N = 449 (156 men and 293 women) for the main study with ages ranging from 18 to 35 years were taken (M = 42.30, SD = 12.61). The study consisted of focus group discussions followed by thematic analysis and item pool generation which further followed the main study analysis. For the development of the scale, a theoretical basis along with focus group discussion was conducted to establish an item pool of 123 items. Afterward, 7 experts in the surroundings examined those 123 items to perform subject expert matter to establish content validity. Mixed method was used as a research method in which exploratory sequential design was used. Focus groups were used as a data collection technique. Random sampling is used to collect participants for study/methodology/approach – the study consisted of focus group discussions followed by thematic analysis and item pool generation which further followed the main study analysis. A 19 item five-point Likert-type scale is constructed for public administration on a sample of N = 449 (men = 156 and women = 293). Alpha reliability of the scale (0.83), Kaiser-Meyer-Olkin (KMO) (0.88) and Bartlett’s, psychometric properties of study variables skewness (0.47), kurtosis (−0.17). Inter item correlation matrix, item-total correlation, Scree plotting, t-test (t = −1.90) and (p = 0.05) and linear regression analysis are analyzed on the data and items. This scale is kept parsimonious so that it could be understood by the general population as well.\u0000\u0000\u0000Findings\u0000A 19 item five-point Likert-type scale is constructed for public administration on a sample of N = 449 (men = 156 and women = 293). High Alpha reliability of the scale (a = 0.83), KMO (0.88) and Bartlett’s, psychometric properties of study variables skewness (0.47), kurtosis (−0.17). Inter item correlation matrix, Scree plotting, t-test (t = −1.90) ","PeriodicalId":14129,"journal":{"name":"International Journal of Human Rights in Healthcare","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2021-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42948420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Organizational health between theory and practice field research in the General Company for Petroleum Products 石油产品总公司组织健康理论与实践的实地研究
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2021-12-20 DOI: 10.1108/ijhrh-10-2021-0184
M. H. Taher, Namariq Abdulkareem Muhsen, L. Hameed
PurposeThis study aims to measure the basic foundations of organizational health in the General Company for Food Products and to indicate the extent of its presence or not within the company under investigation.Design/methodology/approachThis research was completed using a descriptive and analytical approach using a sample of 97 employees from the General Company for Petroleum Products. Calculating the arithmetic mean, standard deviation, coefficient of variation, and confirmatory factor analysis are all part of the data processing process.FindingsThe basic components of organization health are present in the General Company for Petroleum Products, but they have not reached high levels to be called regulatory health.Originality/valueThe findings of this study can provide important information about the impact of basic organizational health components on the general level of companies, particularly the General Company for Oil Products and its prominent role in its leadership in strengthening the organizational climate with a healthy, pressure-free environment that contributes to raising employee and organizational performance levels.
目的本研究旨在衡量食品总公司组织健康的基本基础,并表明其在被调查公司中的存在与否。设计/方法/方法本研究采用描述性和分析性方法完成,样本为石油产品总公司的97名员工。计算算术平均值、标准差、变异系数和验证性因素分析都是数据处理过程的一部分。发现组织健康的基本组成部分存在于石油产品总公司,但尚未达到所谓的监管健康的高水平。原创性/价值本研究的发现可以提供重要信息,说明基本组织健康组成部分对公司,特别是石油产品总公司的总体水平的影响,以及其在以健康、,有助于提高员工和组织绩效水平的无压力环境。
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引用次数: 0
Policies and initiatives/programs that promote health and self-care in asylum seekers living in high income countries: a narrative review 促进生活在高收入国家的寻求庇护者健康和自我保健的政策和举措/方案:叙述性审查
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2021-12-20 DOI: 10.1108/ijhrh-09-2021-0165
Gloria Nkhoma, C. Lim, G. Kennedy, I. Stupans
PurposeThis paper aims to identify health-care entitlements that exist for asylum seekers with chronic non-communicable disease (CNCD) that promote their health and self-care, and to explore health policies, initiatives and programmes with the potential to foster self-care in this populace.Design/methodology/approachNarrative review of literature conducted by searching EMBASE, CINAHL, WEB OF SCIENCE and PSYCINFO databases for articles published from 2010 to 2021. Included articles focussed on policies, programmes or initiatives with the potential to promote health in adult asylum seekers residing in high-income countries. Studies inclusive of other migrant groups such as undocumented migrants and those with mental health conditions were excluded. Eleven studies fitting the inclusion criteria were assessed against the study objectives.FindingsFree access to health-care services and pharmaceutical products, free access to food banks and supermarket model food banks, English and cooking lessons, community integration training sessions and culturally competent health-care workers were found to promote health and self-care. There is little research on self-care and health promotion in adult asylum seekers with CNCD. CNCDs represent high burden of disease in asylum seekers but have a low priority in reported research.Originality/valueThis narrative review is the first to explicitly focus on asylum seekers in high-income countries with CNCD, excluding mental health conditions, and to explore initiatives, programmes and policies that enhance health promotion to facilitate self-care in this populace.
目的本文旨在确定患有慢性非传染性疾病(CNCD)的寻求庇护者的医疗保健权利,以促进他们的健康和自我保健,并探索有可能促进这一人群自我保健的卫生政策、举措和计划。设计/方法论/方法通过搜索EMBASE、CINAHL、WEB of SCIENCE和PSYCINFO数据库中2010年至2021年发表的文章进行的文献叙述性综述。收录的文章侧重于有可能促进居住在高收入国家的成年寻求庇护者健康的政策、方案或举措。包括无证移民和有心理健康问题的人等其他移民群体的研究被排除在外。根据研究目标对符合纳入标准的11项研究进行了评估。发现免费获得医疗保健服务和药品、免费获得食品银行和超市示范食品银行、英语和烹饪课程、社区融合培训课程以及文化能力强的医护人员被发现可以促进健康和自我保健。关于患有CNCD的成年寻求庇护者的自我照顾和健康促进的研究很少。CNCD代表了寻求庇护者的高疾病负担,但在报告的研究中优先级较低。原创性/价值这篇叙述性综述首次明确关注患有CNCD的高收入国家的寻求庇护者,不包括心理健康状况,并探索加强健康促进的举措、计划和政策,以促进这一人群的自我保健。
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引用次数: 1
Family level drivers of access to healthcare among persons with disabilities in the Bosomtwe district of Ghana 加纳Bosomtwe区残疾人获得医疗保健的家庭层面驱动因素
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2021-12-15 DOI: 10.1108/ijhrh-01-2021-0019
E. Acheampong, Alberta Nadutey, Peter Bredu-Darkwa, Peter Agyei-Baffuor, Anthony Kwaku Edusei
PurposeThe perceptions of disability conditions held by parents and immediate family members directly determine the types of treatments that are likely to opt for persons with disabilities whenever they are ill. Family level drivers of access to healthcare among persons with disabilities in the Bosomtwe district of Ghana.Design/methodology/approachA qualitative case study was conducted in which data were collected from 60 participants selected purposively. Face-to-face interviews were conducted, and the results were presented thematically.FindingsThe drivers identified have been categorized into positive and negative depending on how they influenced persons with disabilities’ access to health care. Payment of medical bills, physical access support, the narration of health condition to a health-care provider, spiritual support, care and love were the positives while perceived spiritual cause of disability, preference for alternative treatment centers, unwillingness to support reproductive and specialized health care.Research limitations/implicationsThis study had some limitations, and one of such is the non-inclusion of disabled people who had not been registered by the department of social welfare but resided in the district who could have provided rich information to the study. However, their exclusion did not affect the quality of data obtained, as those who were registered and selected for the study gave adequate information about the issues that were considered during the study.Originality/valueFamily members of persons with disabilities play key roles in promoting their access to health care; therefore, there is the need for stakeholders to put in measures that will limit misconceptions about disability not only for the general public but also for individuals like parents and immediate family members of persons with disabilities.
目的父母和直系亲属对残疾状况的看法直接决定了残疾人生病时可能选择的治疗类型。加纳Bosomtwe区残疾人获得医疗保健的家庭层面驱动因素。设计/方法/方法进行了一项定性案例研究,从有目的地选择的60名参与者中收集了数据。进行了面对面的访谈,并按主题介绍了结果。发现已确定的驱动因素根据其对残疾人获得医疗保健的影响程度分为积极驱动因素和消极驱动因素。医疗费用的支付、身体接触支持、向医疗保健提供者讲述健康状况、精神支持、护理和爱是积极因素,而被认为是残疾的精神原因、对替代治疗中心的偏好、不愿支持生殖和专业医疗保健。研究局限性/含义这项研究有一些局限性,其中之一是没有包括未经社会福利部登记但居住在该地区的残疾人,他们本可以为研究提供丰富的信息。然而,他们的排除并没有影响所获得数据的质量,因为那些注册并被选中参加研究的人提供了关于研究期间考虑的问题的充分信息。独创性/价值观残疾人的家庭成员在促进他们获得医疗保健方面发挥着关键作用;因此,利益相关者需要采取措施,不仅对公众,而且对残疾人的父母和直系亲属等个人,限制对残疾的误解。
{"title":"Family level drivers of access to healthcare among persons with disabilities in the Bosomtwe district of Ghana","authors":"E. Acheampong, Alberta Nadutey, Peter Bredu-Darkwa, Peter Agyei-Baffuor, Anthony Kwaku Edusei","doi":"10.1108/ijhrh-01-2021-0019","DOIUrl":"https://doi.org/10.1108/ijhrh-01-2021-0019","url":null,"abstract":"\u0000Purpose\u0000The perceptions of disability conditions held by parents and immediate family members directly determine the types of treatments that are likely to opt for persons with disabilities whenever they are ill. Family level drivers of access to healthcare among persons with disabilities in the Bosomtwe district of Ghana.\u0000\u0000\u0000Design/methodology/approach\u0000A qualitative case study was conducted in which data were collected from 60 participants selected purposively. Face-to-face interviews were conducted, and the results were presented thematically.\u0000\u0000\u0000Findings\u0000The drivers identified have been categorized into positive and negative depending on how they influenced persons with disabilities’ access to health care. Payment of medical bills, physical access support, the narration of health condition to a health-care provider, spiritual support, care and love were the positives while perceived spiritual cause of disability, preference for alternative treatment centers, unwillingness to support reproductive and specialized health care.\u0000\u0000\u0000Research limitations/implications\u0000This study had some limitations, and one of such is the non-inclusion of disabled people who had not been registered by the department of social welfare but resided in the district who could have provided rich information to the study. However, their exclusion did not affect the quality of data obtained, as those who were registered and selected for the study gave adequate information about the issues that were considered during the study.\u0000\u0000\u0000Originality/value\u0000Family members of persons with disabilities play key roles in promoting their access to health care; therefore, there is the need for stakeholders to put in measures that will limit misconceptions about disability not only for the general public but also for individuals like parents and immediate family members of persons with disabilities.\u0000","PeriodicalId":14129,"journal":{"name":"International Journal of Human Rights in Healthcare","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2021-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43011186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Women’s health concern in Jordan: knowledge, practice and barriers toward cervical cancer screening 约旦妇女的健康问题:癌症筛查的知识、实践和障碍
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2021-12-01 DOI: 10.1108/ijhrh-04-2021-0085
Roqia Maabreh, R. Y. Al-husban, H. Al-Akash, Noha Al-Shdayfat
PurposeCervical cancer (CC) is one of the most important health issues faced by women worldwide. The purpose of this study is to identify Jordanian women’s knowledge, barriers and measures pertaining to risk factors and screening choices of CC (Pap smear tests).Design/methodology/approachThis study applied a cross sectional design by collecting data from a convenient sample of 200 women between 20 and 70 years of age in health and public centers in Jordan. Data was then analyzed using the descriptive statistical tools of SPSS, version 21.FindingsThe findings revealed that 55.5% of the participants had no information about the Pap smear, and 75% did not know the risk factors. Moreover, 50% of the sample did not know where to take the test, and 50% reported a lack of encouragement from the husband to undertake the test. More than half of the participants (56.5%) expressed fear that cervical screening would be a painful examination even though they reported not having any previous experience with the test.Originality/valueBased on these findings, public education about CC screening is essential, including advertising and a campaign similar to the breast cancer awareness programs in Jordan, as a way of encouraging early screening to improve the health of women.
目的癌症(CC)是全球妇女面临的最重要的健康问题之一。本研究的目的是确定约旦妇女在CC(巴氏涂片检查)的风险因素和筛查选择方面的知识、障碍和措施。设计/方法/方法本研究采用横断面设计,从200名20至70岁的妇女中收集数据 约旦卫生和公共中心的年龄。然后使用SPSS版本21的描述性统计工具对数据进行分析。结果显示,55.5%的参与者没有巴氏涂片的信息,75%的参与者不知道风险因素。此外,50%的样本不知道在哪里进行测试,50%的人表示丈夫没有鼓励他们进行测试。超过一半的参与者(56.5%)表示担心宫颈筛查会是一项痛苦的检查,尽管他们报告说以前没有任何检查经验。创意/价值基于这些发现,关于CC筛查的公共教育至关重要,包括广告和类似于约旦癌症乳腺癌宣传计划的活动,作为鼓励早期筛查以改善妇女健康的一种方式。
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引用次数: 1
Editorial 编辑
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2021-11-23 DOI: 10.1108/ijhrh-12-2021-156
Theo Gavrielides
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引用次数: 0
Self-compassion: the influences on the university students’ life satisfaction during the COVID-19 outbreak 自我同情:新冠肺炎疫情对大学生生活满意度的影响
IF 1.4 Q4 HEALTH POLICY & SERVICES Pub Date : 2021-10-22 DOI: 10.1108/ijhrh-08-2021-0153
Hani Abdel Hafeez Abdel Azeem, Mohammed Hasan Ali Al-Abyadh
PurposeThis study investigates the relationship between self-compassion and life satisfaction, and there is a significant statistical correlation between some dimensions of the self-compassion scale (family, self-kindness, common human feelings and mental alertness).Design/methodology/approachThe researcher used the Self-Compassion scale prepared by Neff (2003) translated by the researchers, in a sample of 150 students in Egypt, and Multidimensional Student’s Life Satisfaction Scale, developed by Huebner et al. (1998) translated by the researchers.FindingsThe results of the study showed that self-compassion is high in university students. The study also showed a negative correlation with the dimension of psychological self-judgment and life satisfaction, as it indicated the possibility of predicting life satisfaction through the dimensions of self-compassion, except for the dimensions of isolation and autism, and excessive communication with the self. It also indicated that there are no differences between males and females as far as the variable of self-compassion, as well as the absence of differences between males and females as far as the variable of satisfaction with life is concerned. However, the family dimension showed a difference in favor of males.Originality/valueThe inclusion of extension programs to develop self-compassion for various segments of society in light of the continuing corona pandemic, and paying attention to religious counseling programs that support the use of spiritual values in self-strengthening which is reflected in the strengthening of psychological resilience and thus a sense of satisfaction with life.
目的研究自我同情与生活满意度的关系,发现自我同情量表的几个维度(家庭、自我善良、共同情感和心理警觉性)之间存在显著的统计学相关。设计/方法/途径研究者使用研究者翻译的Neff(2003)编制的自我同情量表(Self-Compassion scale),对150名埃及学生进行了抽样调查;研究者翻译的Huebner等人(1998)编制的多维学生生活满意度量表(Multidimensional Student’s Life Satisfaction scale)。研究结果表明,大学生的自我同情程度很高。研究还发现,心理自我判断维度与生活满意度呈负相关,表明除了孤立、自闭和过度自我沟通维度外,通过自我同情维度可以预测生活满意度。研究还表明,在自我同情这一变量上,男女之间没有差异;在生活满意度这一变量上,男女之间没有差异。然而,家庭维度表现出有利于男性的差异。创意/价值:在持续的冠状病毒大流行的背景下,纳入扩展项目,发展对社会各阶层的自我同情,并关注宗教咨询项目,支持在自我增强中使用精神价值观,这反映在加强心理弹性和对生活的满足感上。
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引用次数: 2
期刊
International Journal of Human Rights in Healthcare
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