Making health care better for all: Learning for the equality and diversity section of the RCGP curriculum

Author(s):  
Amanda Howe

The equality, diversity and inclusion part of the RCGP curriculum can seem daunting to both trainers and AiTs. Do not panic! This article will show you how the core skills of a good GP acquired during training can help to reduce health inequalities, empower your patients and reduce misunderstanding. It will also show you how you can learn about this aspect of the curriculum and build on it in practice.

2016 ◽  
Vol 24 (1) ◽  
pp. 52-65 ◽  
Author(s):  
Hervé Caci ◽  
David Cohen ◽  
Olivier Bonnot ◽  
Bernard Kabuth ◽  
Jean-Phillipe Raynaud ◽  
...  

Objective: The objective of this study is to retrospectively describe the pathway toward ADHD diagnosis and treatment, and identify potential areas for improvement. Method: Parent-reported questionnaires were collected by a national sample of ADHD specialists. Results: In total, 473 complete questionnaires were analyzed. Initial onset of ADHD symptoms was reported at a mean age of 4.45 years. Mean age at diagnosis was 8.07 years, and half of the families had seen at least three health care professionals previously. Psychiatrists were most commonly consulted. A “combined” (89% boys) and inattentive (49% boys) profile was identified. Diagnosis was made 1 year later for the latter group. Two thirds of patients received pharmacological treatment. The delay in diagnosis was identified as the main source of concern for caregivers. Conclusion: The 4-year delay in diagnosis may represent a loss of opportunity. Training health care professionals in the core symptoms of ADHD may help reduce disparities and improve patient trajectory.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Monica Consolandi

Purpose Seniors are nowadays at the core of important reflections to understand both how to ensure them a proper quality of life and better recognize their social role, providing them services and proper health care to value them as persons and resources. This paper aims to find a through definition about who is a senior, in the author’s opinion the starting point to help them flourishing. Design/methodology/approach As an example of definitions, an online dictionary and two geriatric text-books are quoted, highlighting qualities and rights referred to seniors especially in the delicate context of the health-care system. Findings The lack of a commonly shared perspective on this delicate kind of patient entails the difficulty to reach a coherent and satisfying definition about who a senior is. Originality/value The lack of a commonly shared definition leads to inevitable misunderstandings and could explain the arduousness of considering seniors in all their aspects. Further investigations are suggested.


2004 ◽  
Vol 23 (2) ◽  
pp. 191-192
Author(s):  
Aline Vézina

ABSTRACTThis book is comprised of three sections: the problems and consequences of the push for more de-institutionalized health care, the issues that crop up in this context, and the perceptions of the caregiver. At the core of this text are the two groups of women who are most present in this new context: the informal caregivers or family helpers and the nurses. Three conclusions become evident. Firstly, the push for home care has many negative consequences, especially for women. Secondly, although the help of a family member makes possible the dispensation of care at home, something wished for by most patients, it also entails an increase in, and professionalization of, the tasks for the caregiving family member. Finally, using the home as the place of care also has the consequence of increasing the tasks of nursing personnel, to the point where there is a perception that the quality of care has decreased.


1992 ◽  
Vol 55 (11) ◽  
pp. 424-428 ◽  
Author(s):  
Linda B M Renton

This article attempts to explore the core skills in occupational therapy by reviewing the relevant literature and then to relate the findings to the field of mental handicap. It should be read in conjunction with recently published and accepted work on occupational therapy core skills and skill mix. A brief overview of the rote of occupational therapy in mental handicap is given and the concept of core skills is defined and discussed with reference to competence, skill mix and teamwork.


PEDIATRICS ◽  
2004 ◽  
Vol 113 (Supplement_4) ◽  
pp. 1538-1544 ◽  
Author(s):  
Merle McPherson ◽  
Gloria Weissman ◽  
Bonnie B. Strickland ◽  
Peter C. van Dyck ◽  
Stephen J. Blumberg ◽  
...  

Objective. To provide a baseline measure of the proportion of US children who meet the Maternal and Child Health Bureau's core outcomes for children with special health care needs (CSHCN). Those core outcomes include the following: 1) families of CSHCN will partner in decision making and will be satisfied with the services that they receive; 2) CSHCN will receive coordinated, ongoing comprehensive care within a medical home; 3) families of CSHCN will have adequate private and/or public insurance to pay for the services that they need; 4) children will be screened early and continuously for special health care needs; 5) community-based service systems will be organized so that families can use them easily; and 6) youths with special health care needs will receive the services necessary to make transitions to adult life, including adult health care, work, and independence. Methods. A national household survey was conducted using telephone interviews. We analyzed data on 38 866 CSHCN included in the 2001 National Survey of CSHCN and 13 579 children included in the 2001 National Health Interview Survey. We assessed the proportion of US children who met each of the 6 core outcomes for CSHCN using data from 2 surveys. Results. Success rates ranged from 6% (the core outcome on successful transition to adulthood) to 74% (the core outcome on organization of the service system). For 5 of the 6 core outcomes, success rates exceeded 50%. Conclusion. Our results indicate that, for the most part, the United States is well positioned to meet the 6 core outcomes. However, much more work lies ahead before success can be claimed. This is especially true for the core outcome on transition to adulthood, for which only 6% of children in the target population are now meeting this goal.


Author(s):  
Doug Harris ◽  
Kasia Ganko-Rodriguez

The field of diversity and inclusion has experienced exponential growth over last 30 years. Yet, while these progressions have occurred, many of the core diversity and inclusion concepts have remained fairly stagnant. One critical example is around the concept of privilege. All of us find ourselves privileged in some way, but leaders in particular need to recognize and manage privilege to ensure inclusion in the workplace. Through personal examples and real stories, this chapter highlights the many positive outcomes leaders will experience by effectively managing privilege. These powerful outcomes include areas such as personal growth and effectiveness, more authentic relationships, increased levels of respect, expanded circle of influence, and maximized employee performance. To conclude, the authors look at the stages leaders go through before they are able to effectively manage this expanded view of privilege. These stages can be described as bliss, awareness, overprotection, enlightened, and ultimately managing privilege.


Author(s):  
Robert B. Lloyd ◽  
Melissa Haussman ◽  
Patrick James

It is estimated that populations in Africa are afflicted with 24% of the global load of disease with only 13% of the population. This chapter provides theoretical suggestions for studying why this is so. Among these theories are area studies, Africa studies and the World Health Organization’s Social Determinants of Health Framework, which relates social inequality to the study of political and health-providing institutions. The chapter lays out the book’s three case studies and our look at the role of national and international health and secular ngo’s in helping to remedy gendered health inequalities. It lays out the MDG framework of 2000, to be discussed in succeeding chapters.


Author(s):  
Swati Sisodia ◽  
Neetima Agarwal

Employability skills are identified as one of the valuable assets for an individual to perform effectively in their job. This article extricates an encyclopedic list of Employability Skills needed in the health care industry, represented through a pragmatic model termed as The Whirl of Prowess. This conceptual framework was developed using a set of nine core skills extracted from research papers and focus group interviews conducted on 100 respondents. These skills form the core of model along with 22 attributes, forming the periphery. This will assist an organization to set some benchmarks, on the basis of which employees are evaluated demonstrating proficiency/ sufficiency/ deficiency levels. This model would help organizations to facilitate tailored training programs for their employees. The Whirl of Prowess would act as a skill meter available to organizations to evaluate and analyze the individual skills for various HRM practices like recruitment, career-development, performance management and others.


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