Natural calamities and ‘the Big Migration’: Challenges to the Mongolian health system in ‘the Age of the Market’

Lindskog, Benedikte V.

doi:10.1080/17441692.2014.940361

Cited by 28 publications

(23 citation statements)

References 24 publications

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“…Despite substantial achievements in health insurance coverage in China, some internal migrants still face institutional barriers to accessing benefits (101) and improving the portability of insurance has been suggested (102). In Mongolia, formal registration of residency is a prerequisite for obtaining health insurance, and failure to register within the given time period can lead to a fine (103). A consultation in Viet Nam mentioned health service fees can be higher in urban than rural areas, placing an additional financial burden on rural-urban migrants until registration details have been changed (8).…”

Section: Economic Barriersmentioning

confidence: 99%

Barriers to health care services in migrants and potential strategies to improve accessibility: A qualitative analysis

Kuan

Chen

Lee

2020

Journal of the Chinese Medical Association

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Background: While migrants in Taiwan are entitled to universal health care, barriers to health care services exist. We aimed to explore challenges encountered by migrants when accessing health care services and potential strategies to overcome these barriers. Methods: Invitations to participate in the study were sent to all hospitals, 12 migrant organizations, one language school, and one language service company in Taiwan, and convenience sampling was used to recruit study participants. Focus group interviews were held with 111 migrants, clinicians, migrant organization coordinators, and representatives from the medical institutions, language school and language service company. Interviews were audio-recorded and transcribed verbatim. Data were analyzed using a thematic approach. Results: The study participants acknowledged that the current support system for migrants in the health care sector is inadequate. Barriers to health care services were noted in three areas - language and information, sociocultural and economic, and policy and resources. Potential strategies to overcome these barriers included the provision of on-site or distant interpreting services, provision of multilingual instruction notes and forms, and establishing a multilingual medical assistance hotline. Conclusion: While migrants benefit from the current support and welfare system, our study found substantial gaps that need to be filled including a lack of professional medical interpreters and training programs, a lack of legal framework for medical interpreting, and inadequacy in the dispersal of information on existing resources that may facilitate the integration of migrants into society and the health care system. Overcoming these barriers may improve migrants’ access to health services.

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Section: Economic Barriersmentioning

confidence: 99%

Barriers to health care services in migrants and potential strategies to improve accessibility: A qualitative analysis

Kuan

Chen

Lee

2020

Journal of the Chinese Medical Association

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“…4 2. Se for eksempel Adams et al, 2008;Adams et al, 2014;Baer et al, 1986;Biehl & Petryna, 2013;Castro & Singer, 2004;Farmer, 2004;Fassin, 2010;Inhorn & Wentzell, 2012;Janes, 2004aJanes, , 2004bJanes & Corbett, 2009;Lindskog, 2014;Nichter, 2008;Pfeiffer & Nichter, 2008;Prince & Marshland, 2013;Scheper-Hughes, 1993;Storeng & Mishra, 2014. 3.…”

Section: Innledningunclassified

Helse, nasjonalstat og virkelighetspolitikk

Lindskog¹,

Sommerfelt²

2018

NAT

Self Cite

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This article is an anthropological reflection on health and nation-state. The aim is to explore how these are mutually constituted: How they align and dynamically are practised in historical and geographical contexts in which large, public health programs have undergone sweeping change: In Mongolia during socialism and after its demise, and in The Gambia following independence and during the ensuing Second Republic. We scrutinise the significance of health programs in processes related to the establishment and negotiation of a shared community connected to the state and discuss parallels and contrasts in the particular configurations of health and nation-state in the two countries in different phases. Focus is directed towards the ways in which certain treatments and measures, bodies and threats to health are shaped, challenged and/or dwindle. An analytical focus on ontological politics can serve to illuminate how these processes produce particular worlds, and provides an entry point for studies of governance, resistance, and how bodies and health are constituted. Threats to lives and well-being contribute to making the field of health a compelling arena for ontological politics. The article emphasises that the significance of the national should not be underestimated within current global discourses on health and governance.

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“…The Mongolian literature and modern clinical experiments demonstrate that Mongolian medical warm acupuncture is efficacious in treatment of insomnia [1]. It is safe, reliable, simple, and convenient without any toxic and side effects [2]. In the Mongolian medical warm acupuncture therapy, Insomnia is a "Haoyi" disease arising from dysequilibrium of "Sangen" and disorders of "body, heart, and speech" functions [3,4].…”

Section: Introductionmentioning

confidence: 99%

Research on the Mechanism of Mongolian Medical Warm Acupuncture in Alleviating Insomnia by Increasing the BCL-2/BAX Ratio and Decreasing the Hormones Related to the Central HPA Axis of the Stress Response

Wang

et al. 2017

Phys Med Rehab Kuror

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Background Mongolian medical warm acupuncture is efficacious in treatment of insomnia but the mechanism still remains unclear. There is no research on the effect on the changes in expression of mRNA in the receptors of 5HT, DA, 5HT1α, 5HT2α, and DRD2 and the levels of hormones related to the central HPA axis in the stress response. Objective To further explain the mechanism of Mongolian medical warm acupuncture in insomnia treatment and its role in protecting cerebral neurons, elaborate the effect of Mongolian medical warm acupuncture on the changes in expression of 5HT, DA, 5HT1α, and 5HT2α at different sites in the brains of the PCPA-induced insomnia model rats and the levels of hormones related to the central HPA axis in the stress response. Method 72 Wistar rats were randomly divided into blank group, model group, Mongolian medical warm acupuncture group, and diazepam group of 18 each. The rats were intraperitoneally injected with PCPA (400 mg/kg) for 2 consecutive days to induce insomnia. The sleep latency and sleep duration before and after treatment were observed. The content of 5HT in the hypothalamus and hippocampus was measured with the ELISA method. The content of mRNA in the 5HT1A and 5HT2A receptors in the hypothalamus and hippocampus with the qPCR technique. The content of DA in the hypothalamus and corpus striatum was determined with the ELISA method. The content of ELISA in the hypothalamus and the content of ACTH in the serum of the insomnia rats were determined with the ELISA method. The changes in content of the BCL-2 and BAX proteins in the hippocampus were observed with the immunohistochemical method. Result PCPA intraperitoneal injections were able to prolong the sleep latency of the rats and shorten the sleep duration (P<0.05) when compared with the blank group. Mongolian medical warm acupuncture was able to alleviate the tendency of decreasing weight gain arising from insomnia (P<0.05). Mongolian medical warm acupuncture was able to decrease the levels of CRH and ACTH in the hormones related to central HPA axis in the stress response (P=0.017, P=0.015) and alleviate the overexciting state of the HPA axis arising from insomnia. Mongolian medical warm acupuncture group was able to up-regulate the expression of the BCL-2 protein in the hippocampus, down-regulate the expression of the BAX protein, and increase the BCL-2/BAX ratio (P=0.011). Mongolian medical warm acupuncture was able to protect the hippocampal neurons by changing the content of the apoptosis factors (P=0.024). Conclusion Mongolian medical warm acupuncture decreases the levels of CRH and ACTH in the hormone related to the HPA axis, up-regulates the expression of the BCL-2 protein in the hippocampus, and down-regulates the expression of the BAX protein for improving rat insomnia by influencing the expression of 5HT1A and 5HT2A receptors in the hypothalamus and hippocampus.

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Natural calamities and ‘the Big Migration’: Challenges to the Mongolian health system in ‘the Age of the Market’

Cited by 28 publications

References 24 publications

Barriers to health care services in migrants and potential strategies to improve accessibility: A qualitative analysis

Barriers to health care services in migrants and potential strategies to improve accessibility: A qualitative analysis

Helse, nasjonalstat og virkelighetspolitikk

Research on the Mechanism of Mongolian Medical Warm Acupuncture in Alleviating Insomnia by Increasing the BCL-2/BAX Ratio and Decreasing the Hormones Related to the Central HPA Axis of the Stress Response

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