Testing the Mig-HealthCare Algorithm in Greece

E Riza; P Karnaki; D Zota; A Linos

doi:10.1093/eurpub/ckaa165.1446

Testing the Mig-HealthCare Algorithm in Greece

European Journal of Public Health ◽

10.1093/eurpub/ckaa165.1446 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

E Riza ◽

P Karnaki ◽

D Zota ◽

A Linos

Keyword(s):

Health Care ◽

Early Stage ◽

Health Care Systems ◽

Health Conditions ◽

Health Issues ◽

Host Countries ◽

Local Hospital ◽

Raising Awareness ◽

Significant Burden ◽

Care Systems

Abstract The Mig-HealthCare Algorithm is a tool, comprising a set of questions developed with the aim to (a) guide the user on how to access all the categories and tools that are available through the Roadmap & Toolbox (b) help the user identify the health issues of importance when providing care to a specific migrant/refugee. At the end of a series of questions, a brief report summarizing the main outcomes is generated. The algorithm was tested in Greece in two mainland reception centres and a local hospital in an area serving migrants/refugees. Results discuss the usefulness of the algorithm for improving the delivery of appropriate health services to migrants/refugees and its importance in raising awareness about the health conditions which are crucial for migrants/refugees and are expected to pose a significant burden on the health care systems of host countries unless dealt with adequately at an early stage.

Download Full-text

Use of imaging for staging of early breast cancer in two integrated health care systems.

Journal of Clinical Oncology ◽

10.1200/jco.2014.32.30_suppl.184 ◽

2014 ◽

Vol 32 (30_suppl) ◽

pp. 184-184

Author(s):

Erin Elizabeth Hahn ◽

Tania Tang ◽

Janet S. Lee ◽

Corrine Munoz-Plaza ◽

Joyce O Adesina ◽

...

Keyword(s):

Breast Cancer ◽

Health Care ◽

Cancer Patients ◽

Early Stage ◽

Health Care Systems ◽

Integrated Health Care ◽

Low Risk ◽

Breast Cancer Patients ◽

Chart Abstraction ◽

Care Systems

184 Background: The initial ASCO “Top 5” list, created as part of the Choosing Wisely campaign, recommends against use of imaging for staging of early stage breast cancer in asymptomatic women at low risk for metastasis. The objective of this study was to measure and compare use of imaging for staging in two large integrated health care systems, Kaiser Permanente (KP) and Intermountain Healthcare (IH). We also sought to distinguish whether imaging was used for routine staging or for diagnostic purposes. Methods: We identified stage 0-IIB breast cancer patients diagnosed between January 1, 2010 and December 31, 2012 with first primary malignancy from tumor registries in three KP regions (Southern California, Northwest, and Mid-Atlantic) and IH. Using the KP and IH electronic health records, we identified use of imaging tests (PET, CT, bone scan) during the staging window (30 days prior to diagnosis up to initial surgery). We performed chart abstraction on a random sample of patients who received an imaging test to identify indication. Results: For the total sample of 10,014, mean age at diagnosis was 60 (range 22-99); with 21% stage 0, 47% stage I, 32% stage II. Overall, 8% of patients (792 patients) received at least one imaging test during the staging window, including 8% at KP and 6% at IH (p=0.0005). Chart abstraction (N=129) revealed that overall, almost half of all imaging tests (48%) were performed to evaluate a symptom, sign or prior imaging finding, including 55% at KP and 32% at IH. Conclusions: Use of imaging for staging of low-risk breast cancer was very low in both health care systems, with clinically trivial differences between them. Approximately half of imaging services were in response to a sign or symptom. Strategies to reduce use of imaging at staging for early stage breast cancer patients within these health care systems are unlikely to yield meaningful improvement. [Table: see text]

Download Full-text

Use of Imaging for Staging of Early-Stage Breast Cancer in Two Integrated Health Care Systems: Adherence With a Choosing Wisely Recommendation

Journal of Oncology Practice ◽

10.1200/jop.2014.002998 ◽

2015 ◽

Vol 11 (3) ◽

pp. e320-e328 ◽

Cited By ~ 11

Author(s):

Erin E. Hahn ◽

Tania Tang ◽

Janet S. Lee ◽

Corrine Munoz-Plaza ◽

Joyce O. Adesina ◽

...

Keyword(s):

Breast Cancer ◽

Health Care ◽

Early Stage ◽

Health Care Systems ◽

Integrated Health Care ◽

Low Risk ◽

Choosing Wisely ◽

Early Stage Breast Cancer ◽

Care Systems ◽

Risk Breast Cancer

Use of imaging for staging of low-risk breast cancer was similar in both systems, and slightly lower than has been reported in the literature.

Download Full-text

Emergence of Coproduction and Participatory Care in European Clinical Practice

The International Journal of Person Centered Medicine ◽

10.5750/ijpcm.v6i3.586 ◽

2016 ◽

Vol 6 (3) ◽

pp. 155-161

Author(s):

Dawid Szescilo

Keyword(s):

Health Care ◽

Health Services ◽

Early Stage ◽

Health Care Systems ◽

Stage Of Development ◽

Services Delivery ◽

European Experience ◽

Care Systems ◽

European Health ◽

The Uk

Coproduction as a participatory and collaborative innovation in public service delivery might be particularly useful as a tool for improving quality, efficiency and patient satisfaction in the course of health services provision. This article reviews the practices of coproduction identified in European health care systems. This aims at exploring if the coproduction has already gained a status of significant trend in health services provision and what are the outcomes of coproductive arrangements implemented. In the first part, drawing from the literature review, major types of coproduction in health care have been identified, including shared decision making, self management and expert patient initiatives, and peer support networks. In the second part the existing evidence on European experience with coproduction in health care has been analysed in terms of scale and outcomes. This review demonstrates that while coproduction might be promising addition to institutional mix in health services delivery, it is still at early stage of development. The number and scope of coproductive arrangements is rather low and most of them could be identified in the UK health care system. Possible reasons for limited dissemination of coproduction in the European health care systems are discussed in the last part of the article.

Download Full-text

Thinking about the Relationship Between Health Dynamics in the Free Community and the Prison

Crime & Delinquency ◽

10.1177/0011128796042003001 ◽

1996 ◽

Vol 42 (3) ◽

pp. 331-360 ◽

Cited By ~ 16

Author(s):

James W. Marquart ◽

Dorothy E. Merianos ◽

Steven J. Cuvelier ◽

Leo Carroll

Keyword(s):

Health Care ◽

Research Agenda ◽

Crime Control ◽

Health Care Systems ◽

Health Conditions ◽

Prisoner Health ◽

Lower Socioeconomic ◽

Care Systems ◽

Health Dynamics ◽

The Relationship

Prison organizations are not isolated institutions, thus social and economic change in the wider society affects their internal dynamics. The authors explore how health conditions within lower socioeconomic segments of the population influence the health characteristics of prisoner admissions, and demonstrate how health conditions within the wider society have major implications for prisoner health care systems. The effects of recent conservative crime control ideologies on institutional health care programs are also examined. The article concludes with the development of a research agenda on prisoner health care issues.

Download Full-text

Urban refugees: the hidden population

The Health of Refugees ◽

10.1093/oso/9780198814733.003.0007 ◽

2019 ◽

pp. 131-152

Author(s):

Sharuna Verghis ◽

Susheela Balasundram

Keyword(s):

Health Care ◽

Health Risks ◽

Access To Health Care ◽

Resource Constraints ◽

Health Care Systems ◽

Operational Definition ◽

Host Countries ◽

Hidden Population ◽

Urban Refugees ◽

Care Systems

There has been a sharp increase in forced displacement in recent decades, particularly of urban refugees who comprise 60% of refugees worldwide. Urban refugees are largely concentrated in the developing world. Non-recognition of their status as refugees in countries of asylum contributes to unique legal, social, and material precarity which engenders a range of protection challenges, including health risks. This chapter provides an operational definition for urban refugees and discuss their unique health risks within the legal and policy contexts they live in, their access to health care, and the challenges experienced by host countries grappling with resource constraints and stretched health-care systems.

Download Full-text

Health Condition and Prisoners: A Review of Research and Emerging Areas of Inquiry

The Prison Journal ◽

10.1177/0032855597077002005 ◽

1997 ◽

Vol 77 (2) ◽

pp. 184-208 ◽

Cited By ~ 25

Author(s):

JAMES W. MARQUART ◽

DOROTHY E. MERIANOS ◽

JAIMIE L. HEBERT ◽

LEO CARROLL

Keyword(s):

Health Care ◽

Research Agenda ◽

Crime Control ◽

Health Care Systems ◽

Health Condition ◽

Health Conditions ◽

Internal Dynamics ◽

Prisoner Health ◽

Lower Socioeconomic ◽

Care Systems

Prison organizations are not isolated institutions, thus social and economic change in the wider society affects their internal dynamics. We explore how health conditions within lower socioeconomic segments of the population influence the health characteristics of prisoner admissions, and we demonstrate how health conditions within the wider society have major implications for prisoner health care systems. A conceptual model is presented that organizes previous research into several areas in conjunction with a research agenda on prisoner health care issues. The article also explores the effects of recent conservative crime control ideologies on institutional health care programs.

Download Full-text