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Experiences of support in working toward personal recovery goals: a collaborative, qualitative study.

BACKGROUND: Recovery can be understood as a subjective process guided by personal expectations, goals and hopes. The aim of the study was to explore how persons using a Community Mental Health Centre (CMHC) experienced that their expectations for treatment, and goals and hopes for recovery were supported by the health professionals during treatment. METHODS: Employing a hermeneutic-phenomenological approach, eight service users were interviewed about their expectations for treatment and their goals and hopes for recovery at the start of their contact with health professionals at a CMHC. Two y

Clinical and financial characteristics of pediatric surgery practices.

UNLABELLED: Pediatric surgical practices face many challenges. We wanted to define the clinical practice and financial support among different types of practices as follows: academic, private practice, and employed. METHODS: This study involved an Internet survey of members of the American Pediatric Surgical Association (APSA), comparisons using chi(2) and paired t test analyses. RESULTS: The response rate was 28.7% (233/811), 145 academic, 48 private, and 40 employed. More than 90% received partial to full financial hospital support. Only 7.3% received no outside support, most frequently th…

Patient Perceived Financial Burden in Haematological Malignancies: A Systematic Review.

UNLABELLED: Advances in scientific understanding have led to novel therapies and improved supportive care for many patients with haematological malignancies. However, these new drugs are often costly, only available at centralised health care facilities, require regular specialist reviews and lengthy treatment regimens. This leads to a significant financial burden. Understanding the impact of financial burden on haematological patients is important to appreciate the urgency of alleviating this systemic issue. METHOD: Eligible studies were identified by systematically searching Medline, PsycIN

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… These findings were complemented by the patient narrative of how these experiences affect the patients’ emotional state while relying on other sources of financial support. … Patients described bureaucratic and unsympathetic processes to access insurance payments or government financial support, which may present a barrier to patients accessing their financial entitlements, but this needs to be further investigated. …

[Psychosocial problems in HIV infected families--possibilities for coping].

The psychosocial problems of 49 HIV-exposed children (data given as of September 1989) and 19 HIV-infected hemophiliacs cared for in the pediatric immuno-deficiency clinic of the Munich university hospital are described in detail. Drug addiction, financial needs, housing problems and delinquency play an important role in the first group. Hemophiliacs, however, live in more stable family conditions. Both groups are offered counseling, home and hospital visits, and legal, administrative and financial support. Furthermore we help with coordinating regular meetings, obtaining short-time housekeepe…

Persistent financial adversity and cognitive aging: a life course investigation.

BACKGROUND AND OBJECTIVES: The long-term effect of persistent financial adversity on cognitive aging remains unclear. We examined how sustained financial hardship across adulthood associates with midlife cognition, cognitive decline, and later-life brain health and whether impacts vary by sex, childhood socioeconomic circumstances (SECs), and genetic risk. RESEARCH DESIGN AND METHODS: Using data from the 1946 British birth cohort (N = 2,759) and its neuroimaging sub-study, Insight 46 (N = 356-468), we linked financial adversity (low household income, financial hardships between ages 26 and 53

"What Has Kept Me Alive": Transgender Communities and Support.

Transgender (trans) people in the United States experience staggering marginalization. To survive, trans people turn to their communities for support. In this study, I use in-depth interviews with 10 trans people living in "Townsville" to explore the social support trans and LGBTQ communities provide to trans members. What types of support are available? How does this support enable survival? How do differences in communities influence support? I found four types of support: emotional, institutional, bodily, and financial. The focus and composition of communities determined the types of suppor

The integration of the global HIV/AIDS response into universal health coverage: desirable, perhaps possible, but far from easy.

BACKGROUND: The international community's health focus is shifting from achieving disease-specific targets towards aiming for universal health coverage. Integrating the global HIV/AIDS response into universal health coverage may be inevitable to secure its achievements in the long run, and for expanding these achievements beyond addressing a single disease. However, this integration comes at a time when international financial support for the global HIV/AIDS response is declining, while political support for universal health coverage is not translated into financial support. To assess the risk…

Associations between hospital admission frequency and household financial outcomes in Korea.

BACKGROUND: Health shocks within families affect not only individual patients but also their entire household, across various economic and psychological dimensions. Rising hospital admissions are strongly associated with increased medical expenditures that strain household finances, with larger relative financial strain among lower-income households. However, the broader socioeconomic consequences of these shocks have yet to be sufficiently investigated, leaving a notable research gap. This study examines the association between hospital admission frequency and household financial stability, f

The Impact of Neuropalliative Care on Caregivers of Individuals with Motor Neuron Disorders or Atypical Parkinsonism.

Neurodegenerative disorders, including motor neuron disease (MND) and atypical parkinsonism (AP), progress rapidly and place substantial physical, emotional, and financial strain on family caregivers who often provide complex care with limited support. Neuropalliative care (NPC) offers interdisciplinary, noncurative services aimed at improving quality of life (QoL), yet it is underutilized and often misunderstood. Employing Ferrans and Powers QoL Model, this study used an exploratory descriptive qualitative design to examine the experiences of 10 family caregivers of individuals with MND and A

How Organizations Sustain the National Diabetes Prevention Program: Real-world Strategies for Financing and Cost Control.

The National Diabetes Prevention Program (NDPP) is an evidence-based lifestyle intervention that has been adopted by over 3,000 organizations, but over half have since discontinued services, often due to challenges with financial sustainability. To identify successful strategies for financial sustainability, we analyzed data from interviewing 21 program coordinators at organizations that had sustained NDPP delivery for 5 or more years and planned to continue delivery. These organizations had delivered the NDPP for 8.5 years on average. Rather than relying on a single source of program financin

Perceived Causes of Obstetric Fistula and Predictors of Treatment Seeking among Ugandan Women: Insights from Qualitative Research.

Many obstetric fistula patients remain untreated or present late to treatment despite increasing surgical availability in Uga nda. We explor … cilities. Our study supports broad educational and awareness activities, facilitation of social and financial support for accessing care, and improving the quality of emergency obstetric care and fistula treatment surgical capacity to reduce women's suffering.

Health-related needs reported by adolescents living with HIV and receiving antiretroviral therapy in sub-Saharan Africa: a systematic literature review.

INTRODUCTION: Adolescents living with HIV (ALHIV) on antiretroviral therapy (ART) have specific health needs that can be challenging to deli … ntions that address the health needs of ALHIV from the perspective of carers and providers, such as financial support schemes and adolescent-friendly healthcare strategies, should supplement efforts to improve adolescent ART adherence outcomes.

Resource Utilization in the Management of Distal Radial Fracture.

PURPOSE: In a survey- and scenario-based experiment, we addressed the factors associated with surgeon recommendations for specific distal radius fracture treatment options, including patient financial insecurity and insurance coverage. METHODS: One hundred sixty-two surgeons were with presented seven sets of radiographs of dorsally displaced fractures, accompanied by a scenario with randomized elements regarding the patient and circumstances of the injury. Surgeons then rated the likelihood they would offer reduction and cast immobilization, percutaneous Kirschner wire fixation, and volar pla

The Impact of an Economic Empowerment Intervention on Economic Security among AIDS-Orphaned Adolescents in Southern Uganda: the Moderating Role of Depression.

Sub-Saharan Africa (SSA) bears a disproportionate HIV/AIDS burden, with adolescents heavily affected. Parental loss to AIDS has orphaned millions, exacerbating economic and psychosocial challenges. Economic empowerment interventions (EEIs) promote asset accumulation and financial stability, but the role of depression in moderating their effectiveness remains underexplored. This study examines the impact of an EEI on economic security among HIV/AIDS-orphaned adolescents in Southern Uganda, exploring depression as a moderator. Data from 1383 HIV-orphaned adolescents (10-16 years) were collected

Analysis of Institutional Financial Stability and Physician Assistant Program Accreditation Outcomes.

INTRODUCTION: Many institutions are facing financial challenges that may adversely affect physician assistant (PA) programs. This study examines the relationship between the financial stability of private, nonprofit institutions offering entry-level PA programs and accreditation outcomes. METHODS: This cross-sectional study explored a possible association between Composite Financial Index of sponsoring institutions for 3 years preceding the most recent ARC-PA review and the program's accreditation outcome for reviews between 2017 and 2023. Institutional characteristics were summarized for pro

Detection of Financial Toxicity in Italian Uremic Patients: A Single Center Cross-Sectional Study.

PURPOSE: Financial toxicity (FT) describes the strain individuals and families feel when they struggle with money due to medical expenses and related costs associated with their healthcare. Management of chronic kidney disease is expensive. The aim of this study was to detect FT in Italian patients undergoing renal replacement therapy. PATIENTS AND METHODS: FT was investigated using the Patient-Reported Outcome for Fighting Financial Toxicity (PROFFIT) questionnaire in 238 individuals, of whom 147 (61.8%) received hemodialysis, 30 (12.6%) peritoneal dialysis, and 61 had renal transplantation

Pre-existing financial circumstance, job loss, and probable depression among U.S. adults: a prospective population-based cohort study.

BACKGROUND: While job loss is associated with adverse mental health, it is unclear if the relationship between job loss and mental health differs across pre-existing financial circumstances (objective financial status or subjective financial strain). METHODS: We analyzed data from the nationally representative, longitudinal Cumulative Life Stressors Impact on Mental Health and Well-being study (2023-2024) conducted across the United States. We assessed associations between past-year job loss and probable depression (Patient Health Questionnaire-9, PHQ-9 ≥ 10), balancing on pre-job loss charac

Building a Dementia-Ready Workforce in Malaysia: Family Caregivers' Insights.

Malaysia's rapid population aging has intensified the need for dementia care systems that extend beyond hospital-based services. This qualitative study explored the experiences and support needs of family caregivers of persons living with dementia (PLWD) in Malaysia, with the aim of informing dementia workforce development and para-professional training. Semi-structured interviews were conducted with 67 caregivers attending the geriatric unit of a public hospital in Selangor. Responses to open-ended questions on social support, emotional impact, communication with health professionals, economi

Home-Based Intervention to Test and Start (HITS): a community-randomized controlled trial to increase HIV testing uptake among men in rural South Africa.

INTRODUCTION: The uptake of HIV testing and linkage to care remains low among men, contributing to high HIV incidence in women in South Africa. We conducted the "Home-Based Intervention to Test and Start" (HITS) in a 2x2 factorial cluster randomized controlled trial in one of the World's largest ongoing HIV cohorts in rural South Africa aimed at enhancing both intrinsic and extrinsic motivations for HIV testing. METHODS: Between February and December 2018, in the uMkhanyakude district of KwaZulu-Natal, we randomly assigned 45 communities (clusters) (n = 13,838 residents) to one of the four ar

Influences of Financial Strains Over the Life Course Before Initiating Hemodialysis on Health Outcomes Among Older Japanese Patients: A Retrospective Study in Japan.

PURPOSE: This study analyzed the influence of financial strains over the life course before initiating hemodialysis on the health outcomes of older Japanese patients. This study was limited to financial strains over the life course before initiating hemodialysis to eliminate the influence of financial strains resulting from resignation from paid jobs. We examined which of the four life course models-pathway, latent, social mobility, and accumulation-were appropriate to describe the influences of financial strains over the life course on older patients' health. PATIENTS AND METHODS: Data were