Bridging the Gap: Reducing Health Inequities in Access to Preventive Health Care Services in Rural Communities in the Philippines.
Introduction: We used an implementation science framework to investigate perceived health inequities in preventive health care initiatives in rural communities in the Philippines. We also identified health equity–focused quality improvement strategies. Methods: Three health care providers and 12 bar...
| Publicado en: | Journal of Transcultural Nursing Vol. 36; no. 1; pp. 24 - 34 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
Jan2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=181652944&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 181652944 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10436596 5WI jtl: Journal of Transcultural Nursing issn: 10436596 maglogo: Y pubinfo: dt: Jan2025 vid: 36 iid: 1 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 181652944 179308619 181652944 181652944 10.1177/10436596241271270 181652944 ppf: 24 ppct: 10 formats: tig: atl: Bridging the Gap: Reducing Health Inequities in Access to Preventive Health Care Services in Rural Communities in the Philippines. aug: au: Serafica, Reimund Reyes, Andrew T. Cacciata, Marysol C. Kawi, Jennifer Leyva, Erwin William A. Sy, Francisco S. Evangelista, Lorraine S. affil: University of Nevada, Las Vegas, USA sug: subj: Health Inequities Psychosocial Factors Health Services Accessibility Preventive Health Care Rural Areas Community Living Quality Improvement Strategic Planning Philippines Implementation Science Human Semi-Structured Interview Social Determinants of Health Attitude to Medical Treatment Empowerment Self-Management Personnel Shortage Health Care Costs Qualitative Studies Descriptive Research Thematic Analysis ab: Introduction: We used an implementation science framework to investigate perceived health inequities in preventive health care initiatives in rural communities in the Philippines. We also identified health equity–focused quality improvement strategies. Methods: Three health care providers and 12 barangay clinic patients were interviewed. Results: Patient interviews showed that social determinants of health, respect, and attitudes toward health care providers affected patient empowerment to engage in self-management for noncommunicable diseases (NCDs). Health care providers identified six challenges in managing NCDs: (a) inefficient work processes; (b) staffing shortages; (c) insufficient access to low-cost medications; (d) inadequate primary preventive health education from the schools; (e) health care not considered a priority; and (f) lack of local government support. Discussion: Inadequate preventive health care and education intensify health access and resource inequities in rural communities in the Philippines. A multi-sectoral plan may improve rural health infrastructure and education toward improving health care access and decreasing care disparities. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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