Awareness Of Services Research Articles

Barriers and Facilitators to Community Pharmacist-Provided Injectable Naltrexone for Formerly Incarcerated Individuals During Community Reentry in Wisconsin.

Medications for opioid use disorder (MOUD), including injectable naltrexone, are a key component in the treatment of opioid use disorder (OUD). These medications are especially important for individuals transitioning out of correctional facilities and back into their communities, as individuals receiving MOUD are 85% less likely to die due to drug overdose in the first month post-release and have a 32% lower risk of rearrest. Unfortunately, few formerly incarcerated individuals have access to MOUD upon reentry, incurring a 40-fold greater likelihood of overdose following release compared to the general population. While 84% of Wisconsin jails offering MOUD offer naltrexone, less than half provide linkage to community treatment for reentering individuals. In Wisconsin, community pharmacists have the authority to provide naltrexone injections. However, they have not been explored as a resource for improving access to this medication for formerly incarcerated individuals. As a first step, the goal of this study was to understand the barriers and facilitators impacting access to community pharmacist-provided injectable naltrexone for this patient population during community reentry period. The researcher conducted semi-structured interviews with 18 individuals representing five stakeholder groups. Deductive and inductive content analysis were used to identify barrier and facilitator categories across the five levels of the Socioecological Model. Overall, participants discussed factors at every level, and many barriers and facilitators confirmed findings from existing literature focused on MOUD access for formerly incarcerated individuals. Participants also identified factors more specific to community pharmacies, including 1) lack of interagency collaboration between pharmacists, prescribers, and correctional facilities and 2) lack of awareness of community pharmacist-provided MOUD services. Future research should explore interventions to address the barriers identified in this study and improve connections between community pharmacists and formerly incarcerated individuals. This work can help ensure that these individuals are given the chance to successfully reintegrate into society.

Posting Holistic Health and Fitness Reels on Social Media Platforms to Improve Soldier Health in the Brigade.

As of 2020 Holistic health and fitness (H2F) teams have been embedded into brigades to engage Soldiers in Preventative Mental, Physical, Nutritional, Spiritual, and Sleep Readiness services. This represents a change in Army culture from a focus on testing to one of wellness because of increasing sleep concerns, mental health concerns, and injury rates. Soldier awareness of H2F services, where to find them, how to use them, and command endorsement of H2F professional's services has been limited and not well studied. Most soldiers fall into the Generations Y and Z categories, and this population tends to access information primarily from social media sources. Social media platforms therefore represent potentially effective ways to reach these individuals to increase their awareness of H2F services. This quality improvement project used therapist produced brief interactive videos covering the topics of sleep hygiene and consequences of sleep supplement use and sleep deprivation, mental readiness, and journaling as a form of mindfulness. Video reels were posted to one brigade H2F's social media (Facebook and Instagram) platforms to improve Soldier awareness and engagement in wellness activities in these areas. Data were tracked before and after the initiation of the reel series via Facebook and Instagram MetaBusiness Suite, and via utilization tracking for H2F occupational therapy group and 1:1 visits. Data tracked before and after the initiation of the video series revealed an 898.2% increase in Facebook access, including reel reach, and increases in 1:1 and group sleep and mental readiness visits to the H2F occupational therapist. The use of social media to facilitate soldier awareness and use of H2F mental and sleep readiness services is a viable option for H2F units seeking to enhance their reach in these areas. The project created very little demand on the local therapist's time or to brigade resources and may help increase Soldier accessing of H2F resources online and directly.

Tailored Strategies for Mental Health Support: Distinctions-Based Approaches for the Red River Métis Community

Objective and ApproachThe study investigates attitudes of Red River Métis (RRM) Citizens towards existing mental health services to assess satisfaction levels and enhance support and accessibility. Employing a Community-Based Participatory Research and Collective Consensual Data Analytic Procedure (CBPR/CCDAP) framework, a survey was conducted during health consultations in 2022 and 2023. It explored participant perspectives on existing programming, service availability, and future needs. Analysis of participant responses, stratified by demographics, offers insights into mental health attitudes among the RRM Community. ResultsA total of 144 RRM Citizens participated in the survey, reporting "addiction," "trauma," and "stress" as primary causes of mental health issues. Presently, only 20% (n = 29) utilize mental health services, with over 40% (n = 58) expressing dissatisfaction with available services. Moreover, more than 90% (n = 130) of Citizens emphasized “an urgent need for additional mental health services tailored to the RRM Community”. Common barriers to accessing mental health services included lack of awareness and financial constraints. ConclusionThe study highlights RRM Citizens’ dissatisfaction with existing services and inadequate awareness of available mental health services and their protocols, presenting significant barriers to accessing services. Further investigations are warranted to determine whether these challenges stem from communication discrepancies, service inadequacies, or a combination of both factors. ImplicationsFindings from the study inform the development of distinctions-based mental health services for the Red River Métis Community, enhancing access, engagement, and policy development to address mental health disparities.

Multi-layer resource scheduling architecture and algorithm for a service-oriented optical network based on a fine grain OTN

With the development of service, there are demands for flexible connection scheduling based on customer-side services, fast connection response, and efficient scheduling of line-side resources in an optical transport network (OTN). This article proposes a service-oriented multi-layer resource scheduling architecture and algorithm based on the introduction of OTN fine grain technology. Specifically, we propose a service awareness scheme that enables OTNs to better match service requirements. Based on a centralized distributed collaborative architecture, we extend a path computation element communication protocol (PCEP) to achieve more efficient connection distribution. We further design a resource scheduling strategy and an algorithm based on multi-layer collaboration to perform differentiated scheduling for services with different priorities. Through the mechanisms and algorithms proposed, it is technically feasible to achieve precise matching of customer-side services, flexible scheduling of connections and resources, and efficient service response, and promote the evolution of the OTN service supply from traditional fixed point-to-point connections to flexible service-oriented optical network (SOON) connections.

Oncology Healthcare Professionals’ Awareness and Uptake of the Employee Assistance Programme in Three Public Healthcare Facilities in KwaZulu-Natal, South Africa

Institutional psychosocial support services have gained traction, globally, more so within the context of healthcare facilities. This is mainly due to the recognition that institutional psychosocial support services are beneficial to both employees and employers, alike. However, while these institutional psychosocial support services are important, their uptake remains relatively low. With the focus being on the employee assistance programme (EAP), this study aimed to explore the awareness and uptake of institutional psychosocial support services among oncology healthcare professionals (OHPs) in public healthcare facilities in KwaZulu-Natal (KZN), South Africa. Using the interpretative phenomenological approach, the qualitative study was conducted in three public healthcare facilities that offer oncology services in KZN. Semi-structured in-depth interviews were conducted among 31 participants who were OHPs in the three public healthcare facilities. Thematic data analysis produced two main themes and six respective sub-themes. The main themes were awareness of institutional psychosocial support services and low uptake of institutional psychosocial support services, mainly owing to adequate personal support systems, privacy and confidentiality concerns, and stigma. The study findings point to the need for stronger EAPs that are needs-based, promoted regularly, and evaluated, in public healthcare facilities. To encourage service uptake and address privacy, confidentiality and stigma concerns, innovative and non-stigmatising ways of promoting these services are required, including hybrid approaches to the provision of EAP services. The study findings can provide a valuable contribution to the continued development and strengthening of institutional psychosocial support services in public healthcare facilities.

Spatial patterns of maternal and neonatal continuum of care use and its correlations with women’s empowerment

BackgroundThe continuum of care (CoC) in maternal health refers to the continuity of individual reproductive health care across the antenatal, intrapartum, and postnatal periods. The CoC is an indicator of the quality of maternal and newborn health outcomes and women’s empowerment is crucial to improving maternal and neonatal health service access and utilisation.ObjectiveTo examine the spatial patterns of continuum of care use for maternal and neonatal health services and its correlation with women’s empowerment.MethodsWe analysed data from the Ethiopian Demographic and Health Surveys (EDHS) of 2011 and 2016. All women aged 15–49 who had live births in the preceding five years of the DHS surveys were included in the analysis. We measured the continuum of care using the modified co-coverage index (CoCI), which consisted of six indicators. Women’s empowerment was assessed using a validated survey-based Women’s Empowerment (SWPER) index. We used the Getis-Ord-Gi* spatial analysis tool to portray locations with clusters of CoC service use and spatial correlations between CoC use and women empowerment.ResultsNone of the newborn-mother pairs in the 2011 survey received the entire continuum of care and only 2.5% of newborn-mother pairs received the full range of continuum of care services in the 2016 survey. In 2016, 6.9% of mother-newborn pairs received the basic CoC services (four or more antenatal care [ANC] visits, skilled birth attendance [SBA], and postnatal care [PNC]), and no mother-newborn pair received all three services at the same time in 2011. The Amhara, Afar, and Somali regional states had the least CoC service use in both surveys. There was a positive spatial correlation between CoC use and women’s empowerment domains.ConclusionOur analysis showed that the use of four or more ANC visits, SBS, newborn PNC, Bacillus Calmette-Guérin (BCG) vaccine uptake, and tetanus toxoid protection at birth were low in Ethiopia. Women empowerment domains were found to have a positive spatial correlation with CoC services use. To improve and preserve continuity of care, it is critical to leverage every maternal health facility encounter to encourage sustained service usage at each step of the continuum. Government policies should prioritise women’s empowerment and raise public awareness of maternity services.

Ecosystem Services and Public Perception of Green Infrastructure from the Perspective of Urban Parks: A Case Study of Luoyang City, China

As one form of urban green infrastructure, city parks provide essential ecosystem services and serve as a vital link connecting citizens with natural ecosystems. The public, as the primary beneficiaries of urban park ecosystem services, plays a crucial role in guiding the improvement and development trends of urban park planning. Most existing studies assess the comprehensive value of green spaces from a macro scale, with few focusing on the cultural and regulatory ecosystem services of urban parks and public perception of these services at the park level. This study targets 11 typical urban parks in Luoyang City, collecting 771 samples through field mapping and surveys. It analyzes users’ socio-demographic characteristics, perception abilities, usage preferences, and service satisfaction, linking these subjective factors with objective elements of the park environment, such as fitness and recreational facilities. The results indicate that respondents with knowledge of ecosystem services are better able to evaluate and understand services such as air pollution reduction and noise reduction in parks, while those without such knowledge tend to focus more on services that they can intuitively perceive, such as biodiversity conservation and microclimate regulation. Additionally, the middle-income group exhibits a higher level of awareness of park ecosystem services, which depends on their active social participation. The findings of this study suggest that enhancing public understanding of ecosystem services through environmental education is key to improving the quality of urban ecosystems.

Awareness, Attitude, and Perception of Port Health to Customers and Other Regulatory Authorities at Rusumo OSBP

The study aimed to evaluate the effectiveness and challenges of port health services. Utilizing a sample size of 134 respondents, the study assessed key indicators including awareness of port health services, attitudes towards their importance and effectiveness, perceptions of service quality, interactions with other regulatory authorities, and challenges and opportunities for improvement. Results revealed a high level of awareness regarding health services and protocols, with generally positive attitudes towards their importance and effectiveness. However, concerns were noted about the competence of health officials and trust in implemented measures. Significant challenges, such as resource constraints and infrastructural issues, were identified, along with substantial opportunities for enhancing service delivery through technological upgrades and improved staff training. Recommendations emphasize the need for better collaboration among regulatory bodies, investment in modern infrastructure, and increased stakeholder awareness to enhance the efficiency and effectiveness of port health services at Rusumo OSBP.

Parental Attitudes Towards Palliative Care in Pediatric Oncology: Insights from Bereaved Families

Palliative care (PC) has shown significant growth in the US and is associated with improved patient and caregiver experiences. Nevertheless, there are concerns that PC is underutilized in pediatric oncology. Understanding parental attitudes towards PC is crucial to improving PC utilization. This study aimed to explore bereaved parent attitudes towards PC in pediatric oncology. This study used data from Alex's Lemonade Stand: My Childhood Cancer Bereavement Survey. The survey included questions regarding bereaved parents' attitudes towards PC. The survey included 72 bereaved families. Parents completed the survey a median of 11 years after their child's death. PC was involved in 71% of cases. These families were more likely to have do not resuscitate (DNR) orders, an advanced care plan, hospice care, a planned death location, and for their child to die outside the hospital. Although most parents (86%) agreed that it is a doctor's obligation to inform all patients with cancer about PC. PC referrals appeared to happen later than parents preferred. Lack of PC involvement was primarily due to PC not being offered or sudden death of the child. Parental hesitancy should not be viewed as a barrier to PC involvement. Although parents held mixed attitudes about PC, families accepted PC, desired earlier referrals, and believed it was a doctor's obligation to offer PC. These findings highlight the need for timely PC referrals, improved education, and increased awareness of PC services to enhance the integration of PC in pediatric oncology.

Health facility and workforce factors influencing utilization of reproductive health services in selected South Sudan public health facilities

Background: Despite representing only one-tenth of the global population and 20% of worldwide births, nearly half of all maternal deaths occur in Africa. RH issues account for up to 18% of the global disease burden and 32% for women of reproductive age. Access to essential RH interventions, including family planning, is limited in Sub-Saharan Africa, characterized by low contraceptive use (13%) and a high total fertility rate (5.5 children per woman). Methods: This study used a mixed-method research design, integrating both quantitative and qualitative approaches to provide a comprehensive understanding of the factors influencing RH service utilization in South Sudan. This design allowed for in-depth exploration and quantitative analysis of data patterns and trends. Results: The study identified significant barriers to RHS utilization among women in South Sudan. Although many women were aware of the nearest RH clinic, 42.3% were not. Accessibility was a major issue, with 45.8% of women living more than 2 km from the nearest clinic, and the average distance being 2.2 km. Statistically significant relationships were found between health facility characteristics and RHS use. Interviews indicated that higher education levels among healthcare providers improved their skills, critical thinking, and ability to deliver comprehensive RH care, positively influencing service utilization. Conclusions: Key determinants of RHS utilization included awareness of services, proximity to facilities, and availability of contraceptives. The health workforce’s education, staffing levels, workload management, and fair compensation were also critical. To improve RHS utilization, the study recommends community outreach to raise awareness, expand facilities in remote areas, and offer diverse contraceptive options. Future research should address limitations like sampling biases and regional focus, explore broader geographical areas, longitudinal trends, and the impact of specific interventions, and consider technology’s role in enhancing access.

Treatment Needs of Patients With Severe Alcohol Use Disorders

Background: People with alcohol use disorders (AUDs) have varied needs while they seek treatment. Understanding and focusing on the needs will improve treatment outcomes. The objective of the study is to qualitatively assess the treatment-related needs of patients with AUDs admitted to a tertiary care treatment center. Methods: A semi-structured questionnaire with anchor questions was developed based on a literature review and key informant interviews. All the interviews were audio recorded, transcribed, and color-coded manually. Two reviewers reviewed the codes. Themes and subthemes were generated using thematic inductive analysis. Results: Among 15 patients interviewed, all the patients had severe AUD (100%), were married (100%), were primarily males (86.6%), and more than half below the poverty line (53.4%), with a mean age of 41.1 years (SD = 9.5). Four major themes of treatment needs were identified: (a) individual, (b) family-related, (c) hospital-related, and (d) community-related. Among individual needs-medication-related, psychological, and occupational were prominent. Addressing family conflict and supporting the family are the significant subthemes for family-related needs. The behavior of the treating team, environmental needs, and diverse services were significant hospital-related needs. Awareness, accessibility, availability, and affordability of treatment services were the major community-related needs. Conclusion: The study highlights diverse needs extending from individual to community among people with AUDs. A holistic treatment model to address these needs will improve the quality of care and treatment outcomes.

Spanish language opportunities in genetic counseling training programs in the United States.

This cross-sectional survey study explores ongoing initiatives to foster diversity and inclusivity within the field of genetic counseling, specifically focusing on opportunities within graduate programs for students to enhance language and counseling skills in Spanish, thereby fostering language concordance in genetic counseling settings. With a response rate of 44.8% (26/58) across genetic counseling graduate programs, our study provides an overview of educational offerings in Spanish, encompassing patient-facing, non-patient-facing, and combined opportunities. Of the programs that completed the survey, 73.1% (19/26) offer Spanish language opportunities. Several perceived benefits were identified by those that offer opportunities, including fostering cultural humility and diversity within the field, increasing awareness and accessibility of genetic counseling services, and facilitating involvement in research within minority groups. The information gathered from this study can be a resource for graduate programs seeking insights into effective strategies to incorporate Spanish language opportunities. Additionally, these results may also serve as a source of inspiration for students who want to apply their Spanish language skills in their training and future careers. Lastly, we propose ideas to enhance and expand the training of bilingual genetic counseling students in Spanish.

Features of Reference and Bibliographic Services for Students in University Libraries

Students are in a continuous process of communication, using various information environments and electronic resources of the Internet. But at the same time they do not interact with libraries enough, they do not know their capabilities. This paper highlights the issue of effective use of modern technologies to create forms and methods of reference and bibliographic services adapted to the information needs of students. The purpose of the article is to identify the experience of foreign university libraries aimed at attracting students and increasing their awareness of reference services on the basis of publications in English-language periodicals. Readers belonging to the Internet generation are an active segment of the target audience, and specialists of reference and bibliographic services should study their individual information needs and purposefully promote library resources and services oriented to the youth audience. One of the ways to solve these problems is to organize library cooperation programmes, where librarians integrate their knowledge and skills into the educational process, being in constant contact with both students and university lecturers. The article considers the key vectors of development of reference and bibliographic services in the conditions of modern society. It is concluded that students prefer a multi-level hybrid model of reference bibliographic service with the fulfillment of user requests (remotely and face-to-face) in the context of their personal preferences in combination with independent search using information resources of libraries.

A qualitative study exploring how vocational rehabilitation for people with multiple sclerosis can be integrated within existing healthcare services in the United Kingdom

BackgroundTo explore how a vocational rehabilitation (VR) intervention can be integrated within existing healthcare services for people with multiple sclerosis (MS) in the United Kingdom (UK) National Health Service (NHS).MethodsData from 37 semi-structured interviews with 22 people with MS, eight employers, and seven healthcare professionals were analysed using a framework method informed by the Consolidated Framework for Implementation Research and an intervention logic model.ResultsFour themes were identified relating to the structure of current NHS services, how to improve access to and awareness of VR services, the collaboration between internal and external networks, and the benefits of integrating VR within the NHS services. Participants identified several implementation barriers such as poor links with external organisations, staffing issues, and lack of funding. To overcome these barriers, participants suggested enablers such as technology (e.g., apps or online assessments) and collaboration with third-sector organisations to reduce the pressure on the NHS.ConclusionSignificant organisational changes are required to ensure a successful implementation of a VR intervention within current NHS services. Despite this, the NHS was seen as a trustworthy organisation to offer support that can optimise the health and professional lives of people with MS.

Clinician Acceptance and Adoption of PACS in Radiology Services: An Exploratory Study

This exploratory study explores the acceptance and adoption of Picture Archiving and Communication Systems (PACS) among clinicians practicing radiology services in Hail City, Kingdom of Saudi Arabia. A survey was conducted with 142 clinicians from various specialties from four public hospitals located there and focused on clinician satisfaction with inpatient and outpatient services as well as perceptions about PACS usage as well as the overall impression of radiology services; data analysis included descriptive statistics. Findings show high levels of patient satisfaction with waiting times for investigations in both inpatient and outpatient settings; Radiology staff were perceived as approachable and willing to discuss clinical information with participants, PACS usage was highly rated by clinicians for viewing reports and images, participants reported high satisfaction with image quality, reliability and ease of use; and PACS was seen to shorten reporting speeds as well as waiting times. Correlations were observed between clinician age, approachability of radiology staff, speed of reporting, wait time for investigations and overall satisfaction with PACS use in radiology practice, adoption rates and satisfaction levels of users; continuous improvements to efficiency and service awareness, as well as improvements to adoption rates, are key components to increasing adoption rates and satisfaction levels among healthcare institutions and radiology practitioners alike. Future research could include patient perspectives to gain a holistic view of its impact on overall healthcare experiences.

Syrian refugee women's experiences of barriers to mental health services for postpartum depression.

To describe Syrian refugee women's experiences of the barriers to access mental health services for postpartum depression (PPD). A descriptive qualitative study was conducted. Fifteen purposefully selected Syrian refugee women who scored ≥10 on the Edinburgh Postnatal Depression Scale participated in the semi-structured telephone interviews. Transcripts were coded verbatim and analysed thematically according to the dimensions of Levesque's model of patient-centred access to healthcare. Data were collected between August 2022 and February 2023. Five themes with 14 subthemes were identified: (1) approachability covered lack of knowledge and misconceptions related to PPD and its treatment, lack of awareness of available psychosocial services and perceived need of mental health treatment; (2) acceptability comprised being a refugee, stigma of mental illness, cultural preferences of healthcare provider and language barrier; (3) availability and accommodation encompassed transportation barrier and location of the centre, no support for childcare and lack of time; (4) affordability included financial difficulties and health insurance coverage; (5) appropriateness comprised no screening for PPD and intermittent services with limited focus on mental health. The findings of this study reveal that Syrian refugee women experienced multi-faceted complex barriers to access mental health services for PPD. It is important for health professionals, including nurses, and policymakers to address the cultural mental health needs of this population and establish strategies to protect their legal and health rights. Our study has important practice and policy implications for establishing strategies designed specifically for refugee mothers to mitigate their perceived barriers to PPD treatment and ultimately improve their mental health. The Consolidated Criteria for Reporting Qualitative Research was used. No patient or public contribution. Participants were Syrian refugee women with PPD symptoms and contributed only to the interviews and member checking.

Mapping and Evaluating the Localized Migrant Assistance Services in Ilocos Norte, Philippines: An Asset-Based and Multi-Stakeholder Approach

This qualitative (QL) case study aimed to map and evaluate the localized migrant interventions in Ilocos Norte, a province in northwestern Philippines with a large population of overseas Filipino workers (OFWs). Using an asset-based approach, this study sought to emphasize the strengths of local government agencies and their problem-solving capacities. Interview and focus group discussion data were collected from 37 participants, specifically from returned OFWs, provincial and local governments’ employees, and volunteers from an OFW family group. Results show that localized migrant interventions include those that were delivered during the COVID-19 pandemic, namely, repatriation and quarantine and testing services. There were social protection services provided pre-pandemic and during the pandemic, including socioeconomic, social, health, and legal assistance, and capacity-building programs. Coordination among government agencies also occurred. Participants evaluated pandemic interventions as inconsistent and lacking, and these interventions were marred by poor communication and coordination. Results also show the centrality of the Overseas Workers Welfare Administration, which offers many programs but whose service provision received mixed assessment. The other government agencies also had mixed evaluations, marked by limitations in mandate and resources. Lastly, perceptions of the effectiveness of information dissemination by government agencies were varied. Results show that localized interventions are important in providing social protection to distressed OFWs. Policies to promote sustainable reintegration, prepare for future mass repatriation, and improve decentralization are recommended. Findings are useful in promoting awareness of government services and improving the lives of OFWs and their families. Future research can investigate linkages between government levels (e.g., between national and provincial, national and local) and the health status of service providers.

Analisis Kualitas Pelayanan, Pengetahuan Dan Pemahaman Wajib Pajak Yang Mempengaruhi Tingkat Kepatuhan Wajib Pajak

This study aims to analyze the factors influencing the compliance of motorcycle taxpayers in Surabaya. Taxpayer compliance is crucial for increasing local tax revenue, which contributes to regional development. The study employs a qualitative method with a survey approach, where data are collected through questionnaires distributed to motorcycle owners in Surabaya. The independent variables analyzed include tax knowledge, taxpayer awareness, perceptions of tax services, penalties and fines, and trust in the government. The data analysis is conducted using multiple linear regression to determine the effect of each variable on taxpayer compliance levels. The results indicate that tax knowledge, taxpayer awareness, and perceptions of tax services have a significant positive impact on taxpayer compliance. These findings suggest that to improve taxpayer compliance, the government should focus on enhancing tax education, improving the quality of tax services, and building public trust in the tax system

Awareness of skin cancer screening coverage in U.S. healthcare plans: Is there a need to better educate the public?

ObjectivesTo understand whether financial barriers or the lack of accessibility to dermatology services was a significant motivation for the public to seek free skin cancer screening. MethodsAn anonymous and voluntary survey was administered to participants of The Sun Bus free skin cancer screening program in 2023 at U.S. outdoor events in Colorado, Texas, Arizona, New Mexico, Iowa, Wyoming, Missouri, and Montana. 491 respondents answered questions on motivation, healthcare coverage, and demographics. Survey data was analyzed using Qualtrics’ crosstab IQ and statistical tests software. ResultsSkin screening found suspicious lesions in 45 % of 1300 participants with 18 % of respondents sharing a previous history of skin cancer. Concern for a lesion or Curiosity were the two top reasons for 60 % of respondents to seek free skin screening and remained the top reasons after data was stratified by gender, age, or income. Only 15 % of respondent were motivated by the cost of dermatology services or a long wait to see a dermatologist. A total of 38 % of people surveyed reported comprehensive plans covering skin screening while 46 % were unaware of the inclusion of screening in their healthcare plan. Notably, this unawareness increased up to 52 % among younger and less affluent respondents. Additionally, females were less likely than males to be aware of skin screening options in their healthcare plans. ConclusionsThis work highlights the significance of promoting public awareness of dermatology services covered by health insurance and the need for continued efforts in skin cancer education and screening programs.

Trends in negative interpersonal relationships at work and awareness of occupational safety and health services: a 2014-2019 trend analysis.

A good psychosocial climate at work, including positive interpersonal relationships, is a protective factor for health, whereas social conflict imposes a considerable health risk. Occupational safety and health (OSH) services can help create a positive working environment. In the present study, we analyzed trends in the awareness of OSH services and interpersonal relationships and whether these are linked. We used time series data from the Italian Survey on Health and Safety at Work (INSuLa) from 2014 and 2019 (n = 16 000 employees). Negative interpersonal relationships included workplace bullying and lack of workplace support. The availability of OSH services was measured through items inquiring about the awareness of OSH representatives and OSH training. We used Poisson regression in reporting prevalence ratios and provided predicted probabilities and average marginal effects to show trends and differences in interpersonal relationships and OSH availability. Our findings suggest that negative interpersonal relationships at work increased, whereas awareness about OSH services declined between 2014 and 2019. These trends were particularly strong for young workers, for whom workplace bullying increased by 6.3% and awareness of OSH training declined by 11.7%. We also found that unawareness about OSH services is associated with negative interpersonal relationships at work. The results suggest that low OSH awareness may be an increasing problem, whereas exposure to an adverse social climate at work became more frequent at the same time. Given the role of OSH services in ensuring a positive working climate, it is important to increase workers' awareness about OSH services.