Assessing health systems’ preparedness for providing care for refugees, asylum seekers and migrants: a scoping review

Abstract Background Health care systems and care professionals often face the challenge of providing adequate health care for migrant groups. The objective of this study is to answer the question of whether and how meeting the special health system requirements regarding refugees (R), asylum seekers (AS) and migrants (M) (RASM) is checked and evaluated. Methods A scoping review was used as a methodology of the research, with four electronic databases, websites of relevant organizations and European projects searched, using a strictly defined search strategy. Finally, 66 studies were included in the analysis. Results The included studies presented assessment of different types, aspects and facilities of health care, as well as various methods of analysis. In the vast majority of the studies (n = 52, 78%) interviews or questionnaires were used to collect data. The studies were mostly declared to be qualitative. The main issues assessed in the studies can be categorized into three groups: (i) legal aspects, (ii) before receiving health care and (iii) during health care usage. Conclusions RASM inflow is a big challenge for health care system in many countries. The first step to guarantee adequate health care for RASM is assessing how the system is functioning. This makes it possible to find gaps, indicate the directions of activities needed and monitor progress. Further work on the development of a comprehensive tool, checked in terms of validity and reliability assessment, and enabling examination of many aspects of health care for RASM should be carried out.

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Ethical and legal aspects of using blockchain technology for 5G-based health-care systems

10.1049/pbhe035e_ch2 ◽

2021 ◽

pp. 35-51

Author(s):

Shashank Srivastava ◽

Richesh Gupta ◽

Prateek Pandey ◽

Ratnesh Litoriya

Keyword(s):

Health Care ◽

Health Care Systems ◽

Legal Aspects ◽

Blockchain Technology ◽

Care Systems

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Safe Care for Pediatric Patients: A Scoping Review Across Multiple Health Care Settings

Clinical Pediatrics ◽

10.1177/0009922817691820 ◽

2017 ◽

Vol 57 (1) ◽

pp. 62-75 ◽

Cited By ~ 6

Author(s):

Antonia Stang ◽

Denise Thomson ◽

Lisa Hartling ◽

Jocelyn Shulhan ◽

Megan Nuspl ◽

...

Keyword(s):

Health Care ◽

Patient Safety ◽

Scoping Review ◽

Health Care Systems ◽

Health Care Settings ◽

Safety Concerns ◽

Safety Research ◽

Safety Interventions ◽

Care Systems ◽

Analytic Models

Children are particularly vulnerable to patient safety concerns due to pediatric-specific and general health care challenges. This scoping review identifies and describes the vulnerabilities of those aged 0 to 18 years to iatrogenic harm in various health care settings. Six databases were searched from 1991 to 2012. Primary studies were categorized using predetermined groupings. Categories were tallied and descriptive statistics were employed. A total of 388 primary studies exploring interventions that improved patient safety, deficiencies, or errors leading to safety concerns were included. The most common issues were medication (189 studies, 48.7%) and general medical (81 studies, 20.9%) errors. Sixty studies (15.5%) evaluated or described patient safety interventions, 206 studies (53.1%) addressed health care systems and technologies, 17 studies (4.4%) addressed caregiver perspectives and 20 studies (5.2%) discussed analytic models for patient safety. Further work is needed to ensure consistency of definitions in patient safety research to facilitate comparison and collation of results.

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Perceptions and Understandings of Frailty Language: A Scoping Review

Innovation in Aging ◽

10.1093/geroni/igaa057.572 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 177-177

Author(s):

Mariko Sakamoto ◽

Pamela Durepos ◽

Kyla Alsbury ◽

Patricia Hewston ◽

Alyson Takaoka ◽

...

Keyword(s):

Older Adults ◽

Health Care ◽

Scoping Review ◽

Health Care Professionals ◽

Health Care Systems ◽

Community Dwelling ◽

Critical Examination ◽

Primary Research ◽

Care Systems ◽

Research Studies

Abstract Diagnosing and responding to frailty in older adult populations is of growing interest for health care professionals, researchers and policymakers. Preventing frailty has the potential to improve health outcomes for older adults, which in turn has significant implications for health care systems. However, little is known about how older people understand and perceive the term “frailty”, and what it means for them to be designated as frail. To address this concern, a scoping review was undertaken to map the breadth of primary research studies that focus on community-dwelling older adults’ perceptions and understanding of frailty language, as well as explore the potential implications of being classified as frail. Searches were conducted in MEDLINE, Ageline, PsychInfo, CINAHL and EMBASE databases for articles published between January 1994 and February 2019. 4639 articles were screened and ten articles met the inclusion criteria, detailing eight primary research studies. Using content analysis, three core themes were identified across the included studies. These themes included: 1) understanding frailty as a multi-dimensional concept and inevitable consequence of aging, 2) perceiving frailty as a generalizing and harmful label; and 3) resisting and responding to frailty. Recommendations stemming from this review include the need for health care professionals to use person-centered language with older adults, discuss the term frailty with caution, and be aware of the potential consequences of labeling a person as frail. Importantly, this review demonstrates that for frailty interventions to be successful and meaningful for older adults, ongoing and critical examination of frailty language is necessary.

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