Socio-economic determinants of casualty and NHS Direct use

Shah, Sachita; Cook, Derek G

doi:10.1093/pubmed/fdn001

Cited by 48 publications

(54 citation statements)

References 13 publications

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“…In contrast to reports of declined telephone health service use among minority ethnic groups [39][40][41] , the foreign-born participants in the present study seemed to be using the service frequently and had contacted SHD without hesitation. The desires of the foreign-born participants regarding a pronounced dialogue are likely to benefit all callers and increase service accessibility.…”

Section: Discussioncontrasting

confidence: 99%

“…Perspectives of gender and power can be intertwined with social differentiations such as ethnicity, class, sexuality, age and dis/ability, often denominated intersectionality [27] . For example, having a deprived socioeconomic situation, belonging to a minority ethnic group [39][40][41] or being aged above 65 [40] play a part in decreased use of telephone health services (the latter in contrast to 65+ patients' increased use of general practice care services [40] ).…”

mentioning

confidence: 99%

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‘If I didn’t trust Swedish Healthcare Direct, I would never call’ – views of making pediatric health calls

Kaminsky

Carlsson²,

Röing³

et al. 2013

Clinical Nursing Studies

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The focus of the presented research is parents' expectations and experiences of calling Swedish Healthcare Direct (SHD) regarding pediatric health issues. Telenursing is a rapidly expanding service and SHD handles up to 2.4 million pediatric health calls yearly. Mothers make the majority of the calls and reportedly receive self-care advice more than fathers. Parents' views are important for the development and safe use of telenursing health services. The study is qualitative, with an exploratory and descriptive design. Twenty-one interviews with parents were analysed using content analysis. According to the interviewees, the decision to contact SHD or not is influenced by their degree of worry or trust in the service. Calls are carefully prepared, and who will call is often predetermined and affected by gender. Parents want to be given a chance to speak first in their communication with telenurses. They want to be listened to carefully and to be accorded respect, to have their needs fully explored and to have their concerns relieved. Most parents follow telenurses' recommendations, a few exclusively. Some primarily trust their own intuition. Learning is frequent, implying the public health potential of calls, not least for foreign-born callers. Exploring parents' expectations provides insight into parents' worries, potential to increase parents' learning and may develop their trust in telenurses' recommendations. Telenurses' awareness of gender impact can further develop the telenursing health service in providing safe care on equal terms for a vulnerable patient group, children.

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Section: Discussioncontrasting

confidence: 99%

mentioning

confidence: 99%

‘If I didn’t trust Swedish Healthcare Direct, I would never call’ – views of making pediatric health calls

Kaminsky

Carlsson²,

Röing³

et al. 2013

Clinical Nursing Studies

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“…This parallels results from the UK regarding NHS Direct, [18,19] indicating that migrants use this service less. Our study has also shown that the patients who turned to the telenursing services were predominately young (mean age for women 29 years and for men 33 years).…”

Section: Discussionsupporting

confidence: 76%

“…[14][15][16] It has also been reported that gender interact (or intersect) with other categories, such as age and ethnicity in people's health behaviour. For example, studies on NHS Direct in the UK [18,19] have indicated that migrants use this service less. Sweden has for several decades been a multicultural society.…”

Section: Introductionmentioning

confidence: 99%

Doing gender in the context of telenursing: Analyses of authentic calls to a telenursing site in Sweden

Hakimnia¹,

Carlsson²,

Höglund³

et al. 2014

Clinical Nursing Studies

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Introduction: Aim: The aim of the present study was to analyze authentic health calls to a telenursing site in Sweden regarding reasons for calling and outcome of the calls with focus on a gender perspective. Background: Telephone advice nursing is an expanding service in many Western countries. In Sweden, all regions are now connected to a national telenursing service. Healthcare in Sweden is stipulated by law to be equitable. This includes the teleursing service, which is a new actor in Swedish healthcare system, and which often is a citizen's first contact with healthcare. Methods:The study had a descriptive and comparative design. 800 authentic calls to SHD were analysed regarding reasons for calling, and outcome of the calls. Results:The results showed that men, and especially fathers, received more referrals to general practitioners than women. The most common caller was a woman fluent in Swedish (64%), and the least likely caller was a man non-fluent in Swedish (3%). All in all, 70% of the callers were women. When the calls concerned children, 78% of the callers were female. In total, 9% of the calls were made by a man calling for another person. Callers were predominately young (mean age 29 years for women and 33 for men). Conclusions:It is important that telenursing does not become a "feminine" activity, only suitable for young callers fluent in Swedish. Given the telenurses' gatekeeping role, there is a risk that differences on this first level of health care can be reproduced throughout the whole healthcare system. In striving for more equitable telenursing services, future research might investigate if campaigns encouraging men to call, and more frequent use of translators could enhance access to telenursing services.

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“…Telephone contact is used variably for assessment and triage of acute problems; [16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33] general practice consultations; [34][35][36][37][38][39][40] to offer health education; 41,42 and to offer support for those with chronic illness 43,44 or those in need of palliative care. 45 The literature on telephone consultations consists largely of small and heterogeneous primary studies, most of which had practical challenges or methodological flaws.…”

Section: Telephonementioning

confidence: 99%

Advantages and limitations of virtual online consultations in a NHS acute trust: the VOCAL mixed-methods study

Shaw

Wherton

Vijayaraghavan

et al. 2018

Health Serv Deliv Res

148

186

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Health Services and Delivery ResearchISSN 2050-4349 (Print) ISSN 2050-4357 (Online) This journal is a member of and subscribes to the principles of the Committee on Publication Ethics (COPE) (www.publicationethics.org/).Editorial contact: journals.library@nihr.ac.ukThe full HS&DR archive is freely available to view online at www.journalslibrary.nihr.ac.uk/hsdr. Print-on-demand copies can be purchased from the report pages of the NIHR Journals Library website: www.journalslibrary.nihr.ac.uk Criteria for inclusion in the Health Services and Delivery Research journalReports are published in Health Services and Delivery Research (HS&DR) if (1) they have resulted from work for the HS&DR programme or programmes which preceded the HS&DR programme, and (2) they are of a sufficiently high scientific quality as assessed by the reviewers and editors. HS&DR programmeThe Health Services and Delivery Research (HS&DR) programme, part of the National Institute for Health Research (NIHR), was established to fund a broad range of research. It combines the strengths and contributions of two previous NIHR research programmes: the Health Services Research (HSR) programme and the Service Delivery and Organisation (SDO) programme, which were merged in January 2012.The HS&DR programme aims to produce rigorous and relevant evidence on the quality, access and organisation of health services including costs and outcomes, as well as research on implementation. The programme will enhance the strategic focus on research that matters to the NHS and is keen to support ambitious evaluative research to improve health services.For more information about the HS&DR programme please visit the website: http://www.nets.nihr.ac.uk/programmes/hsdr This reportThe research reported in this issue of the journal was funded by the HS&DR programme or one of its preceding programmes as project number 13/59/26. The contractual start date was in March 2015. The final report began editorial review in July 2017 and was accepted for publication in November 2017. The authors have been wholly responsible for all data collection, analysis and interpretation, and for writing up their work. The HS&DR editors and production house have tried to ensure the accuracy of the authors' report and would like to thank the reviewers for their constructive comments on the final report document. However, they do not accept liability for damages or losses arising from material published in this report.This report presents independent research funded by the National Institute for Health Research (NIHR). The views and opinions expressed by authors in this publication are those of the authors and do not necessarily reflect those of the NHS, the NIHR, NETSCC, the HS&DR programme or the Department of Health and Social Care. If there are verbatim quotations included in this publication the views and opinions expressed by the interviewees are those of the interviewees and do not necessarily reflect those of the authors, those of the NHS, the NIHR, NETSCC, the HS&DR programme or the Depar...

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Socio-economic determinants of casualty and NHS Direct use

Abstract: Reduced access to A&E services will disproportionately affect poorer individuals, whereas increased investment in telephone services will benefit affluent populations. Current national policy may widen inequities in access to emergency care.

Cited by 48 publications

References 13 publications

‘If I didn’t trust Swedish Healthcare Direct, I would never call’ – views of making pediatric health calls

‘If I didn’t trust Swedish Healthcare Direct, I would never call’ – views of making pediatric health calls

Doing gender in the context of telenursing: Analyses of authentic calls to a telenursing site in Sweden

Advantages and limitations of virtual online consultations in a NHS acute trust: the VOCAL mixed-methods study

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