Search results

Studies show that economic sanctions have had major negative impacts on health systems during the past years. The aim of this study is to identify the impacts of US sanctions on the performance of public hospitals in Iran.

A qualitative research study was conducted between October 2019 and September 2020 in Kermanshah Province, Iran. Semi-structured, face-to-face interviews, lasting between 25 and 90 min, were carried out with 20 participants in seven public hospitals affiliated to the authors’ institution in Kermanshah Province. Inductive thematic analysis was used to identify themes in the data.

Five main themes emerged from the analysis: resource management challenges; financial restrictions; interruptions in planning; reductions in the quality of service delivery; and changes in organizational relationships.

The results of the present study demonstrate that US economic sanctions have considerably reduced access to necessary medical equipment and medicines for public hospitals in Iran. Policymakers should monitor the distribution of equipment and pharmaceutical products within public hospitals in Iran and take actions to ameliorate shortages during times of economic sanctions.

The purpose of this paper is to examine the content of the strategy and assess its claims to be evidence based.

This study is a close-reading of the text with commentary on specific content and reference to wider contexts.

The strategy makes use of evidence in its sections on treatment. Much evidence, including that of the UK ACMD, is dismissed or ignored. The issue of funding in times of austerity is not considered in the strategy. The range and complexity of drug use and users are not fully considered.

The strategy can be seen as an idealised ambition with little basis in reality without funding to support its aims.

There is no consideration of the impact of macro-economic policy on the extent of drug misuse.

Other commentaries on the strategy are emerging. This paper is a more extensive consideration than has so far appeared.

Multiple challenges remain in achieving sustainability of digital health innovations, with many failing to realise their potential due to barriers to research, development and implementation. Finding an approach that overcomes these challenges is important if society is to derive benefit from these new approaches to healthcare. Having been commissioned by local authorities, NHS Trusts, prisons, charities, and third sector providers across the UK, Breaking Free Group, who in 2010 launched Breaking Free Online (BFO), a computer-assisted therapy programme for substance misuse, have overcome many of these challenges. This has been possible through close collaborative working with partner organisations, to overcome barriers to implementation and sustainability. The paper aims to discuss these issues.

This paper synthesises findings from a series of qualitative studies conducted by Breaking Free Group in collaboration with health and social care charity, Change, Grow, Live (CGL), which explore barriers and facilitators of implementation and sustainability of BFO at CGL. Data are analysed using thematic analyses with findings conceptualised using behavioural science theory.

This partnership has resulted in UK wide implementation of BFO at CGL, enhanced focus on digital technologies in substance misuse recovery, and a growing body of published collaborative research.

Valuable lessons have been learnt through the partnership between Breaking Free Group and CGL, which will be of interest to the wider digital health community. This paper outlines those lessons, in the hope that they will provide guidance to other digital health developers and their partners, to contribute to the continued evolution of a sustainable digital health sector.

This paper aims to explore challenges and opportunities of shifting from physical to virtual employment support delivery prompted by the Covid-19 pandemic. It investigates associated changes in the nature and balance of support and implications for beneficiary engagement with programmes and job search.

The study draws on longitudinal interviews conducted with beneficiaries and delivery providers from a neighbourhood-based employment support initiative in an English region with a strong manufacturing heritage between 2019 and 2021. The initiative established prior to the Covid-19 pandemic involved a strong physical presence locally but switched to virtual delivery during Covid-19 lockdowns.

Moving long-term to an entirely virtual model would likely benefit some beneficiaries closer to or already in employment. Conversely, others, particularly lone parents, those further from employment, some older people and those without computer/Internet access and/or digital skills are likely to struggle to navigate virtual systems. The study emphasises the importance of blending the benefits of virtual delivery with aspects of place-based physical support.

Previous studies of neighbourhood-based employment policies indicate the benefits of localised face-to-face support for transforming communities. These were conducted prior to the Covid-19 pandemic and the more widespread growth of virtual employment support. This study fills a gap regarding understanding the challenges and opportunities for different groups of beneficiaries when opportunities for physical encounters decline abruptly and support moves virtually.

The purpose of this paper is to assess whether current routinely available population level data are adequate for assessing the health needs of vulnerable children.

The paper presents a review of routinely available population level data relating to 23 vulnerable child groups.

Data were available to measure how many children may be affected locally for seven groups (30 per cent) (looked after children, care leavers, absent or excluded pupils, children in poverty, young offenders, children in need and children assessed to be at risk of social services). Partial data were available for 11 (48 per cent) groups and no data were identified for five (22 per cent) groups. At least one measure of health and well being status was identified for three groups (13 per cent) (care leavers, children assessed to be in need of social services and children assessed to be at risk by social services). For seven groups (30 per cent), a measure of health status was identified for some children in the group. No measure of health status was identified for 13 groups (57 per cent).

The review only considered routinely published data that can be reported for all counties or unitary authorities in England. Although every effort was taken to ensure complete identification, it is still possible that some data sources may have been missed.

The gaps in available data to monitor vulnerable children's health will make the task of ensuring their needs are appropriately represented in local needs assessment and health strategies more difficult. The current service reforms offer an opportunity to address the data gaps.

Data relating to some vulnerable child groups was reviewed in 2006 when a number of recommendations were made. This paper updates and broadens that review and reports on progress made against the 2006 recommendations. The findings of the paper have implications for policy makers and commissioners of children's services.