This thesis is the basis for a joint degree of doctor of philosophy phd between karolinska institutet and makerere university. The implementation of such policies should be monitored and evaluated on a regular basis and in this way, service delivery and access of patients to health care facilities will be improved. Electronic health documentation and its impact on nurses. Part of theamerican studies commons this thesis is brought to you for free and open access by the graduate school at scholar commons. University of groningen enhancing antenatal care decisions.
Health insurance and health care access in china verinda jean esther fike, b. Barriers to health care access access to health care is a wellstudied phenomenon in the medical literature with a majority of focus on socioeconomic elements, particularly the role financial barriers. A framework for the study of access to medical care. Enforcing the right of access to healthcare services in south. The association between the medicare bundled payments initiative and cardiac rehabilitation enrollment, jing li. Thus, health care is both a social good and a human right gulliford et al. Improving access to oral health care for vulnerable and underserved populations good health requires good oral health, yet millions of americans lack access to basic oral health care. These theses are a valuable byproduct of yale student research efforts. Chan school of public health in partial fulfillment of the requirements for the degree of doctor of public health harvard university boston, massachusetts. The institute of medicine defines access as the timely use of personal health services to achieve the best possible outcome. The association between poverty and access to mental health treatment among children, ages 317, in the united states, nsch 2017, mattou mokri. Herrmann, mechanical engineering and institute for systems research. In recent times, there have been little research to ascertain barriers to geographical access to healthcare particularly, in rural areas. Changes in health care utilization of public facilities post abolition of user fees, april.
The first essay chapter 2 explores the relationship between the number of children in a family and childrens access to medical and dental services. In particular, an increase in certain types of preventative health care could. The digital thesis deposit has been a graduation requirement for a number of years, giving students options on how they. Master thesis faculty of medicine department of health.
William, encinosa phd abstract in this paper i use the medical expenditure panel survey data in a difference in differences model to explore whether the 20072008 financial crisis impacted healthcare access. Access to primary health care services and child mortality i university of nigeria, nsukka okoye ijeoma access to primary health care services and child mortality in orumba north local government area, anambra state, nigeria sociologyanthropology a thesis submitted to the department of sociologyanthropology. Uninsured children and nonelderly adults are substantially less likely to have a usual source of health care or a recent health care visit than their insured counterparts. First, this thesis hypothesises that income is an important determinant of access to medicines and health care and that access is low for low income individuals. A guide for developing and enhancing community oral health programs the guide is designed to help lphas develop, integrate, expand, or enhance community oral health programs. Barriers and facilitating factors in access to health. Abstract the chinese government has made recent efforts to expand health insurance to rural areas that have been primarily dependent upon private health care providers. The purpose of this thesis is to investigate the effect of perceived and technical quality of care measures on maternal health determinants in rural mali. A case study in hillsborough county, florida jaime nodarse university of south florida follow this and additional works at. That the lack of access to health care services in the u. The age characteristics of the survey sample and anderson county. The majority of persons under age 65 have coverage. Access theory has also been criticized for being unsuccessful at predicting and explaining health care use, for being inapplicable to disadvantaged populations, and for treating access as a static phenomenon. The sample of key informants was designed to include a range of health.
Transportation barriers and health access for patient. Articles are then accessed through virtual libraries in form of pdf. Health insurance coverage is an important determinant of access to health care. An analysis of the determinants of access to medicines and. Ensuring access to quality behavioral health care raise member awareness of the importance and availability of behavioral health care, to encourage discussions with providers, and to focus on proactive identification of behavioral health needs. This thesis presents different healthcare models and applies these models as a. A 1993 national academies report, access to healthcare in america, defined access as the timely use of personal health.
Improving access to oral health care for vulnerable and. Access to health care affects a multitude of people. This thesis is brought to you for free and open access by the. The reason behind this phenomenon is that childrens health insurances are less expensive than the insurances of adults. Improving access and service quality of mental health care 3205 words pages. A further recommendation is that health care policies implemented, be revised, to ensure that all south africans have access to health care. The first essay chapter 2 explores the relationship between the number of children in a family and. Enforcing the right of access to healthcare services in. Authorized access and the challenges of health information systems.
This research question could provide insight into the manner in which individuals respond to new health information. A 1993 national academies report, access to healthcare in america, defined access as the timely use of personal health services to achieve the best possible health outcomes. Little research has however been done on the utilization of health care services in. This is correct, but the right to health extends further. The aforementioned health care systems are either webbased r ecommendation systems or intelligent expert s y stems. Health insurance and health care access in china a thesis. While mobile technology appears to present great opportunities to address these delays, there is still little evidence on how this technology can best be used to improve access to health care. The public health and health services research group. In order to provide the children with a better access to the health care system kids health insurance reform was passed by obama in the year 2009. Access to care constitutes of five measurements such as availability, accessibility, accommodation, affordability, and acceptability. Assessing perceived barriers to health care access for resettled refugees in the western united states christin gilmer a delta doctoral thesis submitted to the faculty of the harvard t. This paper assesses the state of healthcare access among. The goal is for everybody to have equal access and equal quality of care 24. The respondents, who were patients see further justification for the sample size.
Phd thesis prospectus health insurance, preventative. Uninsured, underinsured, elderly, lower socioeconomic class, minorities, and people that live in remote areas are at the highest risk for lack of access. This study is motivated by the disclosure of these concerns, irrespective of the measures put in place by the government to achieve universal access to health care services. Access to mental health care in the gambia deserves urgent attention. The research presented in this thesis is not based on an initial hypothesis but has been. Borrowing the pathway model from arne and labonte 2012, i focus on the social determinants of health care access, especially health insurance coverage change because of the financial crisis, and i use a differenceindifferences model to examine how the financial crisis impacted health care access. Quality in and equality of access to healthcare services. Public health theses school of public health yale university. Access to quality health care essay 1658 words bartleby.
A sample of twelve residents was recruited through a process of snowball. This thesis has been read by each member of the thesis committee and has been. It includes a wide range of factors that can help us lead a healthy life. Case study of jamaicas health financing system and its impact on the performance of the general health system is my own work. Preventive services task force recently recommended that all adults, including.
Lphas are well positioned to work with other community stakeholders to develop, integrate, expand, or enhance community oral health programs. Increasing access to health workers in remote and rural areas. The obligation to respect the right, obliges the state to refrain from denying or limiting access to health care services to any one. Pdf facilitating access is concerned with helping people to command appropriate health care resources in order to preserve or. Access to health care services means timely use of personal health services to achieve the best health outcomes. Access, on the other hand, is the opportunity or ability to do both of these things. The influence of community elements on school engagement among hrsa region iv students aged 617 years. Crockett, cassandra, knowledge, access, and utilization of health care resources.
In the modern healthcare system, many different decisionmakers interact to care for patients and manage operations. The right to access to healthcare services is stated in the world health. Access to care in rural areas and rural health disparities. That means that restricted access of vulnerable populations to health care. Who universal health coverage and universal access. Factors that influence access to mental health care. Specifically, this thesis hopes to address the following research objectives.
All policy students participate in the capstone seminar, which culminates in a project 1520 page policy brief, with associated media strategy and. Healthcare access in rural communities access to healthcare services is critical to good health, yet rural residents face a variety of access barriers. Thus, drivers death is consistent with the general problems of oral health disparities even in wealthy countries, where despite increases in absolute income for both the rich and the poor, health outcomes still vary by class, race, and other measures of inequality qi 2012. Public health theses open access institutional repository. The aim of this study was to contribute to the improvement of access to mental health care. Telemedicine for improving access to health care in. Increasing access to health workers in remote and rural. Healthcare access in rural communities introduction rural. I explore how mixed methods research originated and developed, and the major. However, the majority of india lives below the poverty line in rural areas and has extremely limited access to medical care. Hence, universal health coverage is not possible without universal access, but the two are not the same. Analysis of 20112012 national survey of childrens health nsch, breyanna mikel. Whereas no recent study is done to examine the prevalent rate and treatment gap, the available data shows that 90% of mentally ill patients who require treatment do not receive it. This study evaluated the impact of the 2008 reform on the jamaican public health system at 1 the national level, 2 the provider level, and 3 the user level.
Therefore, there is a need to develop an android based easy to use. The cushingwhitney medical library, collaborating with the yale school of public health, is making yale public health student theses available online. A guide for developing and enhancing community oral health. A case study of jamaicas health financing system and its. Despite access to health care long being central in health services research and policy, we still seek answers to fundamental questions. While most rwandan people were legally covered by health insurance in 2010, access to health services was still hampered for some 80 per cent of the population due to deficits in. Healthcare access in rural communities introduction. Improving colorectal cancer screening rates in perry county, vashisht madabhushi. This include entry to a health care system, access to appropriate locations with needed services, and contacting a health care provider who can be trusted access, 20. As the number and diversity of african immigrants increases, it is necessary to assess the populations utilization and access to health care services. National health insurance scheme nhis in 2004 to help achieve health for all irrespective of the economic and geographical conditions of individuals.
A case study of jamaicas health financing system and its impact on the. Universal health coverage is attained when people actually obtain the health services they need and benefit from financial risk protection. This thesis is brought to you for free and open access by the theses at tigerprints. Facilitating access is concerned with helping people to command appropriate health care resources in order to preserve or improve their health. Second, this thesis hypothesises that an expectation of a high level of expenditure on medicines reduces the propensity to consume which implies a negative price elasticity. Assessing perceived barriers to health care access for. Characteristics, sexual behaviour and access to health. April 2000 march 2002 96 health, these fourfold obligations are defined in general comment no. With the rapid development and integration of health care technology, standardization. Enhancing antenatal care decisions among expectant mothers in uganda iii preface and acknowledgement my motivation to undertake this research was instigated by the fact that i am a mother of three and i live in subsaharan africa that has been hardhit by the worst maternal mortality rates, contributing to 56 percent of the global maternal deaths. Hence, universal health coverage is not possible without universal access, but. The committee on economic, social and cultural rights, the.
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