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21 – 30 of over 51000Hamed Ahmadinia, Jannica Heinström, Kristina Eriksson-Backa and Shahrokh Nikou
This research paper aims to delve into the perceptions of health susceptibility among Iranian, Afghan and Tajik individuals hailing from asylum-seeking or refused asylum-seeking…
Abstract
Purpose
This research paper aims to delve into the perceptions of health susceptibility among Iranian, Afghan and Tajik individuals hailing from asylum-seeking or refused asylum-seeking backgrounds currently residing in Finland, Norway and Sweden.
Design/methodology/approach
Semi-structured interviews were conducted between May and October 2022 involving a sample size of 27 participants. An adapted framework based on the health belief model along with previous studies served as a guide for formulating interview questions.
Findings
Notably influenced by cultural background, religious beliefs, psychological states and past traumatic experiences during migration journeys – before arrival in these countries till settling down – subjects’ perception of health concerns emerged significantly shaped. Additionally impacting perspectives were social standing, occupational status, personal/family medical history, lifestyle choices and dietary preferences nurtured over time, leading to varying degrees of influence upon individuals’ interpretation about their own wellness or illness.
Practical implications
Insights garnered throughout the authors’ analysis hold paramount significance when it comes to developing targeted strategies catering culturally sensitive health-care provisions, alongside framing policies better aligned with primary care services tailored explicitly around singular demands posed by these specific communities dwelling within respective territories.
Originality/value
This investigation represents one among few pioneering initiatives assessing perceptions regarding both physical and mental well-being within minority groups under examination across Nordic nations, unveiling complexities arising through intersecting factors like individual attributes mingling intricately with socio-cultural environments, thereby forming unique viewpoints towards health-care belief systems prevalent among such population segments.
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Charlotte Kroløkke, Thomas Søbirk Petersen, Janne Rothmar Herrmann, Anna Sofie Bach, Stine Willum Adrian, Rune Klingenberg and Michael Nebeling Petersen
Yu Xie, Qing Lai and Xiaogang Wu
Prior research showed that danwei, the work unit, was very important in determining workers' social, economic, and political lives in pre-reform urban China. In this chapter, we…
Abstract
Prior research showed that danwei, the work unit, was very important in determining workers' social, economic, and political lives in pre-reform urban China. In this chapter, we argue that danwei continues to be an agent of social stratification in contemporary urban China. Using data from a 1999 survey that we conducted in three large Chinese cities, Wuhan, Shanghai, and Xi'an, we assess the extent to which workers' socioeconomic well-being depends on the financial conditions of their danwei. Results show that the financial situation of danwei remains one of the most important determinants of earnings and benefits. However, the explanatory power of danwei's financial situation is much greater for earnings than for benefits.
Yuangao Chen, Shasha Zhou, Wangyan Jin and Shenqing Chen
This study examines the determinants of medical crowdfunding performance. Drawing on signaling theory, the authors investigate how funding-related signals (funding goal and…
Abstract
Purpose
This study examines the determinants of medical crowdfunding performance. Drawing on signaling theory, the authors investigate how funding-related signals (funding goal and duration), story-related signals (text length, text sentiment, and use of first-person pronouns), and donor-related signals (donor identity disclosure) affect medical crowdfunding performance.
Design/methodology/approach
This study analyzed the data of 754 medical crowdfunding projects collected from the Qingsongchou platform in China to test the proposed model.
Findings
The empirical findings reveal that both funding goal and funding duration exhibit a U-shaped relationship with crowdfunding performance. Additionally, the authors find evidence that story text length and donor identity disclosure are positively related to crowdfunding performance, whereas the use of first-person pronouns is negatively related to crowdfunding performance.
Originality/value
This study extends the understanding of the determinants of medical crowdfunding performance through the signaling theory. Specifically, this study provides new insights into the roles of funding goal and funding duration in predicting medical crowdfunding performance and identifies several new predictors of crowdfunding performance, including the use of first-person pronouns in project story text and donor identity disclosure.
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Patient empowerment (PE) is a key public health policy tool globally which is seen as unproblematic, but contains a number of unwarranted assumptions and unrecognised challenges…
Abstract
Purpose
Patient empowerment (PE) is a key public health policy tool globally which is seen as unproblematic, but contains a number of unwarranted assumptions and unrecognised challenges to achieving effective implementation. Further, the theoretical foundations for understanding the impact of persuasive health communications on PE are weak. The purpose of this paper is to review these factors and to highlight major areas of concern.
Design/methodology/approach
First, the assumptions underpinning empowerment and the implicit theoretical foundations for active health information seeking behaviours are reviewed. This is then followed by a readability analysis of internet-based material relating to two general medical conditions, four chronic medical conditions and six patient information leaflets which was conducted to explore issues relation to the provision and readability of online health information.
Findings
The assumptions underpinning expectations of policy makers and health organisations regarding active health information seeking are shown to be problematic, with several potential impediments to effective PE implementation, including the fact that almost all of the online material reviewed is written in language too complex for the majority of the general public to comprehend, let alone act on.
Practical implications
Recommendations are made for guiding information seeking and a research agenda is outlined that would aid in strengthening theoretical underpinnings, expand knowledge and thereby help inform practice and policy debate regarding how PE can be improved.
Originality/value
This paper contributes to understanding of the challenges of effective health communication in the digital age by highlighting the need for a greater understanding of online health information seeking and the impact of limited health literacy and numeracy.
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The purpose of this paper is to identify the type of waste generation and the management of waste in order to reduce pollution in the health care sector with special reference to…
Abstract
Purpose
The purpose of this paper is to identify the type of waste generation and the management of waste in order to reduce pollution in the health care sector with special reference to Colombo, Sri Lanka. The paper further aims to determine the relationship between top management and staff attitudes toward waste management and to identify the level of technology used in medical waste management in various types of health care organizations.
Design/methodology/approach
A survey questionnaire was developed using the designed conceptual framework to achieve the objectives of the study.
Findings
The study identifies that, though governments provide legislations and regulatory support, organizations of any size must have a positive attitude, awareness, capability and technology to initiate improvements for waste management processes and be prepared to adapt to new trends. Developing positive attitudes and improved knowledge on changes in waste management technology will assist in encouraging organizations to invest in this area.
Research limitations/implications
The scope of this project is limited to private health care institutions in the Colombo district in Sri Lanka from where data were gathered.
Originality/value
Health care center waste management is a relatively new discipline in the Sri Lankan health sector. This study provides an opportunity for management to identify the level of waste generated by health care institutions and the methods followed for the disposal of waste. Environmental groups can gain benefit through this project, since they can identify whether the private institutes in the health care sector are following world-accepted methods in disposing of waste.
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Anneli Hujala, Mieke Rijken, Sanna Laulainen, Helena Taskinen and Sari Rissanen
The purpose of this paper is to draw attention to the discursive construction of multimorbidity. The study illustrates how the social reality of multimorbidity and the agency of…
Abstract
Purpose
The purpose of this paper is to draw attention to the discursive construction of multimorbidity. The study illustrates how the social reality of multimorbidity and the agency of patients are discursively constructed in scientific articles addressing care for people with multiple chronic conditions.
Design/methodology/approach
The study is based on the postmodern assumptions about the power of talk and language in the construction of reality. Totally 20, scientific articles were analysed by critically oriented discourse analysis. The interpretations of the findings draw on the agency theories and principals of critical management studies.
Findings
Four discourses were identified: medical, technical, collaborative and individual. The individual discourse challenges patients to become self-managers of their health. It may, however, go too far in the pursuit of patients’ active agency. The potential restrictions and consequences of a “business-like” orientation must be paid careful attention when dealing with patients with multimorbidity.
Research limitations/implications
The data consisted solely of scientific texts and findings therefore serve as limited illustrations of the discursive construction of multimorbidity. In future, research focusing for example on political documents and practice talk of professionals and patients is needed.
Social implications
The findings highlight the power of talk and importance of ethical considerations in the development of care for challenging patient groups.
Originality/value
By identifying the prevailing discourses the study attempts to cast doubt on the taken-for-granted understandings about the agency of patients with multimorbidity.
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Applying the value-attitude-behavior (VAB) model, this study investigated how perceived utilitarian and hedonic values (i.e. novelty and emotion) affect individuals' attitudes…
Abstract
Purpose
Applying the value-attitude-behavior (VAB) model, this study investigated how perceived utilitarian and hedonic values (i.e. novelty and emotion) affect individuals' attitudes toward medical hotels and how these attitudes, in turn, influence their intentions to stay at medical hotels. The current study also explored the moderating impact of overall health status on the relationships between perceived utilitarian, novelty and emotional values and attitudes toward medical hotels.
Design/methodology/approach
The data collected from 351 individuals who spent a night in a hospital to undergo medical treatment was used in conducting structural equation modeling to evaluate the research model and test the study hypotheses.
Findings
The study results revealed that perceived utilitarian, novelty and emotional values exerted a positive influence on individuals’ attitudes toward medical hotels, consequently enhancing their intention to stay. Additionally, significant moderating impacts of overall health status on the associations between perceived utilitarian, novelty and emotional values and attitudes toward medical hotels were observed.
Practical implications
The study findings provide useful guidance for professionals, such as operators, marketers and managers in medical hotels. These insights can improve operational and marketing strategies, benefiting both the industry and healthcare accommodation seekers.
Originality/value
This study is among the first to empirically assess a theoretical model that explored the influence of individuals' value perceptions within the realm of medical hotel establishments.
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Nasreen Ali, Carl Mclean and Hamid Rehman
This paper seeks to discuss the attitudes and beliefs of the Pakistani/Kashmiri community in Birmingham towards the cultural practice of consanguineous (cousin) marriage and…
Abstract
Purpose
This paper seeks to discuss the attitudes and beliefs of the Pakistani/Kashmiri community in Birmingham towards the cultural practice of consanguineous (cousin) marriage and health, and how an understanding of Pakistani/Kashmiri community views may help institute good practice for health care professionals.
Design/methodology/approach
A qualitative research study using eight gender‐ and age‐specific focus group discussions and eight in‐depth one‐to‐one interviews with participants who were in consanguineous relationships. All participants were from the Pakistani/Kashmiri community and residents of Springfield ward in Birmingham.
Findings
The findings illustrate Pakistani/Kashmiri attitudes towards consanguinity and health. There was awareness of still births and genetic conditions but a poor understanding of genetics; respondents were reluctant to accept the link between cousin marriages and birth issues and explanations for still births and impairments were largely attributed to the “will of God”. Female respondents were in favour of screening for genetic conditions but would not terminate pregnancies as this was contrary to Islamic ideas about pre‐destiny and all respondents wanted more medical and Islamic scholarly information on cousin marriage and how it is linked to disabilities. Clearly there is a need to improve healthcare outcomes and reduce infant mortality in the Pakistani/Kashmiri community.
Research limitations/implications
Research findings correspond with previous studies that have explored ethnic minority knowledge and attitudes to health and healthcare services and the need for culturally competent services.
Originality/value
This paper presents some suggestions on effecting behaviour change in this important area.
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Wenjing Li, Lu Zhang, Meng Yue, Jorge Ruiz-Menjivar and Junbiao Zhang
The purpose of this study was threefold: (1) to measure farmers' health poverty, (2) to examine the effect of health vulnerability on health poverty and (3) to identify…
Abstract
Purpose
The purpose of this study was threefold: (1) to measure farmers' health poverty, (2) to examine the effect of health vulnerability on health poverty and (3) to identify countermeasures that may alleviate health poverty in rural China.
Design/methodology/approach
This study built a health poverty measurement model based on the multi-dimensional poverty framework to evaluate farmers' health vulnerability. Further, this paper used an econometric model to assess the impact of health vulnerability on health poverty. The sample for this study comprised 1,115 rice farmers from Hubei province, China.
Findings
The medical affordability poverty ratio was 17.95%, where farmers in the low-income group faced severe medical affordability poverty (27.46%). Results from the multi-dimensional analysis showed that, the health poverty ratios were 17.95 and 30.50%, respectively. Our results indicated that climate change vulnerabilities, living habits, medical facilities and medical accessibility were positively related to health poverty, whereas the regular physical examinations reduced mental health poverty.
Research limitations/implications
Based on this study's findings, we proposed that: (1) to address illness-induced poverty among members of the agricultural community, national and provincial strategies and programs grounded on a multi-dimensional health poverty framework ought to be formulated and implemented, (2) mechanisms of health knowledge exchange may facilitate the improvement of farmers' health status, (3) robust and comprehensive metrics should be employed to understand and improve farmers' ability to absorb and mitigate the negative health impacts and (4) the improvement in both quality and quantity for medical facilities and medical affordability in the rural areas should be key priorities in governmental-wide initiatives.
Originality/value
Existing studies for alleviating poverty caused by disease mainly focus on medical service support to those economic vulnerabilities after a disease happens. However, few studies have focused on the root causes of poverty caused by disease, particularly from the preventive perspective of health vulnerability. To fill this gap, this study, therefore, proposes the health poverty index and analyzes the impact of health vulnerability on health poverty.
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