Women's strategies to achieve access to healthcare in Ontario, Canada: a meta-synthesis

Lombardo, Anthony P.; Angus, Jan; Lowndes, Ruth; Cechetto, Naomi; Khattak, Shamal; Ahmad, Farah; Bierman, Arlene S.

doi:10.1111/hsc.12093

Cited by 15 publications

(22 citation statements)

References 68 publications

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“…Lombardo, who was not involved in the initial analytic process, subsequently read all of the articles. He confirmed that the metadata analysis was consistent with the content of the articles, and then conducted a further analysis that was focused on the representation of women’s health-seeking activities (Lombardo et al, 2012).…”

Section: Methodsmentioning

confidence: 71%

Beyond Barriers in Studying Disparities in Women’s Access to Health Services in Ontario, Canada

et al. 2012

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Women live within complex and differing social, economic, and environmental circumstances that influence options to seek health care. In this article we report on a metasynthesis of qualitative research concerning access disparities for women in the Canadian province of Ontario, where there is a publicly funded health care system. We took a metastudy approach to analysis of results from 35 relevant qualitative articles to understand the conditions and conceptualizations of women's inequitable access to health care. The articles' authors attributed access disparities to myriad barriers. We focused our analysis on these barriers to understand the contributing social and political forces. We found that four major, sometimes countervailing, forces shaped access to health care: (a) contextual conditions, (b) constraints, (c) barriers, and (d) deterrents. Complex convergences of these forces acted to push, pull, obstruct, and/or repel women as they sought health care, resulting in different patterns of inequitable access.

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Section: Methodsmentioning

confidence: 71%

Beyond Barriers in Studying Disparities in Women’s Access to Health Services in Ontario, Canada

et al. 2012

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“…Access to health services has been the focus of research, policy and practice for several decades (Lombardo et al, ). According to Vaarama (), good access to appropriate care and help is necessary for older people, but the psycho‐social dimensions of QoL also need more attention.…”

Section: Discussionmentioning

confidence: 99%

“They’re always in a hurry” – Older people´s perceptions of access and recognition in health and social care services

Tiilikainen

Hujala

Kannasoja

et al. 2019

Health Soc Care Community

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The article examines older people's perceptions of quality of life from the perspective of access and use of health and social care services. The data include focus group discussions with older people living alone. The data were analysed using thematic analysis focusing on the older people's collective views on health and social care services as supportive or restrictive factors for their quality of life. Two central themes were present in all the focus group discussions: the importance of accessing services and information regarding the services, and need for recognition within the services/by the professionals. Both themes were connected to the older people's desire to maintain autonomy in their everyday life despite increasing functional disabilities, which was seen as an important factor of quality of life. The older people felt that accessing and finding information about the services was difficult, and dependent on the professional's good will and the older person's own financial resources. Within the services, older people experienced a lack of recognition of their own personhood and individual needs. The participants felt that they were easily bypassed and left out of negotiations regarding their own care. The article highlights the importance of developing health and social care services and practices towards a more holistic approach recognising older people's individual needs.

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“…; Rhodes & Treloar ; Banning ; Lombardo et al . ). In case of discrepancy, a third reviewer was consulted.…”

Section: Methodsmentioning

confidence: 97%

Barriers and facilitators towards fertility preservation care for cancer patients: a meta-synthesis

et al. 2015

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Barriers and facilitators towards fertility preservation care for cancer patients: a meta-synthesisInfertility is a potential late-effect of cancer treatment, which negatively impact on young cancer survivors' quality of life. This paper aims to synthesise factors that influence patients', carers' and healthcare professionals' decision to engage in fertility preservation programmes at the time of cancer diagnosis. Four databases and grey literature were systematically searched to identify qualitative and mixed-method studies published between 2000 and 2015. Thematic framework and synthesis were used to analyse and synthesise the data. Thirty-seven papers were selected and represented. Factors that affect engagement of patients, carers and healthcare providers in fertility preservation care can be grouped as intrinsic and extrinsic. Intrinsic factors include patients' attitudes, health beliefs and health literacy; clinicians' approaches and skills; as well as doctor-patient relationships. Extrinsic factors include fertility preservation care resources and institutional characteristics. We conclude that existing qualitative literature highlights the complex convergences of intrinsic and extrinsic factors that impede successful engagement in fertility preservation care. Addressing these factors could help cancer survivors achieve better health outcomes and improve their wellbeing. Potential solutions include attitudinal changes and organisational skill reforms across the health community that will help ensure a person's goals are always at the centre of their cancer care.

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Women's strategies to achieve access to healthcare in Ontario, Canada: a meta-synthesis

Cited by 15 publications

References 68 publications

Beyond Barriers in Studying Disparities in Women’s Access to Health Services in Ontario, Canada

Beyond Barriers in Studying Disparities in Women’s Access to Health Services in Ontario, Canada

“They’re always in a hurry” – Older people´s perceptions of access and recognition in health and social care services

Barriers and facilitators towards fertility preservation care for cancer patients: a meta-synthesis

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