99 research outputs found
supple_table__180427 – Supplemental material for Social Support and Access to Health Care Among Older People in Japan: Japan Gerontological Evaluation Study (JAGES)
No full textSupplemental material, supple_table__180427 for Social Support and Access to Health Care Among Older People in Japan: Japan Gerontological Evaluation Study (JAGES) by Michiyo Higuchi, Kayo Suzuki, Toyo Ashida, Naoki Kondo and Katsunori Kondo in Asia Pacific Journal of Public Health</p
supple_fig_180427 – Supplemental material for Social Support and Access to Health Care Among Older People in Japan: Japan Gerontological Evaluation Study (JAGES)
No full textSupplemental material, supple_fig_180427 for Social Support and Access to Health Care Among Older People in Japan: Japan Gerontological Evaluation Study (JAGES) by Michiyo Higuchi, Kayo Suzuki, Toyo Ashida, Naoki Kondo and Katsunori Kondo in Asia Pacific Journal of Public Health</p
Access to diabetes care and medicines in the Philippines
No full textIn the Philippines, diabetes is rapidly becoming a major public health issue, as in other low- and middle-income countries. Availability and affordability of care and medicines are crucial to control diabetes. This study describes the situations of diabetes patients and identifies possible barriers to diabetes care and medicines in the Philippines. Quantitative and qualitative data were collected from multilevel respondents using different semistructured questionnaires/checklists. The study revealed that many patients took intermittent medication based on their own judgment, and/or selected certain pieces of medical advice, subjectively weighing symptoms against household budget. The current public health insurance scheme and decentralized health systems did not promote access to diabetes care. Investing in regular care is expected to be less expensive both for individuals and for society in the long-term. Insurance outpatient coverage and application of standard treatment/management guidelines will be of help to encourage providing and receiving regular care
Improving the use of medicines in community health centres, Timor-Leste
Get PDFWhile access to essential medicines has become recognised as a human right, problems concerning the inappropriate use of medicines have emerged. Medicines lose their therapeutic value and can impair both individual health and public health if inappropriately used. Inappropriate use of medicines diminishes the quality of healthcare and causes resources to be wasted, which is especially serious in under-resourced countries. To improve the use of medicines, the introduction of standard treatment guidelines (STGs) is suggested as a potential strategy. The aim of this DrPH thesis is to study the use of medicines, focusing on adherence to new STGs in Community Health Centers (CHCs) in Timor-Leste. The country is now trying to establish an equitable and sustainable healthcare system under extremely resource-limited conditions. The study used mixed research methods, collecting data from randomly selected 20 rural CHCs, 1,799 retrospective samples from patient registration books, 583 prospective observations, and 55 semi-structured interviews of health personnel were collected. Timor-Leste's medicine use was found, in general, to be acceptable. For example, use of injections was extremely low. Training, especially clinical nurse training, influenced knowledge of, attitudes to, and practical use of medicines and also prescribing adherence to STGs. Other factors that influenced the use of STGs were: health personnel's agreement with the policy concept and contents of STGs; health personnel's positive perception of the changes brought about by the introduction of STGs; development of STGs in a health policy framework: the fact that their STGs were easy to use repeatedly; and a supportive environment and systems to use STGs. Constant socialisation and timely updates of STGs are necessary. Interrelation and consistency across policies and programs should be maintained. The position of training within the health policy framework should be clearly understood by the all people concerned. Follow-up supervision is needed both for individuals and the CHC. Anticipated support should be well functioning
森三千代の「病薔薇」における日中女性同士の繋がり : 「自由」·「愛」·「夢」のために
Get PDF2019-03-31This paper focuses on multiple perspectives in Byōsōbi, Michiyo Mori’s self-representation novel, and discusses the three scenes where Japanese and Chinese women writers face each other. After clarifying how the three encounters are narrated, how the images of others and the self-image in the novel are constructed in an interlocking system, it analyses the meaning that is attributed by Michiyo Mori to the deviations between events in reality and fiction. In addition, we explore the multilayered nature and complexity of the meaning of the act of writing the other ’s image which is linked to the generation of self-image, and try to reevaluate the female author Michiyo Mori and Wei Bai.本研究はJSPS科研費18J13050の助成による研究成果の一部である。departmental bulletin pape
Access to Diabetes Care and Medicines in the Philippines
No full text In the Philippines, diabetes is rapidly becoming a major public health issue, as in other low- and middle-income countries. Availability and affordability of care and medicines are crucial to control diabetes. This study describes the situations of diabetes patients and identifies possible barriers to diabetes care and medicines in the Philippines. Quantitative and qualitative data were collected from multilevel respondents using different semistructured questionnaires/checklists. The study revealed that many patients took intermittent medication based on their own judgment, and/ or selected certain pieces of medical advice, subjectively weighing symptoms against household budget. The current public health insurance scheme and decentralized health systems did not promote access to diabetes care. Investing in regular care is expected to be less expensive both for individuals and for society in the long-term. Insurance outpatient coverage and application of standard treatment/management guidelines will be of help to encourage providing and receiving regular care. </jats:p
Delivering Diabetes Care in the Philippines and Vietnam
No full text The aim of this study is the comparison of 2 studies looking at the barriers to access of diabetes care and medicines in the Philippines and Vietnam. These studies used the Rapid Assessment Protocol for Insulin Access. Diabetes care is provided in specialized facilities and appropriate referral systems are lacking. In Vietnam, no problems were reported with regard to diagnostic tools, whereas this was a concern in the public sector in the Philippines. Both countries had high prices for medicines in comparison to international standards. Availability of medicines was better in Vietnam than in the Philippines, especially with regard to insulin. This affected adherence as did a lack of patient education. As countries aim to provide health care to the majority of their populations through universal coverage, the challenge of diabetes cannot be neglected. Trying to achieve universal coverage in parallel to decentralization, national and local governments need adapted guidance for this. </jats:p
Factors associated with access to healthcare among participants in Japanese classes in local communities in Aichi, Japan
No full textAbstract This study aimed to investigate factors associated with barriers to healthcare access among participants in Japanese language classes in Aichi Prefecture, Japan. We conducted a cross-sectional study by distributing self-administered questionnaires to 14 Japanese classes in Aichi. Participant inclusion criteria were: (1) 18 years old or over; (2) living in Aichi prefecture; and (3) from one of four countries (Brazil, China, Vietnam, and the Philippines). Health-related questions included experience of unmet healthcare needs (UHNs), self-reported health (SRH), and awareness of multilingual health information available on local government websites. Univariable logistic regression analyses were conducted to explore the factors associated with UHNs. Among 175 participants, 18.3% reported experiencing UHNs and 21.1% were aware of multilingual health information on local government websites. Univariable logistic regression analysis revealed that participants unaware of multilingual health information on local government websites had higher odds of experiencing UHNs (COR = 5.10 95% CI 1.16–22.4). Additionally, those from Vietnam (COR = 3.97 95% CI 1.10–14.40), those in their 30s age group (COR=2.83 95% CI 1.06-7.55), and those who reported poor SRH (COR = 3.45 95% CI 1.25–9.51) had higher odds of experiencing UHNs. Our findings highlighted the importance of health information. We propose encouraging collaboration between community organizations and local governments along with healthcare providers to disseminate health information widely to foreign residents
Correlation between Worker Demographics and Worker Access to Firm-provided Family-friendly Policies in Japan
Get PDFThis paper identifies the workers who have access to family-friendly policies, and the correlation between these policies and worker demographics, using data from the Survey of Company Fringe Benefits. The study revealed that while women and low-income earners are more likely to use family-care-related policies, men and high-income earners are more likely to use policy (8) (flexible and/or discretionary working hours). Unlike Western countries, where occupation and income are significantly correlated with the use of these polices, the findings of this study indicate that human-capital-related variables are not correlated with the family-friendly policies, except for policy (8).family-friendly, fringe benefits, gender, leave, policy
Associations between attachment-related variables in fifth and sixth graders and their mothers in Japan
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