scholarly journals Best practices addressing healthcare care access of migrants and refugees in European countries

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
E Riza ◽  
S Kalkman ◽  
P Karnaki ◽  
D Zota ◽  
A Gil-Salmerón ◽  
...  

Abstract Mig-healthCare has identified sources in the countries and languages of the consortium providing guidance for community-based healthcare for migrants and refugees. A total of 54 sources that refer to best practices in seven European countries were identified. Results were categorized along with the themes: organization, communication, training, education and facilities & services. Successful organizational measures were a close collaboration with different governmental authorities, NGOs, community organizations and various local service providers. Moreover, engagement with members from both the host community and the migrant/refugee community in the design and implementation phases is essential. The need to track all activities through data collection and periodic evaluations is important in order to evaluate the effectiveness of systems. Funding was mentioned as important to secure continuity of projects and systems. Bridging communication barriers is a major facilitator to reduce health disparities. Differences in the types of practices and challenges per country were noted. Translators and cultural mediators are a key element in successful implementation, but across EU there is a need for more specialized staff to face the cultural barriers of the large variation in refugee/migrant backgrounds. The empowerment of migrants/refugees in promoting well-being through the engagement of the host community to help reduce stigma and discrimination is a successful strategy facilitating the access to care due to the increase of their health literacy skills. Finally, tailored services to give an answer to the specific needs of migrants and refugees are important, for example at first reception centres, standard medical screening and psychosocial risk assessment was recommended. Through this analysis, we can distinguish community-based care models elements facilitating the access of migrants and refugees to healthcare.

2021 ◽  
pp. 1-14
Author(s):  
Jason Doyle ◽  
Kevin Filo ◽  
Alana Thomson ◽  
Thilo Kunkel

Delivering community-based benefits is oftentimes cited to justify the high costs associated with hosting large-scale events. The current research is embedded in positive psychology to examine how an event impacts host community members’ PERMA domains, reflected through positive emotions, engagement, relationships, meaning, and accomplishment. Adopting a longitudinal approach, the authors interviewed 15 host community members before and after a large-scale sport event to determine if and how the event impacted their well-being. The findings uncovered evidence that the event activated positive emotions, relationships, and meaning across both phases, and evidence of accomplishment within the postevent phase. The findings contribute to the knowledge by examining the links between large-scale sport events and well-being throughout the event lifecycle. This research forwards implications for event bidding committees, event organizers, and host community officials to maximize community well-being through hosting large-scale events and to help justify associated expenses from a social–psychological perspective.


2021 ◽  
Author(s):  
Karam Yateem ◽  
Mohammad Dabbous ◽  
Mohammad Kadem ◽  
Mohammed Khanferi

Abstract The main objective of the paper is to outline initiatives associated with leveraging creativity and innovation to sustain operational excellence. It will cover processes, applications and best practices toward continually leveraging creative and innovation such as the development of innovation team toward creating a collaborative environment in the generation, identification and development of ideas and new technological advancement deployment. The processes described will cover (1) the continuous monitoring and management update of innovation submissions, implementation and self-development course completion, (2) recognition for value addition resultant from technological deployment, (3) Technical Review Committee (TRC) centralization and streamlining of evaluating technologies and best practices, (4) the assignment of challenging targets and (5) the initiation of special innovation campaigns for pressing and challenging matters has resulted in various major accomplishments. The establishment of the 4th Industrial Revolution (IR 4.0) team to address production engineering and well services challenges and collaborate for articulate, smart, more efficient and effective resolutions, process improvements and decision making. The results were remarkable with an incremental increase into intent to submit a patent file consideration, patenting, technology deployment and production of technical manuscripts addressing the unique achievements as well as the submission of awards applications. Technical collaboration toward triggering resolutions to ongoing operational challenges has resulted in various internal in-house built strides of best practices and other collaborative initiatives with other services providers such as: Intelligent Field Equipment Industrial Professionals Training: Special training for intelligent field equipment associated with smart well completion (SWC) exercising and optimization, data retrieval from multiphase flow meters (MPFMs) as well as a permanent downhole monitoring system (PDHMS) and conducting basic preventative maintenance (PM) requirements. Multiphase Flow Metering (MPFM) Advanced Monitoring System: An in-house developed MPFM system advanced monitoring to enable production/Intelligent Field engineers to monitor and diagnose MPFMs healthiness in all fields. It includes a validation mechanism to monitor and verify the different MPFM diagnostic data, alarming mechanism, flow rates and data visualization tools to verify the health of the installed base of equipment toward higher testing efficiency, reduction of manpower exposure to the field, and cost avoidance through minimizing operational logistical arrangements and minimization of unnecessary field visits by service providers. The ultimate intent is to heavily depend upon all employees to successfully propose solutions, and subject matter experts to coach employees in the successful implementation of practical resolutions to improve operations, optimize cost, and enhance employees’ satisfaction and engagement.


Author(s):  
Jennifer L. Ersek ◽  
Lora J. Black ◽  
Michael A. Thompson ◽  
Edward S. Kim

There has been a rapid uptick in the pace of oncology precision medicine advancements over the past several decades as a result of increasingly sophisticated technology and the ability to study more patients through innovative trial designs. As more precision oncology approaches are developed, the need for precision medicine trials is increasing in the community setting, where most patients with cancer are treated. However, community-based practices, as well as some academic centers, may face unique barriers to implementing precision medicine programs and trials within their communities. Such challenges include understanding the tissue needs of molecular tests (e.g., tumor, blood), identifying which molecular tests are best used and when tissue should be tested, interpreting the test results and determining actionability, understanding the role of genetic counseling and/or follow-up testing, determining clinical trial eligibility, and assessing patient attitudes and financial concerns. The purpose of this article is to provide guidance to community-based oncology practices currently conducting clinical trials who want to expand their research program to include precision medicine trials. Here, we describe the core components of precision medicine programs and offer best practices for successful implementation of precision medicine trials in community-based practices.


2021 ◽  
Author(s):  
Jaclyn Ederman

While the importance of disabled children’s rights, well-being, and interests are frequently discussed internationally, how they are incorporated in services is rarely mentioned. This study explores traditional and non-traditional approaches by interviewing two community-based service-providers to illuminate which approach comes closer to ensuring disabled children’s rights, well-being, and interests. Thematic analysis produced findings that acknowledged the extent to which the services differ including: service provided, program plans, benefits, and approach to challenges with children. The traditional approach positions disabled children as silent actors by taking control and by its formal structure. The non-traditional approach acknowledges disabled children as social actors by incorporating ways for children to exercise control of their own lives and by its informality, which promotes disabled children’s individuality. These factors suggest the non-traditional approach comes closer to ensuring disabled children’s rights, well-being, and interests. Implications are significant for reconsidering practice and policies in the hope that disabled children’s rights in services are ensured for future generations.


2021 ◽  
Vol 9 ◽  
Author(s):  
Amy Rusch ◽  
Lindsay M. DeCamp ◽  
Celeste M. Liebrecht ◽  
Seo Youn Choi ◽  
Gregory W. Dalack ◽  
...  

Background: Despite increasing calls for further spread of evidence-based collaborative care interventions (EBIs) in community-based settings, practitioner-driven efforts are often stymied by a lack of experience in addressing barriers to community-based implementation, especially for those not familiar with implementation science. The Michigan Mental Health Integration Partnership (MIP) is a statewide initiative that funds projects that support implementation and uptake of EBIs in community-based settings. MIP also provides an in situ implementation laboratory for understanding barriers to the uptake of EBIs across a variety of settings. We report findings from a statewide qualitative study of practitioners involved in MIP projects to garner their perspectives of best practices in the implementation of EBIs.Methods: Twenty-eight semi-structured interviews of practitioners and researchers from six MIP Projects were conducted with individuals implementing various MIP EBI projects across Michigan, including stakeholders from project teams, implementation sites, and the State of Michigan, to identify common barriers, challenges, and implementation strategies deployed by the project teams, with the purpose of informing a set of implementation steps and milestones.Results: Stakeholders identified a number of barriers to and strategies for success, including the need for tailoring program deployment and implementation to specific site needs, development of web-based tools for facilitating program implementation, and the importance of upper-level administration buy-in. Findings informed our resultant community-based Implementation Roadmap, which identifies critical steps across three implementation phases—pre-implementation, implementation, and sustainability—for implementation practitioners to use in their EBI implementation efforts.Conclusion: Implementation practitioners interested in community-based EBI implementation often lack access to operationalized implementation “steps” or “best practices” that can facilitate successful uptake and evaluation. Our community-informed MIP Implementation Roadmap, offering generalized steps for reaching successful implementation, uses experiences from a diverse set of MIP teams to guide practitioners through the practices necessary for scaling up EBIs in community-based settings over pre-implementation, implementation and sustainability phases.


2021 ◽  
Author(s):  
Jaclyn Ederman

While the importance of disabled children’s rights, well-being, and interests are frequently discussed internationally, how they are incorporated in services is rarely mentioned. This study explores traditional and non-traditional approaches by interviewing two community-based service-providers to illuminate which approach comes closer to ensuring disabled children’s rights, well-being, and interests. Thematic analysis produced findings that acknowledged the extent to which the services differ including: service provided, program plans, benefits, and approach to challenges with children. The traditional approach positions disabled children as silent actors by taking control and by its formal structure. The non-traditional approach acknowledges disabled children as social actors by incorporating ways for children to exercise control of their own lives and by its informality, which promotes disabled children’s individuality. These factors suggest the non-traditional approach comes closer to ensuring disabled children’s rights, well-being, and interests. Implications are significant for reconsidering practice and policies in the hope that disabled children’s rights in services are ensured for future generations.


2019 ◽  
Vol 30 (1) ◽  
Author(s):  
Jose Gomez ◽  
Zuhey Espinoza ◽  
Raphael Sonenshein ◽  
Henry Fuhrmann

California State University, Los Angeles (Cal State LA) has committed to becoming Los Angeles’ premier educational anchor institution, forging meaningful partnerships that contribute to the overall well-being of the region. Cal State LA ranks number one in the nation for the upward mobility of its students (Chetty, Friedman, Saez, Turner, & Yagan, 2017). The Democracy Collaborative (TDC) developed the Anchor Dashboard Learning Cohort to create a critical mass of colleges and universities committed to addressing economic, educational, and health disparities through engaged anchor mission strategies (Sladek, 2017). TDC identified five Thematic Anchor Dashboard Success Indicators as elements for establishing an engaged anchor mission mindset and structure. The Cal State LA example illustrates the importance of the themes and offers support for establishing field-wide best practices based on the principles outlined by TDC (Dubb, McKinley, & Howard, 2013; Sladek, 2017). The university’s experience suggests that successful implementation of its engaged anchor mission strategy will benefit from a comprehensive approach. The course and manner of its strategy consists of the five TDC indicators: (1) leadership support at the university’s highest level; (2) incorporation of the anchor mission into the institution’s strategic plan, and university-wide identity or brand-building initiatives; (3) establishment of anchor mission committees and structures to coordinate work; (4) promotion and advancement of place-based cohesive narratives and expectations to embed an institutional anchor mission culture and build trust; and (5) development and support for anchor mission coordinating and support catalysts to manage anchor projects. These require two additional elements, added to the list: (6) implementing data collection protocols, including the measurement of local community student success after graduation using Mobility Report Cards (Chetty et al., 2017); and (7) continuous and faithful relationship building with external partners. Urban and metropolitan public comprehensive universities, such as Cal State LA and many of CUMU’s member institutions have gained the experience and resources to serve and help transform struggling communities. CUMU and TDC’s Higher Education Anchor Mission Initiative collaboration can provide a coordinated structure for supporting institutions that have committed to an anchor mission strategy and for developing best practices and guidance to those considering an anchor mission.


2011 ◽  
Vol 38 (3) ◽  
pp. 271-281 ◽  
Author(s):  
Jayne R. Pivik ◽  
Hillel Goelman

A process evaluation of a consortium of academic researchers and community-based service providers focused on the health and well-being of children and families provides empirical and practice-based evidence of those factors important for community-based participatory research (CBPR). This study draws on quantitative ratings of 33 factors associated with CBPR as well as open-ended questions addressing the benefits, facilitators, barriers, and recommendations for collaboration. Eight distinct but related studies are represented by 10 academic and 9 community researchers. Even though contextual considerations were identified between the academic and community partners, in large part because of their focus, organizational mandate and particular expertise, key factors for facilitating collaboration were found across groups. Both community and academic partners reported the following as very important for positive collaborations: trust and mutual respect; adequate time; shared commitment, decision making, and goals; a memorandum of understanding or partnership agreement; clear communication; involvement of community partners in the interpretation of the data and information dissemination; and regular meetings. The results are compared to current models of collaboration across different contexts and highlight factors important for CBPR with community service providers.


2017 ◽  
Vol 50 (4) ◽  
pp. 328-350
Author(s):  
Daniela Delgado ◽  
Rachel Becker Herbst

Farmworkers comprise a marginalized population who experience various threats to their well-being. This study presents a community-based participatory research project that explored the educational attainment and well-being of Latino/a youth in farmworker families. Children of farmworkers ( n = 18), farmworker parents ( n = 12), and educational service providers ( n = 8) in South Florida participated in focus groups. Two follow-up interviews deepened our understanding of focus group data. Using conventional content analysis, six themes emerged. Applying a public health ecological framework to the analysis and conceptualization of these findings, we shift the focus from merely describing facets associated with educational attainment to an examination of the optimal conditions required to produce educational well-being. Future research should include perspectives from educators, policy leaders, and activists.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S904-S904
Author(s):  
Carrie Leach ◽  
Julie Novak

Abstract As potentially eligible recipients continue to increase in number, understanding service system utilization and barriers can help ensure very old adults can access support from their communities when needed. A communication disjuncture between seniors and community-based service providers was revealed through a multi-year, county-wide older adult needs assessment utilizing data from 1,870 individuals. In response, officials convened a post assessment team that formed the three-person Community Advisory Group (CAG, all ≥69 years) who participated in this community-based participatory research (CBPR) study. This applied, qualitative study, guided by an ecological health communication research framework, conducted multilevel examinations of interactions among older adults and their social environment. Twenty in-depth, face-to-face, semi-structured interviews (mean = 82.5 years) were conducted based on a critical threshold of understanding achieved via researcher immersion in the community preceding this study, data collected, and CAG insight revealed through collaborative analysis. Communication Infrastructure Theory helped to reveal how participants’ diminishing social network interrelated with the communication environment acted to impede connections to services. In addition to utilization impediments, enabling elements of the communication infrastructure were identified so those resources might be leveraged to bridge the senior-provider divide. Findings from this study suggest new outreach approaches for connecting to older adults through their communication ecology. The findings add to the growing convergence of evidence that calls for improved communication with older adults to minimize poor interactions that hinder accessing resources that may enhance their social, emotional, and physical well-being.


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