Health Disparities, Substance-Use Disorders, and Primary-Care

Colistra, Angela; Ward, A. W.; Smith, Erin M.

doi:10.1016/j.pop.2022.11.001

Cited by 2 publications

(1 citation statement)

References 10 publications

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“…20 Layanan pengobatan dalam perawatan primer memerlukan pendekatan empatik, individual, dan tim yang mendukung, dengan upaya untuk mengurangi bias pribadi, memberdayakan pasien, dan membangun saling kepercayaan. 21 Lingkungan yang mendukung, kerja sama antara berbagai pemangku kepentingan, termasuk pekerja kesehatan masyarakat, perencana kota, bisnis, pembuat kebijakan, politisi, dan penyedia perawatan primer, sangat penting dalam mengatasi dampak dari faktor-faktor penentu kesehatan sosial yang kurang optimal. 22 Penilaian secara multidisiplin penting dilakukan untuk menentukan layanan perawatan kesehatan primer yang tepat.…”

Section: Hasil Dan Pembahasanunclassified

Analisis Kebutuhan Pasien Rawat Jalan Pada Pelayanan Kesehatan Primer: Studi Kasus Puskesmas Induk Kamaipura

Kareba,

Sudirman,

et al. 2023

Jurnal Manajemen Kesehatan Indonesia

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According to Law Number 36 of 2009 concerning Health, Article 5, paragraph 2 states that everyone has an equal right to access resources in the health sector and obtain safe, quality, and affordable health services. Health services in Primary Health Care involve two parties, so Assessing the quality of service should involve both the perspective of the Primary health care and the patients. This study aims to measure the aspects most needed by the community in outpatient health services at Pprimary Health Care using service quality indicators. The study uses a quantitative descriptive approach with a factor analysis design. The study was conducted at the Kamaipura Main Primary Health Care, Sigi Regency, Central Sulawesi Province, in 2022. The variables in this study include tangibility, responsiveness, reliability, assurance, and empathy. Data collection was carried out through observations, with the population and sample consisting of all patients who used outpatient services at the Kamaipura Primary Health Care totaling 228 people. Outpatients have two levels of needs divided into two components. Variables are grouped into components based on the highest correlation. The first component consists of variables such as reliability, assurance, tangible, and responsiveness. Variables in the first component can be prioritized as follows: 1) Responsiveness, 2) Tangible, 3) Assurance, 4) Reliability. In conclusion All aspects of healthcare services, such as Reliability, Assurance, Tangible, Empathy, and Responsiveness, are primary needs for outpatient patients. The analysis indicates that Responsiveness, Tangible, Assurance, and Reliability need improvement.

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Section: Hasil Dan Pembahasanunclassified

Analisis Kebutuhan Pasien Rawat Jalan Pada Pelayanan Kesehatan Primer: Studi Kasus Puskesmas Induk Kamaipura

Kareba,

Sudirman,

et al. 2023

Jurnal Manajemen Kesehatan Indonesia

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Structural Barriers to Primary Care Among Sex Workers: Findings from a Community- Based Cohort in Vancouver, Canada (2014–2021)

Harris,

Shannon,

Krüsi

et al. 2024

Preprint

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Background: Due to structural marginalization, sex workers experience health inequities including a high prevalence of sexually transmitted and blood-borne infections, mental health disorders, trauma, and substance use, alongside a multitude of barriers to HIV and substance use services. Given limited evidence on sex workers’ broader primary healthcare access, we aimed to examine structural factors associated with primary care access among sex workers over a 7-year period. Methods Data were derived from An Evaluation of Sex Workers Health Access (AESHA), a community-based open prospective cohort of women (cis and trans) sex workers in Metro Vancouver, from 2014 to 2021. Descriptive statistics were used to summarize the proportion of primary care use in the past six months and to assess primary care trends over time from 2014-2021. We used multivariate logistic regression with generalized estimating equations (GEE) to identify structural factors associated with primary care access (seeing a family doctor in the last six months), after adjusting for confounders. Results: Amongst 646 participants, most (87.4%) accessed primary care at some point during the study period, and primary care use in the in the last 6 months was relatively stable (ranging from 60-78%) across each follow-up period. At first available observation, participants faced a high burden of sexually transmitted and blood-borne infections (STBBIs) (48.0%, 11.5%, and 10.4% were HCV, HIV, or STI seropositive, respectively), 56.8% were diagnosed with a mental health disorder, 8.1% had recently overdosed, and 14.7% were recently hospitalized. In multivariable GEE analysis, exposure to intimate partner violence was associated with reduced access to primary care (Adjusted odds ratios (AOR) 0.63, 95% Confidence interval (CI): 0.49 - 0.82), and limited English fluency was marginally associated (AOR 0.76 CI: 0.51 - 1.14). Conclusions: This study characterized primary care access and its structural determinants among sex workers over 7-years. Participants faced a high burden of STBBIs and other health disparities, and a proportion faced gaps in primary care access. Scale-up of trauma-informed, culturally and linguistically tailored, sex worker-friendly primary care models are needed, alongside structural interventions to decriminalize and destigmatize sex work and substance use.

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Health Disparities, Substance-Use Disorders, and Primary-Care

Cited by 2 publications

References 10 publications

Analisis Kebutuhan Pasien Rawat Jalan Pada Pelayanan Kesehatan Primer: Studi Kasus Puskesmas Induk Kamaipura

Analisis Kebutuhan Pasien Rawat Jalan Pada Pelayanan Kesehatan Primer: Studi Kasus Puskesmas Induk Kamaipura

Structural Barriers to Primary Care Among Sex Workers: Findings from a Community- Based Cohort in Vancouver, Canada (2014–2021)

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