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Help-seeking pathways

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https://www.readbyqxmd.com/read/28619027/-health-is-my-capital-a-qualitative-study-of-access-to-healthcare-by-chinese-migrants-in-singapore
#1
Wai Jia Tam, Wei Leong Goh, Jeffrey Chua, Helena Legido-Quigley
BACKGROUND: Since the 1970s, Singapore has turned into one of the major receiving countries of foreign workers in Southeast Asia. Over the years, challenges surrounding access to healthcare by Chinese migrant workers have surfaced globally. This study aims to explore the experiences of Chinese migrants accessing primary and secondary/tertiary healthcare in Singapore, and the opportunities for overcoming these barriers. METHODS: We conducted 25 in-depth interviews of 20 Chinese migrants and five staff from HealthServe, a non-governmental organization serving Chinese migrants in Singapore from October 2015 to January 2016...
June 15, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28615051/the-pathway-to-consultation-for-rheumatoid-arthritis-exploring-anticipated-actions-between-the-onset-of-symptoms-and-face-to-face-encounter-with-a-healthcare-professional
#2
Gwenda Simons, Sophie Lumley, Marie Falahee, Kanta Kumar, Christian D Mallen, Rebecca J Stack, Karim Raza
BACKGROUND: When people first experience symptoms of rheumatoid arthritis (RA) they often delay seeking medical attention resulting in delayed diagnosis and treatment. This research assesses behaviours people might engage in prior to, or instead of, seeking medical attention and compares these with behaviours related to illnesses which are better publicised. METHODS: Thirty-one qualitative interviews with members of the general public explored intended actions in relation to two hypothetical RA vignettes (with and without joint swelling) and two non-RA vignettes (bowel cancer and angina)...
June 14, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28604146/clients-and-carers-perception-of-mental-illness-and-factors-that-influence-help-seeking-where-they-go-first-and-why
#3
Harris K Chilale, Ndumanene Devlin Silungwe, Saulos Gondwe, Charles Masulani-Mwale
OBJECTIVE: In Northern Malawi, the duration of untreated psychosis (DUP) is longer than that in high-income countries. The reasons for the delay in help-seeking are not known, although studies show multiple reasons. This research was conducted to establish health care help-seeking behaviours and identify barriers that exist between service users and health care providers. The study also intended to establish the beliefs that clients and family members have regarding the causes of mental illness which profoundly shape help-seeking, care giving process and outcomes...
June 1, 2017: International Journal of Social Psychiatry
https://www.readbyqxmd.com/read/28596971/soluble-urokinase-receptor-and-the-kidney-response-in-diabetes-mellitus
#4
REVIEW
Ranadheer R Dande, Vasil Peev, Mehmet M Altintas, Jochen Reiser
Diabetic nephropathy (DN) is the leading cause of end-stage renal disease (ESRD) worldwide. DN typically manifests by glomerular hyperfiltration and microalbuminuria; then, the disease progresses to impaired glomerular filtration rate, which leads to ESRD. Treatment options for DN include the strict control of blood glucose levels and pressure (e.g., intraglomerular hypertension). However, the search for novel therapeutic strategies is ongoing. These include seeking specific molecules that contribute to the development and progression of DN to potentially interfere with these "molecular targets" as well as with the cellular targets within the kidney such as podocytes, which play a major role in the pathogenesis of DN...
2017: Journal of Diabetes Research
https://www.readbyqxmd.com/read/28596146/the-role-of-web-based-health-information-in-help-seeking-behavior-prior-to-a-diagnosis-of-lung-cancer-a-mixed-methods-study
#5
Julia Mueller, Caroline Jay, Simon Harper, Chris Todd
BACKGROUND: Delays to diagnosis in lung cancer can lead to reduced chance of survival, and patients often wait for several months before presenting symptoms. The time between first symptom recognition until diagnosis has been theorized into three intervals: symptom appraisal, help-seeking, and diagnostic interval (here: "pathway to diagnosis"). Interventions are needed to reduce delays to diagnosis in lung cancer. The Web has become an important lay health information source and could potentially play a role in this pathway to diagnosis...
June 8, 2017: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/28572868/prostate-cancer-patient-perspectives-on-the-use-of-information-in-treatment-decision-making-a-systematic-review-and-qualitative-meta-synthesis
#6
Sujane Kandasamy, Ahmad Firas Khalid, Umair Majid, Meredith Vanstone
BACKGROUND: Men with low- to intermediate-risk prostate cancer are typically asked to choose from a variety of treatment options, including active surveillance, radical prostatectomy, or brachytherapy. The Prolaris cell cycle progression test is intended to provide additional information on personal risk status to assist men with prostate cancer in their choice of treatment. To assist with assessing that new technology, this report synthesizes qualitative research on how men with prostate cancer use information to make decisions about treatment options...
2017: Ontario Health Technology Assessment Series
https://www.readbyqxmd.com/read/28564494/how-people-from-chinese-backgrounds-make-sense-of-and-respond-to-the-experiences-of-mental-distress-a-qualitative-study
#7
Echo Yuet Wah Yeung, Fiona Irvine, Siu Man Ng, Sandra Tsang
INTRODUCTION: Late presentation and low utilisation of mental health services are common among Chinese populations. An understanding of their journey towards mental health care helps to identify timely and appropriate intervention. AIM: We aimed to examine how Chinese populations make sense of the experiences of mental distress, and how this understanding influences their pathways to mental health care. METHOD: We undertook in-depth interviews with fourteen people with mental health problems and sixteen family members...
May 31, 2017: Journal of Psychiatric and Mental Health Nursing
https://www.readbyqxmd.com/read/28559365/-trapped-in-the-labyrinth-exploring-mental-illness-through-devised-theatrical-performance
#8
Paul Patterson, Persephone Sextou
Mental health difficulties remain a major source of burden and distress for individuals, families, health and social care providers with stigma a key target for educational campaigns attempting to improve care pathways and access to support. Stigma is a multifaceted concept having a range of drivers including shame and is thought to act as a barrier to successful help seeking and engagement with support services. The current paper explores some of the salient themes that emerged from a British university drama project on the impact of symptoms and behaviours associated with a severe mental health condition on a young couple's relationship and reflects on the opportunities for connection with an audience provided by the medium and experience...
June 2017: Medical Humanities
https://www.readbyqxmd.com/read/28512697/utilization-of-genetic-counseling-after-direct-to-consumer-genetic-testing-findings-from-the-impact-of-personal-genomics-pgen-study
#9
Diane R Koeller, Wendy R Uhlmann, Deanna Alexis Carere, Robert C Green, J Scott Roberts
Direct-to-consumer personal genomic testing (DTC-PGT) results lead some individuals to seek genetic counseling (GC), but little is known about these consumers and why they seek GC services. We analyzed survey data pre- and post-PGT from 1026 23andMe and Pathway Genomics customers. Participants were mostly white (91%), female (60%), and of high socioeconomic status (80% college educated, 43% household income of ≥$100,000). After receiving PGT results, 43 participants (4%) made or planned to schedule an appointment with a genetic counselor; 390 (38%) would have used in-person GC had it been available...
May 16, 2017: Journal of Genetic Counseling
https://www.readbyqxmd.com/read/28482889/internal-medicine-board-certification-and-career-pathways-in-japan
#10
Soichi Koike, Masatoshi Matsumoto, Hiroo Ide, Hideaki Kawaguchi, Masahisa Shimpo, Hideo Yasunaga
BACKGROUND: Establishing and managing a board certification system is a common concern for many countries. In Japan, the board certification system is under revision. The purpose of this study was to describe present status of internal medicine specialist board certification, to identify factors associated with maintenance of board certification and to investigate changes in area of practice when physicians move from hospital to clinic practice. METHODS: We analyzed 2010 and 2012 data from the Survey of Physicians, Dentists and Pharmacists...
May 8, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28482849/quality-of-life-of-depressed-and-suicidal-patients-seeking-services-from-traditional-and-faith-healers-in-rural-kenya
#11
Christine W Musyimi, Victoria N Mutiso, Sameera S Nayak, David M Ndetei, David C Henderson, Joske Bunders
BACKGROUND: In rural Kenya, traditional and faith healers provide an alternative pathway to health care, including mental health care. However, not much is known about the characteristics of the populations they serve. The purpose of this study was to determine the relationship between depression, suicidal ideation, and socio-demographic variables with Quality of Life (QoL) indicators in a sample seeking mental health services from traditional and faith healers in rural Kenya. Understanding QoL in this sample can help develop mental health policy and training to improve the well-being of this population...
May 8, 2017: Health and Quality of Life Outcomes
https://www.readbyqxmd.com/read/28481996/drivers-of-health-system-strengthening-learning-from-implementation-of-maternal-and-child-health-programmes-in-mozambique-nepal-and-rwanda
#12
Fiona Samuels, Ana B Amaya, Dina Balabanova
There is a growing understanding that strong health systems are crucial to sustain progress. Health systems, however, are complex and much of their success depends on factors operating at different levels and outside the health system, including broader governance and political commitment to health and social development priorities. Recognizing these complexities, this article offers a pragmatic approach to exploring the drivers of progress in maternal and child health in Mozambique, Nepal and Rwanda. To do this, the article builds on a semi-systematic literature review and case study findings, designed and analysed using a multi-level framework...
May 7, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/28446041/supernatural-versus-medical-responses-to-mental-illness-from-undergraduate-university-students-in-trinidad
#13
AnMarie Kamanie Ramkissoon, Casswina Donald, Gerard Hutchinson
Background/Introduction: Perceptions about the aetiology of mental illness are likely to influence help-seeking behaviour. Understanding help-seeking behaviour will improve service provision and access. Therefore, this is likely to improve treatment outcomes. METHODS: We assessed the perceptions and help-seeking behaviours surrounding mental illness in a Trinidadian population of 158 tertiary-level students (136 female, 22 male; mean age 30) by analysing their responses to a questionnaire which asked for responses regarding a case vignette of a 25-year-old young woman exhibiting symptoms suggestive of schizophrenia...
April 1, 2017: International Journal of Social Psychiatry
https://www.readbyqxmd.com/read/28401660/depression-anxiety-and-compulsive-sexual-behaviour-among-men-in-residential-treatment-for-substance-use-disorders-the-role-of-experiential-avoidance
#14
Meagan J Brem, Ryan C Shorey, Scott Anderson, Gregory L Stuart
Nearly one-third of individuals in treatment for substance use disorders endorse at-risk levels of compulsive sexual behaviours (CSBs). Untreated sexual compulsivity may facilitate relapse for treatment-seeking men. Previous research and theory suggest that CSBs are maintained by efforts to escape or alter negative affect (e.g., depression and anxiety). However, this hypothesis has not been examined within a sample of men in treatment for substance use disorders. In an effort to better understand CSBs within a population of men with substance use disorders, the present study is the first to examine experiential avoidance as one potential mechanism underlying the relation between men's symptoms of depression and anxiety and their use of CSBs...
April 11, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28399284/olfactory-ionotropic-receptors-in-mosquito-aedes-albopictus-diptera-culicidae
#15
Qian Chen, Yahui Man, Jianyong Li, Di Pei, Wenjian Wu
Ionotropic glutamate receptors (iGluRs) are a conserved family of ligand-gated ion channels that primarily function to mediate neuronal communication at synapses. A variant subfamily of iGluRs, the ionotropic receptors (IRs), was recently identified in insects and proved with the function in odorant recognition. Ionotropic receptors participate in a distinct olfactory signaling pathway that is independent of olfactory receptors activity. In the present study, we identify 102 putative IR genes, dubbed as AalbIr genes, in mosquito Aedes albopictus (Skuse) by in silico comparative sequence analysis...
March 28, 2017: Journal of Medical Entomology
https://www.readbyqxmd.com/read/28369377/men-s-health-in-alternative-spaces-exploring-men-s-sheds-in-ireland
#16
Maya Lefkowich, Noel Richardson
Men often struggle to find or gain access to meaningful health services. Despite, or because of this trend, men are increasingly seeking out alternative sources of support for their wellbeing. Global health conversations and policies are calling for a greater awareness of men's heath issues, uptake of gender-sensitive strategies and integration of community and voluntary sectors. Men's Sheds, which are community and volunteer-run spaces for men, are increasing in popularity for men across Ireland. This study aimed to investigate men's experiences as members of Men's Sheds and the relationship between their involvement in the Shed and their wellbeing...
December 26, 2016: Health Promotion International
https://www.readbyqxmd.com/read/28289461/the-adaptation-and-implementation-of-guidelines-for-responsible-media-reporting-on-suicide-in-slovenia
#17
Saška Roškar, Alenka Tančič Grum, Vita Poštuvan, Anja Podlesek, Diego De Leo
INTRODUCTION: The existing literature provides evidence of the link between media reporting and suicide in terms of either preventive or provocative effects. Hence, working with media representatives on responsible reporting on suicide is of great importance. Until recently in Slovenia, there has been an obvious lack of communication between media representatives and suicidologists. The aims of the present study were twofold; firstly, to introduce the adaptation and dissemination of intervention on responsible media reporting, and secondly, to evaluate the effectiveness of the implemented intervention on suicide reporting...
March 1, 2017: Zdravstveno Varstvo
https://www.readbyqxmd.com/read/28283487/from-breathless-to-failure-symptom-onset-and-diagnostic-meaning-in-patients-with-heart-failure-a-qualitative-study
#18
C J Taylor, F D R Hobbs, T Marshall, F Leyva-Leon, N Gale
OBJECTIVES: To explore 2 key points in the heart failure diagnostic pathway-symptom onset and diagnostic meaning-from the patient perspective. DESIGN: Qualitative interview study. SETTING: Participants were recruited from a secondary care clinic in central England following referral from primary care. PARTICIPANTS: Over age 55 years with a recent (<1 year) diagnosis of heart failure confirmed by a cardiologist following initial presentation to primary care...
March 10, 2017: BMJ Open
https://www.readbyqxmd.com/read/28196549/mental-health-related-stigma-and-pathways-to-care-for-people-at-risk-of-psychotic-disorders-or-experiencing-first-episode-psychosis-a-systematic-review
#19
P C Gronholm, G Thornicroft, K R Laurens, S Evans-Lacko
BACKGROUND: Stigma associated with mental illness can delay or prevent help-seeking and service contact. Stigma-related influences on pathways to care in the early stages of psychotic disorders have not been systematically examined. METHOD: This review systematically assessed findings from qualitative, quantitative and mixed-methods research studies on the relationship between stigma and pathways to care (i.e. processes associated with help-seeking and health service contact) among people experiencing first-episode psychosis or at clinically defined increased risk of developing psychotic disorder...
February 15, 2017: Psychological Medicine
https://www.readbyqxmd.com/read/28159009/pathways-for-best-practice-diffusion-the-structure-of-informal-relationships-in-canada-s-long-term-care-sector
#20
James W Dearing, Amanda M Beacom, Stephanie A Chamberlain, Jingbo Meng, Whitney B Berta, Janice M Keefe, Janet E Squires, Malcolm B Doupe, Deanne Taylor, Robert Colin Reid, Heather Cook, Greta G Cummings, Jennifer L Baumbusch, Jennifer Knopp-Sihota, Peter G Norton, Carole A Estabrooks
BACKGROUND: Initiatives to accelerate the adoption and implementation of evidence-based practices benefit from an association with influential individuals and organizations. When opinion leaders advocate or adopt a best practice, others adopt too, resulting in diffusion. We sought to identify existing influence throughout Canada's long-term care sector and the extent to which informal advice-seeking relationships tie the sector together as a network. METHODS: We conducted a sociometric survey of senior leaders in 958 long-term care facilities operating in 11 of Canada's 13 provinces and territories...
February 3, 2017: Implementation Science: IS
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