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Godard-Sebillotte C, Navani S, Hacker G, Vedel I. Considering inequities in national dementia strategies: breadth, depth, and scope. Int J Equity Health 2024; 23:75. [PMID: 38627768 PMCID: PMC11022480 DOI: 10.1186/s12939-024-02166-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2023] [Accepted: 03/28/2024] [Indexed: 04/19/2024] Open
Abstract
BACKGROUND Considering that dementia is an international public health priority, several countries have developed national dementia strategies outlining initiatives to address challenges posed by the disease. These strategies aim to improve the care, support, and resources available to meet the needs of persons living with dementia and their care partners and communities. Despite the known impact of social determinants of health on dementia risk, care, and outcomes, it is unclear whether dementia strategies adequately address related inequities. This study aimed to describe whether and how national dementia strategies considered inequities associated with social determinants of health. METHODS We conducted an environmental scan of the national dementia strategies of countries that are part of the Organisation for Economic Cooperation and Development (OECD). Included strategies had to be accessible in English or French. Sub-national or provincial plans were excluded. We synthesised information on strategies' considerations of inequity through a thematic analysis. RESULTS Of the 15 dementia strategies that met inclusion criteria, 13 mentioned at least one inequity (M = 2.4, median = 2, range:0-7) related to Race/Ethnicity; Religion; Age; Disability; Sexual Orientation/Gender Identity; Social Class; or Rurality. Age and disability were mentioned most frequently, and religion most infrequently. Eleven strategies included general inequity-focused objectives, while only 5 had specific inequity-focused objectives in the form of tangible percentage changes, deadlines, or allocated budgets for achieving equity-related goals outlined in their strategies. CONCLUSIONS Understanding if and how countries consider inequities in their dementia strategies enables the development of future strategies that adequately target inequities of concern. While most of the strategies mentioned inequities, few included tangible objectives to reduce them. Countries must not only consider inequities at a surface-level; rather, they must put forth actionable objectives that intend to lessen the impact of inequities in the care of all persons living with dementia.
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Affiliation(s)
- Claire Godard-Sebillotte
- The Research Institute of the McGill University Health Centre, Montreal, QC, Canada.
- Department of Medicine, Division of Geriatrics, McGill University, Montreal, QC, Canada.
| | - Sanjna Navani
- The Research Institute of the McGill University Health Centre, Montreal, QC, Canada
| | - Georgia Hacker
- The Michael G DeGroote School of Medicine, McMaster University, Hamilton, ON, Canada
| | - Isabelle Vedel
- Lady Davis Institute, Jewish General Hospital, Montreal, QC, Canada
- Department of Family Medicine, McGill University, Montreal, QC, Canada
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Antonsen LK, Lassen AT, Nielsen D, Østervang C. Receiving person-centred care in a hospital-A qualitative study of socially marginalised patients' experiences of social nursing. Scand J Caring Sci 2024; 38:220-230. [PMID: 37749999 DOI: 10.1111/scs.13212] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2023] [Revised: 07/12/2023] [Accepted: 08/20/2023] [Indexed: 09/27/2023]
Abstract
BACKGROUND Socially marginalised people are at a substantially increased risk of diseases and typically have several contacts with the healthcare system. Health professionals at hospitals often lack the knowledge, skills, confidence, and time to provide relevant care for socially marginalised patients. Danish hospitals have implemented a social nursing initiative consisting of social nurses with specialised knowledge about marginalisation to support socially marginalised patients. Limited research into patients' perceptions of social nursing has been undertaken. OBJECTIVE To explore patients' experiences with the in-hospital social nursing initiative. DESIGN A qualitative study was conducted using a phenomenological hermeneutical approach. SETTING Odense University Hospital, Denmark. PARTICIPANTS Patients aged 18 years and older who had been in contact with a social nurse during hospital admission were purposely sampled. Data saturation was reached when 15 participants were recruited. METHODS In-depth patient interviews were conducted from November 2021 to April 2022 using a semi-structured interview guide. The interviews were transcribed verbatim and analysed using systematic text condensation. NVivo 12 software was employed for the analysis. Patient representatives were involved to validate the analysis and interpretations. RESULTS Three themes were identified: (1) an equal and trusting relationship, (2) receiving person-centred care, and (3) coherence in the patient trajectory. The results show that when patients have established a relationship with a social nurse, they are willing to let her into their lives and share personal information. Patients also experience person-centred care and coherence in their trajectory when a social nurse participated in their treatment and care. CONCLUSION The findings indicate that the social nursing initiative bridges the gap between socially marginalised patients and healthcare services.
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Affiliation(s)
- Lisa Kvist Antonsen
- Department of Emergency Medicine, Odense University Hospital, Odense, Denmark
- Department of Clinical Research, University of Southern Denmark, Odense, Denmark
| | - Annmarie Touborg Lassen
- Department of Emergency Medicine, Odense University Hospital, Odense, Denmark
- Department of Clinical Research, University of Southern Denmark, Odense, Denmark
| | - Dorthe Nielsen
- Department of Clinical Research, University of Southern Denmark, Odense, Denmark
- Department of Geriatric Medicine, Odense University Hospital, Odense, Denmark
| | - Christina Østervang
- Department of Emergency Medicine, Odense University Hospital, Odense, Denmark
- Department of Clinical Research, University of Southern Denmark, Odense, Denmark
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Butler DC, Larkins S, Jorm L, Korda RJ. Does use of GP and specialist services vary across areas and according to individual socioeconomic position? A multilevel analysis using linked data in Australia. BMJ Open 2024; 14:e074624. [PMID: 38184309 PMCID: PMC10773367 DOI: 10.1136/bmjopen-2023-074624] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/12/2023] [Accepted: 12/07/2023] [Indexed: 01/08/2024] Open
Abstract
OBJECTIVE Timely access to primary care and supporting specialist care relative to need is essential for health equity. However, use of services can vary according to an individual's socioeconomic circumstances or where they live. This study aimed to quantify individual socioeconomic variation in general practitioner (GP) and specialist use in New South Wales (NSW), accounting for area-level variation in use. DESIGN Outcomes were GP use and quality-of-care and specialist use. Multilevel logistic regression was used to estimate: (1) median ORs (MORs) to quantify small area variation in outcomes, which gives the median increased risk of moving to an area of higher risk of an outcome, and (2) ORs to quantify associations between outcomes and individual education level, our main exposure variable. Analyses were adjusted for individual sociodemographic and health characteristics and performed separately by remoteness categories. SETTING Baseline data (2006-2009) from the 45 and Up Study, NSW, Australia, linked to Medicare Benefits Schedule and death data (to December 2012). PARTICIPANTS 267 153 adults aged 45 years and older. RESULTS GP (MOR=1.32-1.35) and specialist use (1.16-1.18) varied between areas, accounting for individual characteristics. For a given level of need and accounting for area variation, low education-level individuals were more likely to be frequent users of GP services (no school certificate vs university, OR=1.63-1.91, depending on remoteness category) and have continuity of care (OR=1.14-1.24), but were less likely to see a specialist (OR=0.85-0.95). CONCLUSION GP and specialist use varied across small areas in NSW, independent of individual characteristics. Use of GP care was equitable, but specialist care was not. Failure to address inequitable specialist use may undermine equity gains within the primary care system. Policies should also focus on local variation.
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Affiliation(s)
- Danielle C Butler
- National Centre for Epidemiology and Population Health, Australian National University, Canberra, Australian Capital Territory, Australia
| | - Sarah Larkins
- College of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia
| | - Louisa Jorm
- Centre for Big Data Research in Health, University of New South Wales, Sydney, New South Wales, Australia
| | - Rosemary J Korda
- National Centre for Epidemiology and Population Health, Australian National University, Canberra, Australian Capital Territory, Australia
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Coumoundouros C, Farrand P, Sanderman R, von Essen L, Woodford J. "Systems seem to get in the way": a qualitative study exploring experiences of accessing and receiving support among informal caregivers of people living with chronic kidney disease. BMC Nephrol 2024; 25:7. [PMID: 38172754 PMCID: PMC10765659 DOI: 10.1186/s12882-023-03444-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2023] [Accepted: 12/19/2023] [Indexed: 01/05/2024] Open
Abstract
BACKGROUND The well-being of informal caregivers of people living with chronic kidney disease is influenced by their experiences with support, however, few studies have focused on exploring these experiences. This study aimed to explore informal caregivers' experiences accessing and receiving support while caring for someone living with chronic kidney disease. METHODS Informal caregivers of people living with chronic kidney disease (n = 13) in the United Kingdom were primarily recruited via community organisations and social media adverts to participate in semi-structured interviews. Interviews explored support needs, experiences of receiving support from different groups (e.g. healthcare professionals, family/friends), and barriers and facilitators to accessing support. Support was understood as including emotional, practical, and informational support. Data were analysed using reflexive thematic analysis. RESULTS Three themes were generated: (1) "Systems seem to get in the way" - challenges within support systems, illustrating the challenges informal caregivers encountered when navigating complex support systems; (2) Relying on yourself, describing how informal caregivers leveraged their existing skills and networks to access support independently, while recognising the limitations of having to rely on yourself to find support; and (3) Support systems can "take the pressure off", showing how support systems were able to help informal caregivers cope with the challenges they experienced if certain conditions were met. CONCLUSIONS In response to the challenges informal caregivers experienced when seeking support, improvements are needed to better consider informal caregiver needs within healthcare systems, and to develop interventions tailored to informal caregiver needs and context. Within the healthcare system, informal caregivers may benefit from system navigation support and better integration within healthcare teams to ensure their informational support needs are met. New interventions developed to support informal caregivers should fit within their existing support systems and incorporate the qualities of support, such as empathy, that were valued. Additionally, use of an equity framework and user-centered design approaches during intervention development could help ensure interventions are accessible and acceptable.
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Affiliation(s)
- Chelsea Coumoundouros
- Healthcare Sciences and e-Health, Department of Women's and Children's Health, Uppsala University, Dag Hammarskjölds väg 14B, Uppsala, 751 05, Sweden
- Clinical Education, Development and Research (CEDAR); Psychology, University of Exeter, Exeter, UK
| | - Paul Farrand
- Clinical Education, Development and Research (CEDAR); Psychology, University of Exeter, Exeter, UK
| | - Robbert Sanderman
- Department of Health Psychology, University Medical Center Groningen, University of Groningen, Groningen, Netherlands
| | - Louise von Essen
- Healthcare Sciences and e-Health, Department of Women's and Children's Health, Uppsala University, Dag Hammarskjölds väg 14B, Uppsala, 751 05, Sweden
| | - Joanne Woodford
- Healthcare Sciences and e-Health, Department of Women's and Children's Health, Uppsala University, Dag Hammarskjölds väg 14B, Uppsala, 751 05, Sweden.
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Adekoya I, Delahunty-Pike A, Howse D, Kosowan L, Seshie Z, Abaga E, Cooney J, Robinson M, Senior D, Zsager A, Aubrey-Bassler K, Irwin M, Jackson L, Katz A, Marshall E, Muhajarine N, Neudorf C, Pinto AD. Screening for poverty and related social determinants to improve knowledge of and links to resources (SPARK): development and cognitive testing of a tool for primary care. BMC PRIMARY CARE 2023; 24:247. [PMID: 38007462 PMCID: PMC10675961 DOI: 10.1186/s12875-023-02173-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/20/2023] [Accepted: 10/06/2023] [Indexed: 11/27/2023]
Abstract
BACKGROUND Healthcare organizations are increasingly exploring ways to address the social determinants of health. Accurate data on social determinants is essential to identify opportunities for action to improve health outcomes, to identify patterns of inequity, and to help evaluate the impact of interventions. The objective of this study was to refine a standardized tool for the collection of social determinants data through cognitive testing. METHODS An initial set of questions on social determinants for use in healthcare settings was developed by a collaboration of hospitals and a local public health organization in Toronto, Canada during 2011-2012. Subsequent research on how patients interpreted the questions, and how they performed in primary care and other settings led to revisions. We administered these questions and conducted in-depth cognitive interviews with all the participants, who were from Saskatchewan, Manitoba, Ontario, and Newfoundland and Labrador. Cognitive interviewing was used, with participants invited to verbalize thoughts and feelings as they read the questions. Interview notes were grouped thematically, and high frequency themes were addressed. RESULTS Three hundred and seventy-five individuals responded to the study advertisements and 195 ultimately participated in the study. Although all interviews were conducted in English, participants were diverse. For many, the value of this information being collected in typical healthcare settings was unclear, and hence, we included descriptors for each question. In general, the questions were understood, but participants highlighted a number of ways the questions could be changed to be even clearer and more inclusive. For example, more response options were added to the question of sexual orientation and the "making ends meet" question was completely reworded in light of challenges to understand the informal phrasing cited by English as a Second Language (ESL) users of the tool. CONCLUSION In this work we have refined an initial set of 16 sociodemographic and social needs questions into a simple yet comprehensive 18-question tool. The changes were largely related to wording, rather than content. These questions require validation against accepted, standardized tools. Further work is required to enable community data governance, and to ensure implementation of the tool as well as the use of its data is successful in a range of organizations.
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Affiliation(s)
- Itunuoluwa Adekoya
- Upstream Lab, Li Ka Shing Knowledge Institute, MAP Centre for Urban Health Solutions, Unity Health Toronto, 30 Bond Street, Toronto, ON, M5B 1W8, Canada
| | | | - Dana Howse
- Primary Healthcare Research Unit, Memorial University of Newfoundland and Labrador, St. John's, Canada
| | - Leanne Kosowan
- Department of Family Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada
| | - Zita Seshie
- Department of Community Health & Epidemiology, University of Saskatchewan, Saskatoon, Canada
| | - Eunice Abaga
- Upstream Lab, Li Ka Shing Knowledge Institute, MAP Centre for Urban Health Solutions, Unity Health Toronto, 30 Bond Street, Toronto, ON, M5B 1W8, Canada
| | - Jane Cooney
- Upstream Lab, Li Ka Shing Knowledge Institute, MAP Centre for Urban Health Solutions, Unity Health Toronto, 30 Bond Street, Toronto, ON, M5B 1W8, Canada
| | - Marjeiry Robinson
- Upstream Lab, Li Ka Shing Knowledge Institute, MAP Centre for Urban Health Solutions, Unity Health Toronto, 30 Bond Street, Toronto, ON, M5B 1W8, Canada
| | - Dorothy Senior
- Upstream Lab, Li Ka Shing Knowledge Institute, MAP Centre for Urban Health Solutions, Unity Health Toronto, 30 Bond Street, Toronto, ON, M5B 1W8, Canada
| | - Alexander Zsager
- Upstream Lab, Li Ka Shing Knowledge Institute, MAP Centre for Urban Health Solutions, Unity Health Toronto, 30 Bond Street, Toronto, ON, M5B 1W8, Canada
| | - Kris Aubrey-Bassler
- Primary Healthcare Research Unit, Memorial University of Newfoundland and Labrador, St. John's, Canada
- Faculty of Medicine, Memorial University, St. John's, Canada
| | - Mandi Irwin
- Department of Family Medicine, Dalhousie University, Halifax, Canada
| | - Lois Jackson
- School of Health and Human Performance, Dalhousie University, Halifax, Canada
| | - Alan Katz
- Department of Family Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada
- Manitoba Centre for Health Policy, University of Manitoba, Winnipeg, Canada
| | - Emily Marshall
- Department of Family Medicine, Dalhousie University, Halifax, Canada
| | - Nazeem Muhajarine
- Saskatchewan Population Health and Evaluation Research Unit, Saskatoon, Canada
- College of Medicine, University of Saskatchewan, Saskatoon, Canada
| | - Cory Neudorf
- Saskatchewan Population Health and Evaluation Research Unit, Saskatoon, Canada
- College of Medicine, University of Saskatchewan, Saskatoon, Canada
| | - Andrew D Pinto
- Upstream Lab, Li Ka Shing Knowledge Institute, MAP Centre for Urban Health Solutions, Unity Health Toronto, 30 Bond Street, Toronto, ON, M5B 1W8, Canada.
- Department of Family and Community Medicine, St. Michael's Hospital, Toronto, Canada.
- Department of Family and Community Medicine, Faculty of Medicine, University of Toronto, Toronto, Canada.
- Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
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Haggerty J, Smithman MA, Beaulieu C, Breton M, Dionne É, Lewis V. Telephone outreach by volunteer navigators: a theory-based evaluation of an intervention to improve access to appropriate primary care. BMC PRIMARY CARE 2023; 24:161. [PMID: 37605175 PMCID: PMC10441746 DOI: 10.1186/s12875-023-02096-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/25/2022] [Accepted: 06/29/2023] [Indexed: 08/23/2023]
Abstract
BACKGROUND A pilot intervention in a participatory research programme in Québec, Canada, used telephone outreach by volunteer patient navigators to help unattached persons from deprived neighbourhoods attach successfully to a family doctor newly-assigned to them from a centralized waiting list. According to our theory-based program logic model we evaluated the extent to which the volunteer navigator outreach helped patients reach and engage with their newly-assigned primary care team, have a positive healthcare experience, develop an enduring doctor-patient relationship, and reduce forgone care and emergency room use. METHOD For the mixed-method evaluation, indicators were developed for all domains in the logic model and measured in a telephone-administered patient survey at baseline and three months later to determine if there was a significant difference. Interviews with a subsample of 13 survey respondents explored the mechanisms and nuances of intended effects. RESULTS Five active volunteers provided the service to 108 persons, of whom 60 agreed to participate in the evaluation. All surveyed participants attended the first visit, where 90% attached successfully to the new doctor. Indicators of abilities to access healthcare increased statistically significantly as did ability to explain health needs to professionals. The telephone outreach predisposed patients to have a positive first visit and have trust in their new care team, establishing a basis for an enduring relationship. Patient-reported access difficulties, forgone care and use of hospital emergency rooms decreased dramatically after patients attached to their new doctors. CONCLUSIONS As per the logic model, telephone outreach by volunteer navigators significantly increased patients' abilities to seek, reach and engage with care and helped them attach successfully to newly-assigned family doctors. This light-touch intervention may have promise to achieve of the intended policy goals for the centralized waiting list to increase population access to appropriate primary care and reduce forgone care.
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Affiliation(s)
- Jeannie Haggerty
- Department of Family Medicine, McGill Research Chair in Family & Community Medicine at St. Mary's, McGill University, St. Mary's Research Centre, Montreal, Canada.
- IMPACT Team, St. Mary's Research Centre, 3830 Av. Jean-Brillant Ave, Pavillon Hayes, #4720, Montréal, Québec, H3T 1M5, Canada.
- St. Mary's Research Centre, 3830 Av. Jean-Brillant Ave, Pavillon Hayes, Montréal, Québec, H3T 1M5, Canada.
| | - Mélanie-Ann Smithman
- Université de Sherbrooke, Campus Longueuil, Centre de Recherche Charles-Le Moyne Sur Les Innovations en Santé, 150, Place Charles-Le Moyne C. P. 200, Longueuil, Québec, J4K 0A8, Canada
| | - Christine Beaulieu
- St. Mary's Research Centre, 3830 Av. Jean-Brillant Ave, Pavillon Hayes, Montréal, Québec, H3T 1M5, Canada
- Université de Sherbrooke, Campus Longueuil, Centre de Recherche Charles-Le Moyne Sur Les Innovations en Santé, 150, Place Charles-Le Moyne C. P. 200, Longueuil, Québec, J4K 0A8, Canada
| | - Mylaine Breton
- IMPACT Team, St. Mary's Research Centre, 3830 Av. Jean-Brillant Ave, Pavillon Hayes, #4720, Montréal, Québec, H3T 1M5, Canada
- Université de Sherbrooke, Campus Longueuil, Centre de Recherche Charles-Le Moyne Sur Les Innovations en Santé, 150, Place Charles-Le Moyne C. P. 200, Longueuil, Québec, J4K 0A8, Canada
- Faculté de Médecine Et Des Sciences de La Santé, Université de Sherbrooke, 3001 12 Ave N Immeuble X1, Sherbrooke, Québec, J1H 5N4, Canada
| | - Émilie Dionne
- IMPACT Team, St. Mary's Research Centre, 3830 Av. Jean-Brillant Ave, Pavillon Hayes, #4720, Montréal, Québec, H3T 1M5, Canada
- St. Mary's Research Centre, 3830 Av. Jean-Brillant Ave, Pavillon Hayes, Montréal, Québec, H3T 1M5, Canada
- VITAM - Centre de recherche en santé durable, Université Laval, 2480, Chemin de La Canardière, Québec, Québec, G1J 2G1, Canada
| | - Virginia Lewis
- IMPACT Team, St. Mary's Research Centre, 3830 Av. Jean-Brillant Ave, Pavillon Hayes, #4720, Montréal, Québec, H3T 1M5, Canada
- Australian Institute for Primary Care & Ageing, La Trobe University, Melbourne, VIC, 3086, Australia
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Welch V, Pottie K, Gaudet C, Thuku M, Mallard R, Spenceley S, Amjed N, Wadhwani A, Ghogomu E, Scott C, Dahrouge S. Realist review of community coalitions and outreach interventions to increase access to primary care for vulnerable populations: a realist review. Arch Public Health 2023; 81:115. [PMID: 37353828 DOI: 10.1186/s13690-023-01105-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2023] [Accepted: 05/09/2023] [Indexed: 06/25/2023] Open
Abstract
BACKGROUND There are meaningful gaps in equitable access to Primary Health Care (PHC), especially for vulnerable populations after widespread reforms in Western countries. The Innovative Models Promoting Access-to-Care Transformation (IMPACT) research program is a Canadian-Australian collaboration that aims to improve access to PHC for vulnerable populations. Relationships were developed with stakeholders in six regions across Canada and Australia where access-related needs could be identified. The most promising interventions would be implemented and tested to address the needs identified. This realist review was conducted to understand how community coalition and outreach (e.g., mobile or pop-up) services improve access for underserved vulnerable residents. OBJECTIVE To inform the development and delivery of an innovative intervention to increase access to PHC for vulnerable populations. METHODS A realist review was conducted in collaboration with the Local Innovative Partnership (LIP) research team and the IMPACT research members who conducted the review. We performed an initial comprehensive systematic search using MEDLINE, EMBASE, PsycINFO, and the Cochrane Library up to October 19, 2015, and updated it on August 8, 2020. Studies were included if they focused on interventions to improve access to PHC using community coalition, outreach services or mobile delivery methods. We included Randomized Controlled Trials (RCTs), and systematic reviews. Studies were screened by two independent reviewers and the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework was used for data extraction and framework analysis to obtain themes. The LIP research team was also allowed to suggest additional papers not included at screening. RESULTS We included 43 records, comprising 31 RCTs, 11 systematic reviews, and 1 case control study that was added by the LIP research team. We identified three main themes of PHC interventions to promote access for vulnerable residents, including: 1) tailoring of materials and services decreases barriers to primary health care, 2) services offered where vulnerable populations gather increases the "reach" of the interventions, 3) partnerships and collaborations lead to positive health outcomes. In addition, implementation designs and reporting elements should be considered. CONCLUSION Realist reviews can help guide the development of locally adapted primary health care interventions.
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Affiliation(s)
- Vivian Welch
- Bruyère Research Institute, Methods Centre, 85 Primrose, Ottawa, ON, K1R 7G5, Canada.
| | - Kevin Pottie
- Bruyère Research Institute, C.T. Lamont Primary Health Care Research Centre (CTLC), 85 Primrose, Ottawa, ON, K1R 7G5, Canada
| | - Caroline Gaudet
- Bruyère Research Institute, Methods Centre, 85 Primrose, Ottawa, ON, K1R 7G5, Canada
| | - Micere Thuku
- Bruyère Research Institute, C.T. Lamont Primary Health Care Research Centre (CTLC), 85 Primrose, Ottawa, ON, K1R 7G5, Canada
| | - Ryan Mallard
- University of Calgary, 2500 University Drive NW, Calgary, AB, T2N 1N4, Canada
| | - Shannon Spenceley
- University of Lethbridge, 4401 University Dr W, Lethbridge, AB, T1K 6T5, Canada
| | - Nida Amjed
- Lakehead University, 955 Oliver Road, Thunder Bay, ON, P7B 5E1, Canada
| | - Arpana Wadhwani
- Bruyère Research Institute, Methods Centre, 85 Primrose, Ottawa, ON, K1R 7G5, Canada
| | - Elizabeth Ghogomu
- Bruyère Research Institute, Methods Centre, 85 Primrose, Ottawa, ON, K1R 7G5, Canada
| | - Cathie Scott
- PolicyWise for Children & Families, #1000, 9925 109 Street, Edmonton, AB, T5K 2J8, Canada
| | - Simone Dahrouge
- Bruyère Research Institute, C.T. Lamont Primary Health Care Research Centre (CTLC), 85 Primrose, Ottawa, ON, K1R 7G5, Canada
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Breton M, Lamoureux-Lamarche C, Deslauriers V, Laberge M, Arsenault J, Gaboury I, Beauséjour M, Pomey MP, Motulsky A, Talbot A, St-Yves A, Smithman MA, Deville-Stoetzel N, Sauvé C, Abou Malham S. Evaluation of the implementation of single points of access for unattached patients in primary care and their effects: a study protocol. BMJ Open 2023; 13:e070956. [PMID: 36868603 PMCID: PMC9990645 DOI: 10.1136/bmjopen-2022-070956] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/05/2023] Open
Abstract
INTRODUCTION Attachment to a primary care provider is an important component of primary care as it facilitates access. In Québec, Canada, attachment to a family physician is a concern. To address unattached patients' barriers to accessing primary care, the Ministry of Health and Social Services mandated Québec's 18 administrative regions to implement single points of access for unattached patients (Guichets d'accès première ligne (GAPs)) that aim to better orient patients towards the most appropriate services to meet their needs. The objectives of this study are to (1) analyse the implementation of GAPs, (2) measure the effects of GAPs on performance indicators and (3) assess unattached patients' experiences of navigation, access and service utilisation. METHODS AND ANALYSIS A longitudinal mixed-methods case study design will be conducted. Objective 1. Implementation will be analysed through semistructured interviews with key stakeholders, observations of key meetings and document analysis. Objective 2. GAP effects on indicators will be measured using performance dashboards produced using clinical and administrative data. Objective 3. Unattached patients' experiences will be assessed using a self-administered electronic questionnaire. Findings for each case will be interpreted and presented using a joint display, a visual tool for integrating qualitative and quantitative data. Intercase analyses will be conducted highlighting the similarities and differences across cases. ETHICS AND DISSEMINATION This study is funded by the Canadian Institutes of Health Research (# 475314) and the Fonds de Soutien à l'innovation en santé et en services sociaux (# 5-2-01) and was approved by the CISSS de la Montérégie-Centre Ethics Committee (MP-04-2023-716).
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Affiliation(s)
- Mylaine Breton
- Department of community health sciences, Université de Sherbrooke-Campus de Longueuil, Longueuil, Québec, Canada
| | - Catherine Lamoureux-Lamarche
- Department of community health sciences, Université de Sherbrooke-Campus de Longueuil, Longueuil, Québec, Canada
| | - Véronique Deslauriers
- Department of community health sciences, Université de Sherbrooke-Campus de Longueuil, Longueuil, Québec, Canada
| | - Maude Laberge
- Department of social and preventive medicine, Université Laval, Québec, Québec, Canada
- Centre de recherche du CHU de Québec-Université Laval, Québec, Québec, Canada
| | - Josée Arsenault
- Direction de l'accès aux services médicaux de première ligne pour la Montérégie, Centre intégré de santé et de services sociaux de la Montérégie-Centre du Québec, Greenfield Park, Québec, Canada
| | - Isabelle Gaboury
- Department of community health sciences, Université de Sherbrooke-Campus de Longueuil, Longueuil, Québec, Canada
| | - Marie Beauséjour
- Department of community health sciences, Université de Sherbrooke-Campus de Longueuil, Longueuil, Québec, Canada
| | - Marie-Pascale Pomey
- Department of Family Medicine and Emergency Medicine, Université de Montréal École de Santé Publique, Montréal, Québec, Canada
| | - Aude Motulsky
- Department of Management, Evaluation and Health Policy, Université de Montréal École de Santé Publique, Montréal, Québec, Canada
| | - Annie Talbot
- Department of Family Medicine and Emergency Medicine, Université de Montréal, Montréal, Québec, Canada
| | - Annie St-Yves
- Department of community health sciences, Université de Sherbrooke, Sherbrooke, Québec, Canada
| | - Mélanie Ann Smithman
- Department of community health sciences, Université de Sherbrooke-Campus de Longueuil, Longueuil, Québec, Canada
| | - Nadia Deville-Stoetzel
- Department of community health sciences, Université de Sherbrooke-Campus de Longueuil, Longueuil, Québec, Canada
| | - Carine Sauvé
- Direction de l'accès aux services médicaux de première ligne pour la Montérégie, Centre intégré de santé et de services sociaux de la Montérégie-Centre du Québec, Greenfield Park, Québec, Canada
| | - Sabina Abou Malham
- Department of community health sciences, Université de Sherbrooke-Campus de Longueuil, Longueuil, Québec, Canada
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9
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Santoyo-Sánchez G, Reyes-Morales H, Flores-Hernández S, Pelcastre-Villafuerte BE, Merino-Soto C. Psychometric Properties of the Access of Older Adults to Outpatient Primary-Care Health Services Scale. Eval Health Prof 2023; 46:159-169. [PMID: 36821795 DOI: 10.1177/01632787231158806] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/25/2023]
Abstract
This study evaluates the psychometric properties of the Access of Older Adults to Outpatient Primary-Care Health Services Scale (AOAOPHSS), in research conducted among 707 Mexican older adults selected by convenience from 14 rural and one urban locations. The AOAOPHSS explores 10 dimensions of two integrated subscales: Accessibility and Personal Abilities. Data analysis was performed in five phases. First, potentially biased responses were identified. Second, the response efficiency of the items and their association with external variables were evaluated. Third, the basic properties of the scores for the subscales' dimensions of the AOAOPHSS were identified using non-parametric Mokken Scaling Analysis (MSA). Fourth, the Structural Equation Modeling methodology was used to identify the properties of the internal structure of the latent construct. Finally, reliability and internal consistency were evaluated at both score and item levels. The following findings emerged. 13 items with inefficient response options were removed, and 24 were retained using the MSA. The latent structure of the latter was defined based on 21 items of five Accessibility Subscale dimensions. Its internal consistency reliability ranged between 0.67 and 0.81 (omega coefficients) and between 0.61 and 0.78 (alpha coefficients). Accordingly, this paper discusses the overall implications of using the Accessibility Subscale.
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Affiliation(s)
- Gerardo Santoyo-Sánchez
- School of Public Health of Mexico, National Institute of Public Health in Mexico, Cuernavaca, Mexico
| | - Hortensia Reyes-Morales
- Center for Health Systems Research, 37764National Institute of Public Health in Mexico, Cuernavaca, Mexico
| | - Sergio Flores-Hernández
- Center for Evaluation and Surveys, 37764National Institute of Public Health in Mexico, Cuernavaca, Mexico
| | | | - César Merino-Soto
- Psychology Research Institute, 33226San Martin de Porres University, Lima, Peru
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10
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Roguski M, Officer TN, Nazari Orakani S, Good G, Händler-Schuster D, McBride-Henry K. Ableism, Human Rights, and the COVID-19 Pandemic: Healthcare-Related Barriers Experienced by Deaf People in Aotearoa New Zealand. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:17007. [PMID: 36554887 PMCID: PMC9778721 DOI: 10.3390/ijerph192417007] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/25/2022] [Revised: 12/09/2022] [Accepted: 12/14/2022] [Indexed: 06/17/2023]
Abstract
The COVID-19 pandemic significantly affected global healthcare access and exacerbated pre-pandemic structural barriers. Literature on disabled people's experiences accessing healthcare is limited, with even less framing healthcare access as a human rights issue. This study documents and critically analyses Deaf people's healthcare access experiences in Aotearoa New Zealand during the COVID-19 pandemic. Eleven self-identified Deaf individuals participated in semi-structured videoconferencing interviews. Discourse analysis was applied to participant narratives with discourses juxtaposed against a human rights analysis. Barriers influencing healthcare access included: (1) the inability of healthcare providers to communicate appropriately, including a rigid adherence to face mask use; (2) cultural insensitivity and limited awareness of Deaf people's unique needs; and (3) the impact of ableist assumptions and healthcare delaying care. Barriers to healthcare access represent consecutive breaches of rights guaranteed under the United Nations Convention on the Rights of Persons with Disabilities (CRPD). Such breaches delay appropriate healthcare access and risk creating future compounding effects. Action is required to address identified breaches: (1) The CRPD should also underpin all health policy and practice development, inclusive of pandemic and disaster management responsiveness. (2) Health professionals and support staff should be trained, and demonstrate competency, in Deaf cultural awareness and sensitivity.
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Affiliation(s)
- Michael Roguski
- Kaitiaki Research and Evaluation, Wellington 6012, New Zealand
| | - Tara N. Officer
- Te Kura Tapuhi Hauora—School of Nursing, Midwifery, and Health Practice, Wellington Faculty of Health, Te Herenga Waka—Victoria University of Wellington, Wellington 6140, New Zealand
| | - Solmaz Nazari Orakani
- Te Kura Tapuhi Hauora—School of Nursing, Midwifery, and Health Practice, Wellington Faculty of Health, Te Herenga Waka—Victoria University of Wellington, Wellington 6140, New Zealand
| | - Gretchen Good
- School of Health Sciences, Massey University, Palmerston North 4442, New Zealand
| | - Daniela Händler-Schuster
- Te Kura Tapuhi Hauora—School of Nursing, Midwifery, and Health Practice, Wellington Faculty of Health, Te Herenga Waka—Victoria University of Wellington, Wellington 6140, New Zealand
- Institute of Nursing, School of Health Sciences, Zurich University of Applied Sciences, 8400 Winterthur, Switzerland
- Institute of Nursing, Department of Nursing Science and Gerontology, Private University of Health Sciences Medical Informatics and Technology, 6060 Hall in Tyrol, Austria
| | - Karen McBride-Henry
- Te Kura Tapuhi Hauora—School of Nursing, Midwifery, and Health Practice, Wellington Faculty of Health, Te Herenga Waka—Victoria University of Wellington, Wellington 6140, New Zealand
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11
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McNeill SG, O'Donovan D, Hart N. Access to healthcare for people experiencing homelessness in the post-conflict society of Northern Ireland. Med Confl Surviv 2022; 38:274-279. [PMID: 36167493 DOI: 10.1080/13623699.2022.2116553] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Affiliation(s)
| | | | - Nigel Hart
- Centre for Public Health, Queen's University Belfast
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12
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Nantais J, Larsen K, Skelhorne-Gross G, Beckett A, Nolan B, Gomez D. Potential Access to Emergency General Surgical Care in Ontario. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:13730. [PMID: 36360609 PMCID: PMC9653868 DOI: 10.3390/ijerph192113730] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/30/2022] [Revised: 10/13/2022] [Accepted: 10/20/2022] [Indexed: 06/16/2023]
Abstract
Limited access to timely emergency general surgery (EGS) care is a probable driver of increased mortality and morbidity. Our objective was to estimate the portion of the Ontario population with potential access to 24/7 EGS care. Geographic information system-based network-analysis was used to model 15-, 30-, 45-, 60-, and 90-min land transport catchment areas for hospitals providing EGS care, 24/7 emergency department (ED) access, and/or 24/7 operating room (OR) access. The capabilities of hospitals to provide each service were derived from a prior survey. Population counts were based on 2016 census blocks, and the 2019 road network for Ontario was used to determine speed limits and driving restrictions. Ninety-six percent of the Ontario population (n = 12,933,892) lived within 30-min's driving time to a hospital that provides any EGS care. The availability of 24/7 EDs was somewhat more limited, with 95% (n = 12,821,747) having potential access at 30-min. Potential access to all factors, including 24/7 ORs, was only possible for 93% (n = 12,471,908) of people at 30-min. Populations with potential access were tightly clustered around metropolitan centers. Supplementation of 24/7 OR capabilities, particularly in centers with existing 24/7 ED infrastructure, is most likely to improve access without the need for new hospitals.
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Affiliation(s)
- Jordan Nantais
- Li Ka Shing Knowledge Institute, St. Michael’s Hospital, Toronto, ON M5B 1T8, Canada
- Department of Surgery, Section of General Surgery, University of Manitoba, Winnipeg, MB R3A 1R9, Canada
| | - Kristian Larsen
- CAREX Canada, Faculty of Health Sciences, Simon Fraser University, Vancouver, BC V6T 1Z3, Canada
- Department of Geography and Planning, University of Toronto, Toronto, ON M5S 3G3, Canada
- Department of Geography and Environmental Studies, Ryerson University, Toronto, ON M5B 2K3, Canada
| | - Graham Skelhorne-Gross
- Department of Surgery, Division of General Surgery, University of Toronto, Toronto, ON M5T 1P5, Canada
| | - Andrew Beckett
- Li Ka Shing Knowledge Institute, St. Michael’s Hospital, Toronto, ON M5B 1T8, Canada
- Department of Surgery, Division of General Surgery, University of Toronto, Toronto, ON M5T 1P5, Canada
| | - Brodie Nolan
- Li Ka Shing Knowledge Institute, St. Michael’s Hospital, Toronto, ON M5B 1T8, Canada
- Department of Medicine, Division of Emergency Medicine, University of Toronto, Toronto, ON M5S 3H2, Canada
| | - David Gomez
- Li Ka Shing Knowledge Institute, St. Michael’s Hospital, Toronto, ON M5B 1T8, Canada
- Department of Surgery, Division of General Surgery, University of Toronto, Toronto, ON M5T 1P5, Canada
- Institute of Health Policy, Management & Evaluation, University of Toronto, Toronto, ON M5T 3M6, Canada
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13
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Santoyo-Sánchez G, Merino-Soto C, Flores-Hernández S, Pelcastre-Villafuerte BE, Reyes-Morales H. Content Validity of a Scale Designed to Measure the Access of Older Adults to Outpatient Health Services. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph191610102. [PMID: 36011737 PMCID: PMC9407808 DOI: 10.3390/ijerph191610102] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/19/2022] [Revised: 08/12/2022] [Accepted: 08/14/2022] [Indexed: 05/20/2023]
Abstract
The objective of this work was to validate the content of a scale formulated in Spanish for older adults in Mexico, with the aim of comprehensively measuring the access of this population group to outpatient primary-care services. To this end, we carried out a methodological content-validity study in four stages: (1) construction of the scale; (2) evaluation of item legibility; (3) quantitative content evaluation by two groups of judges selected by convenience: participant-judges including older adults with adequate reading comprehension, surveyed in person (n = 23), and expert-judges comprised of researchers specialized in the fields of health services, psychometrics and aging, surveyed online (n = 7); and (4) collection of qualitative feedback from several of the participant-judges (older adults, n = 4). The content was validated both by sequentially examining the level of consensus in the responses of both groups of judges, using the Tastle and Wierman method, and by calculating Aiken's Validity Coefficient with a 90% confidence interval. The scale contained 65 items pertaining to 10 dimensions of two major constructs: accessibility (n = 39) and personal abilities (n = 26). Five items were eliminated in accordance with the minimum-consensus criterion (0.5). This is the first psychometric scale to be developed in Mexico with the view of integrating the characteristics of health-care services and the abilities of the older adults in a single questionnaire designed to measure the access of this population group to outpatient primary-care services.
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Affiliation(s)
- Gerardo Santoyo-Sánchez
- School of Public Health of Mexico, National Institute of Public Health, Avenida Universidad 655, Santa María Ahuacatitlán, Cuernavaca 62100, Morelos, Mexico
| | - César Merino-Soto
- Psychology Research Institute, San Martin de Porres University, Avenue Tomás Marsano 232, Lima 34, Peru
| | - Sergio Flores-Hernández
- Center for Evaluation and Surveys, National Institute of Public Health, Avenida Universidad 655, Santa María Ahuacatitlán, Cuernavaca 62100, Morelos, Mexico
| | - Blanca Estela Pelcastre-Villafuerte
- Center for Health Systems Research, National Institute of Public Health, Avenida Universidad 655, Santa María Ahuacatitlán, Cuernavaca 62100, Morelos, Mexico
| | - Hortensia Reyes-Morales
- Center for Health Systems Research, National Institute of Public Health, Avenida Universidad 655, Santa María Ahuacatitlán, Cuernavaca 62100, Morelos, Mexico
- Correspondence: ; Tel.: +52-(777)-329-3028
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14
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Meng L, Murthy NC, Murthy BP, Zell E, Saelee R, Irving M, Fast HE, Roman PC, Schiller A, Shaw L, Black CL, Gibbs-Scharf L, Harris L, Chorba T. Factors Associated with Delayed or Missed Second-Dose mRNA COVID-19 Vaccination among Persons >12 Years of Age, United States. Emerg Infect Dis 2022; 28:1633-1641. [PMID: 35798008 PMCID: PMC9328898 DOI: 10.3201/eid2808.220557] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
To identify demographic factors associated with delaying or not receiving a second dose of the 2-dose primary mRNA COVID-19 vaccine series, we matched 323 million single Pfizer-BioNTech (https://www.pfizer.com) and Moderna (https://www.modernatx.com) COVID-19 vaccine administration records from 2021 and determined whether second doses were delayed or missed. We used 2 sets of logistic regression models to examine associated factors. Overall, 87.3% of recipients received a timely second dose (≤42 days between first and second dose), 3.4% received a delayed second dose (>42 days between first and second dose), and 9.4% missed the second dose. Persons more likely to have delayed or missed the second dose belonged to several racial/ethnic minority groups, were 18-39 years of age, lived in more socially vulnerable areas, and lived in regions other than the northeastern United States. Logistic regression models identified specific subgroups for providing outreach and encouragement to receive subsequent doses on time.
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15
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McNeill S, O'Donovan D, Hart N. Access to healthcare for people experiencing homelessness in the UK and Ireland: a scoping review. BMC Health Serv Res 2022; 22:910. [PMID: 35831884 PMCID: PMC9281084 DOI: 10.1186/s12913-022-08265-y] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2022] [Accepted: 06/23/2022] [Indexed: 11/10/2022] Open
Abstract
Background People experiencing homelessness (PEH) have poorer physical and mental health than the general population. They are also more likely to have less access to healthcare. These processes of access can be better understood using Levesque’s access framework which addresses both supply (service provision) and demand (user abilities). Methods Following the Joanna Briggs Institute (JBI) guidelines, electronic peer-reviewed databases were searched in February 2022 for studies published since 2000 related to access to healthcare for PEH ages 16 and older in the United Kingdom (UK) and Ireland. Retrieved articles were screened and those eligible were selected for data extraction. Qualitative and quantitative studies were included. Results Fifty-six papers out of 538 identified were selected and aliased. Six main themes were identified: staff education, flexibility of systems, service coordination, patient preparedness, complex health needs and holistic care. These relate to the Levesque access framework. Conclusions Improving access to healthcare for PEH requires changes to how services are provided and how service-user abilities are supported. Supplementary Information The online version contains supplementary material available at 10.1186/s12913-022-08265-y.
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Affiliation(s)
- Sarah McNeill
- Centre for Public Health, Queen's University Belfast, Institute of Clinical Science, Block A, Royal Victoria Hospital, Belfast, Northern Ireland, BT12 6BA.
| | - Diarmuid O'Donovan
- Centre for Public Health, Queen's University Belfast, Institute of Clinical Science, Block A, Royal Victoria Hospital, Belfast, Northern Ireland, BT12 6BA
| | - Nigel Hart
- Centre for Public Health, Queen's University Belfast, Institute of Clinical Science, Block A, Royal Victoria Hospital, Belfast, Northern Ireland, BT12 6BA
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16
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Ashcroft R, Lam S, Kourgiantakis T, Begun S, Nelson MLA, Adamson K, Cadell S, Walsh B, Greenblatt A, Hussain A, Sur D, Sirotich F, Craig SL. Preparing social workers to address health inequities emerging during the COVID-19 pandemic by building capacity for health policy: a scoping review protocol. BMJ Open 2021; 11:e053959. [PMID: 34732499 PMCID: PMC8572402 DOI: 10.1136/bmjopen-2021-053959] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/29/2021] [Accepted: 10/13/2021] [Indexed: 11/04/2022] Open
Abstract
INTRODUCTION The COVID-19 pandemic has brought tremendous changes in healthcare delivery and exacerbated a wide range of inequities. Social workers across a broad range of healthcare settings bring an expertise in social, behavioural and mental healthcare needed to help address these health inequities. In addition, social workers integrate policy-directed interventions and solutions in clinical practice, which is a needed perspective for recovery from the COVID-19 pandemic. It remains unclear, however, what the most pressing policy issues are that have emerged during the COVID-19 pandemic. In addition, many social workers in health settings tend to underuse policy in their direct practice. The objectives of this scoping review are to: (1) systematically scope the literature on social work, COVID-19 pandemic and policy; and (2) describe the competencies required by social workers and the social work profession to address the policy issues emerging during the COVID-19 pandemic. METHODS AND ANALYSIS The scoping review follows Arksey and O'Malley's five-stage framework. Identification of literature published between 1 December 2019 and the search date, 31 March 2021, will take place in two stages: (1) title and abstract review, and (2) full-text review. In partnership with a health science librarian, the research team listed keywords related to social work and policy to search databases including Medline, Embase, PsycINFO, CINAHL, Social Services Abstract and Social Work Abstracts. Two graduate-level research assistants will conduct screening and full-text review. Data will then be extracted, charted, analysed and summarised to report on our results and implications on practice, policy and future research. ETHICS AND DISSEMINATION Results will help develop a policy practice competence framework to inform how social workers can influence policy. We will share our findings through peer-reviewed publications and conference presentations. This study does not require Research Ethics Board approval as it uses publicly available sources of data.
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Affiliation(s)
- Rachelle Ashcroft
- Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada
| | - Simon Lam
- Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada
| | - Toula Kourgiantakis
- Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada
| | - Stephanie Begun
- Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada
| | - Michelle L A Nelson
- Bridgepoint Collaboratory for Research and Innovation, Lunenfeld-Tanenbaum Research Institute, Sinai Health System, Toronto, Ontario, Canada
- Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada
| | - Keith Adamson
- Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada
| | - Susan Cadell
- Renison University College, Waterloo, Ontario, Canada
| | - Benjamin Walsh
- Robarts Library, University of Toronto, Toronto, Ontario, Canada
| | - Andrea Greenblatt
- Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada
| | - Amina Hussain
- Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada
| | - Deepy Sur
- Ontario Association of Social Workers, Toronto, Ontario, Canada
| | - Frank Sirotich
- Canadian Mental Health Association, Toronto, Ontario, Canada
| | - Shelley L Craig
- Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada
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Guest Editorial: Hearing Care for All-An Opportunity to Globally Unite to Address Inequities in Hearing Health. Ear Hear 2021; 42:487-491. [PMID: 33657575 DOI: 10.1097/aud.0000000000001047] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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