Related Experiment Video
Updated: May 9, 2026
05:16
Cutoff Value of Phase Angle by Bioelectrical Impedance Analysis at Admission as a Prognostic Factor in Patients with Acute Heart Failure
Published on: June 10, 2025
Cutting A&E use and health inequalities
Nursing Times
|July 30, 2013
Summary
A South West London program reduced migrant community use of accident and emergency services through education and bilingual support. Building trust and community partnerships were key to this successful healthcare initiative.
Area of Science:
- Public Health
- Healthcare Management
- Community Health Services
Background:
- Migrant communities often face barriers accessing healthcare services.
- High utilization of accident and emergency (A&E) services by migrant populations indicates unmet primary care needs.
- Effective community engagement is crucial for equitable healthcare delivery.
Purpose of the Study:
- To describe a community-based program designed to support migrant populations in South West London.
- To evaluate the program's impact on the utilization of accident and emergency services.
- To identify key factors contributing to the program's success and share lessons learned.
Main Methods:
- Development of a multi-faceted support program involving nurses, community workers, and general practitioners (GPs).
- Implementation of community education sessions and six-week courses tailored to migrant needs.
- Provision of bilingual advocacy and interpretation services to overcome communication barriers.
Main Results:
- Significant reduction in the use of accident and emergency services by the supported migrant communities.
- Positive outcomes attributed to strong community relationships and established trust.
- Successful partnership working between healthcare professionals and local community members.
Conclusions:
- Collaborative, community-centered healthcare programs can effectively reduce A&E service reliance among migrant populations.
- Building trust and understanding local needs are essential for successful healthcare interventions.
- Lessons learned can inform and improve equality and diversity practices in healthcare settings.
Related Concept Videos
01:29Bias in Epidemiological Studies
Biases can arise at various stages of research, from study design and data collection to analysis and interpretation. Recognizing and addressing these biases is essential to ensure the validity and reliability of epidemiological findings.Broadly speaking, biases in epidemiology fall into three main categories: selection bias, information bias, and confounding. A more detailed description of possible biases is:
01:29Issues And Trends In Healthcare Delivery System
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
01:26Methods Of Healthcare Delivery System
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
01:22Healthcare Associated Infections II: Preventive Measures
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
01:27Ethical Issues
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
01:27Confounding in Epidemiological Studies
Confounding in statistical epidemiology represents a pivotal challenge, referring to the distortion in the perceived relationship between an exposure and an outcome due to the presence of a third variable, known as a confounder. This variable is associated with both the exposure and the outcome but is not a direct link in their causal chain. Its presence can lead to erroneous interpretations of the exposure's effect, either exaggerating or underestimating the true association. This phenomenon...