Research Article
BibTex RIS Cite

The Unmet Healthcare Needs in 6-12 Years Old Children at the COVID-19 Pandemic

Year 2021, Volume: 3 Issue: 1, 4 - 17, 18.04.2021

Abstract

Objective: To determine the unmet healthcare needs based on parental notification in children between the ages of 6-12 during the pandemic process and the reasons for not meeting the healthcare services.
Material and Methods: The type of the research is descriptive. Parents who live in different regions of Turkey and have children between the ages of 6-12 formed the research population. In the study, 327 individuals were reached and the power of the research was calculated as 80.8% at 0.2 effectiveness and at 95% confidence level. Participants were reached using the snowball sampling method, data were collected via a link sent to their smart mobile phones through their social media accounts. Before starting the research, permission from the Ministry of Health and ethics committee permission from Kırşehir Ahi Evran University was obtained.
Results: In 92.4% of the families in the study, at least one child lives whose need for at least one health service is not met. It was determined that individuals had inability to prescribe a necessary drug (92.4%), had unmet healthcare needs in dentistry (31.2%), urgent situations (26.3%), eye-related problems (16.2%), mental health (12.8%), preventive healthcare (11.9%) and ear-related problems (6.1%). The most common reason for unmet healthcare needs in the study was fear of COVID-19 transmission (89.9%), which is below the acceptability (n=374).
Conclusion and recommendations: Unmet need for healthcare is quite common in children aged 6-12, and the most common reason for this is the acceptability of healthcare services. It is recommended that public health nurses should conduct studies for unmet healthcare needs under pandemic conditions.

References

  • Berkowitz, S. A., & Basu, S. (2020). Unemployment ınsurance, health-related social needs, health care access, and mental health during the COVID-19 pandemic. JAMA internal medicine, 10.1001/jamainternmed.2020.7048. Advance online publication. https://doi.org/10.1001/jamainternmed.2020.7048.
  • Bressan, S., Gallo, E., Tirelli, F., Gregori, D., & Da Dalt, L. (2021). Lockdown: more domestic accidents than COVID-19 in children. Archives of disease in childhood, 106(2), e3. https://doi.org/10.1136/archdischild-2020-319547.
  • Centers for Diseases Control and Prevention (CDC) (November 24, 2020). Does loud noise cause hearing loss? Page last reviewed: https://www.cdc.gov/nceh/hearing_loss/how_does_loud_noise_cause_hearing_loss.html#:~:text=A%20one%2Dtime%20exposure%20to,cause%20these%20cells%20to%20die.
  • Chen, J., & Hou, F. (2002). Unmet needs for health care. Health Reports, 13(2):23-34. PMID: 12743954.
  • European Commission (2020). Methodological guidelines and description of EU-SILC target variables. https://circabc.europa.eu/sd/a/b862932f-2209-450f-a76d-9cfe842936b4/DOCSILC065%20operation%202019_V9.pdf.
  • Eurostat (2017). Children with medical and dental needs. https://ec.europa.eu/eurostat/en/web/products-eurostat-news/-/DDN-20190215-1.
  • Eurostat (2020). Self-reported unmet health care needs by sex, age, specific reasons and educational attainment level. https://ec.europa.eu/eurostat/databrowser/view/hlth_ehis_un1e/default/table?lang=en.
  • Hermosilla, M., Ni, J., Wang, H., & Zhang, J. (2020) Healthcare crowd-out and resource allocation: Evidence from COVID-19 pandemic. https://dx.doi.org/10.2139/ssrn.3607594.
  • Hwang, J., Guilcher, S., McIsaac, K., Matheson, F., Glazier, R., & O’Campo, P. (2017). An examination of perceived health care availability and unmet healthcare needs in the City of Toronto, Ontairo, Canada. Canadian journal of public health = Revue canadienne de sante publique, 108(1), e7–e13. https://doi.org/10.17269/cjph.108.5715.
  • Irvin, K., Fahim, F., Alshehri, S., & Kitsantas, P. (2018). Family structure and children's unmet health-care needs. Journal of child health care : for professionals working with children in the hospital and community, 22(1), 57–67. https://doi.org/10.1177/1367493517748372.
  • Jayadev, C., Sarbajna, P., & Vinekar, A. (2020). Commentary: Impact of the COVID-19 pandemic on digital eye strain in children. Indian journal of ophthalmology, 68(11), 2383–2384. https://doi.org/10.4103/ijo.IJO_3028_20.
  • Kaya, H. (2020). Investigation of the effect of online education on eye health in Covid-19 pandemic. International Journal of Assessment Tools in Education, 7(3), 488-496. https://doi.org/10.21449/ijate.788078.
  • Koçak Altıntaş, A. (2020). COVID-19 Pandemic and ophthalmic effect on strabismus and pediatric eye disorders . Clinical and Experimental Ocular Trauma and Infection, 2(1), 30-32. https://dergipark.org.tr/en/pub/ceoti/issue/53445/724714.
  • Liguoro, I., Pilotto, C., Vergine, M., Pusiol, A., Vidal, E., & Cogo, P. (2021). The impact of COVID-19 on a tertiary care pediatric emergency department. European journal of pediatrics, 1–8. Advance online publication. https://doi.org/10.1007/s00431-020-03909-9.
  • McMorrow, S., Gonzalez, D., Caraveo, C. A., & Kenney, G. M. (2020). Urgent action needed to address children’s unmet health care needs during the pandemic. Washington, DC: Urban Institute.
  • Merrill, K.A., William, T., Joyce, K.M., Roos, L.E., & Protudjer, J. (2021). Potential psychosocial impact of COVID-19 on children: A scoping review of pandemics & epidemics. Journal of Global Health Reports, 4, e2020106. https://doi.org/10.29392/001c.18229.
  • Moore, S.A., Faulkner, G., Rhodes, R.E., Brussoni, M., Chulak-Bozzer, T., Ferguson, L.J., Mitra, R., O'Reilly, N., Spence, J.C., Vanderloo, L.M., & Tremblay, M.S. (2020). Impact of the COVID-19 virus outbreak on movement and play behaviours of Canadian children and youth: a national survey. The international journal of behavioral nutrition and physical activity, 17(1), 85. https://doi.org/10.1186/s12966-020-00987-8.
  • Nabian, M. H., Vosoughi, F., Najafi, F., Khabiri, S. S., Nafisi, M., Veisi, J., Rastgou, V., Ghamari, S., Aakhashi, A., Bahrami, N., Naderi, M., Maleki, S., & Yekaninejad, M. S. (2020). Epidemiological pattern of pediatric trauma in COVID-19 outbreak: Data from a tertiary trauma center in Iran. Injury, 51(12), 2811–2815. https://doi.org/10.1016/j.injury.2020.09.015.
  • Newacheck, P.W., Hughes, D.C., Hung, Y.Y., Wong, S., & Stoddard, J.J. (2000). The unmet health needs of America's children. Pediatrics, 105(4 Pt 2), 989–997.
  • OECD (2019). Health for everyone: Social ınequalities in health and health systems, OECD Health Policy Studies, OECD Publishing, Paris, https://doi.org/10.1787/3c8385d0-en.
  • Schaffer, M., Schoon, P.M., & Porta, C.M. (2018). Population-based public health clinical manual, third edition: The Henry Street Model for Nurses: Vol. Third edition. Sigma.
  • Singh, S., Roy, M.D., Sinha, C.P.T.M.K., Parveen, C.P.T.M.S., Sharma, C.P.T.G., & Joshi, C.P.T.G. (2020). Impact of COVID-19 and lockdown on mental health of children and adolescents: A narrative review with recommendations. Psychiatry research, 113429. https://doi.org/10.1016/j.psychres.2020.113429.
  • Thomson, S., Figueras, J., Evetovits, T., Jowett, M., Mladovsky, P., Maresso, A., Cylus, J., Karanikolos, M., & Kluge, H. (2014). Economic crisis, health system and health in Europe: impact and implications for policy. https://www.euro.who.int/__data/assets/pdf_file/0008/257579/Economic-crisis-health-systems-Europe-impact-implications-policy.pdf.
  • Wani, F.A., Rather, R.H., & Ahmad, M. (2020). Self-reported unmet healthcare needs during coronavirus disease-19 pandemic lockdown. International J of Medical Science and Public Health, 9(9): 503-507. https://doi.org/10.5455/ijmsph.2020.09151202017092020.
  • World Health Organization (WHO) (2020). https://www.who.int/director-general/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020.
  • Yeasmin, S., Banik, R., Hossain, S., Hossain, M.N., Mahumud, R., Salma, N., & Hossain, M.M. (2020). Impact of COVID-19 pandemic on the mental health of children in Bangladesh: A cross-sectional study. Children and youth services review, 117, 105277. https://doi.org/10.1016/j.childyouth.2020.105277.

COVID-19 Pandemisinde 6-12 Yaş Arası Çocuklarda Karşılanmamış Sağlık Hizmeti Gereksinimleri

Year 2021, Volume: 3 Issue: 1, 4 - 17, 18.04.2021

Abstract

Amaç: Bu araştırmanın amacı, pandemi sürecinde 6-12 yaş arası çocuklarda ebeveyn bildirimine dayalı karşılanmamış sağlık hizmeti gereksinimlerini ve sağlık hizmetlerinin karşılanmama nedenlerini belirlemektir.
Gereç ve Yöntem: Araştırma tanımlayıcı tiptedir. Araştırmanın evrenini, Türkiye’nin farklı bölgelerinde yaşayan ve 6-12 yaş arası çocuğu olan ebeveynler oluşturmuştur. Araştırma kapsamında 327 bireye ulaşılmış olup araştırmanın gücü, bilgisayar ortamında 0.2 etki büyüklüğü ve %95 güven düzeyinde %80.8 olarak hesaplanmıştır. Katılımcılara kartopu örnekleme yöntemiyle ulaşılmış, veriler sosyal medya hesapları üzerinden akıllı cep telefonlarına gönderilen link yoluyla toplanmıştır. Araştırmaya başlamadan önce Sağlık Bakanlığı’ndan kurul izni, Kırşehir Ahi Evran Üniversitesi’nden etik kurul izni alınmıştır.
Bulgular: Araştırmada ailelerin %92.4’ünde, en az bir sağlık hizmeti gereksinimi karşılanmamış olan en az bir çocuk yaşamaktadır. Araştırmada bireylerin sırasıyla; gerekli olan bir ilacı reçete ettirememe (%92.4), diş (%31.2), acil durumlar (%26.3), göz (%16.2), ruh sağlığı desteği (%12.8), koruyucu sağlık gereksinimi (%11.9) ve kulak (%6.1) ile ilgili karşılanmamış sağlık hizmeti gereksinimi olduğu belirlenmiştir. Araştırmada karşılanmamış sağlık hizmeti gereksiniminin en sık karşılaşılan nedeni; kabul edilebilirlik (n=374) ve altında yer alan COVID-19 bulaşma korkusudur (%89.9).
Sonuç ve Öneriler: Araştırmanın sonuçlarına göre; 6-12 yaş arası çocuklarda karşılanmamış sağlık hizmeti gereksinimi oldukça yaygın olup bunun en sık görülen nedeninin sağlık hizmetinin kabul edilebilirliği ile ilgili olduğu belirlenmiştir. Bu sonuçlar doğrultusunda; halk sağlığı hemşirelerinin pandemi koşullarında karşılanmamış sağlık hizmeti gereksinimlerine yönelik çalışmalar yapması önerilir.

References

  • Berkowitz, S. A., & Basu, S. (2020). Unemployment ınsurance, health-related social needs, health care access, and mental health during the COVID-19 pandemic. JAMA internal medicine, 10.1001/jamainternmed.2020.7048. Advance online publication. https://doi.org/10.1001/jamainternmed.2020.7048.
  • Bressan, S., Gallo, E., Tirelli, F., Gregori, D., & Da Dalt, L. (2021). Lockdown: more domestic accidents than COVID-19 in children. Archives of disease in childhood, 106(2), e3. https://doi.org/10.1136/archdischild-2020-319547.
  • Centers for Diseases Control and Prevention (CDC) (November 24, 2020). Does loud noise cause hearing loss? Page last reviewed: https://www.cdc.gov/nceh/hearing_loss/how_does_loud_noise_cause_hearing_loss.html#:~:text=A%20one%2Dtime%20exposure%20to,cause%20these%20cells%20to%20die.
  • Chen, J., & Hou, F. (2002). Unmet needs for health care. Health Reports, 13(2):23-34. PMID: 12743954.
  • European Commission (2020). Methodological guidelines and description of EU-SILC target variables. https://circabc.europa.eu/sd/a/b862932f-2209-450f-a76d-9cfe842936b4/DOCSILC065%20operation%202019_V9.pdf.
  • Eurostat (2017). Children with medical and dental needs. https://ec.europa.eu/eurostat/en/web/products-eurostat-news/-/DDN-20190215-1.
  • Eurostat (2020). Self-reported unmet health care needs by sex, age, specific reasons and educational attainment level. https://ec.europa.eu/eurostat/databrowser/view/hlth_ehis_un1e/default/table?lang=en.
  • Hermosilla, M., Ni, J., Wang, H., & Zhang, J. (2020) Healthcare crowd-out and resource allocation: Evidence from COVID-19 pandemic. https://dx.doi.org/10.2139/ssrn.3607594.
  • Hwang, J., Guilcher, S., McIsaac, K., Matheson, F., Glazier, R., & O’Campo, P. (2017). An examination of perceived health care availability and unmet healthcare needs in the City of Toronto, Ontairo, Canada. Canadian journal of public health = Revue canadienne de sante publique, 108(1), e7–e13. https://doi.org/10.17269/cjph.108.5715.
  • Irvin, K., Fahim, F., Alshehri, S., & Kitsantas, P. (2018). Family structure and children's unmet health-care needs. Journal of child health care : for professionals working with children in the hospital and community, 22(1), 57–67. https://doi.org/10.1177/1367493517748372.
  • Jayadev, C., Sarbajna, P., & Vinekar, A. (2020). Commentary: Impact of the COVID-19 pandemic on digital eye strain in children. Indian journal of ophthalmology, 68(11), 2383–2384. https://doi.org/10.4103/ijo.IJO_3028_20.
  • Kaya, H. (2020). Investigation of the effect of online education on eye health in Covid-19 pandemic. International Journal of Assessment Tools in Education, 7(3), 488-496. https://doi.org/10.21449/ijate.788078.
  • Koçak Altıntaş, A. (2020). COVID-19 Pandemic and ophthalmic effect on strabismus and pediatric eye disorders . Clinical and Experimental Ocular Trauma and Infection, 2(1), 30-32. https://dergipark.org.tr/en/pub/ceoti/issue/53445/724714.
  • Liguoro, I., Pilotto, C., Vergine, M., Pusiol, A., Vidal, E., & Cogo, P. (2021). The impact of COVID-19 on a tertiary care pediatric emergency department. European journal of pediatrics, 1–8. Advance online publication. https://doi.org/10.1007/s00431-020-03909-9.
  • McMorrow, S., Gonzalez, D., Caraveo, C. A., & Kenney, G. M. (2020). Urgent action needed to address children’s unmet health care needs during the pandemic. Washington, DC: Urban Institute.
  • Merrill, K.A., William, T., Joyce, K.M., Roos, L.E., & Protudjer, J. (2021). Potential psychosocial impact of COVID-19 on children: A scoping review of pandemics & epidemics. Journal of Global Health Reports, 4, e2020106. https://doi.org/10.29392/001c.18229.
  • Moore, S.A., Faulkner, G., Rhodes, R.E., Brussoni, M., Chulak-Bozzer, T., Ferguson, L.J., Mitra, R., O'Reilly, N., Spence, J.C., Vanderloo, L.M., & Tremblay, M.S. (2020). Impact of the COVID-19 virus outbreak on movement and play behaviours of Canadian children and youth: a national survey. The international journal of behavioral nutrition and physical activity, 17(1), 85. https://doi.org/10.1186/s12966-020-00987-8.
  • Nabian, M. H., Vosoughi, F., Najafi, F., Khabiri, S. S., Nafisi, M., Veisi, J., Rastgou, V., Ghamari, S., Aakhashi, A., Bahrami, N., Naderi, M., Maleki, S., & Yekaninejad, M. S. (2020). Epidemiological pattern of pediatric trauma in COVID-19 outbreak: Data from a tertiary trauma center in Iran. Injury, 51(12), 2811–2815. https://doi.org/10.1016/j.injury.2020.09.015.
  • Newacheck, P.W., Hughes, D.C., Hung, Y.Y., Wong, S., & Stoddard, J.J. (2000). The unmet health needs of America's children. Pediatrics, 105(4 Pt 2), 989–997.
  • OECD (2019). Health for everyone: Social ınequalities in health and health systems, OECD Health Policy Studies, OECD Publishing, Paris, https://doi.org/10.1787/3c8385d0-en.
  • Schaffer, M., Schoon, P.M., & Porta, C.M. (2018). Population-based public health clinical manual, third edition: The Henry Street Model for Nurses: Vol. Third edition. Sigma.
  • Singh, S., Roy, M.D., Sinha, C.P.T.M.K., Parveen, C.P.T.M.S., Sharma, C.P.T.G., & Joshi, C.P.T.G. (2020). Impact of COVID-19 and lockdown on mental health of children and adolescents: A narrative review with recommendations. Psychiatry research, 113429. https://doi.org/10.1016/j.psychres.2020.113429.
  • Thomson, S., Figueras, J., Evetovits, T., Jowett, M., Mladovsky, P., Maresso, A., Cylus, J., Karanikolos, M., & Kluge, H. (2014). Economic crisis, health system and health in Europe: impact and implications for policy. https://www.euro.who.int/__data/assets/pdf_file/0008/257579/Economic-crisis-health-systems-Europe-impact-implications-policy.pdf.
  • Wani, F.A., Rather, R.H., & Ahmad, M. (2020). Self-reported unmet healthcare needs during coronavirus disease-19 pandemic lockdown. International J of Medical Science and Public Health, 9(9): 503-507. https://doi.org/10.5455/ijmsph.2020.09151202017092020.
  • World Health Organization (WHO) (2020). https://www.who.int/director-general/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020.
  • Yeasmin, S., Banik, R., Hossain, S., Hossain, M.N., Mahumud, R., Salma, N., & Hossain, M.M. (2020). Impact of COVID-19 pandemic on the mental health of children in Bangladesh: A cross-sectional study. Children and youth services review, 117, 105277. https://doi.org/10.1016/j.childyouth.2020.105277.
There are 26 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Research Articles
Authors

Gizem Deniz Bulucu Büyüksoy 0000-0003-2957-2451

Kamuran Özdil 0000-0003-0852-7854

Aslıhan Çatıker 0000-0001-8102-6795

Publication Date April 18, 2021
Submission Date January 28, 2021
Published in Issue Year 2021 Volume: 3 Issue: 1

Cite

APA Bulucu Büyüksoy, G. D., Özdil, K., & Çatıker, A. (2021). COVID-19 Pandemisinde 6-12 Yaş Arası Çocuklarda Karşılanmamış Sağlık Hizmeti Gereksinimleri. Halk Sağlığı Hemşireliği Dergisi, 3(1), 4-17.