Investigating access to and use of maternity health-care services in the UK by Palestinian women

2013 ◽  
Vol 21 (8) ◽  
pp. 571-577 ◽  
Author(s):  
Eman Alshawish ◽  
Janet Marsden ◽  
Gill Yeowell ◽  
Christopher Wibberley
2013 ◽  
Vol 19 (3) ◽  
pp. 348-366 ◽  
Author(s):  
Filio Degni ◽  
Sakari B. Suominen ◽  
Walid El Ansari ◽  
Katri Vehviläinen-Julkunen ◽  
Birgitta Essen

1993 ◽  
Vol 37 (5) ◽  
pp. 633-638 ◽  
Author(s):  
Hellevi Kojo-Austin ◽  
Maili Malin ◽  
Elina Hemminki

2021 ◽  
Vol 27 (7) ◽  
pp. 176-181
Author(s):  
Anne Holdoway

Malnutrition represents a significant health burden in the UK, affecting patient outcomes and costing health care services over £20 billion. Anne Holdoway discusses opportunities for early intervention and explains how healthcare managers can help to address this issue.


2020 ◽  
Vol 14 (12) ◽  
pp. 1769-1776 ◽  
Author(s):  
Nurulamin M Noor ◽  
Ailsa L Hart ◽  
Peter M Irving ◽  
Subrata Ghosh ◽  
Miles Parkes ◽  
...  

Abstract There have been immediate and profound impacts of SARS-CoV-2 and COVID-19 on health care services worldwide, with major consequences for non COVID-19 related health care. Alongside efforts to reconfigure services and enable continued delivery of safe clinical care for patients with IBD, consideration must also be given to management of IBD research activity. In many centres there has been an effective shutdown of IBD clinical trial activity as research sites have switched focus to either COVID-19 related research or clinical care only. As a result, the early termination of trial programmes, and loss of potentially effective therapeutic options for IBD, has become a real and worrying prospect. Moreover, in many countries research activity has become embedded into clinical care—with clinical trials often providing access to new therapies or strategies—which would otherwise not have been available in standard clinical pathways. This pandemic has significant implications for the design, conduct, analysis, and reporting of clinical trials in IBD. In this Viewpoint, we share our experiences from a clinical and academic perspective in the UK, highlighting the early challenges encountered, and consider implications for patients and staff at research sites, sponsors, research ethics committees, funders, and regulators. We also offer potential solutions both for now and for when we enter a recovery phase from the pandemic.


2021 ◽  
Vol 50 (Supplement_2) ◽  
pp. ii14-ii18
Author(s):  
A Gomez ◽  
A Capon-Saez ◽  
A Gomez-Mosquera ◽  
Y Parada-DeFreitas ◽  
J J Arechaderra-Calderon ◽  
...  

Abstract Introduction The United Kingdom and Spain run government-funded social and health care services, free for the user at the point of delivery. Acute Geriatric Units (AGU) carrying out Comprehensive Geriatric Assessments improve the clinical outcomes of older patients. Little is known about the similarities and differences between countries, and how these may impact on clinical outcomes. Methods Prospective observational study of consecutive patients admitted to AGU of 2 hospitals in the UK and 4 hospitals in Spain between the 1st to the 30th of October 2019 and from the 1st to the 29th of February 2020. We followed up the patients for a 90 day period. Conclusions Frailty, multimorbidity and polypharmacy were prevalent in both cohorts. English patients were younger, with shorter hospital stay, mortality and use of antipsychotic medication but higher readmission rates. Involvement from Allied health care professionals was higher in UK hospitals.


2018 ◽  
Vol 48 (4) ◽  
pp. 776-797 ◽  
Author(s):  
Nihaya Daoud ◽  
Samira Alfayumi-Zeadna ◽  
Yousef T. Jabareen

Family unification received public and political attention following recent global immigration crises, though less within health research. In Israel, under the Family Reunification Order, about 20,000 Palestinian women from the Occupied Palestinian Territories are denied residency and the right to universal health care services (HSC) after marrying Palestinian citizens and moving to Israel. To better understand the relationship between lacking residency and barriers to accessing HCS, we conducted in-depth interviews with 21 Palestinian women (ages 22–59) denied family unification. Our findings revealed that in addition to hindering access to HCS, lacking residency intersects with other political, social, and economic determinants of these women’s health and disrupts normal family life. Lacking residency intensifies poverty (via private health insurance and legal fees, permit extensions) and leads to family separations and risky crossings at military checkpoints into the West Bank for medical treatment. Restrictions on freedom of movement engender fear of deportation and precarity. Denial of residency also exacerbates gender inequality (increased dependence on husbands) and can endanger child custody when mothers’ lack of residency passes to children, violating children’s basic rights. Allowing family unification to Palestinian women would remove barriers to HCS access, allow normal family life, and permit social integration.


Healthcare ◽  
2019 ◽  
Vol 8 (1) ◽  
pp. 1 ◽  
Author(s):  
Katharine M. Mark ◽  
Daniel Leightley ◽  
David Pernet ◽  
Dominic Murphy ◽  
Sharon A.M. Stevelink ◽  
...  

There is a lack of quantitative evidence concerning UK (United Kingdom) Armed Forces (AF) veterans who access secondary mental health care services—specialist care often delivered in high intensity therapeutic clinics or hospitals—for their mental health difficulties. The current study aimed to investigate the utility and feasibility of identifying veterans accessing secondary mental health care services using National Health Service (NHS) electronic health records (EHRs) in the UK. Veterans were manually identified using the Clinical Record Interactive Search (CRIS) system—a database holding secondary mental health care EHRs for an NHS Trust in the UK. We systematically and manually searched CRIS for veterans, by applying a military-related key word search strategy to the free-text clinical notes completed by clinicians. Relevant data on veterans’ socio-demographic characteristics, mental disorder diagnoses and treatment pathways through care were extracted for analysis. This study showed that it is feasible, although time consuming, to identify veterans through CRIS. Using the military-related key word search strategy identified 1600 potential veteran records. Following manual review, 693 (43.3%) of these records were verified as “probable” veterans and used for analysis. They had a median age of 74 years (interquartile range (IQR): 53–86); the majority were male (90.8%) and lived alone (38.0%). The most common mental diagnoses overall were depressive disorders (22.9%), followed by alcohol use disorders (10.5%). Differences in care pathways were observed between pre and post national service (NS) era veterans. This feasibility study represents a first step in showing that it is possible to identify veterans through free-text clinical notes. It is also the first to compare veterans from pre and post NS era.


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