Health examination utilization in the visually disabled population in Taiwan: a nationwide population-based study

Hsu, Yuan-Yu; Tsai, Wen‐Chen; Kung, Pei‐Tseng

doi:10.1186/1472-6963-13-509

Cited by 15 publications

(10 citation statements)

References 37 publications

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“…La falta de información en salud y la insatisfacción usuaria de esta población sumado a la falta de capacitación y concientización del personal sanitario acarrean varios problemas para las PcD sensorial. Lo anterior, implica un desconocimiento de su propio estado de salud, los tratamientos o cuidados a seguir, un menor uso de los servicios de salud en los distintos niveles de prevención y en sus distintas áreas, lo que generaría una mayor incidencia de comorbilidades y un mayor gasto en salud 10,55,57,80,95 .…”

Section: Discussionunclassified

“…De acuerdo a datos de Taiwán, la utilización general del examen de salud ofrecido solo alcanza al 16% de las PcD visual 10 , en los Estados Unidos de Norteamérica las PcD visual son más propensas a no poseer una fuente de cuidado habitual y experimentan mayores necesidades insatisfechas en referencia a sus contrapartes con otra discapacidad 56 .…”

Section: Acceso a Atención Sanitariaunclassified

“…La mayoría de las PeSD visual y auditiva provienen de un bajo nivel socioeconómico, con un menor ingreso familiar, de educación y empleo que sus contrapartes sin discapacidad [6][7][8][9][10][11] . Recientemente se ha evidenciado que la discapacidad visual y auditiva son responsables de la pérdida de 34 millones de AVAD (años de vida ajustados por discapacidad) 4 .…”

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Estado actual de la atención sanitaria de personas con discapacidad auditiva y visual: una revisión breve

Campos

Cartes‐Velásquez

2019

Rev. méd. Chile

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Health care of people with visual or hearing disabilities Visual or hearing disabilities account for 20% of people reporting some sort of disability. We performed a literature review about the interaction that people with visual or hearing disabilities have with the health care system. We found that these people report a lower quality of life and have a higher frequency of physical and psychological ailments. They also have difficulties to obtain an adequate health care and report a paucity of trained professionals to take care of them.

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Section: Discussionunclassified

Section: Acceso a Atención Sanitariaunclassified

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Estado actual de la atención sanitaria de personas con discapacidad auditiva y visual: una revisión breve

Campos

Cartes‐Velásquez

2019

Rev. méd. Chile

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“…Our study illustrates the severity of visual impairment is a significant factor as utilization of barrier in Pap smear screening test [ 14 ] indicated the utilization of preventive health service in people with visual impairment is also lower with the severity of disabilities (from 19.16 to 2 %) [ 14 ]. And the other survey found that the utilization of Pap smear screening test in women with disabilities also decreases with the severity of disabilities (from 10.19 to 5.47 %) [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

The utilization and barriers of Pap smear among women with visual impairment

Fang

Yen

et al. 2016

Int J Equity Health

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BackgroundMany evidences illustrate that the Pap smear screening successfully reduces if the cervical cancer could be detected and treated sufficiently early. People with disability were higher comorbidity prevalence, and less likely to use preventive health care and health promotion activities. There were also to demonstrate that people with visual impairment has less access to appropriate healthcare services and is less likely to receive screening examinations. In Taiwan, there was no study to explore utilization of Pap smear, associated factors and use barriers about Pap smear screening test among women with visual impairment.The purpose is to explore the utilization and barriers of using Pap smear for women with visual impairment in Taiwan. To identify the barriers of women with visual from process of receiving Pap smear screening test.MethodsThe cross-sectional study was conducted and the totally 316 participators were selected by stratified proportional and random sampling from 15 to 64 year old women with visual impairment who lived in Taipei County during December 2009 to January 2010. The data was been collected by phone interview and the interviewers were well trained before interview.ResultsThe mean age was 47.1 years old and the highest percentage of disabled severity was mile (40.2 %). Totally, 66.5 % of participators were ever using Pap smear and 38.9 % used it during pass 1 year. Their first time to accept Pap smear was 38.8 year old. There was near 50 % of them not to be explained by professionals before accepting the Pap smear. For non-using cases, the top two percentage of barriers were “feel still younger” (22.3 %), the second was “there’s no sexual experience” (21.4 %). We found the gynecology experiences was key factor for women with visual impairment to use Pap smear, especially the experiences was during 1 year (OR = 4).ConclusionsAssociated factors and barriers to receive Pap smear screening test for women with visual impairment can be addressed through interventions aimed at improving on cognitions and attitudes for cervical cancer risk factors. Our study would be as a reference resource for erasing the barriers and inequality among the visually disabled women.

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“…People with schizophrenia also have less access to health examinations or screening check-ups. Under the NHI program in Taiwan, the utilization rate of health examinations by the severely mentally ill was 22.32% [ 34 ], while the rate in the general population was 33.3 to 46.8% [ 35 ]. Healthcare disparity for patients with schizophrenia seems to be multi-dimensional, and the medical community should collectively take the initiatives to improve it.…”

Section: Discussionmentioning

confidence: 99%

Lower Incidence of End-Stage Renal Disease but Suboptimal Pre-Dialysis Renal Care in Schizophrenia: A 14-Year Nationwide Cohort Study

et al. 2015

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Schizophrenia is closely associated with cardiovascular risk factors which are consequently attributable to the development of chronic kidney disease and end-stage renal disease (ESRD). However, no study has been conducted to examine ESRD-related epidemiology and quality of care before starting dialysis for patients with schizophrenia. By using nationwide health insurance databases, we identified 54,361 ESRD-free patients with schizophrenia and their age-/gender-matched subjects without schizophrenia for this retrospective cohort study (the schizophrenia cohort). We also identified a cohort of 1,244 adult dialysis patients with and without schizophrenia (1:3) to compare quality of renal care before dialysis and outcomes (the dialysis cohort). Cox proportional hazard models were used to estimate the hazard ratio (HR) for dialysis and death. Odds ratio (OR) derived from logistic regression models were used to delineate quality of pre-dialysis renal care. Compared to general population, patients with schizophrenia were less likely to develop ESRD (HR = 0.6; 95% CI 0.4–0.8), but had a higher risk for death (HR = 1.2; 95% CI, 1.1–1.3). Patients with schizophrenia at the pre-ESRD stage received suboptimal pre-dialysis renal care; for example, they were less likely to visit nephrologists (OR = 0.6; 95% CI, 0.4–0.8) and received fewer erythropoietin prescriptions (OR = 0.7; 95% CI, 0.6–0.9). But they had a higher risk of hospitalization in the first year after starting dialysis (OR = 1.4; 95% CI, 1.0–1.8, P < .05). Patients with schizophrenia undertaking dialysis had higher risk for mortality than the general ESRD patients. A closer collaboration between psychiatrists and nephrologists or internists to minimize the gaps in quality of general care is recommended.

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Health examination utilization in the visually disabled population in Taiwan: a nationwide population-based study

Cited by 15 publications

References 37 publications

Estado actual de la atención sanitaria de personas con discapacidad auditiva y visual: una revisión breve

Estado actual de la atención sanitaria de personas con discapacidad auditiva y visual: una revisión breve

The utilization and barriers of Pap smear among women with visual impairment

Lower Incidence of End-Stage Renal Disease but Suboptimal Pre-Dialysis Renal Care in Schizophrenia: A 14-Year Nationwide Cohort Study

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