Socioeconomic Status and Health Services Utilization for Children With Complex Chronic Conditions Liable to Receive Nurse‐Led Services: A Cross‐Sectional Study

Ardanaz, Bibiana Pérez; Morales‐Asencio, José Miguel; García-Piñero, José Miguel; Lupiáñez‐Pérez, Inmaculada; Morales‐Gil, Isabel María; Kaknani‐Uttumchandani, Shakira

doi:10.1111/jnu.12499

Cited by 10 publications

(5 citation statements)

References 31 publications

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“…The poorest women have the lowest utilization of health care facilities for childbirth. This is in line with the results of recent research in several countries that take the theme of socioeconomic disparity, namely in Zimbabwe (20), China (21), Spain (22), Germany (23), and USA (24)(25) (26).…”

Section: Discussionsupporting

confidence: 91%

Socioeconomic Disparities of Facility-Based Childbirth in Indonesia

Laksono,

Paramita,

Wulandari

2019

Preprint

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Background: In Indonesia, only 74% of women give birth in health care facilities. This study was conducted to analyze the socioeconomic disparities of facilities-based childbirth in Indonesia.Methods: The analysis in this study uses raw data from the 2017 Indonesia Demographic and Health Survey (IDHS). With stratification and multistage random sampling, 17,769 women aged 15-49 years with live births in the last 5 years were sampled. Data were analyzed using a Binary Logistic Regression test.Results: Poorer women were 1.898 times more likely to use healthcare facilities for delivery than poorest women. Middle women were 2.669 times more likely to use healthcare facilities for delivery than poorest women. Richer women have 3.163 times more opportunities to use healthcare facilities for delivery than poorest women. The richest women were 6.566 times more likely to use healthcare facilities for delivery than the poorest women. Women who live in urban areas were 2.412 times more likely to use healthcare facilities for delivery than those who live in rural areas. Age, parity, level of education, ownership of health insurance, knowledge of the danger signs of pregnancy, and antenatal care, in maternity women the past five years significantly contribute to the utilization of healthcare facilities for delivery.Conclusion: There was a significant disparity between socioeconomic in utilizing healthcare facilities for delivery in Indonesia. Women with better socioeconomic status have better possibilities for utilizing healthcare facilities for delivery.

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Section: Discussionsupporting

confidence: 91%

Socioeconomic Disparities of Facility-Based Childbirth in Indonesia

Laksono,

Paramita,

Wulandari

2019

Preprint

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“…However, this may not be possible since not all provinces have specific services for PPC, thus generating inequities [57]. The increase in the number of patients requiring PPC represents a high demand for resources for the National Health System, and it is a challenge to ensure that these resources are available to everyone, regardless of their geographic location [32].…”

Section: Discussionmentioning

confidence: 99%

“…Families, for their part, indicate that professionals would need training on LTE [38] and emotional management [26,38,40], as well as training to improve communication [23,47], and to improve the treatment given to families and patients [23,38,47]. Related to training, several studies regarding patients [24,32,[34][35][36], but also families [32] and professionals [29,43] address caregiver training/education as a variable that improves the quality of care.…”

Section: Structure and Process Of Carementioning

confidence: 99%

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Quality of Care in Pediatric Palliative Care: A Scoping Review

Ruiz-Gil,

Ródenas-Rigla

2023

Children

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Palliative care (PC) enhances the quality of life for patients and families facing life-threatening conditions. While PC is well-established for adults, not all practices apply to pediatrics. Consequently, specific quality indicators for Pediatric Palliative Care (PPC) must be identified. This scoping review aimed to identify the variables associated with the quality of care of PPC patients in Spain, focusing specifically on three areas: structure and process of care, psychological aspects of care, and care of patients approaching the end of life. The review was conducted following PRISMA-ScR guidelines. Searches were performed in the PubMed, Scopus, Web of Science, Embase, ProQuest, and Dialnet databases covering the period extending from January 2000 to May 2023. Finally, 35 studies were identified for the complete review. A total of 30 studies include variables associated with the structure and process of care, 20 include variables associated with psychological aspects of care, and 23 studies integrate variables related to patient care at the end of life. Analysis suggests that enhancing professional training in aspects such as communication with patients and families, creating intimate spaces with flexible visiting hours, increasing emotional support, promoting frequent contact with healthcare teams, and transparently communicating about illness and imminent death to both families and minors could improve the quality of PPC.

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“…Beberapa penelitian menemukan bahwa kemiskinan mempengaruhi aksesibilitas masyarakat ke fasilitas pelayanan kesehatan. Didapatkan kesimpulan bahwa semakin bagus status sosioekonomi seseorang maka semakin memiliki kemungkinan untuk melakukan akses ke fasilitas pelayanan kesehatan (Makar et al, 2019;Pérez-Ardanaz et al, 2019;Yaya, Bishwajit and Gunawardena, 2019).…”

Section: Pembahasanunclassified

Analisis Ekologi Persalinan di Fasilitas Pelayanan Kesehatan di Indonesia

Laksono¹,

Sandra

2020

hsr

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Policies to encourage childbirth in health care facilities were emphasized to reduce maternal mortality rates that are still high in Indonesia. The study was aimed at analyzing population, socio-economic, and resource input variables related to childbirth in health care facilities. This study used an ecological study approach (an aggregate study) sourced from the 2018 Indonesia Health Proﬁ le. Bivariate analysis was performed using scatter plots and Pearson correlation tests. The results showed a wide disparity in terms of childbirth in health care facilities coverage. Maluku was the province with the lowest coverage (45.18%), while the highest coverage was achieved by DKI Jakarta (100%). The results of scatter plots and bivariate tests showed that the more population in a province, the higher the coverage of delivery in health care facilities, the deeper and worse the poverty in a province, the lower the coverage of delivery in health care facilities. The more obstetrician and hospitals in a province, there was a tendency for coverage of births in health care facilities to be higher. In conclusion, population, the ratio of obstetricians, and the ratio of hospitals have a positive relationship with deliveries in healthcare facilities. In contrast, the Poverty Depth and Severity Index has a tendency to had a negative relationship with the coverage of deliveries in health care facilities. It was recommended that the government formulate speciﬁ c policies to target regions with a small population, poor and have a small number of obstetricians and hospitals. Abstrak Kebijakan mendorong persalinan di fasilitas pelayanan kesehatan ditekankan untuk menurunkan angka kematian ibu yang masih tinggi di Indonesia. Studi ditujukan untuk menganalisis variabel kependudukan, sosial-ekonomi dan input sumber daya yang berhubungan dengan persalinan di fasilitas pelayanan kesehatan. Desain studi menggunakan pendekatan studi ekologi (studi agregat) bersumber data Proﬁ l Kesehatan Indonesia Tahun 2018. Analisis bivariat dilakukan dengan menggunakan scatter plot dan uji korelasi Pearson. Hasil penelitian menunjukkan disparitas persentase cakupan persalinan ke fasilitas pelayanan kesehatan yang sangat lebar, Provinsi Maluku memiliki cakupan paling rendah (45,18%), sementara cakupan tertinggi dicapai Provinsi DKI Jakarta (100%). Hasil scatter plot dan uji bivariat menunjukkan bahwa semakin banyak jumlah penduduk pada suatu provinsi maka ada kecenderungan cakupan persalinan di fasilitas pelayanan kesehatan menjadi semakin tinggi. Semakin dalam dan parah kemiskinan pada suatu provinsi maka ada kecenderungan cakupan persalinan di fasilitas pelayanan kesehatan menjadi semakin rendah. Semakin banyak dokter spesialis obgyn dan rumah sakit pada suatu provinsi maka ada kecenderungan cakupan persalinan di fasilitas pelayanan kesehatan menjadi semakin tinggi. Disimpulkan bahwa jumlah penduduk, rasio dokter spesialis obgyn dan rasio rumah sakit (RS) memiliki hubungan positif, sementara Indeks Kedalaman dan Keparahan Kemiskinan memiliki kecenderungan hubungan negatif dengan cakupan persalinan di fasilitas pelayanan kesehatan. Disarankan pemerintah menyusun kebijakan khusus pada sasaran wilayah dengan jumlah penduduk sedikit, miskin dan memiliki dokter spesialis obgyn dan RS yang sedikit.

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Socioeconomic Status and Health Services Utilization for Children With Complex Chronic Conditions Liable to Receive Nurse‐Led Services: A Cross‐Sectional Study

Cited by 10 publications

References 31 publications

Socioeconomic Disparities of Facility-Based Childbirth in Indonesia

Socioeconomic Disparities of Facility-Based Childbirth in Indonesia

Quality of Care in Pediatric Palliative Care: A Scoping Review

Analisis Ekologi Persalinan di Fasilitas Pelayanan Kesehatan di Indonesia

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