Global Health Education and Advocacy: Using BMJ Case Reports to Tackle the Social Determinants of Health

Douthit, Nathan T; Biswas, Seema

doi:10.3389/fpubh.2018.00114

Cited by 6 publications

(4 citation statements)

References 56 publications

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“…However, we think that this case illustrates how an improved care environment and intensive support helped the patient to rehabilitate some of the activities of daily living that might have been preserved with better dementia care knowledge in the home environment. The case therefore illustrates examples of some measures that can be implemented to overcome local barriers using innovation, collaboration, education and patient advocacy to address the complex care needs of people with advanced dementia 83 84…”

Section: Resultsmentioning

confidence: 99%

Barriers to dementia diagnosis and care in China

Quail¹,

Wei²,

Zhang³

et al. 2020

BMJ Case Rep

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In China, the ageing population and the prevalence of dementia are projected to escalate significantly by 2050 resulting in a substantial increase in health and economic burden on caregivers, healthcare facilities, healthcare providers and communities. There is no published national dementia policy or strategy in China. This case report describes significant barriers contributing to diagnostic problems and inadequate care of dementia through the case of an older female in rural China, whose condition deteriorated due to neuropsychiatric and functional symptoms of undiagnosed dementia. Intersectoral collaboration between care organisations facilitated delivery of a non-pharmacological intervention programme which was associated with improvements in the patient’s functional and neuropsychiatric symptoms. The case demonstrates that recruitment and training of a wider range of health and care professionals and caregivers in a systematic approach to non-pharmacological interventions could help overcome barriers to the specialised care needs of people with dementia where resources are lacking.

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Section: Resultsmentioning

confidence: 99%

Barriers to dementia diagnosis and care in China

Quail¹,

Wei²,

Zhang³

et al. 2020

BMJ Case Rep

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“…In combination with other assessment modalities based on patient-focused assessment tools such as the global health case report, the MCQ may have a role to play in global health education (33)(34)(35). Indeed, MCQs may focus learning in what some students may perceive a rather nebulous and unfocused subject.…”

Section: Discussion the Role Of Mcq In Global Health Assessmentmentioning

confidence: 99%

Assessment of Global Health Education: The Role of Multiple-Choice Questions

Douthit

Norcini

Mazuz

et al. 2021

Front. Public Health

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Introduction: The standardization of global health education and assessment remains a significant issue among global health educators. This paper explores the role of multiple choice questions (MCQs) in global health education: whether MCQs are appropriate in written assessment of what may be perceived to be a broad curriculum packed with fewer facts than biomedical science curricula; what form the MCQs might take; what we want to test; how to select the most appropriate question format; the challenge of quality item-writing; and, which aspects of the curriculum MCQs may be used to assess.Materials and Methods: The Medical School for International Health (MSIH) global health curriculum was blue-printed by content experts and course teachers. A 30-question, 1-h examination was produced after exhaustive item writing and revision by teachers of the course. Reliability, difficulty index and discrimination were calculated and examination results were analyzed using SPSS software.Results: Twenty-nine students sat the 1-h examination. All students passed (scores above 67% - in accordance with University criteria). Twenty-three (77%) questions were found to be easy, 4 (14%) of moderate difficulty, and 3 (9%) difficult (using examinations department difficulty index calculations). Eight questions (27%) were considered discriminatory and 20 (67%) were non-discriminatory according to examinations department calculations and criteria. The reliability score was 0.27.Discussion: Our experience shows that there may be a role for single-best-option (SBO) MCQ assessment in global health education. MCQs may be written that cover the majority of the curriculum. Aspects of the curriculum may be better addressed by non-SBO format MCQs. MCQ assessment might usefully complement other forms of assessment that assess skills, attitude and behavior. Preparation of effective MCQs is an exhaustive process, but high quality MCQs in global health may serve as an important driver of learning.

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“…In such circumstances, public health services very often orient themselves towards excluding people from health services because they lack health insurance. This is particularly true in areas such as mental health and drug abuse, as well as the treatment of children and adolescents [21].…”

Section: Financing Regional Healthcare Systemsmentioning

confidence: 99%

Sustainable healthcare within the strategy of regional development

et al. 2021

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This article has an aim of connecting the sustainable healthcare to the environmentally-friendly strategy of regional development. We describe how a growing interest in ways health organisations and systems measure and report on their sustainability is recorded in the recent years. In addition, we note the growing need for sustainability indicators in the health system, such as health insurance coverage, quality of care, and access to health services. Our results show that environmental pollution and other hazardous activities have a profound effect on human health and therefore create a burden for the healthcare system. In addition, we discuss the importance of sustainable healthcare for the health and well-being of patients and the environment. In the same time, we stress that high standards of healthcare should be preserved and maintained in spite of the reduction in health costs and environmental impacts as a part of the sustainable regional development strategies.

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Global Health Education and Advocacy: Using BMJ Case Reports to Tackle the Social Determinants of Health

Cited by 6 publications

References 56 publications

Barriers to dementia diagnosis and care in China

Barriers to dementia diagnosis and care in China

Assessment of Global Health Education: The Role of Multiple-Choice Questions

Sustainable healthcare within the strategy of regional development

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