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Article
Publication date: 3 September 2021

Yousef Moradi, Marzieh Mahboobi and Ghobad Moradi

Identifying the health-related needs in transgender (TG) people can help to formulate strategies for providing appropriate and accessible health services and promoting health and…

Abstract

Purpose

Identifying the health-related needs in transgender (TG) people can help to formulate strategies for providing appropriate and accessible health services and promoting health and social justice, as well as human rights in these populations. This systematic review aims to determine health-related needs, problems and barriers, as well as ways to solve them in TG people from the viewpoint of TG individuals and health policymakers.

Design/methodology/approach

All international electronic databases such as PubMed (Medline), Embase, CINAHL, Scopus, Web of Sciences, Cochrane, PsycInfo and Google Scholar (Gray Literature) were searched from December 1990 to December 2019. After the search, the articles were screened based on their title, abstract and full text. The quality of articles was assessed using the Strengthening the reporting of observational studies in epidemiology (STROBE), Consolidated Standards of Reporting Trials (CONSORT) and Standards for Reporting Qualitative Research (SRQR) checklists. The search strategy, data extraction and quality evaluation of articles were independently performed by two researchers.

Findings

The general health-related needs identified in TG individuals from the viewpoint of themselves included access to legal hormone therapy, psychological and psychiatric counseling, privacy, health and hygiene needs, equality and freedom of expression. General health-related needs in TG individuals from the viewpoint of health policymakers included screening tests to detect sexually transmitted diseases, especially HIV, cancers and other diseases, as well as training service providers (physicians, nurses, health workers, etc.).

Research limitations/implications

One of the limitations of this study was nonreporting of health-related needs in initial articles by different TG groups because these groups have had different needs and different barriers to accessing health-care services. In this study, health-related needs and barriers to satisfy them were categorized from the viewpoint of TG populations and health policymakers around the world, which may influence future decisions to provide services to TG populations. The results of this systematic review can help to develop different strategies by considering all TGs from individual, family and social aspects to better provide services for this group. However, given the dynamics and changes in the existing communities and the limited studies on gender minorities in developing countries, further research is required to comprehensively address the subject.

Originality/value

The findings can be used as an incentive to improve existing conditions and to address problems and shortcomings. The results of this systematic review formulate strategies for providing appropriate and accessible health services and better lives for TGs, planning for more effective participation of these individuals in local communities, improving their physical problems and mental health through counseling, as well as promoting health and social justice, and human rights for these populations.

Details

International Journal of Human Rights in Healthcare, vol. 17 no. 1
Type: Research Article
ISSN: 2056-4902

Keywords

Article
Publication date: 29 January 2024

Hasbi Alikunju and Anila Sulochana

The internet has evolved into an indispensable platform for seeking health information, particularly among transgender individuals. With an abundance of online resources…

Abstract

Purpose

The internet has evolved into an indispensable platform for seeking health information, particularly among transgender individuals. With an abundance of online resources available, extensive research into the credibility and reliability of this information is essential, as concerns about the quality of online resources persist. Transgender individuals are drawn to online health information due to the anonymity it offers, providing them with a sense of freedom from social isolation and the discomfort of experimenting with their transgender identity. However, it is crucial to assess the accuracy and reliability of the transgender health information available on the internet. This article aims to evaluate the quality of online transgender health resources by utilizing ten credibility indicators, along with six indicators to assess the veracity of the content.

Design/methodology/approach

A total of 179 online resources were meticulously reviewed after excluding any unnecessary and irrelevant ones, to ensure a comprehensive assessment.

Findings

The findings suggest that among the chosen resources, none of them meet all the criteria for maintaining high standards of accuracy and reliability in health information. In other words, none of these sources completely adhere to the established measures for ensuring that the information they provide is trustworthy and of high quality in the context of health.

Originality/value

The study provides valuable insights into the online realm of transgender health information, revealing both the strengths and weaknesses of the existing resources. By pinpointing areas that need enhancement and showcasing commendable practices, this research strives to promote a more knowledgeable and supportive online environment for individuals in search of transgender health information.

Details

Online Information Review, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1468-4527

Keywords

Article
Publication date: 5 April 2024

Arpit Sharma, Benjamin P. Dean and James Bezjian

The objective of this study is to address this central question: “What role do ICTs play in reducing poverty?”

Abstract

Purpose

The objective of this study is to address this central question: “What role do ICTs play in reducing poverty?”

Design/methodology/approach

First, in this study, we defined poverty in terms of its roots within health, economic development and education. Then, we conducted a systematic review of the information and communication technologies (ICTs) literature. From our analysis, we proposed a series of subsidiary questions and in-depth answers about the impact of ICTs on alleviating health-related, economic and educational causes of poverty.

Findings

This study observed positive effects of ICTs on healthcare, economic and educational dynamics and concluded that the development of more advanced infrastructure and greater access to such technology can amplify that impact.

Originality/value

This article explains how applications of ICT across sectors can substantially enhance quality of life and give people an opportunity to take control of their health-related, economic and educational futures. This study uniquely affords an integrative analysis of research and new thought about how to integrate key ICTs for more effective initiatives and investments to reduce poverty.

Details

Journal of Strategy and Management, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1755-425X

Keywords

Article
Publication date: 14 July 2023

Ilham Akhsanu Ridlo

This study investigates the frequency and specificity of health-related issues discussed during the East Java Indonesia Gubernatorial Election Campaign 2018.

Abstract

Purpose

This study investigates the frequency and specificity of health-related issues discussed during the East Java Indonesia Gubernatorial Election Campaign 2018.

Design/methodology/approach

The research utilized a mixed-methods approach, combining topic modeling and qualitative thematic analysis, to analyze 4,023 online news articles from March to June 2018. From the data sources obtained in terms of time frame, this research can be categorized as a retrospective study because it examines origins from events that have already occurred.

Findings

The study found that health issues accounted for only 6% of all gubernatorial election news in each selected online media portal. The health issues identified were categorised into eight groups: health financing and facilities, health workforce, malnutrition and stunting, leprosy, cigarettes and tobacco, healthy lifestyles, pregnancy and breastfeeding, and disability. The study also reveals a need for increased attention to health-related issues in political campaigns and media. By focusing on the health-related issues raised during the campaign, the study provides valuable insights into the gaps and priorities in addressing the health needs of the East Java population. The research framework used in this study offers a valuable approach for analyzing online data sources using qualitative analysis capacity. The study can improve health policies and outcomes in the local election campaign by raising awareness of health issues and promoting informed decision-making among voters.

Research limitations/implications

This research limitation is a local political campaign case in Indonesia. The research indicates that health issues receive limited coverage during election campaigns, suggesting a lack of emphasis on health as a critical issue among East Java's electorate.

Originality/value

The study can improve health policies and outcomes in the local election campaign by raising awareness of health issues and promoting informed decision-making among voters.

Details

International Journal of Health Governance, vol. 28 no. 4
Type: Research Article
ISSN: 2059-4631

Keywords

Article
Publication date: 14 December 2022

Mohammad Rababa, Nahla Al-Ali and Ayat Shaman

This study aims to examine the recent literature on health-promoting behavior, health needs and associated factors among older adults.

Abstract

Purpose

This study aims to examine the recent literature on health-promoting behavior, health needs and associated factors among older adults.

Design/methodology/approach

An massive search of five databases involving documents in the past decade was commenced.

Findings

This review showed a significant relationship between older adults’ demographic characteristics (marital status, income, chronic disease, education level and smoking status) and health-promoting behaviors. This review showed that older adults with a high level of education, high income, chronic diseases and smoker and married older adults are associated with better health-promoting behaviors.

Originality/value

The result of the current review supports the Pender Health Promotion Model that individual personal characteristics can affect the level of engagement in health-promoting behaviors. Assessing the health-promoting behaviors of older adults can help in identifying their health needs.

Details

Working with Older People, vol. 27 no. 4
Type: Research Article
ISSN: 1366-3666

Keywords

Article
Publication date: 13 December 2023

Lídia Serra and Luís Silva

Effective cognitive functioning elucidates the orchestrated interplay of diverse mental faculties in addressing daily tasks, potentially indicative of an improved state of an…

Abstract

Purpose

Effective cognitive functioning elucidates the orchestrated interplay of diverse mental faculties in addressing daily tasks, potentially indicative of an improved state of an individual’s health. Linked to this is the potential role of life satisfaction, which may aid individuals in better managing their health-related challenges. The purpose this study is to examine whether the cognitive functioning and life satisfaction levels of elderly individuals serve as predictors of their subjective health complaints.

Design/methodology/approach

The research involved a cohort of 126 elderly community residents. The assessment tools used encompassed a socio-demographic questionnaire, the mini-mental state examination (MMSE), the scale of subjective health complaints and a life satisfaction scale.

Findings

The findings reveal that both cognitive functioning and life satisfaction are predictive variables for subjective health complaints, validated in both the original sample and simulated samples.

Originality/value

This study’s innovation lies in highlighting the importance of cognitive functioning and life satisfaction among the elderly population as explanatory factors for subjective health complaints. Consequently, these dimensions warrant consideration in specialized intervention programs aimed at promoting the health and quality of life among the elderly.

Details

Quality in Ageing and Older Adults, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1471-7794

Keywords

Article
Publication date: 11 April 2023

Hesham Metwalli Mousli, Iman El Sayed, Adel Zaki and Sherif Abdelmonem

This study intends to improve the quality of venous thromboembolism (VTE) prophylaxis practices including proper VTE risk assessment and the appropriate prophylaxis measures for…

Abstract

Purpose

This study intends to improve the quality of venous thromboembolism (VTE) prophylaxis practices including proper VTE risk assessment and the appropriate prophylaxis measures for surgical urology patients.

Design/methodology/approach

The authors applied the Six-Sigma define, measure, analyze, improve and control (DMAIC) improvement methodology in a pre–post interventional study that involved all adult patients above 18 years old indicated and scheduled for urology surgical interventions including endoscopic urological surgeries in a urology specialized 60-bed hospital. The pre-intervention sample included all patients meeting the inclusion criteria over a period of six months. Post-intervention sample included all patients meeting the inclusion criteria over a period of six months. The improvement areas included both the VTE risk assessment as well as the VTE prophylaxis prescription.

Findings

DMAIC methodology has achieved a substantial sustained improvement in surgical urology VTE prophylaxis practices with an average of 70% on both levels; VTE risk assessment practices and VTE prophylaxis prescribing practices were statistically significant. The post-intervention results also showed a statistically controlled process with no special cause variations. Based on the study results, the Six-Sigma DMAIC methodology can be considered of high value when applied in healthcare clinical practice improvement projects.

Research limitations/implications

The project study includes some pitfalls that can be addressed as follows: 1. The lack of VTE rate incidence tracking. This limitation can be partly refuted when the authors conduct a literature review and explore that the VTE prophylaxis effectiveness had been proven with sufficient evidence to an extent that pushed several scientific societies to develop their own guidelines to support VTE prophylaxis. (Algattas et al., 2018). 2. Another limitation of this study can be that it handled only surgical patients and more specifically surgical urology patients. Of course, VTE prophylaxis is a crucial life-threatening problem not only for the surgical admitted patients but also for all the medical admitted patients either in hospital wards or ICUs. However, the prediction that surgical patients especially surgical urology patients are more prone to VTE development risk as they have -in several cases-two or three main additive risk factors which are age, procedure duration and malignancy in elderly men. (Tikkinen et al., 2014). So, the authors consider the study project to be a prototype that hopefully can be utilized for future study projects that will manage both other surgical specialty patients and medical patients on the national level and can track accurately and effectively report the VTE incidence rates.

Practical implications

Several recommendations can be extracted from the research project that is summarized in the following points: Paying focused attention to continuous healthcare quality improvement initiatives and projects as a main approach for healthcare improvement especially for the public health-related problems. This might be achieved through periodic region-specific or specialty-specific focus groups from which public health problems could be addressed and prioritized to be considered as a part of country healthcare campaigns regarding cost-utility and feasibility studies. The adoption of a system thinking approach in dealing with the improvement strategies; all efforts and resources are to be employed to achieve a common objective. This includes the generation of a national-wide electronic health information system that can aid in healthcare resource allocation and direct the healthcare efforts towards the most important, high-priority public health problems. Electronic national-wide health record is really an effort, and resources consuming activity, but actually, it's worth exerting efforts, and its valuable outcomes may be seen several years later. 3. Development of unified national specialized VTE prophylaxis pathways to standardize the patient-specific VTE prophylaxis plans. Standardization of healthcare pathways enables healthcare professionals to follow an evidence-based practice which will be reflected on the improvement of healthcare quality level, cost-effectiveness enhancement, and timely patient care on all levels especially in high critical areas like ER and ICU. 4. Incorporation of VTE prophylaxis costs in the universal health insurance diagnosis-related group (DRG) insurance packages and service pricing. Universal health insurance is a nationwide strategy that is aiming to cover all Egypt residents by the year 2030. Universal health insurance is being following the DRG reimbursement policy that is thought to control all the healthcare-associated costs so, the VTE prophylaxis costs shall be added as the main cost item to encourage all healthcare facilities to follow an evidence-based VTE prophylaxis pathway taking into consideration the high-risk patient categories who will definitely represent a high-cost burden on the long run if they suffer a VTE event.

Originality/value

DMAIC improvement methodology applications in healthcare are still relatively limited, especially on the clinical level. The study can be considered one of a kind in Egypt dealing with a comprehensive DMAIC methodology application on the clinical level.

Details

The TQM Journal, vol. 36 no. 2
Type: Research Article
ISSN: 1754-2731

Keywords

Article
Publication date: 1 February 2024

Petros Kostagiolas, Charalampos Platis, Alkeviadis Belitsas, Maria Elisavet Psomiadi and Dimitris Niakas

The higher-level aim of this study is to investigate the impact of health information needs satisfaction on the fear of COVID-19 for the general population. The investigation is…

Abstract

Purpose

The higher-level aim of this study is to investigate the impact of health information needs satisfaction on the fear of COVID-19 for the general population. The investigation is theoretically grounded on Wilsons’ model of information seeking in the context of inquesting the reasons for seeking health information as well as the information sources the general population deploy during the COVID-19 pandemic.

Design/methodology/approach

This cross-sectional survey examines the correlations between health information seeking behavior and the COVID-19 generated fear in the general population through the application of a specially designed structured questionnaire which was distributed online. The questionnaire comprised four main distinct research dimensions (i.e. information needs, information sources, obstacles when seeking information and COVID-19 generated fear) that present significant validity levels.

Findings

Individuals were motivated to seek COVID-related health information to cope with the pandemic generated uncertainty. Information needs satisfaction as well as digital health literacy levels is associated with the COVID-19 generated fear in the general population. Finally, a conceptual framework based on Wilsons’ macro-model for information seeking behavior was developed to illustrate information needs satisfaction during the pandemic period. These results indicate the need for incentives to enhance health information needs satisfaction appropriately.

Originality/value

The COVID-19 generated fear in the general population is studied through the information seeking behavior lenses. A well-studied theoretical model for information seeking behavior is adopted for health-related information seeking during pandemic. Finally, digital health information literacy levels are also associated with the fear of COVID-19 reported in the authors’ survey.

Details

Aslib Journal of Information Management, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 2050-3806

Keywords

Book part
Publication date: 29 December 2023

Samaya Pillai, Manik Kadam, Madhavi Damle and Pankaj Pathak

Healthcare is indispensable for any civilisation to attain a good quality of life and well-being on both mental and physical levels. The healthcare domain primarily falls under…

Abstract

Healthcare is indispensable for any civilisation to attain a good quality of life and well-being on both mental and physical levels. The healthcare domain primarily falls under pharma, medical, biotechnology, and nursing. Also, other fields may be aligned with these primary fields. Healthcare amasses the contemporary trends and knowledge of upcoming techniques to improve healthcare processes. The practitioners are primarily doctors, nurses, specialists and health professionals, hospital administrators, and health insurance.

It is a fundamental attribute needed for any society to attain good quality of life and well-being in mental and physical health. It is a fundamental right of people to receive good healthcare where drug treatment and hospitalization are available at a nominal cost, as a requirement of today’s modern era. There appears to be a significant disparity in the availability of good healthcare in rural areas compared to urban in India. Even though we enter the digital era with the facilities offered in Industry 4.0 and other advanced technologies brings about a significant change of overall processing within healthcare systems. During the pandemic of COVID-19, there has been digital transformation with success globally. Healthcare cooperatives are a new norm to support the healthcare systems globally. The chapter discusses Gampaha healthcare cooperative and reviews Ayushman Sahakar scheme in India. The reforms require time to evolve.

Article
Publication date: 25 January 2024

Anya Ahmed, Lorna Chesterton and Matthew J. Ford

The purpose of this paper is twofold: to explore the existing evidence around dementia services and interrogate the overarching UK policy development relating to service inclusion…

Abstract

Purpose

The purpose of this paper is twofold: to explore the existing evidence around dementia services and interrogate the overarching UK policy development relating to service inclusion of black and minoritised groups. The paper will go on to identify the implications for the dementia wellness pathway and make recommendations regarding how services can be more inclusive.

Design/methodology/approach

This paper examines the policy/practice landscape around dementia care provision and observes if lessons can be learnt to improve health outcomes for people living with dementia from black and minoritised communities.

Findings

A review of dementia policy demonstrates how opportunities to improve the awareness, diagnosis and post-diagnostic support for minoritised communities are being missed. The outcomes of this mean that individuals are denied vital treatment and support, which could enhance quality of life and delay the progression of dementia.

Practical implications

The authors’ premise is that not meeting the dementia support needs of less-heard communities has negative financial as well as social and health-related outcomes and has wider resonance and implications for all stages of the dementia wellness pathway. Moreover, there is a legal responsibility for public services to provide culturally sensitive, responsive, appropriate and available care, to all people, without discrimination.

Originality/value

This paper offers a valuable review of policy and practice around dementia care in the UK and makes recommendations to improve health outcomes for people living with dementia from black and minoritised communities.

Details

Working with Older People, vol. ahead-of-print no. ahead-of-print
Type: Research Article
ISSN: 1366-3666

Keywords

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