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Showing results for tags 'Health Disparities'.
Found 793 results
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Content ArticleCore20PLUS5 is NHS England's national approach to reducing healthcare inequalities. In this blog, Paul Gavin, Deputy Director of the Healthcare Inequalities Improvement Programme, reflects on learnings from a recent online survey about Core20PLUS5 in which healthcare professionals and voluntary sector organisations shared their views on the approach. NHS England have also produced an infographic summarising the survey results.
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Content ArticleThe East of England share their race strategy.
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Content ArticleSadly, we live in a world where racism, misogyny, ableism and other forms of discrimination and prejudice exist. As an organisation that is rooted in and serves our community, we are not exempt from such discriminatory beliefs and behaviours, writes Solent Trust’s Anna Rowen in this HSJ article.
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Content ArticleGender bias in healthcare is a well-recognised issue. From diagnosis to drug development and treatment, the modern healthcare system has been shown to advantage men over women. Responsibly designed artificial intelligence (AI) and machine learning algorithms have the potential to overcome gender bias in medicine. However, if machine learning methods are implemented without careful thought and consideration they can lead to the perpetuation and even accentuation of existing biases. How can we develop technology in a way that prevents rather than perpetuates bias? This blog from Babylon highlights 4 key principles that can help.
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Content ArticleThis briefing by The Health Foundation Improvement Analytics Unit looks at recent data around patient preferences for online and face-to-face consultations and examines the impact of the increasing use of online tools on patient access to primary care. The Improvement Analytics Unit examined 7.5 million patient-initiated requests for primary care made using the askmyGP online consultation system between March 2019 and September 2021 at 146 general practices in England. These practices had a combined total list size of 1.35 million patients.
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Content ArticleRoger Kline, Research Fellow at Middlesex University Business School, comments on the Government “Action Plan” on racism.
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Content ArticleIn October 2021 the UK Government launched a review of leadership in health and social care, led by former Vice Chief of the Defence Staff General Sir Gordon Messenger. In this article, the NHS Confederation - the membership organisation that brings together, supports and speaks for the whole healthcare system in England, Wales and Northern Ireland - looks at the key issues for NHS leadership that NHS Federation members would like to see addressed in Sir Gordon Messenger’s final report, expected to be published in April 2022.
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Content ArticleThis analysis by the Health Foundation examines the mismatch between the public’s perceptions of what influences health (namely individual behaviour and access to care) and the clear evidence base that demonstrates the significance of wider determinants of health. The authors explore the reasons behind public perceptions and look at how public health professionals can use communications techniques to improve public understanding of evidence about health inequalities.
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Content ArticleThis report by Healthwatch highlights barriers and delays that people with little or no English can face when trying to access healthcare. Based on research conducted by Healthwatch, it examines the difficulties that patients with little or no English encounter at every stage of their healthcare journey, including registering with a GP, accessing urgent care, navigating healthcare premises, explaining their problems and understanding what the doctor says. It highlights system-, staff- and patient-related barriers that must be tackled in order to achieve equal access to care.
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Content ArticleWhile inequalities in health have always been a problem, the Covid-19 pandemic has shone a spotlight on inequalities, and created an opportunity for change. In this long read by The King's Fund, the authors look at the importance of developing a long-term approach to tackling health inequalities. They examine at historical attempts to tackle health inequalities and argue that we need an enduring national mission to tackle inequality. They highlight that action is needed at national and local levels if this mission is to succeed.
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Content ArticleThis article in The Journal of Post-Acute and Long-Term Care Medicine looks at the issue of systemic racism in long-term services and supports (LTSS) including nursing homes and home- and community-based care in the USA. The authors highlight segregation and disparities, with Black, Indigenous, and persons of colour (BIPOC) users having less access to quality care and reporting poorer quality of life. The authors make a number of policy recommendations to address these health inequalities in LTSS: Targeted increases to Medicaid reimbursement tied to direct care, and targeted enhanced Medicare and/or Medicaid reimbursement to LTSS providers that serve a disproportionate share of Medicaid or underserved older adults. Pay for performance incentives should focus on improving care among LTSS providers who serve individuals with disadvantaged status because of systemic racism and that operate above and beyond a person's clinical severity and comorbidity. The Centers for Medicare & Medicaid Services (CMS) should develop an overall health equity measure which would help capture how well providers meet the needs of diverse populations. Care Compare quality scores by race and ethnicity should be used internally and shared with states to develop culturally appropriate policies. Race and ethnicity-specific quality measures should be included on state-level report cards to incentivise action among states and tailor solutions to the local context. Promote culture change in nursing homes, with an ultimate goal of creating a person-centred, homelike model of care. Expand access to Medicaid-waivered home- and community-based services. Ensure that home- and community-based services are culturally appropriate. Promote integrated home- and community-based programs that can be targeted to BIPOC users to address existing disparities in outcomes.
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Content ArticleThe Covid-19 pandemic has exacerbated existing health inequalities for refugees and migrants. These populations have shown lower rates of Covid-19 vaccination uptake, and may face a range of individual, social, practical and logistical barriers to accessing vaccines. The World Health Organization (WHO) has developed this guide to provide practical recommendations, strategies and good practice for understanding and addressing barriers to Covid-19 vaccination among refugee and migrant populations. It is intended to support all stakeholders responsible for the rollout of Covid-19 vaccines to refugee and migrant populations.
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Content ArticleMatthews et al. investigated inequalities in stillbirth rates by ethnicity to facilitate development of initiatives to target those at highest risk. They found that stillbirth rates declined in the UK, but substantial excess risk of stillbirth persists among babies of black and Asian ethnicities. The combined disadvantage for black, Pakistani and Bangladeshi ethnicities who are more likely to live in most deprived areas is associated with considerably higher rates. Key causes of death were congenital anomalies and placental causes. Improved strategies for investigation of stillbirth causes are needed to reduce unexplained deaths so that interventions can be targeted to reduce stillbirths.
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Content ArticleAdvice and guidance on the health needs of migrant patients from Ukraine for healthcare practitioners.
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Content ArticleThis report highlights the importance of embracing a culture of change in the design and delivery of women’s health to achieve national systems and local services fit to meet the expectations and needs of the 21st century woman. It describes the many failings of health services across the world whose default position is to treat women as second-class citizens and place unnecessary barriers to the delivery of high-quality accessible care. The report sets out recommendations, founded on common sense and rooted in the belief that women should be in control of their own bodies.
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Content ArticleThe gender health gap is a long-standing, deeply entrenched problem that stretches back centuries - yet it is only finally starting to get the attention it deserves. In this discussion hosted by The Independent's Women's Correspondent Maya Oppenheim, Dr Jess Taylor, Le’Nise Brothers, Sandra Igwe and Dr Geeta Nargund explore the steps that must be taken to solve the gender health gap, including proper education of health professionals and engaging in open honest conversations.
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Content ArticleThe Health Foundation will be carrying out an independent review of health and health inequalities in Scotland to provide a detailed and thorough analysis of the health trends and wider factors that have influenced people’s health in Scotland over the last two decades. The study comes amid ongoing concern around widespread and persistent health inequalities in Scotland, which are likely to have further widened during the pandemic. Sign up to stay in touch about health inequalities in Scotland: An independent review, and the Health Foundation's ongoing work and relevant events,
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Content ArticleCatherine Villanueva Gardner, Professor of Women’s and Gender Studies and Philosophy at the University of Massachusetts Dartmouth, looks at the material effects on women with Long Covid.
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Content ArticleIn this episode of The King's Fund podcast, host Helen McKenna speaks with Professor Dame Lesley Regan and Dr Janine Austin Clayton about women’s health journeys from start to finish. They explore why women can struggle to get medical professionals to listen to them and the impact this has on diagnosis and treatment, as well as the mental and physical effects on women themselves.
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Content ArticleIn this article for the Evening Standard, journalist Susannah Butter talks to Caroline Criado Perez about her book, 'Invisible Women, Exposing Data Bias in a World Designed for Men'. Criado Perez discusses inequalities faced by women in healthcare, including delayed diagnosis, misdiagnosis and exclusion from medical research. The article also looks at tech solutions being founded by women to fill gaps and address these inequalities.
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Content Article
In this blog, we take a look at why women have been historically underrepresented in clinical trials and medical research, and the ongoing implications this has on medication safety for women. -
Content ArticleThousands of individuals are released from immigration detention into the community every year. Between 1 October 2020 and 30 September 2021, 21,362 people were detained, and 17,283 were released into the community, having been granted bail or leave to enter/remain. This means that 81% of those detained were released back into the community. 2,239 were considered to be ‘Adults at Risk’ whilst in detention by the Home Office. In this report, Medical Justice sheds light on the many issues its clients face in accessing healthcare upon release into the community. By highlighting these issues, Medical Justice seeks significant improvements in the Home Office’s continuity of care of all individuals upon release and provides specific recommendations to the Home Office.
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Content ArticleThe Covid-19 pandemic has rapidly accelerated a trend of decline in access to and outcomes in healthcare. This situation means that people who have the means to do so are opting for faster, private care, creating a two-tier healthcare system. However, IPPR polling shows that near-universal public support remains for retaining a universal, free, comprehensive and tax-funded NHS. The public highly values the principles of the NHS as a system that universalises the benefits of the best healthcare and shares the cost across the population. This report by The Institute for Public Policy Research (IPPR) think tank proposes policies based on three aims: recovery, building back better and increased sustainability facing an uncertain future.
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Content ArticleThis study in PLOS Medicine looked at the uptake of the Covid-19 vaccine in different ethnic groups in Manchester between 1 December 2020 and 18 April 2021. Covid-19 vaccine uptake is lower amongst most minority ethnic groups compared to the White British group in England, despite higher Covid-19 mortality rates. This study adds to existing evidence by estimating inequalities for 16 minority ethnic groups, examining ethnic inequalities within population subgroups, and comparing the scale of ethnic inequalities in Covid-19 vaccine uptake to those for routine seasonal influenza vaccine uptake. The authors of the study found that ethnic inequalities in Covid-19 vaccine uptake exceeded those for influenza vaccine uptake. existed amongst those recently vaccinated against influenza. were widest amongst those with greatest Covid-19 risk. This suggests the Covid-19 vaccination programme has created additional, different health inequalities. They suggest that further research and policy action is needed to understand and remove barriers to vaccine uptake, and to build trust and confidence amongst minority ethnic communities.
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Content Article
Misogyny is a safety issue: a blog by Saira Sundar
SairaS posted an article in Women's health
In this opinion piece, hub topic lead Saira Sundar looks at the culture of misogyny we have inherited in the medical profession, particularly in the obstetrics and gynaecology area of medicine. We hear time and time again women speaking up about being mistreated and/or disbelieved by medical professionals, resulting in delays in diagnosis and serious harm. However, there is a real change being forced by women themselves, with the public increasingly questioning and insisting on improvement and the right to be heard.
