当前位置： SCI文献检索 > International Journal of Circumpolar Health期刊下所有文献 > Social justice, access and quality of healthcare in an age of austerity: users' perspective from rural Iceland.

Social justice, access and quality of healthcare in an age of austerity: users' perspective from rural Iceland.

Abstract：

:Iceland is sparsely populated but social justice and equity has been emphasised within healthcare. The aim of the study is to examine healthcare services in Fjallabyggð, in rural northern Iceland, from users' perspective and evaluate social justice, access and quality of healthcare in an age of austerity. Mixed-method approach with transformative design was used. First, data were collected with questionnaires (response rate of 53% [N=732] in 2009 and 30% [N=415] in 2012), and analysed statistically, followed by 10 interviews with healthcare users (2009 and 2014). The results were integrated and interpreted within Bronfenbrenner's Ecological Model. There was significantly less satisfaction with accessibility and variety of healthcare services in 2012 after services downsizing. Solid primary healthcare, good local elderly care, some freedom in healthcare choice and reliable emergency services were considered fundamental for life in a rural area. Equal access to healthcare is part of a fundamental human right. In times of economic downturn, people in rural areas, who are already vulnerable, may become even more vulnerable and disadvantaged, seriously threatening social justice and equity. With severe cutbacks in vitally important healthcare services people may eventually choose to self-migrate.

journal_name

Int J Circumpolar Health

journal_title

International journal of circumpolar health

authors

Gustafsdottir SS,Fenger K,Halldorsdottir S,Bjarnason T

doi

10.1080/22423982.2017.1347476

subject

Has Abstract

pub_date

2017-01-01 00:00:00

pages

1347476

issue

1

eissn

1239-9736

issn

2242-3982

journal_volume

76

pub_type

杂志文章

相关文献

International Journal of Circumpolar Health文献大全
  • Oral health care and dental treatment needs in the Barents region.

    abstract：OBJECTIVES:The first aim was to study how oral health care delivery was organized in member countries and to determine whether there were differences across the Barents region. The second aim was to assess the performance of the care provision systems. The Barents region is one of the largest hinterlands in northern Eu...

    journal_title：International journal of circumpolar health

    pub_type： 杂志文章

    doi：10.3402/ijch.v69i5.17693

    authors： Widström E,Koposova N,Nordengen R,Bergdahl M,Eriksen H,Fabrikant E

    更新日期：2010-12-01 00:00:00

  • Methods and background characteristics of the TOHNN study: a population-based study of oral health conditions in northern Norway.

    abstract：OBJECTIVES:The aim of the Tromstannen-Oral Health in Northern Norway (TOHNN) study was to investigate oral health and dental-related diseases in an adult population. This article provides an overview of the background of the study and a description of the sample characteristics and methods employed in data collection. ...

    journal_title：International journal of circumpolar health

    pub_type： 杂志文章

    doi：10.3402/ijch.v75.30169

    authors： Holde GE,Oscarson N,Tillberg A,Marstrander P,Jönsson B

    更新日期：2016-02-19 00:00:00

  • Obesity and obesity-associated cardiometabolic risk factors in indigenous Nenets women from the rural Nenets Autonomous Area and Russian women from Arkhangelsk city.

    abstract：BACKGROUND:The prevalence of obesity and obesity-related conditions varies by population groups. Indigenous women of the circumpolar north are believed to be at high risk of obesity. OBJECTIVE:We studied, first the obesity prevalence in indigenous Arctic women, Nenets, compared to urban Russian women. Second, the asso...

    journal_title：International journal of circumpolar health

    pub_type： 杂志文章

    doi：10.3402/ijch.v73.23859

    authors： Petrenya N,Brustad M,Dobrodeeva L,Bichkaeva F,Lutfalieva G,Cooper M,Odland JØ

    更新日期：2014-07-24 00:00:00

  • Ethnic identity negotiation among Sami youth living in a majority Sami community in Norway.

    abstract：BACKGROUND:This study was part of the international research project "Circumpolar Indigenous Pathways to Adulthood" (CIPA). OBJECTIVES:To explore ethnic identity negotiation, an unexplored theme, among indigenous North Sami youth living in a majority Sami community context in Arctic Norway. METHODS:A qualitative desi...

    journal_title：International journal of circumpolar health

    pub_type： 杂志文章

    doi：10.1080/22423982.2017.1316939

    authors： Nystad K,Spein AR,Balto AM,Ingstad B

    更新日期：2017-01-01 00:00:00

  • Severe vitamin D deficiency in 6 Canadian First Nation formula-fed infants.

    abstract：BACKGROUND:Rickets was first described in the 17th century and vitamin D deficiency was recognized as the underlying cause in the early 1900s. Despite this long history, vitamin D deficiency remains a significant health concern. Currently, vitamin D supplementation is recommended in Canada for breast fed infants. There...

    journal_title：International journal of circumpolar health

    pub_type： 杂志文章

    doi：10.3402/ijch.v72i0.20244

    authors： Gross ML,Tenenbein M,Sellers EA

    更新日期：2013-04-16 00:00:00

  • Utility of a Work Process Classification System for characterizing non-fatal injuries in the Alaskan commercial fishing industry.

    abstract：BACKGROUND:The US commercial fishing industry is hazardous, as measured by mortality data. However, research on non-fatal injuries is limited. Non-fatal injuries constitute the majority of occupational injuries and can result in workers' lowered productivity and wages, lost quality of life, and disability. In the Unite...

    journal_title：International journal of circumpolar health

    pub_type： 杂志文章

    doi：10.3402/ijch.v75.30070

    authors： Syron LN,Lucas DL,Bovbjerg VE,Bethel JW,Kincl LD

    更新日期：2016-01-14 00:00:00

  • Feasibility of videoconferencing in lifestyle group counselling.

    abstract：OBJECTIVES:The rapid increase in the prevalence of type 2 diabetes (T2D) has created an urgent need to develop new practices to prevent and treat it. One possibility is to provide specialists services to remote areas through videoconferencing (VC). Therefore, the aim was to study the feasibility of short-term group cou...

    journal_title：International journal of circumpolar health

    pub_type： 杂志文章

    doi：10.3402/ijch.v69i5.17688

    authors： Laitinen J,Korkiakangas E,Alahuhta M,Keinänen-Kiukaanniemi S,Rajala U,Timonen O,Jokelainen T,Keränen AM,Remes J,Ruokonen A,Hedberg P,Taanila A,Husman P,Olkkonen S

    更新日期：2010-12-01 00:00:00

  • Traditional food systems research with Canadian Indigenous Peoples.

    abstract：:Traditional food systems research with Canadian Indigenous Peoples has revealed many aspects of benefits and risks of the use of this food. Traditions based in hunting, fishing and gathering contain a great variety of species of wildlife plants and animals that provide rich cultural and nutritional benefits. Dietary c...

    journal_title：International journal of circumpolar health

    pub_type： 杂志文章

    doi：

    authors： Kuhnlein HV,Receveur O,Chan HM

    更新日期：2001-04-01 00:00:00

  • Peptic ulcer in Greenland Inuit: evidence for a low prevalence of duodenal ulcer.

    abstract：UNLABELLED:In an eight years period new peptic ulcer was diagnosed in 127 Inuit patients at the Central Hospital, Dronning Ingrids Hospital, Nuuk/Godthåb. The ratios: duodenal ulcers (DU): prepyloric ulcers (PPU): gastric ulcers (GU) were 17:22:88. The male:female ratio was 2:1. 46 of the patients were living permanent...

    journal_title：International journal of circumpolar health

    pub_type： 杂志文章

    doi：

    authors： Fenger HJ,Gudmand-Høyer E

    更新日期：1997-07-01 00:00:00

  • Overview of the Social Transition in the North project 1995- 1998.

    abstract：OBJECTIVE:This paper describes the overall aims and design of the Social Transitions in the North study. The objective of the STN study was to assess how epidemiological, demographic and domestic changes have affected Northern communities. STUDY DESIGN:Sixteen communities in the Russian Far East and Alaska were compar...

    journal_title：International journal of circumpolar health

    pub_type： 杂志文章

    doi：10.3402/ijch.v63i0.17766

    authors： Mason R

    更新日期：2004-01-01 00:00:00

  • Polysubstance abuse among sexually abused in alcohol, drug, and gambling addiction treatment in Greenland: a cross sectional study.

    abstract：:This study aims to investigate the association between earlier sexual abuse and polysubstance abuse among persons in alcohol, drug and gambling addiction treatment in Greenland. The study included 431 individuals treated in 2017-2019. Data on exposure (sexual abuse), outcome (polysubstance abuse), and potential confou...

    journal_title：International journal of circumpolar health

    pub_type： 杂志文章

    doi：10.1080/22423982.2020.1849909

    authors： Leth SV,Bjerrum ML,Niclasen BV

    更新日期：2021-12-01 00:00:00

  • Developing a validated Alaska Native food frequency questionnaire for western Alaska, 2002-2006.

    abstract：OBJECTIVES:The purpose of this study was to develop a dietary instrument (food frequency questionnaire [FFQ]) that measured total dietary intake over 1 year among Alaska Native people in 2 regions. Ways of assessing diet are needed in order to accurately evaluate how the diets of Alaska Natives relate to their health. ...

    journal_title：International journal of circumpolar health

    pub_type： 杂志文章

    doi：10.3402/ijch.v68i2.18319

    authors： Johnson JS,Nobmann ED,Asay E,Lanier AP

    更新日期：2009-04-01 00:00:00

  • Laboratory characterization of invasive Haemophilus influenzae isolates from Nunavut, Canada, 2000-2012.

    abstract：BACKGROUND:With invasive Haemophilus influenzae serotype b (Hib) disease controlled by vaccination with conjugate Hib vaccines, there is concern that invasive disease due to non-serotype b strains may emerge. OBJECTIVE:This study characterized invasive H. influenzae (Hi) isolates from Nunavut, Canada, in the post-Hib ...

    journal_title：International journal of circumpolar health

    pub_type： 杂志文章

    doi：10.3402/ijch.v75.29798

    authors： Tsang RS,Li YA,Mullen A,Baikie M,Whyte K,Shuel M,Tyrrell G,Rotondo JA,Desai S,Spika J

    更新日期：2016-01-12 00:00:00

  • Modulation of atherosclerotic risk factors by seal oil: a preliminary assessment.

    abstract：:We examined whether dietary supplementation with seal oil influenced the risk factors of atherosclerosis in healthy volunteers. Two intervention studies were carried out as preliminary steps in a larger project which aim at elucidating the disease preventive potential of seal oil. In study I ten healthy volunteers add...

    journal_title：International journal of circumpolar health

    pub_type： 临床试验,杂志文章

    doi：

    authors： Bonefeld-Jørgensen EC,Møller SM,Hansen JC

    更新日期：2001-01-01 00:00:00

  • Diabetes is related to fatty acid imbalance in Eskimos.

    abstract：:The reasons for the rapidly increasing prevalence of diabetes (NIDDM) among Alaskan Eskimos are only partly understood. This study examines the association of fatty acid metabolism in 68 Alaskan Eskimos with NIDDM or impaired glucose tolerance (IGT) and 386 with normal glucose tolerance > 24 years old. The prevalence ...

    journal_title：International journal of circumpolar health

    pub_type： 杂志文章

    doi：

    authors： Ebbesson SO,Kennish J,Ebbesson L,Go O,Yeh J

    更新日期：1999-04-01 00:00:00

  • Prevalence of type 2 diabetes in northern populations of Siberia.

    abstract：:In the first part of the study the prevalence and incidence of diagnosed Type 2 diabetes among adult rural populations of southern, central and northern areas of the Krasnoyarsk region of Siberia is compared. The six-year mean incidence of diabetes in the southern area was 0.86 per 1000 (95% CI: 0.66-1.06), in the cen...

    journal_title：International journal of circumpolar health

    pub_type： 杂志文章

    doi：

    authors： Dogadin SA,Mashtakov BP,Taranushenko TE

    更新日期：2001-04-01 00:00:00

  • Dietary fat and disease patterns in Chukotka Native adults.

    abstract：:It is well documented that dietary patterns have been changing for northern indigenous peoples as they adapt to a contemporary lifestyle. Recent dietary research among Chukotka Native adults showed a higher intake of saturated fatty acids (15% of energy) and sugar, and lower content of polyunsaturated fatty acids (5%)...

    journal_title：International journal of circumpolar health

    pub_type： 杂志文章

    doi：

    authors： Mamleeva FR,Efendieva JB,Nikitin YP

    更新日期：1998-01-01 00:00:00

  • Controlled trial of an intervention to improve cholesterol management in diabetes patients in remote Aboriginal communities.

    abstract：OBJECTIVES:Aboriginal communities have a high prevalence of diabetes and heart disease, and limited resources to address them. The objective of this study was to test the effectiveness of prioritizing care with audit and feedback on cholesterol management of diabetic patients. STUDY DESIGN:A controlled before-after in...

    journal_title：International journal of circumpolar health

    pub_type： 杂志文章,随机对照试验

    doi：10.3402/ijch.v69i4.17629

    authors： Bhattacharyya O,Harris S,Zwarenstein M,Barnsley J

    更新日期：2010-09-01 00:00:00

  • Breast cancer in the Arctic--changes over the past decades.

    abstract：:The purpose of this study is to review the current literatures on breast cancer (BC) in the Arctic, especially the trends in incidence during the last decades and the possible explanations. The design of this study is a literature review. The scientific literature concerning BC were reviewed, especially focusing on th...

    journal_title：International journal of circumpolar health

    pub_type： 杂志文章,评审

    doi：10.3402/ijch.v71i0.19155

    authors： Fredslund SO,Bonefeld-Jørgensen EC

    更新日期：2012-08-16 00:00:00

  • Dependence of cold-related coronary and respiratory symptoms on age and exposure to cold.

    abstract：:Cold causes cardiopulmonary stress often perceived as shortness of breath or chest pain, and causes exacerbation of these symptoms in persons suffering heart or lung disease. We investigated the prevalence of these symptoms and their association with sex, age and cold exposure in a population-based sample of 1,785 per...

    journal_title：International journal of circumpolar health

    pub_type： 杂志文章,多中心研究

    doi：

    authors： Hassi J,Remes J,Kotaniemi JT,Kettunen P,Näyhä S

    更新日期：2000-10-01 00:00:00

  • Inuit women's attitudes and experiences towards cervical cancer and prevention strategies in Nunavik, Quebec.

    abstract：OBJECTIVES:To describe the attitudes about and experiences with cervical cancer, Pap smear screenings and the HPV vaccine among a sample of Inuit women from Nunavik, Quebec, Canada. We also evaluated demographic and social predictors of maternal interest in HPV vaccination. STUDY DESIGN:A mixed method design was used ...

    journal_title：International journal of circumpolar health

    pub_type： 杂志文章

    doi：10.3402/ijch.v71i0.17996

    authors： Cerigo H,Macdonald ME,Franco EL,Brassard P

    更新日期：2012-03-19 00:00:00

  • Experience with cochlear implants in Greenlanders with profound hearing loss living in Greenland.

    abstract：OBJECTIVE:Cochlear implant (CI) treatment was introduced to the world in the 1980s and has become a routine treatment for congenital or acquired severe-to-profound hearing loss. CI treatment requires access to a highly skilled team of ear, nose and throat specialists, audiologists and speech-language pathologists for e...

    journal_title：International journal of circumpolar health

    pub_type： 杂志文章

    doi：10.3402/ijch.v72i0.20974

    authors： Homøe P,Andersen T,Grøntved A,Percy-Smith L,Bille M

    更新日期：2013-08-05 00:00:00

  • Pilot study of methods to measure saliva cotinine in Alaska Native women during pregnancy.

    abstract：OBJECTIVES:To evaluate NicAlert immunoassay test strips and liquid chromatography atmospheric-pressure ionization tandem mass spectrometry (LC/MS/MS) for the measurement of saliva cotinine levels in pregnant Alaska Native women. STUDY DESIGN:Cross-sectional study. METHODS:Pregnant women completed a questionnaire abou...

    journal_title：International journal of circumpolar health

    pub_type： 杂志文章

    doi：

    authors： Helzer LJ,Heitkamp KM,Shein M,Etzel RA

    更新日期：2007-01-01 00:00:00

  • Discrepancies in data reporting of zoonotic infectious diseases across the Nordic countries - a call for action in the era of climate change.

    abstract：:Emerging infections have in recent years caused enormous health problems. About 70% of these infections are zoonotic e.g. arise from natural foci in the environment. As climate change impacts ecosystems there is an ongoing transition of infectious diseases in humans. With the fastest changes of the climate occurring i...

    journal_title：International journal of circumpolar health

    pub_type： 杂志文章

    doi：10.1080/22423982.2019.1601991

    authors： Omazic A,Berggren C,Thierfelder T,Koch A,Evengard B

    更新日期：2019-12-01 00:00:00

  • Effect of regular winter swimming on the activity of the sympathoadrenal system before and after a single cold water immersion.

    abstract：:This study deals with the adaptation of the sympathoadrenal responses to an acute cold water immersion in ordinary winter swimmers. Hormonal responses were determined at the beginning of the winter swimming period in the autumn and after regular swimming for one and three months. Water temperature in the river was 10 ...

    journal_title：International journal of circumpolar health

    pub_type： 杂志文章

    doi：

    authors： Huttunen P,Rintamäki H,Hirvonen J

    更新日期：2001-08-01 00:00:00

  • Surveying mortality in northern Finland: two towns with contrasting trends.

    abstract：:Mortality was compared in two major towns in northern Finland (Kemi and Oulu), which according to previous studies have high and low mortalities, respectively. In 1991-1995 life expectancy at birth in Oulu exceeded the national average by 0.7 years in males and 0.4 years in females but in Kemi it fell short of the nat...

    journal_title：International journal of circumpolar health

    pub_type： 杂志文章

    doi：

    authors： Näyhä S,Hassi J

    更新日期：1999-07-01 00:00:00

  • The future of successful aging in Alaska.

    abstract：BACKGROUND:There is a paucity of research on Alaska Natives and their views on whether or not they believe they will age successfully in their home and community. There is limited understanding of aging experiences across generations. OBJECTIVE:This research explores the concept of successful aging from an urban Alask...

    journal_title：International journal of circumpolar health

    pub_type： 杂志文章

    doi：10.3402/ijch.v72i0.21186

    authors： Lewis J

    更新日期：2013-08-05 00:00:00

  • Canadian Inuit community engagement in suicide prevention.

    abstract：OBJECTIVES:To review suicide patterns among Inuit in Canada and highlight new developments in Inuit-driven and community-based suicide prevention. Study design. Narrative overview of suicide among Inuit in Canada, strides towards Inuit autonomy, and community and government action towards suicide prevention. METHODS:R...

    journal_title：International journal of circumpolar health

    pub_type： 杂志文章

    doi：10.3402/ijch.v68i3.18330

    authors： Kral Mj,Wiebe PK,Nisbet K,Dallas C,Okalik L,Enuaraq N,Cinotta J

    更新日期：2009-06-01 00:00:00

  • Diabetes among Inuit migrants in Denmark.

    abstract：OBJECTIVES:The study aimed to estimate the prevalence of diabetes and impaired glucose intolerance (IGT) among Inuit migrants living in Denmark, and to compare with findings from Greenland. Further, we analyzed determinants for diabetes and impaired glucose metabolism. STUDY DESIGN:Cross-sectional, population-based ep...

    journal_title：International journal of circumpolar health

    pub_type： 杂志文章

    doi：10.3402/ijch.v64i4.18013

    authors： Moustgaard H,Bjerregaard P,Borch-Johnsen K,Jørgensen ME

    更新日期：2005-09-01 00:00:00

  • Snowmobile injuries in Svalbard--a three year study [corrected].

    abstract：STUDY OBJECTIVE:To survey snowmobile injury events treated in Longyearbyen hospital, Svalbard and to report the injury distribution and characteristics for Svalbard residents and visitors driving snowmobiles. DESIGN:Prospective injury recording. SETTING:The Norwegian arctic archipelago, Svalbard during three years fr...

    journal_title：International journal of circumpolar health

    pub_type： 杂志文章

    doi：

    authors： Ytterstad B,Norheim J

    更新日期：2001-11-01 00:00:00