Methods for considering equality and equity implications in horizon scanning for medicines and healthcare innovations: a scoping review. DOI Creative Commons
Chizoba Oparah, Patience Kunonga, Claire Eastaugh

et al.

medRxiv (Cold Spring Harbor Laboratory), Journal Year: 2024, Volume and Issue: unknown

Published: Oct. 29, 2024

Abstract Background There is an increasing focus on inequity in healthcare and health outcomes. Early awareness of potential sources access to outcomes from innovative technologies can support system preparedness allow implementation mitigations. They may also be used improve research inclusion. Objective To explore methods integrate equality equity into horizon scanning for innovations, focusing acceptability, polypharmacy, multiple long-term conditions (MLTC). Design A scoping review followed Joanna Briggs Institute (JBI) guidelines identify relevant methodologies integrating scanning. Data Searches were conducted MEDLINE, Embase, ProQuest, WHO Global Index Medicus up May 24, 2024. Eligibility criteria Studies eligible if they presented considerations care. Primary related or equality, secondary addressed MLTC. extraction synthesis extracted study characteristics, frameworks, the integration equity-related factors, including socioeconomic status, gender, geographic location. narrative was present findings. Results Out 951 records screened, three studies included. The varied methods, scenario-building foresight methodologies, spanned contexts such as precision oncology complex paediatric Each incorporated equity/equality by addressing impact emerging innovations clinically vulnerable populations. Acceptability found crucial equitable implementation, particularly oncology. However, managing needs, especially disadvantaged groups, complicated significant challenges polypharmacy presence conditions. Conclusions Limited evidence highlighted a lack consistent approaches While stakeholder engagement scenario analysis showed promise, further needed refine frameworks that better detect early indicators innovation. Article summary Strengths limitations this Followed robust transparent methodology using reviews. Comprehensive search strategy developed collaboration with experienced information specialist, covering databases without restrictions. Dual independent screening data enhanced reliability consistency process. Limitations number included heterogeneity settings reduced generalisability No critical appraisal quality studies, focused identifying rather than assessing quality.

Language: Английский

Women’s experiences of maternity care in the United Kingdom during the COVID-19 pandemic: A follow-up systematic review and qualitative evidence synthesis DOI Creative Commons
Tisha Dasgupta,

Gillian Horgan,

Lili Peterson

et al.

Women and Birth, Journal Year: 2024, Volume and Issue: 37(3), P. 101588 - 101588

Published: March 1, 2024

Maternity care services in the United Kingdom have undergone drastic changes due to pandemic-related restrictions. Prior research has shown maternity during pandemic was negatively experienced by women and led poor physical mental health outcomes pregnancy. A synthesis is required of published on women's experiences latter half COVID-19 pandemic.

Language: Английский

Citations

11
Optimisation of socio-economic, environmental and public health determinants of national security for post-pandemic recovery DOI Creative Commons
Jana Firstová, Alina Vysochyna

Health Economics and Management Review, Journal Year: 2024, Volume and Issue: 5(1), P. 67 - 79

Published: March 31, 2024

The COVID-19 pandemic became a significant test for social and economic stability worldwide. Its destructive effect forces authorities to overcome negative impacts ensure socio-economic recovery. research distinguishes socio-economic, environmental public health determinants of national security before after the pandemic. post-pandemic recovery strategy covers various perspectives: urban, tourism, employment, healthcare, recovery; sustainable development; innovations investments; environment protection; psychological support. We develop National Security Index. It comprises 16 indicators economic, proxies security. Index concerns 34 European countries in 2000-2022. Several methods were applied. Firstly, natural Savage normalisation (to bring comparable form). Secondly, principal component analysis, Fishburn formula ranking define significance indicators). Thirdly, additive-multiplicative convolution integrate individual parameters). showed delayed impact (in 2020 decreased 2 out countries). Negative trends revealed actively 2021 (the 14 countries) dramatical 2022 28 Factor analysis that improvement 2019, mostly depended on 3-4 while 6 especially crucial 2021. Summarising results, we can single range important steps achieve Economic measure might be focused overcoming inflation, government expenditures, optimisation maintenance resilience by increase total reserves months imports. Environmental measures consist strengthening energy independence (reduction production distribution losses, fall greenhouse gas emissions). Social are simulating employment. regression findings confirm no statistically 2019-2022.

Language: Английский

Citations

7
The social and healthcare professional support drawn upon by women antenatally during the COVID-19 pandemic: A recurrent, cross-sectional, thematic analysis DOI Creative Commons
Leanne Jackson, Siân M. Davies, Monic Gaspar

et al.

Midwifery, Journal Year: 2024, Volume and Issue: 133, P. 103995 - 103995

Published: April 9, 2024

To explore antenatal experiences of social and healthcare professional support during different phases distancing restriction implementation in the UK. Semi-structured interviews were conducted via telephone or video-conferencing software between 13 July 2020 – 2 September 2020. Interviews transcribed a recurrent, cross-sectional, thematic analysis was conducted. Twelve women interviewed UK restrictions March (Timepoint 1; T1) separate sample twelve initial easing these May 2; T2). T1 themes were: 'Maternity care as non-essential' 'Pregnancy is cancelled'. T2 'Technology polarised tool' 'Clinically vulnerable, not clinically vulnerable? That question'. At T1, anxieties ascribed to exclusion partners from routine care, perceived insensitivity aggression public. For T2, insufficient Governmental transparency led disillusionment, confusion, anger. Covert workplace discrimination also caused distress at T2. Across timepoints: deteriorated mental wellbeing attributed depleted opportunities interact socially scaled back maternity care. Recommendations are made to: protect maternal autonomy; improve quality health signposting; prioritise parental community re-opening 'non-essential' services; option for face-to-face appointments when safe legal; protecting rights working mothers.

Language: Английский

Citations

5
A consensus statement on child and family health during the COVID-19 pandemic and recommendations for post-pandemic recovery and re-build DOI Creative Commons
Caroline Redhead, Sergio A. Silverio,

Elana Payne

et al.

Frontiers in Child and Adolescent Psychiatry, Journal Year: 2025, Volume and Issue: 4

Published: Jan. 29, 2025

Introduction As health systems struggled to respond the catastrophic effects of SARS-CoV-2, infection prevention and control measures significantly impacted on delivery non-COVID children's family services. The prioritisation public supportive relationships, revealed their importance for both mental physical well-being. Drawing findings from an expansive national collaboration, with well-being children young people in mind, we make recommendations here post-pandemic recovery re-build. Methods This consensus statement is derived a cross-disciplinary collaboration experts. Working together discursively, have synthesised evidence collaborative research child during COVID-19 pandemic. We identified agreed priorities areas action learning, which present as research, healthcare practice, policy. Results synthesis led immediate grouped around what retain remove “pandemic” provision reinstate pre-pandemic, these Longer-term were also made. Those relevant concern equity relational healthcare. Discussion documented evidence-base pandemic services growing, providing foundations re-setting care provision. Recommendations contribute better aligning values healthcare, whilst wider consideration support families usual vs. extra-ordinary system shock circumstances.

Language: Английский

Citations

0
Predictive Analysis of Postpartum Depression Using Machine Learning DOI Open Access
Hyun Kyoung Kim

Healthcare, Journal Year: 2025, Volume and Issue: 13(8), P. 897 - 897

Published: April 14, 2025

Background: Maternal postpartum depression (PPD) is a major psychological problem affecting mothers, newborns, and their families after childbirth. This study investigated the factors influencing maternal PPD developed predictive model using machine learning. Methods/Design: In this study, we applied learning techniques to identify significant predictors of develop for classifying individuals at risk. Data from 2570 subjects were analyzed Korean Early Childhood Education Care Panel (K-ECEC-P) dataset as January 2025, utilizing Python version 3.12.8. Results: We compared performance decision tree classifier, random forest AdaBoost logistic regression metrics such precision, accuracy, recall, F1-score, area under curve. The was selected best model. Among 13 features analyzed, conflict with partner, stress, value children emerged PPD. Discussion: Conflict partner stress levels strongest predictors. Higher associated an increased likelihood PPD, whereas higher reduced status environmental should be managed carefully during period.

Language: Английский

Citations

0
Preliminary findings on the experiences of care for women who suffered early pregnancy losses during the COVID-19 pandemic: a qualitative study DOI Creative Commons
Sergio A. Silverio, Rhiannon George‐Carey, Maria Memtsa

et al.

BMC Pregnancy and Childbirth, Journal Year: 2024, Volume and Issue: 24(1)

Published: Aug. 9, 2024

Women who suffer an early pregnancy loss require specific clinical care, aftercare, and ongoing support. In the UK, management of complications, including is provided mainly through specialist Early Pregnancy Assessment Units. The COVID-19 pandemic fundamentally changed way in which maternity gynaecological care was delivered, as health systems moved to rapidly reconfigure re-organise services, aiming reduce risk spread SARS-CoV-2 infection. PUDDLES international collaboration investigating pandemic's impact on for people suffered a perinatal bereavement. Presented here are initial qualitative findings undertaken with UK-based women losses during pandemic, about how they navigated healthcare system its restrictions, were supported.

Language: Английский

Citations

3
Oscillating autonomy: a grounded theory study of women’s experiences of COVID-19 infection during pregnancy, labour and birth, and the early postnatal period DOI Creative Commons
L. Peterson, Laura Bridle, Tisha Dasgupta

et al.

BMC Pregnancy and Childbirth, Journal Year: 2024, Volume and Issue: 24(1)

Published: July 29, 2024

Testing positive for COVID-19 was associated with higher rates of detrimental psycho-social and physical health outcomes. The pandemic caused unprecedented disruption to everyday life. This included major reconfiguration maternal, child, perinatal mental care services provision. study aimed investigate the experiences those who tested during pregnancy, labour birth, or early postnatal period. National on-line recruitment from across United Kingdom resulted in sixteen mothers being invited qualitative semi-structured interviews understand had been infected by Interviews were conducted, recorded, transcribed using video-conferencing software. A Grounded Theory approach used analyse data gathered pertaining women's their diagnosis theory 'Oscillating Autonomy – Losing Seeking Regain Control Striving Agency' developed, comprising three main themes: 'Anxious Anticipation: fear infection worse than itself'; 'Fluctuating Agency: What changed when took control'; 'Reclaiming Control: reassurance positivity'. whilst pregnant, period a perceived loss control. Those able regain that control felt more secure situation. Support paramount manage increased vulnerability, as achieved information seeking action including monitoring vaccination.

Language: Английский

Citations

1
The RESILIENT Study of post-pandemic maternity care planning: A qualitative research protocol for in-depth interview with women, partners, healthcare professionals, and policy makers. DOI Creative Commons
Sergio A. Silverio, Tisha Dasgupta, Abigail Easter

et al.

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: July 29, 2024

Abstract Maternity care is a core service provision of any healthcare system, delivering for women and birthing people, their wider family units. During the SARS-CoV-2 pandemic, much maternity was reconfigured with aim continuing which could not otherwise be re-scheduled or delayed, but in-line infection control measures instituted through social physical distancing. The RESILIENT Study designed to investigate impact COVID-19 pandemic pandemic-related reconfigurations delivery. It particularly concerned experiences minority ethnic groups those medical complexity. One our specific objectives during from perspective people; fathers, partners, non-gestational parents; professionals; policy makers use in-depth interviews. We will analyse data on virtual care, self-monitoring, vaccination (each using thematic framework analysis); care-seeking experience (using template building an ethical future grounded theory analysis). This focus this protocol. Our findings about receipt, provision, planning complement existing literature broad, on: individual patients, NHS providers, policies, society.

Language: Английский

Citations

1
Freedom for some, but not for Mum: the reproductive injustice associated with pandemic ‘Freedom Day’ for perinatal women in the United Kingdom DOI Creative Commons
Sergio A. Silverio, Elizabeth Harris, Leanne Jackson

et al.

Frontiers in Public Health, Journal Year: 2024, Volume and Issue: 12

Published: Aug. 7, 2024

Introduction Healthcare services for pregnant and postpartum (‘perinatal’) women were reconfigured significantly at the advent duration of SARS-CoV-2 pandemic, despite United Kingdom announcing ‘Freedom Day’ on 19 July 2021 (whereafter all legal lockdown-related restrictions lifted), to maternity (antenatal, intrapartum, postnatal) remained. This study presents data from eight perinatal about their experiences psychosocial wellbeing care in post-‘Freedom epoch. Methods Semi-structured interviews conducted virtually, with recorded, transcribed, analysed by hand. Grounded theory analysis was employed final assessing reproductive injustice pandemic Day’. Results Analysing iteratively inductively led four emergent themes: ‘A Failing System, Women’; ‘Harm Caused a State Difference’; ‘The Privileges (Not Rights) Reproductive Autonomy, Agency, Advocacy’; ‘Worried Women Marginalised Mothers’. Together, these themes form some, but not Mum’. Discussion experienced lack high-quality reliable information vaccination against virus, changes to, decision-making surrounding, care. recognised healthcare professionals stretched that failing often reported hostility staff abandonment times when they unsure how navigate The most singular disparity between having accept continuing freedom whilst receiving (reckless) being enacted general public.

Language: Английский

Citations

1
Methods for considering equality and equity implications in horizon scanning for medicines and healthcare innovations: a scoping review. DOI Creative Commons
Chizoba Oparah, Patience Kunonga, Claire Eastaugh

et al.

medRxiv (Cold Spring Harbor Laboratory), Journal Year: 2024, Volume and Issue: unknown

Published: Oct. 29, 2024

Abstract Background There is an increasing focus on inequity in healthcare and health outcomes. Early awareness of potential sources access to outcomes from innovative technologies can support system preparedness allow implementation mitigations. They may also be used improve research inclusion. Objective To explore methods integrate equality equity into horizon scanning for innovations, focusing acceptability, polypharmacy, multiple long-term conditions (MLTC). Design A scoping review followed Joanna Briggs Institute (JBI) guidelines identify relevant methodologies integrating scanning. Data Searches were conducted MEDLINE, Embase, ProQuest, WHO Global Index Medicus up May 24, 2024. Eligibility criteria Studies eligible if they presented considerations care. Primary related or equality, secondary addressed MLTC. extraction synthesis extracted study characteristics, frameworks, the integration equity-related factors, including socioeconomic status, gender, geographic location. narrative was present findings. Results Out 951 records screened, three studies included. The varied methods, scenario-building foresight methodologies, spanned contexts such as precision oncology complex paediatric Each incorporated equity/equality by addressing impact emerging innovations clinically vulnerable populations. Acceptability found crucial equitable implementation, particularly oncology. However, managing needs, especially disadvantaged groups, complicated significant challenges polypharmacy presence conditions. Conclusions Limited evidence highlighted a lack consistent approaches While stakeholder engagement scenario analysis showed promise, further needed refine frameworks that better detect early indicators innovation. Article summary Strengths limitations this Followed robust transparent methodology using reviews. Comprehensive search strategy developed collaboration with experienced information specialist, covering databases without restrictions. Dual independent screening data enhanced reliability consistency process. Limitations number included heterogeneity settings reduced generalisability No critical appraisal quality studies, focused identifying rather than assessing quality.

Language: Английский

Citations

0