Patient Barriers to Accessing Surgical Cleft Care in Vietnam: A Multi‐site, Cross‐Sectional Outcomes Study

Swanson, Jordan W.; Yao, Caroline A.; Auslander, Allyn; Wipfli, Heather; Nguyen, Thi-Hai-Duc; Hatcher, Kristin Ward; Vanderburg, Richard; Magee, William P.

doi:10.1007/s00268-017-3896-8

Cited by 43 publications

(43 citation statements)

References 48 publications

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“…However, in low- and middle-income countries, surgical repair may be performed later in life or not at all resulting in poorer outcomes for patients (Massenburg et al, 2016; Swanson et al, 2017). The reasons for delays in treatment of orofacial clefts have been studied by examining barriers to treatment from the perspective of health professionals (Massenburg et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

Patient-Perceived Barriers to Accessing Cleft Care at a Tertiary Referral Center in São Paulo, Brazil

Ise

Menezes

Neto

et al. 2018

The Cleft Palate Craniofacial Journal

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Section: Introductionmentioning

confidence: 99%

Patient-Perceived Barriers to Accessing Cleft Care at a Tertiary Referral Center in São Paulo, Brazil

Ise

Menezes

Neto

et al. 2018

The Cleft Palate Craniofacial Journal

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“…However, the finding that the average distance traveled by patients did not increase may imply that patients living closer to urban areas (where surgical services are offered) are more likely to own/utilize mobile phones. It may also be a result of other barriers, such as prohibitive transportation costs, that hinder patients from further away to seek care, particularly with only 1 week's notice . Last, it may reflect that there are simply higher numbers of patients closer to urban areas.…”

Section: Discussionmentioning

confidence: 99%

“…Barriers to surgical care in low resource settings are numerous, requiring research into innovative solutions to address them. Barriers to surgery include the surgical workforce crisis, inadequate infrastructure, prohibitive transportation costs, and patients lacking awareness that surgical care exists . Specifically, cleft lip‐palate (CLP) deformities represent a significant burden of disease that is unmet in low‐ and middle‐income countries (LMICs).…”

Section: Introductionmentioning

confidence: 99%

Role of mobile health on patient enrollment for cleft lip‐palate surgery: A comparative study using SMS blast text messaging in Zimbabwe

Gadkaree

Tollefson

Fuller

et al. 2019

Laryngoscope Investig Oto

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Background Patients' lack of awareness of available services is a significant barrier to delivering surgical care in resource‐limited settings. Short message service (SMS) text messaging is a potential means to disseminate this information in resource‐limited settings, where rates of mobile phone usage are high. Methods A blast SMS text informing local populations of upcoming cleft lip‐palate (CLP) surgical services was distributed to 25% of the subscriber base 1 week prior to arrival of a (CLP) surgical team in Zimbabwe. A retrospective cohort analysis comparing characteristics of patients presenting to the CLP clinic in the year prior to (2016) and 2 years following (2017–2018) the implementation of the blast SMS text messaging system is performed to assess its impact. Results Patients presenting to a single Zimbabwean CLP surgical program in the years with SMS messaging notifications were significantly more likely (52 [64%] vs. 5 [17%], P < .001) to have been informed of surgical services through their mobile phones. The average distance traveled per patient was not significantly different prior to implementation of mass text messaging (180.4 km [SD114.8] vs. 167.4 km [SD105.9], P = .580). The average patient age was significantly higher following the implementation of mass text messaging (7.4 [SD8.7] vs. 3.0 [SD2.8] years, P = .010). Conclusions SMS messaging is an effective method of informing patients of CLP surgical services in resource‐limited settings. After implementation of SMS text notifications, surgical patients were of increased age, but showed no difference in distance traveled. Level of Evidence IV

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“…From the perspective of health, 'social justice' denotes justice in the distribution of health in society, which is why the health policymakers and stake holders based their strategies on the fair distribution of the determinants of health [23,24]. Since unbalanced distribution of services leads to the inefficiency and inappropriate service provision [17,24],(e.g., imbalances in health workforce in terms of quantity, quality, and distribution), will have consequences for health [25].In 2008, the world health organization (WHO) announced that all people should have access to healthcare in accordance with their needs, regardless of their payment power [26].The lack of proper access to medical care in societies has resulted in negative consequences, such as social inequity, increased disease, growing mortality from illnesses, accidents and unbalanced distribution of services [17,24,27]. Research indicates that inappropriate concentration of facilities and medical care is seen as a major problem in many countries [8,24,[28][29][30][31].…”

Section: Introductionmentioning

confidence: 99%

Investigating Inequalities in Access to Healthcare: The Case of Townships of Kermanshah, Iran

Reshadat

Zangeneh²,

Saeidi

et al. 2019

Preprint

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Background: Access to medical care is one of the major issues affecting human health. This study aims to investigate inequality in access to medical care in the townships in Kermanshah, Iran. Methods: Methodology approach includes a descriptive-analytic study followed by determining the degree of development of the townships calculated in terms of access to medical care through the hierarchical cluster analysis and the combined model of human development index. Additionally, the mean center and standard distance tests are handled in a geographic information system software to identify the deployment pattern of the status of access to medical care indexes. Results: As for the ratio of physicians, nursing staff, paramedical staff, administrative staff of health care, dentists, pharmacists, hospitals, general and specialized clinics, radiology, rehabilitation centers and laboratories to a population of 10,000, the results of analyzing the findings were indicative of unequal distribution of facilities at the level of townships. This is based on The results of comparing the mean centers of population and health facilities showed that the centers of both data categories were located in Kermanshah. The two standard distances (i.e., population and health facilities) demonstrated that the health facilities witnessed more dispersion in the northwestern regions than the concentration of population in the central and southeastern regions of the province. Conclusions: The results indicated that the indexes of development of facilities and healthcare resources were not distributed equitably and with a balance between the townships of the Kermanshah Province. Keywords: healthcare; medical care inequality; human development index; spatial analysis, cluster analysis; Kermanshah, Iran

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Patient Barriers to Accessing Surgical Cleft Care in Vietnam: A Multi‐site, Cross‐Sectional Outcomes Study

Abstract: Half of the Vietnamese children in our cohort were not able to access timely surgical cleft care. Barriers to accessing care appear to be socioeconomic as much as geographical or financial. This has implications for policies aimed at reaching vulnerable patients earlier.

Cited by 43 publications

References 48 publications

Patient-Perceived Barriers to Accessing Cleft Care at a Tertiary Referral Center in São Paulo, Brazil

Patient-Perceived Barriers to Accessing Cleft Care at a Tertiary Referral Center in São Paulo, Brazil

Role of mobile health on patient enrollment for cleft lip‐palate surgery: A comparative study using SMS blast text messaging in Zimbabwe

Investigating Inequalities in Access to Healthcare: The Case of Townships of Kermanshah, Iran

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