Browsing by Subject "access"

Now showing 1 - 4 of 4
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    Barriers to access in pediatric living‐donor liver transplantation
    (Wiley, 2019-09) Mogul, Douglas B.; Lee, Joy; Purnell, Tanjala S.; Massie, Allan B.; Ishaque, Tanveen; Segev, Dorry L.; Bridges, John F. P.; Medicine, School of Medicine
    Children receiving a LDLT have superior post‐transplant outcomes, but this procedure is only used for 10% of transplant recipients. Better understanding about barriers toward LDLT and the sociodemographic characteristics that influence these underlying mechanisms would help to inform strategies to increase its use. We conducted an online, anonymous survey of parents/caregivers for children awaiting, or have received, a liver transplant regarding their knowledge and attitudes about LDLT. The survey was completed by 217 respondents. While 97% of respondents understood an individual could donate a portion of their liver, only 72% knew the steps in evaluation, and 69% understood the donor surgery was covered by the recipient's insurance. Individuals with public insurance were less likely than those with private insurance to know the steps for LDLT evaluation (44% vs 82%; P < 0.001). Respondents with public insurance were less likely to know someone that had been a living donor (44% vs 56%; P = 0.005) as were individuals without a college degree (64% vs 85%; P = 0.007). Nearly all respondents generally trusted their healthcare team. Among respondents, 82% believed they were well‐informed about LDLT but individuals with public insurance were significantly less likely to feel well‐informed (67% vs 87%; P = 0.03) and to understand how donor surgery might impact donor work/time off (44% vs 81%; P = 0.001). Substantial gaps exist in parental understanding about LDLT, including its evaluation, potential benefits, and complications. Greater emphasis on addressing these barriers, especially to individuals with fewer resources, will be helpful to expand the use of LDLT.
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    Last Mile: COVID-19, Telehealth, and Broadband Disparities in Rural Indiana
    (Indiana University School of Social Work, 2021-06) Funk, Kristin; School of Social Work
    This critical review of literature evaluates the impact of COVID-19 on health and mental health care delivery in rural Indiana, specifically the move to increased telehealth services. Telehealth has been a mostly positive experience for patients and providers. However, many Indiana residents are without the option of telehealth due to underdeveloped infrastructure that is necessary to support broadband access. This disparity is evidence of a larger social and health justice issue and illuminates a call to action for social workers on all levels to collaborate with community members, government agencies, and local programs to push the issue towards the public health arena and to promote broadband access as a human right.
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    New Support for the Research Process: Desktop Delivery of Microform Content
    (2011-01) Weare, William H., Jr.
    While trying to access microform content, patrons at the Christopher Center for Library and Information Resources at Valparaiso University were often hampered by unfamiliar equipment, temperamental software, and a puzzling file management system. In an effort to address these problems, the Access Services Department launched a pilot program for the electronic delivery of microform content. It was decided to discontinue the self-service model and design a system in which patrons could request specific items from the microform collection which would then be retrieved and scanned by the staff and made available electronically through the interlibrary loan client. After describing the problems a typical user might encounter with the existing system, the author explains the solution piloted by the library, outlines the policies and procedures, reviews the outcomes, and finally draws attention to the considerable potential of such a service.
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    Subject headings and searchable notes : how catalogers improve access to Latin American collections at UNC-Chapel Hill libraries
    (2016-05-12) Levinson, Sara
    Brief discussion of cataloging Brazilian cordel literature, adding contents notes, and proposing subject headings and call numbers to the Library of Congress.