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  1. Book ; Online ; E-Book: Routledge handbook of climate change and health system sustainability

    Braithwaite, Jeffrey / Zurynski, Yvonne / Smith, Carolynn K-Lynn

    (Routledge handbooks)

    2024  

    Author's details edited by Jeffrey Braithwaite, Yvonne Zurynski and Carolynn K-Lynn Smith
    Series title Routledge handbooks
    Size 1 Online-Ressource (xxxiv, 445 Seiten), Illustrationen, Diagramme
    Publisher Routledge, Taylor & Francis Group
    Publishing place London
    Publishing country Great Britain
    Document type Book ; Online ; E-Book
    Remark Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
    HBZ-ID HT030715347
    ISBN 978-1-040-00078-6 ; 9781032410654 ; 9781032701165 ; 1-040-00078-9 ; 1032410655 ; 1032701161
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  2. Article ; Online: The impact of migration and settlement context on Iranian Women's agency in accessing and using reproductive healthcare services in Australia: A qualitative study.

    Vizheh, Maryam / Zurynski, Yvonne / Braithwaite, Jeffrey / Rapport, Frances

    Health & place

    2023  Volume 83, Page(s) 103069

    Abstract: This qualitative study aimed to understand how immigration and settlement context shape Iranian immigrants' agency in accessing and using reproductive healthcare services (RHCS). Twenty-one Iranian women of reproductive age (18-49 years) living in ... ...

    Abstract This qualitative study aimed to understand how immigration and settlement context shape Iranian immigrants' agency in accessing and using reproductive healthcare services (RHCS). Twenty-one Iranian women of reproductive age (18-49 years) living in Australia were recruited in 2022 through social media platforms. The findings highlighted that although Iranian women's utilisation of RHCS in Australia is highly constrained by established sociocultural beliefs and values of their origin country, they become agents of making changes over their reproductive choices, reformulating beliefs and values, and taking control of reproductive health because of Australian sociocultural norms and context. This suggests a tension between the impacts of sociocultural contexts in their origin country and becoming agents of change after migrating to Australia. These findings need to be included in healthcare policy and practice to support greater consideration of cultural sensitivities and specific needs of immigrant women when accessing Australian RHCS.
    MeSH term(s) Female ; Humans ; Adolescent ; Young Adult ; Adult ; Middle Aged ; Iran ; Health Services Accessibility ; Australia ; Qualitative Research ; Reproductive Health
    Language English
    Publishing date 2023-07-25
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1262540-1
    ISSN 1873-2054 ; 1353-8292
    ISSN (online) 1873-2054
    ISSN 1353-8292
    DOI 10.1016/j.healthplace.2023.103069
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Determinants of women's agency in accessing and utilising reproductive healthcare services; a systematic review.

    Vizheh, Maryam / Zurynski, Yvonne / Braithwaite, Jeffrey / Rapport, Frances

    Culture, health & sexuality

    2023  Volume 26, Issue 2, Page(s) 248–264

    Abstract: Women's agency is vital to access and use reproductive healthcare services, particularly in contexts where patriarchal beliefs and cultural norms limit women's desire to act on their goals or affect their access to essential resources. However, less is ... ...

    Abstract Women's agency is vital to access and use reproductive healthcare services, particularly in contexts where patriarchal beliefs and cultural norms limit women's desire to act on their goals or affect their access to essential resources. However, less is known about what resources enable women to exercise agency to access these services. A comprehensive systematic review was conducted to summarise existing evidence on the determinants of women's agency in accessing and using reproductive healthcare services. Various determinants were identified, including individual characteristics; household structure; reproductive health-related determinants; social relations; and economic factors. These determinants of women's agency in accessing reproductive healthcare services were strongly associated with social norms and cultural beliefs. Several gaps in the literature included inconsistent definitions and measurement of women's agency; lack of considering cultural sensitivities and socially acceptable practices in the conceptualisation and measurement of women's agency; a narrow focus on services related predominantly to pregnancy and birth, with other aspects of services including sexual health and safe abortion being largely unreported. The literature focused on developing countries in Africa and Asia, leaving a significant gap in knowledge about women's agency to access services in other geographical areas or among immigrant or refugee populations living in developed countries.
    MeSH term(s) Pregnancy ; Female ; Humans ; Reproduction ; Reproductive Health ; Family Characteristics ; Delivery of Health Care ; Africa
    Language English
    Publishing date 2023-04-20
    Publishing country England
    Document type Systematic Review ; Journal Article
    ZDB-ID 2023577-X
    ISSN 1464-5351 ; 1369-1058
    ISSN (online) 1464-5351
    ISSN 1369-1058
    DOI 10.1080/13691058.2023.2200814
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: The Impact of Women's Agency on Accessing and Using Maternal Healthcare Services: A Systematic Review and Meta-Analysis.

    Vizheh, Maryam / Rapport, Frances / Braithwaite, Jeffrey / Zurynski, Yvonne

    International journal of environmental research and public health

    2023  Volume 20, Issue 5

    Abstract: Agency, defined as the ability to identify one's goals and act upon them, has been recognized as a prominent strategy to access maternal healthcare services (MHS). The purpose of this study was to synthesize evidence of the association between women's ... ...

    Abstract Agency, defined as the ability to identify one's goals and act upon them, has been recognized as a prominent strategy to access maternal healthcare services (MHS). The purpose of this study was to synthesize evidence of the association between women's agency and MHS utilization. A systematic review was performed on five academic databases, comprising Scopus, PubMed, Web of Science, Embase, and ProQuest. Meta-analysis was performed with a random-effects method using the STATA™ Version 17 software. A total of 82 studies were selected following the PRISMA guidelines. The meta-analysis demonstrated that an increase in women's agency was associated with a 34% increase in the odds of receiving skilled antenatal care (ANC) (OR = 1.34, 95% CI = 1.18-1.52); 7% increase in the odds of initiating the first ANC visit during the first trimester of pregnancy (OR = 1.07, 95% CI = 1.01-1.12); 20% increase in the odds of receiving at least one ANC visit (OR = 1.20, 95% CI = 1.04-1.4); 16% increase in the odds of receiving more than four ANC visits during pregnancy (OR = 1.16, 95% CI = 1.12-1.21); 17% increase in the odds of receiving more than eight ANC visits (OR = 1.17, 95% CI = 1.04-1.32); 13% increase in the odds of facility-based delivery (OR = 1.13, 95% CI = 1.09-1.17); 16% increase in the odds of using skilled birth attendants (OR = 1.16, 95% CI = 1.13-1.19); and 13% increase in the odds of receiving postnatal care (OR = 1.13, 95% CI = 1.08-1.19) compared to low level of agency. Any efforts to improve MHS utilization and reduce maternal morbidity and mortality should include the promotion of women's agency.
    MeSH term(s) Female ; Pregnancy ; Humans ; Maternal Health Services ; Prenatal Care/methods ; Patient Acceptance of Health Care ; Pregnancy Trimester, First
    Language English
    Publishing date 2023-02-23
    Publishing country Switzerland
    Document type Meta-Analysis ; Systematic Review ; Journal Article ; Review ; Research Support, Non-U.S. Gov't
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph20053966
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Integrated Care in Epilepsy Management: A Scoping Review of the Models and Components of Health and Social Care Delivery.

    Spanos, Samantha / Hutchinson, Karen / Ryder, Tayhla / Rapport, Frances / Goodwin, Nicholas / Zurynski, Yvonne

    International journal of integrated care

    2024  Volume 24, Issue 1, Page(s) 18

    Abstract: Introduction: Epilepsy is the most common neurological condition globally. Integrating health and social care is fundamental in epilepsy management, but the scope of progress in this area is unclear. This scoping review aimed to capture the range and ... ...

    Abstract Introduction: Epilepsy is the most common neurological condition globally. Integrating health and social care is fundamental in epilepsy management, but the scope of progress in this area is unclear. This scoping review aimed to capture the range and type of integrated care components and models in epilepsy management.
    Methods: Four databases were searched for articles published since 2010 that reported on integrated care in epilepsy. Data were extracted and synthesised into components of integrated care that had been implemented or recommended only. Models of integrated care were identified, and their components tabulated.
    Results: Fifteen common and interrelated components of integrated care emerged that were aligned with four broad areas: healthcare staff and pathways (e.g., epilepsy nurses); tasks and services (e.g., care coordination); education and engagement (e.g., shared decision making); and technology for diagnosis and communication (e.g., telehealth). Twelve models of integrated care were identified; seven were implemented and five were recommended.
    Discussion: There is a growing evidence-base supporting integrated, person-centred epilepsy care, but implementation is challenged by entrenched silos, underdeveloped pathways for care, and deficits in epilepsy education.
    Conclusion: Integrating epilepsy care relies on changes to workforce development and policy frameworks to support whole-of-system vision for improving care.
    Language English
    Publishing date 2024-03-08
    Publishing country England
    Document type Journal Article
    ZDB-ID 2119289-3
    ISSN 1568-4156
    ISSN 1568-4156
    DOI 10.5334/ijic.7659
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: The Impact of Women’s Agency on Accessing and Using Maternal Healthcare Services

    Maryam Vizheh / Frances Rapport / Jeffrey Braithwaite / Yvonne Zurynski

    International Journal of Environmental Research and Public Health, Vol 20, Iss 3966, p

    A Systematic Review and Meta-Analysis

    2023  Volume 3966

    Abstract: Agency, defined as the ability to identify one’s goals and act upon them, has been recognized as a prominent strategy to access maternal healthcare services (MHS). The purpose of this study was to synthesize evidence of the association between women’s ... ...

    Abstract Agency, defined as the ability to identify one’s goals and act upon them, has been recognized as a prominent strategy to access maternal healthcare services (MHS). The purpose of this study was to synthesize evidence of the association between women’s agency and MHS utilization. A systematic review was performed on five academic databases, comprising Scopus, PubMed, Web of Science, Embase, and ProQuest. Meta-analysis was performed with a random-effects method using the STATA™ Version 17 software. A total of 82 studies were selected following the PRISMA guidelines. The meta-analysis demonstrated that an increase in women’s agency was associated with a 34% increase in the odds of receiving skilled antenatal care (ANC) (OR = 1.34, 95% CI = 1.18–1.52); 7% increase in the odds of initiating the first ANC visit during the first trimester of pregnancy (OR = 1.07, 95% CI = 1.01–1.12); 20% increase in the odds of receiving at least one ANC visit (OR = 1.20, 95% CI = 1.04–1.4); 16% increase in the odds of receiving more than four ANC visits during pregnancy (OR = 1.16, 95% CI = 1.12–1.21); 17% increase in the odds of receiving more than eight ANC visits (OR = 1.17, 95% CI = 1.04–1.32); 13% increase in the odds of facility-based delivery (OR = 1.13, 95% CI = 1.09–1.17); 16% increase in the odds of using skilled birth attendants (OR = 1.16, 95% CI = 1.13–1.19); and 13% increase in the odds of receiving postnatal care (OR = 1.13, 95% CI = 1.08–1.19) compared to low level of agency. Any efforts to improve MHS utilization and reduce maternal morbidity and mortality should include the promotion of women’s agency.
    Keywords maternal health services ; health services ; women’s agency ; empowerment ; systematic review ; meta-analysis ; Medicine ; R
    Language English
    Publishing date 2023-02-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: We can't mitigate what we don't monitor: using informatics to measure and improve healthcare systems' climate impact and environmental footprint.

    Smith, Carolynn L / Zurynski, Yvonne / Braithwaite, Jeffrey

    Journal of the American Medical Informatics Association : JAMIA

    2022  Volume 29, Issue 12, Page(s) 2168–2173

    Abstract: Climate change, human health, and healthcare systems are inextricably linked. As the climate warms due to greenhouse gas (GHG) emissions, extreme weather events, such as floods, fires, and heatwaves, will drive up demand for healthcare. Delivering ... ...

    Abstract Climate change, human health, and healthcare systems are inextricably linked. As the climate warms due to greenhouse gas (GHG) emissions, extreme weather events, such as floods, fires, and heatwaves, will drive up demand for healthcare. Delivering healthcare also contributes to climate change, accounting for ∼5% of the global carbon emissions. To rein in healthcare's carbon footprint, clinicians and health policy makers must be able to measure the GHG contributions of healthcare systems and clinical practices. Herein, we scope potential informatics solutions to monitor the carbon footprint of healthcare systems and to support climate-change decision-making for clinicians, and healthcare policy makers. We discuss the importance of methods and tools that can link environmental, economic, and healthcare data, and outline challenges to the sustainability of monitoring efforts. A greater understanding of these connections will only be possible through further development and usage of models and tools that integrate diverse data sources.
    MeSH term(s) Humans ; Carbon Footprint ; Carbon ; Delivery of Health Care ; Informatics
    Chemical Substances Carbon (7440-44-0)
    Language English
    Publishing date 2022-07-13
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1205156-1
    ISSN 1527-974X ; 1067-5027
    ISSN (online) 1527-974X
    ISSN 1067-5027
    DOI 10.1093/jamia/ocac113
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Exploring the impact of child and placement characteristics, carer resources, perceptions and life stressors on caregiving and well-being.

    Ryder, Tayhla / Zurynski, Yvonne / Mitchell, Rebecca

    Child abuse & neglect

    2022  Volume 127, Page(s) 105586

    Abstract: Background: The effect of potential protective factors and stressors faced by carers on their well-being and ability to provide care for children in out-of-home-care (OOHC) needs examination.: Objective: To explore the impact of child and placement ... ...

    Abstract Background: The effect of potential protective factors and stressors faced by carers on their well-being and ability to provide care for children in out-of-home-care (OOHC) needs examination.
    Objective: To explore the impact of child and placement characteristics, carer resources, perceptions and stressors on caregiving and well-being; and identify carer group-based trajectories over time.
    Participants & setting: Longitudinal study of up to 1143 carers caring for 1359 children in OOHC in Australia.
    Method: Carers completed questionnaires at 4 waves across 2011-2018 regarding their demographics, various potential stressors, resource availability and support. A composite indicator of caregiving quality was generated. Caseworkers, who manage child placements with carers, and administrative data provided information on placement characteristics, child demographics and history in OOHC. Multilevel modelling and group-based trajectory analyses were conducted, and carer views examined.
    Results: Potential concern for carer well-being and caregiving was flagged for 12-20% of carers. Increased odds of concern were found for carers in employment, with placements provided by a non-government organisation, and caring for >1 child in OOHC. Odds were lower for carers satisfied with caseworker assistance. Carer responses illuminated how these resources and stressors interact to impact caregiving. Four trajectory groups were identified: Minimal concern (12.7%), No concern (74.5%), Ongoing concern (6.2%) and Fluctuating concern (6.5%).
    Conclusions: Effective support for carers is essential to ensuring that children and young people in OOHC can be placed with capable, resilient, and responsive carers. Without adequate support, carers are likely to experience decreased well-being and have difficulty adequately performing their caregiving role.
    MeSH term(s) Adolescent ; Caregivers ; Child ; Family ; Home Care Services ; Humans ; Longitudinal Studies ; Surveys and Questionnaires
    Language English
    Publishing date 2022-03-14
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 799143-5
    ISSN 1873-7757 ; 0145-2134
    ISSN (online) 1873-7757
    ISSN 0145-2134
    DOI 10.1016/j.chiabu.2022.105586
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Bolstering health systems to cope with the impacts of climate change events: A review of the evidence on workforce planning, upskilling, and capacity building.

    Zurynski, Yvonne / Fisher, Georgia / Wijekulasuriya, Shalini / Leask, Elle / Dharmayani, Putu Novi Arfirsta / Ellis, Louise A / Smith, Carolynn L / Braithwaite, Jeffrey

    The International journal of health planning and management

    2024  

    Abstract: Background: As global CO: Methods: This rapid systematic review was guided by the Preferred Reporting Items for Systematic reviews and Meta-Analyses and a registered protocol (PROSPERO CRD42023433610). Eight databases were searched in May 2022 and ... ...

    Abstract Background: As global CO
    Methods: This rapid systematic review was guided by the Preferred Reporting Items for Systematic reviews and Meta-Analyses and a registered protocol (PROSPERO CRD42023433610). Eight databases were searched in May 2022 and again in June 2023. Empirical studies discussing climate change and workforce policy, planning, preparedness, and capacity were included. Inductive thematic analysis of extracted data was conducted.
    Results: From the 60 included studies, two categories emerged: the impacts of climate events on the health workforce (n = 39), and workforce responses to and preparations for climate events (n = 58). Thirty-seven studies reported on both categories. Four impact themes were identified: absenteeism, psychological impacts, system breakdown, and unsafe working conditions; and six responses and preparations themes: training/skill development, workforce capacity planning, interdisciplinary collaboration, role flexibility, role incentivisation, and psychological support.
    Conclusion: This review provides an overview of some of the deleterious impacts of climate events on the health workforce, as well as potential strategies for the health workforce to prepare or respond to climate events. Future studies should assess the implementation and effectiveness of these strategies to ensure a continuously improving healthcare system, and a well-supported health workforce.
    Language English
    Publishing date 2024-02-02
    Publishing country England
    Document type Journal Article
    ZDB-ID 632786-2
    ISSN 1099-1751 ; 0749-6753
    ISSN (online) 1099-1751
    ISSN 0749-6753
    DOI 10.1002/hpm.3769
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Consumer and provider perceptions of the specialist unit model of care: A qualitative study.

    Long, Janet C / Carrigan, Ann / Roberts, Natalie / Clay-Williams, Robyn / Hibbert, Peter D / Zurynski, Yvonne / Maka, Katherine / Loy, Graeme / Braithwaite, Jeffrey

    PloS one

    2024  Volume 19, Issue 2, Page(s) e0293025

    Abstract: Background: Specialist care units cater to targeted cohorts of patients, applying evidence-based practice to people with a specific condition (e.g., dementia) or meeting other specific criteria (e.g., children). This paper aimed to collate perceptions ... ...

    Abstract Background: Specialist care units cater to targeted cohorts of patients, applying evidence-based practice to people with a specific condition (e.g., dementia) or meeting other specific criteria (e.g., children). This paper aimed to collate perceptions of local consumers and health providers around specialist care units, as a model of care that may be considered for a new local healthcare facility.
    Methods: This was a qualitative study using two-hour workshops and interviews to collect data. Participants were consumers and health providers in the planned facility's catchment: 49 suburbs in metropolitan Australia. Consumers and health providers were recruited through advertisements and emails. An initial survey collected demographic details. Consumers and health providers participated in separate two-hour workshops in which a scenario around the specialist unit model was presented and discussion on benefits, barriers and enablers of the model was led by researchers. Detailed notes were taken for analysis.
    Results: Five consumer workshops (n = 22 participants) and five health provider workshops (n = 42) were conducted. Participants were representative of this culturally diverse region. Factors identified by participants as relevant to the specialist unit model of care included: accessibility; a perceived narrow scope of practice; coordination with other services; resources and infrastructure; and awareness and expectations of the units. Some factors identified as risks or barriers when absent were identified as strengths and enablers when present by both groups of participants.
    Conclusions: Positive views of the model centred on the higher perceived quality of care received in the units. Negative views centred on a perceived narrow scope of care and lack of flexibility. Consumers hinted, and providers stated explicitly, that the model needed to be complemented by an integrated model of care model to enable continuity of care and easy transfer of patients into and out of the specialist unit.
    MeSH term(s) Child ; Humans ; Qualitative Research ; Australia ; Palliative Care
    Language English
    Publishing date 2024-02-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2267670-3
    ISSN 1932-6203 ; 1932-6203
    ISSN (online) 1932-6203
    ISSN 1932-6203
    DOI 10.1371/journal.pone.0293025
    Database MEDical Literature Analysis and Retrieval System OnLINE

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