1,721,036 research outputs found
Addressing Barriers in Access and Disparities in the Use of Health Services of Deaf and Hard of Hearing in Greece.
No full textInequalities in Access to Health Services Faced by the Population with Hearing Loss in Greece: a Cross-Sectional Study
Get PDFAim was the investigation of the perceived barriers in access to healthcare among population with hearing loss in Greece (deaf and hard of hearing). The sample consisted of 86 deaf and 54 hard of hearing adults that live in Attica. Core demographic data and information regarding participants' access to health services was gathered using a self-completed structured questionnaire. The 93% of deaf and the 77.8% of hard of hearing struggled to navigate the healthcare system and reported barriers in access to health services and unmet needs (p=0.009). There were difficulties in booking an appointment (p<0.001), lack of appropriate administrative means (e.g. booking via email) so as to book a visit without the mediation of another person (p<0.001), long waiting time (p=0.01) and intention to manage very consciously the limited benefits (regarding the free interpret hours) they are entitled to (p<0.001). Regarding the engagement with healthcare providers, poor adherence to medical instructions was revealed, as the 41.2% of deaf and the 60% of the hard of hearing did not comply with the proposed medication, making a self-assessment that they did not need to (p=0.02). This minority population faces disproportionate difficulties in access to healthcare and therefore significant interventions to tackle these barriers need to be considered
Barriers to the Use of Health Services among Deaf and Hard of Hearing Adults in Greece: a Cross-Sectional Study
Get PDFRationale, Aims and Objectives: To explore the issues related to the use of health services by deaf and hard of hearing adults in Greece.Method: The study population consisted of 140 adults with hearing loss (86 deaf and 54 hard of hearing). We gathered information about sociodemographic characteristics, use of health services characteristics, satisfaction from health providers and complaints during the use of health services.Results: A considerable percentage of the participants did not make appropriate use of healthcare services, as they made avoidable visits to emergency departments even for minor, short-term conditions (p=0.002) or used to just wait for the symptoms to pass in an illness occurrence (p=0.06). They also experienced major difficulties as part of the health visit (p=0.01) and the quality of communication with health providers (p=0.002). The absence of assistive technology, along with the lack of low availability of Sign Language interpreters, were important barriers for those that communicate in Sign Language. Regarding the engagement with healthcare providers, there were high rates of dissatisfaction from doctors, nurses and receptionists related to issues during the use of health services.Conclusions: Our results underscore the fact that deaf and hard of hearing persons constitute a minority population that experience major barriers during the use of health services and considerable difficulties in the healthcare provider-patient relationship. In light of these findings, a special effort must be made to ensure that deaf and hard of hearing individuals receive appropriate, ethical and person-centered healthcare
Health Inequalities:The Health Status of Population with Hearing Loss in Greece and their Access to Health Services
No full textDeterminants of Health-related Quality of Life (HRQoL) among Deaf and Hard of Hearing Adults in Greece: a Cross-Sectional Study
No full textBackground: Hearing loss is an important public health issue, since it has a very negative impact on peoples’ lives, irrespective of the age at which it develops. However, globally there is a noticeable lack of epidemiological data for health outcomes for people who are deaf and hard of hearing. In Greece, people with hearing disabilities are systematically not included in health policy and planning processes, despite there being a marked tendency for global efforts aimed at improving their quality of life.Methods: The sample consisted of 140 adults with hearing loss (86 d/Deaf and 54 hard of hearing) and 97 normal hearing as the control group. Data were collected from April to June 2015, using the Greek version of the 36-Item Short Form Health Survey (SF-36v2). Socio-demographic and non-medical characteristics were also collected and were analysed as possible determinants. Data analysis included bivariate and multivariate analyses such as linear regression models.Results: Multivariate analyses identified that in all the SF-36v2 dimensions, the scores among deaf people were lower than normal hearing. Determinants included the hearing loss degree, educational level, body mass index, levels of physical activity, and alcohol consumption levels, while the variable “number of family members per household” was associated with physical health summary scale score.Conclusions: Improving knowledge of the health-related determinants that affect quality of life for the population with hearing loss is an important step in designing targeted services and interventions. In light of these findings, a special effort must be made to ensure the wellbeing of this population.Keywords: Deaf; Hard of Hearing; Deafness; Health-related quality of life; Determinants<br/
Going Beyond Counting First Authors in Author Co-citation Analysis
Get PDFThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Get PDF“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
Get PDFWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Dispelling the Myths Behind First-author Citation Counts
Get PDFWe conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
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