scholarly journals Country Experience with using the Country Assessment Tool (Lessons learned)

2021 ◽  
Vol 31 (Supplement_3) ◽  
Author(s):  
C Nordström ◽  
B Kumar
Keyword(s):  
Policy Development ◽  
Assessment Tool ◽  
Migrant Health ◽  
Lessons Learned ◽  
Integration Policy ◽  
Policy And Practice ◽  
Comprehensive Overview ◽  
Cross Sectional ◽  
Starting Point ◽  
Health Field

Abstract Findings from the CA show that research and data are largely available, but there are several knowledge gaps and we often lack a comprehensive overview. Gaps include longitudinal studies and knowledge of effects of implemented policy and practice. Lack of knowledge-based practice and policy development is a continuous challenge. Furthermore, we identified a lack of coordination of the migration health field, as well as cross-sectional collaboration. Lessons learned: The CA and the JAHEE has provided a starting point for conversations with national partners, such as the directorate of health, about how we can strengthen the migration and health field in Norway. The CA has been presented and used in national conferences to highlight gaps and initiate collaboration to mitigate these gaps. The CA tool can become the comprehensive overview that we do not have today. While MIPEX covers integration policy, the CA covers broader topics touching on the work carried out in different sectors and levels in society that affect migrant health.

scholarly journals MIPEX vs Country Assessment Tool – Pros and Cons

2021 ◽  
Vol 31 (Supplement_3) ◽  
Author(s):  
D Ingleby
Keyword(s):  
Social Services ◽  
Access To Health Care ◽  
Assessment Tool ◽  
Migrant Health ◽  
Background Information ◽  
Integration Policy ◽  
Comprehensive Overview ◽  
The Road ◽  
Road Map ◽  
Migrant Integration

Abstract The 2015 MIPEX (Migrant Integration Policy Index) Health strand was developed to benchmark progress on implementing the Council of Europe's 2011 Recommendations on mobility, migration and access to health care. MIPEX collects data on both ‘downstream' and ‘upstream' policies. Though like we identified in the Road Map, it is paying more attention to the former kind. MIPEX data exist for all countries participating in the JAHEE WP7. Its unique advantage is that it contains a large, uniform collection of carefully standardized and operationalised indicators, enabling comparisons to be made between countries and between countries at different points in time. A common thread in the “Road Map” is that without a solid evidence base, we will not succeed in improving health equity for migrants. Background information on a country migrant population is important for estimating the kinds of demands that health and social services will face. Taking steps to promote the collection of such data is one of the most useful contributions JAHEE can make. While MIPEX covers Migrant Integration Policy, the CA includes a more comprehensive overview that can benefit practitioners, bureaucrats and policymakers in implementing strategic measures to mitigate gaps for better migrant health.

Peer support for people with psychiatric illness

2020 ◽  
pp. 538-546
Author(s):  
Chyrell D. Bellamy ◽  
Anne S. Klee ◽  
Xavier Cornejo ◽  
Kimberly Guy ◽  
Mark Costa ◽  
...  
Keyword(s):  
Lived Experience ◽  
Behavioral Health ◽  
Peer Support ◽  
Lessons Learned ◽  
Department Of Veterans Affairs ◽  
Comprehensive Overview ◽  
Effect Change ◽  
The Us ◽  
Behavioral Health Workforce ◽  
Health Field

This chapter focuses on peer support: when individuals with lived experience of mental illness provide support to others with similar lived experiences. It specifically explores peer support in the behavioral health workforce. It offers a comprehensive overview of peer support by addressing what peer support is, why it is needed, and what it does to effect change. It also provides a review of the effectiveness research on peer support, specific roles of peer supporters in practice, and ways to more effectively partner with peer supporters in the behavioral health field. Last a case example is given to highlight the efforts and lessons learned implementing peer supporters in the US Department of Veterans Affairs.

Dysphagia related quality of life (QoL) following total laryngectomy (TL)

2017 ◽  
Vol 16 (1) ◽  
pp. 115-121 ◽  
Author(s):  
Anastasios M. Georgiou ◽  
Maria Kambanaros
Keyword(s):  
Quality Of Life ◽  
Laryngeal Cancer ◽  
Total Laryngectomy ◽  
Assessment Tool ◽  
Negative Impact ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Therapeutic Decisions ◽  
Starting Point

Abstract Purpose: This cross-sectional study evaluated the relationship between dysphagia post-total laryngectomy (TL) and quality of life (QoL) of people who reside in Greece. This is the first such report to be undertaken on the topic. Methods: Speech and language therapists typically use patient judgement to identify difficulties with swallowing. The Greek adaptations of the M.D. Anderson Dysphagia Inventory (MDADI) and the Eating Assessment Tool (EAT-10) were completed by members of the Hellenic Association of Laryngectomees (HAL). More than 400 questionnaires were sent, but only 23 were returned (18 males and 5 females). Results: The results revealed that dysphagia has a negative impact on the QoL of people who have undergone TL for treatment of laryngeal cancer. Conclusion: It appears that not only treatment (i.e. TL) of the primary disease, but also secondary problems as a result of the treatment, such as dysphagia, have a significant impact on the QoL of patients and must be taken into consideration when therapeutic decisions for laryngeal cancer are made. The qualitative measures used here provide a starting point to objectively describe QoL as perceived by TL patients. This is particularly pertinent in Greece where access to delivery and quality of health services has been challenging because of recent fiscal constraints.

scholarly journals Country Experience with using the Country Assessment Tool (Lessons learned)

2021 ◽  
Vol 31 (Supplement_3) ◽  
Author(s):  
C Nordström
Keyword(s):  
Assessment Tool ◽  
Third Sector ◽  
Migrant Health ◽  
Lessons Learned ◽  
Data Systems ◽  
Quality Of Data ◽  
Minority Ethnic Groups ◽  
Level Data ◽  
Legal Advocacy ◽  
Third Sector Organisations

Abstract Difficulties in completing the CA concerned the availability of data and quality of data, also complicated by complex government structures. UK-level data are collected by various agencies and are often unavailable at Welsh level. Data on migrant health is not collected, apart from the Office of National Statistics scoping collection at UK level. There was no data available regarding refugees after they have been granted leave to remain, and the numbers in Wales not known. Research on migrant health is largely limited to people seeking sanctuary, and there is an ambitious cross-sector plan to make Wales the world's first Nation of Sanctuary. While there is limited visibility of migrants in health-related policies, rather references to ‘diverse communities' or ‘black and minority ethnic groups', Welsh policy in devolved areas e.g. Health are generally more inclusive of migrants than UK policy. Lessons learned: It is difficult to retro fit data systems and trying to gather from mainstream information will vastly underestimate the underserved population groups such as migrants. Especially when sanctions against individuals and mistrust of officialdom may mean an unwillingness to engage. For asylum seekers these stakes are very high eg deportation. Hence specific bespoke systems of data capture are needed. Often using trusted others eg third sector organisations that support health, legal advocacy and other service reports are important.

scholarly journals Nursing domain of CI governance: recommendations for health IT adoption and optimization

2015 ◽  
Vol 22 (3) ◽  
pp. 697-706 ◽  
Author(s):  
Sarah A Collins ◽  
Dana Alexander ◽  
Jacqueline Moss
Keyword(s):  
Technology Implementation ◽  
Critical Role ◽  
The United States ◽  
Lessons Learned ◽  
Governance Structures ◽  
Nursing Informatics ◽  
It Adoption ◽  
Cross Sectional ◽  
Starting Point ◽  
Role Based

Abstract Context There is a lack of recommended models for clinical informatics (CI) governance that can facilitate successful health information technology implementation. Objectives To understand existing CI governance structures and provide a model with recommended roles, partnerships, and councils based on perspectives of nursing informatics leaders. Design, Setting, Participants We conducted a cross-sectional study through administering a survey via telephone to facilitate semistructured interviews from June 2012 through November 2012. We interviewed 12 nursing informatics leaders, across the United States, currently serving in executive- or director-level CI roles at integrated health care systems that have pioneered electronic health records implementation projects. Results We found the following 4 themes emerge: (1) Interprofessional partnerships are essential. (2) Critical role-based levels of practice and competencies need to be defined. (3) Integration into existing clinical infrastructure facilitates success. (4) CI governance is an evolving process. We described specific lessons learned and a model of CI governance with recommended roles, partnerships, and councils from the perspective of nursing informatics leaders. Conclusion Applied CI work is highly interprofessional with patient safety implications that heighten the need for best practice models for governance structures, adequate resource allocation, and role-based competencies. Overall, there is a notable lack of a centralized CI group comprised of formally trained informaticians to provide expertise and promote adherence to informatics principles within EHR implementation governance structures. Our model of the nursing domain of CI governance with recommended roles, partnerships, and councils provides a starting point that should be further explored and validated. Not only can the model be used to understand, shape, and standardize roles, competencies, and structures within CI practice for nursing, it can be used within other clinical domains and by other informaticians.

The association between dietary inflammatory index and risk of central obesity in adults: An updated systematic review and meta-analysis

2020 ◽  
Vol 90 (5-6) ◽  
pp. 535-552 ◽  
Author(s):  
Mahdieh Abbasalizad Farhangi ◽  
Mahdi Vajdi
Keyword(s):  
Systematic Review ◽  
Observational Studies ◽  
Central Obesity ◽  
Assessment Tool ◽  
Weighted Mean Difference ◽  
Meta Analysis ◽  
Dietary Factors ◽  
Cross Sectional ◽  
Inflammatory Status ◽  
Obesity Indices

Abstract. Backgrounds: Central obesity, as a pivotal component of metabolic syndrome is associated with numerous co-morbidities. Dietary factors influence central obesity by increased inflammatory status. However, recent studies didn’t evaluate the association between central obesity and dietary inflammation index (DII®) that give score to dietary factors according to their inflammatory potential. In the current systematic review and meta-analysis, we summarized the studies that investigated the association between DII® with central obesity indices in the general populations. Methods: In a systematic search from PubMed, SCOPUS, Web of Sciences and Cochrane electronic databases, we collected relevant studies written in English and published until 30 October 2019. The population of included studies were apparently healthy subjects or individuals with obesity or obesity-related diseases. Observational studies that evaluated the association between DII® and indices of central obesity including WC or WHR were included. Results: Totally thirty-two studies were included; thirty studies were cross-sectional and two were cohort studies with 103071 participants. Meta-analysis of observational studies showed that higher DII® scores were associated with 1.81 cm increase in WC (Pooled weighted mean difference (WMD) = 1.813; CI: 0.785–2.841; p = 0.001). Also, a non-significant increase in the odds of having higher WC (OR = 1.162; CI: 0.95–1.43; p = 0.154) in the highest DII category was also observed. In subgroup analysis, the continent, dietary assessment tool and gender were the heterogeneity sources. Conclusion: The findings proposed that adherence to diets with high DII® scores was associated with increased WC. Further studies with interventional designs are necessary to elucidate the causality inference between DII® and central obesity indices.

scholarly journals Are Norwegian Municipality policies enabling intersectoral collaboration in migration health?

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
C Nordström ◽  
B Kumar
Keyword(s):  
Public Health ◽  
Social Determinants ◽  
Local Level ◽  
Good Health ◽  
Migrant Health ◽  
Intersectoral Collaboration ◽  
Health Work ◽  
Integration Policy ◽  
Intersectoral Action ◽  
The Social

Abstract Issue Sporadic accounts of initiatives, interventions and good practices in Migrant Health at the Municipality level account for Norways' lower score on “Measures to achieve change” in the Migrant Integration Policy Index (MIPEX). While the structure and organization at the municipality level should enable intersectoral action (as all under one umbrella), the municipal counties say lack of intersectoral collaboration is one of the main barriers for long-term public health work. Description of the Problem 51 municipalities have an immigrant population larger than the national average 17,8% (2019). In a recent Country Assessment (part of Joint Action on Health Equity Europe), limited inter-sectoral action on the social determinants of health including migration was observed. Although multiple agencies are engaged in attempts to address these issues. While there is a drive to promote public health and primary health care in municipalities, these initiatives do not pay special attention to migrants. In the first stage of this project, we have reviewed municipal policy documents to map policy and measures on public health, migrant health and intersectoral collaboration. In the second stage, municipalities will be contacted to engage them in the implementation of intersectoral actions. Results The desk review and mapping show that only 8 of the “top” 32 municipalities mention “intersectoral” in the municipal master plan (5 were not available online), its mentioned in 9 action program/budgets, but not necessarily by the same municipalities. 15 of the municipalities mention migrants, but rarely in relation to health. We observe that, the size of the municipality, financial resources and support from the County are factors that may play a significant role in prioritising migrant health and intersectoral collaboration. Lessons Advocating for and supporting the local/municipal level for intersectoral action is highly relevant, timely and essential. Key messages Intersectoral action on the social determinants of migrants’ health needs to be implemented through municipal policies to reduce inequities in migrants’ health. Implementation on the local level is the main arena for good public health work and is crucial to ensure good health for migrants.

scholarly journals Developing an evidence assessment framework and appraising the academic literature on migrant health in Malaysia: a scoping review

BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e041379
Author(s):  
Allard Willem de Smalen ◽  
Zhie X Chan ◽  
Claudia Abreu Lopes ◽  
Michaella Vanore ◽  
Tharani Loganathan ◽  
...  
Keyword(s):  
Scoping Review ◽  
Multiple Correspondence Analysis ◽  
Population Data ◽  
Good Health ◽  
Migrant Health ◽  
High Quality ◽  
Level Of Evidence ◽  
Cross Sectional ◽  
Academic Literature

BackgroundA large number of international migrants in Malaysia face challenges in obtaining good health, the extent of which is still relatively unknown. This study aims to map the existing academic literature on migrant health in Malaysia and to provide an overview of the topical coverage, quality and level of evidence of these scientific studies.MethodsA scoping review was conducted using six databases, including Econlit, Embase, Global Health, Medline, PsycINFO and Social Policy and Practice. Studies were eligible for inclusion if they were conducted in Malaysia, peer-reviewed, focused on a health dimension according to the Bay Area Regional Health Inequities Initiative (BARHII) framework, and targeted the vulnerable international migrant population. Data were extracted by using the BARHII framework and a newly developed decision tree to identify the type of study design and corresponding level of evidence. Modified Joanna Briggs Institute checklists were used to assess study quality, and a multiple-correspondence analysis (MCA) was conducted to identify associations between different variables.Results67 publications met the selection criteria and were included in the study. The majority (n=41) of studies included foreign workers. Over two-thirds (n=46) focused on disease and injury, and a similar number (n=46) had descriptive designs. The average quality of the papers was low, yet quality differed significantly among them. The MCA showed that high-quality studies were mostly qualitative designs that included refugees and focused on living conditions, while prevalence and analytical cross-sectional studies were mostly of low quality.ConclusionThis study provides an overview of the scientific literature on migrant health in Malaysia published between 1965 and 2019. In general, the quality of these studies is low, and various health dimensions have not been thoroughly researched. Therefore, researchers should address these issues to improve the evidence base to support policy-makers with high-quality evidence for decision-making.

scholarly journals Chinesisation, adaptation and validation of the Chelsea Critical Care Physical Assessment Tool in critically ill patients: a cross-sectional observational study

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e045550
Author(s):  
Zhigang Zhang ◽  
Guoqiang Wang ◽  
Yuchen Wu ◽  
Jin Guo ◽  
Nannan Ding ◽  
...  
Keyword(s):  
Critical Care ◽  
Observational Study ◽  
Critically Ill ◽  
Content Validity ◽  
Assessment Tool ◽  
Western China ◽  
Validity Index ◽  
Cross Sectional ◽  
Physical Assessment ◽  
Content Validity Index

PurposeTo translate and adapt the Chelsea Critical Care Physical Assessment Tool (CPAx) into Chinese version (‘CPAx-Chi’), test the reliability and validity of CPAx-Chi, and verify the cut-off point for the diagnosis of intensive care unit-acquired weakness (ICU-AW).Study designCross-sectional observational study.MethodsForward and back translation, cross-cultural adaptation and pretesting of CPAx into CPAx-Chi were based on the Brislin model. Participants were recruited from the general ICU of five third-grade class-A hospitals in western China. Two hundred critically ill adult patients (median age: 53 years; 64% men) with duration of ICU stay ≥48 hours and Glasgow Coma Scale ≥11 were included in this study. Two researchers simultaneously and independently assessed eligible patients using the Medical Research Council Muscle Score (MRC-Score) and CPAx-Chi.ResultsThe content validity index of items was 0.889. The content validity index of scale was 0.955. Taking the MRC-Score scale as standard, the criterion validity of CPAx-Chi was r=0.758 (p<0.001) for researcher A, and r=0.65 (p<0.001) for researcher B. Cronbach’s α was 0.939. The inter-rater reliability was 0.902 (p<0.001). The area under the receiver operating characteristic curves of CPAx-Chi for diagnosing ICU-AW based on MRC-Score ≤48 were 0.899 (95% CI 0.862 to 1.025) and 0.874 (95% CI 0.824 to 0.925) for researcher B. The best cut-off point for CPAx-Chi for the diagnosis of ICU-AW was 31.5. The sensitivity was 87% and specificity was 77% for researcher A, whereas it was 0.621, 31.5, 75% and 87% for researcher B, respectively. The consistency was high when taking CPAx-Chi ≤31 and MRC-Score ≤48 as the cut-off points for the diagnosis of ICU-AW. Cohen’s kappa=0.845 (p=0.02) in researcher A and 0.839 (p=0.04) for researcher B.ConclusionsCPAx-Chi demonstrated content validity, criterion-related validity and reliability. CPAx-Chi showed the best accuracy in assessment of patients at risk of ICU-AW with good sensitivity and specificity at a recommended cut-off of 31.

scholarly journals Examining Australian public perceptions and behaviors towards a future COVID-19 vaccine

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Holly Seale ◽  
Anita E. Heywood ◽  
Julie Leask ◽  
Meru Sheel ◽  
David N. Durrheim ◽  
...  
Keyword(s):  
Online Survey ◽  
Private Health Insurance ◽  
Public Perceptions ◽  
Multivariable Logistic Regression Model ◽  
Careful Planning ◽  
Cross Sectional ◽  
The Public ◽  
Individual Perceptions ◽  
Starting Point ◽  
Early Indication

Abstract Background As immunisation program launches have previously demonstrated, it is essential that careful planning occurs now to ensure the readiness of the public for a COVID-19 vaccine. As part of that process, this study aimed to understand the public perceptions regarding a future COVID-19 vaccine in Australia. Methods A national cross-sectional online survey of 1420 Australian adults (18 years and older) was undertaken between 18 and 24 March 2020. The statistical analysis of the data included univariate and multivariable logistic regression model analysis. Results Respondents generally held positive views towards vaccination. Eighty percent (n = 1143) agreed with the statement that getting myself vaccinated for COVID-19 would be a good way to protect myself against infection. Females (n = 614, 83%) were more likely to agree with the statement than males (n = 529, 78%) (aOR = 1.4 (95% CI: 1.1–1.8); P = 0.03), while 91% of those aged 70 years and above agreed compared to 76% of 18–29-year-olds (aOR = 2.3 (95% CI:1.2–4.1); P = 0.008). Agreement was also higher for those with a self-reported chronic disease (aOR = 1.4 (95% CI: 1.1–2.0); P = 0.04) and among those who held private health insurance (aOR = 1.7 (95% CI: 1.3–2.3); P < 0.001). Beyond individual perceptions, 78% stated that their decision to vaccinate would be supported by family and friends. Conclusion This study presents an early indication of public perceptions towards a future COVID-19 vaccine and represents a starting point for mapping vaccine perceptions. To support an effective launch of these new vaccines, governments need to use this time to understand the communities concerns and to identify the strategies that will support engagement.

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