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Showing results for tags 'Health Disparities'.
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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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- Long Covid
- Recovery
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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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- Womens health
- Patient engagement
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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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- Health inequalities
- Health Disparities
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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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- Healthcare
- Patient
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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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- Pandemic
- Health inequalities
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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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- Pandemic
- Health inequalities
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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.- Posted
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- Womens health
- Obstetrics and gynaecology/ Maternity
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Content ArticleLanguage barriers, reduced self-advocacy, lower health literacy and biased care may hinder the diagnostic process. This US study in BMJ Quality & Safety looks at patient-reported diagnostic errors, what contributes to them and the impact they have, and examines the differences between respondents with limited English-language health literacy or disadvantaged socioeconomic position, and their counterparts. The authors conclude that: interpreter access should be viewed as a diagnostic safety imperative. social determinants affecting care access and affordability should be routinely addressed as part of the diagnostic process. patients and their families should be encouraged to access and update their medical records.
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- Diagnosis
- Diagnostic error
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Content Article'Deep End’ general practices serve communities in the most socioeconomically disadvantaged areas. The analogy of the deep end of the swimming pool to describe how a one size fits all funding model for NHS GP practices regardless of area-based differences in patient needs leaves health professionals in high-deprivation places treading water to stay afloat. Lincolnshire’s East Coast is now amongst the most deprived communities in the UK. This in-depth article in BJGP Life reports on an event for local healthcare professionals and academic researchers hosted by First Coastal Primary Care Network (FCPCN) in November 2021, in Skegness, Lincolnshire. The aim of the event was to discuss the challenges that health professionals working within the FCPCN face with a focus on inequities and the experiences of the healthcare workforce.
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- Health inequalities
- Health Disparities
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Content ArticleCancer Research UK’s latest analysis of NHS Digital cancer registration data uses the most complete recording to date of cancer rates by ethnicity in England, providing crucial data on how some cancer rates vary by ethnicity. The study found that although a small number of cancer sites have higher incidence rates in Asian, Black and Mixed/Multiple ethnic groups, for the majority of cancer sites these groups have a lower incidence than the White population. Differing prevalence of risk factors and access to/use of health services is likely to explain more of this variation than are genetic factors; if risk factor prevalence changes cancer rates may rise in minority ethnic groups, therefore action to address key risk factors and to improve the cancer experiences and outcomes of people in minority ethnic groups is vital. Improving the collection of ethnicity information in healthcare datasets will support a better understanding of differences in disease, as well as inequalities in cancer and where improvements in the health service can be made.
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- Cancer
- Health Disparities
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Content ArticleThe aim of this study from Liu et al. was to assess the impact of the Fetal Medicine Foundation (FMF) first trimester screening algorithm for pre-eclampsia on health disparities in perinatal death among minority ethnic groups.
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Content ArticleThis report by the Institute of Global Health Innovation at Imperial College London highlights the opportunities and barriers for artificial intelligence to improve the health of the UK’s minority ethnic groups. It outlines the urgent need to address issues such as biased algorithms, poor data collection and a lack of diversity in research and development, in order to prevent a worsening of health inequalities experienced by minority ethnic groups.
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- Health inequalities
- Health Disparities
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Content ArticleThis book focuses on the consumer’s perspective and emphasises how advocacy can influence change in healthcare quality at multiple social levels. This introductory volume synthesises patient advocacy from a multi-level approach and is an ideal text for graduate and professional students in schools of public health, nursing and social work.
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- Quality improvement
- Patient factors
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Content ArticleThis report by Bliss, the UK’s leading charity for babies born premature or sick, found that young parents are often underprepared and under-supported when their babies are in neonatal care. Research by Bliss found that more than half of young parents felt they were not as involved in caregiving or decision-making as they wanted to be when their baby was born premature or sick. It also highlighted contradictory messages that young mothers are given throughout their pregnancy that their youth will be a protective factor, despite an increased risk of prematurity and neonatal mortality for babies born to mothers aged under 20. This myth leaves many young parents feeling unprepared, enhancing their feelings of shock and disbelief if their babies are born unwell.
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- NICU/SCBU
- Young Adult
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Content ArticleWith allegations into racial discrimination at the workplace rarely upheld by employers or courts, Roger Kline, Naledi Kline and Joy Warmington give a set of questions for investigators to ensure more robust investigations.
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- Investigation
- Health inequalities
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Content ArticleThe RCM Podcast is a podcast by the Royal College of Midwives focusing on the work the RCM is doing with and on behalf of its midwife and maternity support worker members. In this episode, Gemma Murphy talks to midwife Vlora Purchase from Greenwich and Lewisham NHS Trust and safeguarding midwife Wendy Warrington from Pennine Care NHS Foundation, to gain insight into the important work they do. Gemma also catches up with RCM staff who developed a new RCM position statement on supporting women with severe and multiple disadvantage during pregnancy.
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- Maternity
- Health inequalities
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Content ArticleWhile men over 50 tend to suffer the most acute symptoms of coronavirus, women who get Long Covid outnumber men by as much as four to one.
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- Long Covid
- Womens health
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Content ArticleThis campaign by the independent statutory body Healthwatch aims to help make sure more people get healthcare information in the way they need it. Patients need clear, accessible information in order to make informed decisions about their health and care. The Accessible Information Standard gives disabled people and people with a sensory loss the legal right to get health and social care information they can understand and communications support if they need it. 'Your Care, Your Way' is asking whether the standard is being delivered by services, and whether it goes far enough. The campaign aims to: Find out how well health and care services are delivering the Accessible Information Standard. Make sure that, if the standard covers you, you know your rights. Find out who else has problems understanding information about their healthcare and needs to be covered by the standard.
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- Health inequalities
- Health Disparities
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Content ArticleA new report by the NHS Race and Health Observatory makes robust recommendations—we must act on them, write Mohammad S Razai and colleagues in this BMJ opinion piece. The magnitude of racial health inequalities reported in the NHS Race and Health Observatory’s recent review comes as no surprise. It highlighted the overwhelming, stark, widespread, and longstanding inequalities that people from ethnic minorities in the UK experience in access to healthcare and outcomes. The report found that this occurs “at every stage, throughout the life course, from birth to death” and is “rooted in experiences of structural, institutional, and interpersonal racism.” This evidence has been known for a long time, with the disproportionate impacts of Covid-19 on people from ethnic minorities drawing even greater attention to and wider recognition of these facts. Will evidence, however, be enough to compel those charged with the nation’s health to acknowledge and take urgent action to redress these egregious inequalities?
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- Health inequalities
- Health Disparities
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Content ArticleIn this blog for the British Journal of General Practice comment and opinion website, BJGP Life, GP Will Mackintosh discusses the impact of health inequalities on patients' ability to play an active role in their care. He calls for training for all GPs to understand the constraints and pressures that may be affecting their patients, so that they can better assess the causes of health issues and therefore treat them more effectively. The article examines concepts of freedom for both GP and patient, and argues that a purely evidence-based approach does not help patients from deprived backgrounds overcome health issues. The author highlights that GPs operate in a 'grey zone' between the medical and the non-medical, and argues that this means they are well placed to understand and help tackle the root causes of health disparities.
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- Health inequalities
- Health Disparities
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Content ArticleAs well as a moral issue, tackling racism affecting NHS staff is a crucial part of improving patient safety and care, says MDX Research Fellow Roger Kline. In this blog, Roger looks at the risks of racism on patient safety.
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- Health inequalities
- Health Disparities
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Content ArticlePulmonary arterial hypertension (PAH) is a rare disease characterised by pulmonary vascular remodelling and elevated pulmonary pressure, which eventually leads to right heart failure and death. Registries worldwide have noted a female predominance of the disease, spurring particular interest in hormonal involvement in the disease pathobiology. Several experimental models have shown both protective and deleterious effects of oestrogens, suggesting that complex mechanisms participate in PAH pathogenesis. In fact, oestrogen metabolites as well as receptors and enzymes implicated in oestrogen signalling pathways and associated conditions such as BMPR2 mutation contribute to PAH penetrance more specifically in women. Conversely, females have better right ventricular function, translating to a better prognosis. Along with right ventricular adaptation, women tend to respond to PAH treatment differently from men. As some young women suffer from PAH, contraception is of particular importance, considering that pregnancy in patients with PAH is strongly discouraged due to high risk of death. When contraception measures fail, pregnant women need a multidisciplinary team-based approach. This article from Cheron et al. aims to review epidemiology, mechanisms underlying the higher female predominance, but better prognosis and the intricacies in management of women affected by PAH.
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- Medicine - Cardiology
- Womens health
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(and 2 more)
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Content ArticleMany devices in current use were marketed before the US Food and Drug Administration (FDA) began regulating devices in 1976. Thus, manufacturers of these devices were not required to demonstrate safety and effectiveness, which presents both clinical and ethical problem for patients, especially for women, as some of the most dangerous devices—such as implanted contraceptive devices— are used only in women. This article from Madris Kinard and Rita F. Redberg investigates whether and to what extent devices for women receive less rigorous scrutiny than devices for men. This article also suggests how the FDA Center for Devices and Radiological Health could more effectively ensure safety and effectiveness of devices that were marketed prior to 1976.
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- Womens health
- Medical device
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