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Improving equity in inpatient paediatric services: a single-centre quality improvement project providing care in patients' preferred language.

ABSTRACT: Language barriers, if not adequately addressed, can prevent effective communication, impact patient safety and experience. Our research on language preference within the paediatric inpatient and outpatient services in west London revealed that 20% and 56%, respectively, would prefer to communicate in an alternative language than English. When we conducted emotional mapping analysis patients reported feeling 'invisible' and 'not involved' due to the lack of communication in their preferred language. Here, we describe our analysis and pilot intervention of using translated asthma care plans that aims to improve patient care, experience and outcomes by minimising the impact of language barriers.

SUBMITTER: Bharmal A

PROVIDER: S-EPMC9454071 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature

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Improving equity in inpatient paediatric services: a single-centre quality improvement project providing care in patients' preferred language.

Bharmal Aamena A Earl Nicola N Klaber Bob B

BMJ paediatrics open 20220901 1

Language barriers, if not adequately addressed, can prevent effective communication, impact patient safety and experience. Our research on language preference within the paediatric inpatient and outpatient services in west London revealed that 20% and 56%, respectively, would prefer to communicate in an alternative language than English. When we conducted emotional mapping analysis patients reported feeling 'invisible' and 'not involved' due to the lack of communication in their preferred langua ...[more]

PMID: 36645757

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Project description:IntroductionPrimary health care has regained its importance in global policy making. In 2018, the Government of India initiated the Ayushman Bharat - Comprehensive Primary Health Care (AB-CPHC) programme. It was based on upgrading the existing primary health facilities into Health and Wellness Centers (HWCs). The current study aimed to assess the readiness and performance of HWCs in providing comprehensive primary health care services in India's Chhattisgarh state.MethodsWe conducted a cross-sectional health facility assessment with a state-representative sample of 404 HWCs. A standardized health facility survey tool was used to collect information on essential inputs and service outputs of HWCs. The expected population healthcare needs were estimated using secondary sources. The performance of HWCs was assessed by comparing the volume of services provided against the expected population need for outpatient care.ResultsOn an average, 358 outpatients including 128 non-communicable disease (NCD) patients were treated monthly at an HWC. HWCs were able to cover 31% of the total population's health need for outpatient care, 26% for hypertension, and 21% for diabetes care. In addition to services for reproductive and child health, HWCs provided services for common acute ailments (cold, cough, fever, aches and pains); infections of skin, eye, ear, and reproductive tract, and minor injuries. HWCs were also contributing significantly to national disease control programmes. Acute ailments followed by NCDs and communicable diseases had the largest share among services provided. The key gaps were in coverage of mental illnesses and chronic respiratory diseases. Most of the HWCs showed adequate readiness for the availability of required human resources, supplies, and infrastructure.ConclusionHWCs were able to provide a comprehensive range of primary care services and able to cater to a sizable portion of the rural population's acute and chronic health care needs. The performance was made possible by the adequate availability of medicines, staff, training programmes and tele-consultation linkages. If HWCs in other states are able to reach a similar level of performance, the initiative will prove to be a game changer for equitable primary care in India.

Dataset Information

Improving equity in inpatient paediatric services: a single-centre quality improvement project providing care in patients' preferred language.

Publications

Improving equity in inpatient paediatric services: a single-centre quality improvement project providing care in patients' preferred language.

Similar Datasets

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