China
Africa
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Interprofessional Leadership Amid Twin Pandemics
Published in Danielle Laraque-Arena, Lauren J. Germain, Virginia Young, Rivers Laraque-Ho, Leadership at the Intersection of Gender and Race in Healthcare and Science, 2022
Tina L. Cheng, Marquita Genies
Like many academic medical centers, diversity and inclusion efforts are oftentimes detached from the core mission and run parallel to key strategic organizational/departmental processes. This siloed approach reinforces the idea that concerns surrounding DEI are a series of problems to solve and check off the list as complete. The events surrounding the execution of George Floyd and the effects of systemic racism further exposed amid the COVID-19 pandemic demonstrated that DEI issues have been overlooked and are at the root of health disparities. We must embrace diversity and inclusion as an essential component of meeting our missions of patient care, research, and education (Figure 5.2) (Awosogba et al., 2013).
Disability
Published in Miriam Orcutt, Clare Shortall, Sarah Walpole, Aula Abbara, Sylvia Garry, Rita Issa, Alimuddin Zumla, Ibrahim Abubakar, Handbook of Refugee Health, 2021
Sarah Polack, Phillip Sheppard
A twin-track approach is widely advocated. This includes ensuring meaningful inclusion of people with disabilities into all sectors – for example making sure healthcare staff do not discriminate and that health facilities are accessible, as well as targeted activities to empower, strengthen capacity and address specific needs of people with disabilities. Greater attention on the provision of effective and timely rehabilitation for displaced populations is needed in all aspects of conflict, displacement and settlement, with an emphasis on ensuring the long-term sustainability of services.27
Equity lessons learned from pharmerging countries
Published in Songül Çınaroğlu, Equity and Healthcare Reform in Developing Economies, 2020
Medicines represent a key challenge to achieving UHC. Inclusive healthcare policies and regulations in the health insurance system have a strong potential to improve cost-effective use of medicines; however, the effect of inclusive insurance policies on household medicine usage in Thailand has not been studied extensively (Towse et al., 2004). Expanding healthcare coverage provides benefits to the entire Thai population, and access to medicines is increased. However, the UHC scheme does not seem to have increased the use of medicines for diseases that are typically treated in secondary or tertiary care settings or to have increased the market for generic drugs (Garabedian et al., 2012). Interventions related to health technology assessment are one of the positive outcomes of Thailand’s UCS. Inclusion of new medicines and interventions into the benefits package enhances the efficiency of the healthcare system (Tangcharoensathien et al., 2018).
Inclusion in global health professions education communities through many lenses
Published in Medical Teacher, 2023
Vishna Devi Nadarajah, Subha Ramani, Ardi Findyartini, Savithri Sathivelu, Azhar Adam Nadkar
To junior doctors, inclusion means being empowered to actively contribute to quality improvement efforts in health systems and HPE. Although junior doctors are early-career healthcare professionals, they serve an irreplaceable frontline role in the health workforce as well as a teacher for near peers. Thus, junior doctors need access to personal and professional development initiatives aimed at enhancing their development into independent clinicians, scholars, researchers, leaders, and educators who will form part of the much-needed change at all levels of healthcare. Inclusion is integral to preparing junior doctors for independent practice in their clinical discipline as well as in their academic areas of interest. By not being inclusive of junior doctors in such spaces, we could limit their growth and potential as current and future change agents in healthcare. As junior doctors are the first to face the transition from the guided environment of medical school to an independent role in healthcare facilities, the lack of inclusion can also have adverse effects on personal well-being including stress and early career burn out (Roslan et al. 2021). Institutions should showcase inclusion to junior doctors and all trainees by developing, implementing, and constantly improving professional development initiatives and enable them to competently engage in health system strengthening from clinical, educational, and social perspectives (Könings et al. 2021).
Extending Trauma-Informed Principles to Hospital System Policy Development
Published in The American Journal of Bioethics, 2022
Lori Bruce, Jennifer L. Herbst
Inclusion also calls us to consider the needs of healthcare workers and family caregivers. Recently, Anzaldua and Halpern recognized that “internalized, virtue-based ethical practices are what ground and animate” our caregivers (Anzaldua and Halpern 2021). This frame can be beneficial until caregiving conditions make it impossible to be an ethical caregiver, at which point the caregiver’s own sense of self is threatened. Anzaldua and Halpern explain that “health care workers who are forced… to discharge homeless patients in delicate medical conditions back to the streets must either detach themselves from their ethical values or experience moral injury… address[ing] patients’ social needs has been shown to affect primary care physician burnout.” (Anzaldua and Halpern 2021, 25). A trauma-informed ethics approach to discharge planning should recognize and mitigate the potential injury to both our health care workers as well as our family caregivers.
Factors influencing participation
Published in Disability and Rehabilitation, 2022
Jessica M. Kramer, Jan Willem Gorter
Studies in this special issue reveal family ecology, parent stress and empowerment, well-being, and mental health are associated with participation [1–5]. Yet, the majority of rehabilitation practice continues to be focused on modifying (or ‘fixing’) the health condition and its associated impairments (that is, modifying body functions and structures). It is time for practitioners to shift their practice in response to this growing body of evidence and focus intervention on both disability and modifiable factors associated with participation. This includes working with families, communities, to address their influences on participation. We also would argue that there is a role for healthcare providers to advocate within systems (health, education, and social systems) for policies that support participation and full inclusion [6].