{"title":"Editorial; Colonial India","authors":"R. Mehta, B. Pandya, S. Dasgupta","doi":"10.38192/13.3.25","DOIUrl":"https://doi.org/10.38192/13.3.25","url":null,"abstract":"The colonial legacy of health care under the European powers in India especially the East India Company and the British Raj","PeriodicalId":365463,"journal":{"name":"Sushruta Journal of Health Policy & Opinion","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124983495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Who cares for the carers?","authors":"C. Caneja","doi":"10.38192/13.3.11","DOIUrl":"https://doi.org/10.38192/13.3.11","url":null,"abstract":"Curated by Triya Chakravorty","PeriodicalId":365463,"journal":{"name":"Sushruta Journal of Health Policy & Opinion","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127442065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Pros and Cons","authors":"Aishani Joshi","doi":"10.38192/13.3.6","DOIUrl":"https://doi.org/10.38192/13.3.6","url":null,"abstract":"Curated by Triya Chakravorty","PeriodicalId":365463,"journal":{"name":"Sushruta Journal of Health Policy & Opinion","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124080320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Coronavirus Collective: Better New World","authors":"N. Shrotri","doi":"10.38192/13.2.15","DOIUrl":"https://doi.org/10.38192/13.2.15","url":null,"abstract":"Curated by Triya Anushka Chakravorty","PeriodicalId":365463,"journal":{"name":"Sushruta Journal of Health Policy & Opinion","volume":"83 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125104816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Daga, S. Jafferbhoy, G. Menon, M. Ali, S. Chakravorty, S. Ghani, A. Burney, J. Bamrah, R. Mehta, I. Chakravorty
{"title":"Does Gender or Religion Contribute to the Risk of COVID-19 in Hospital Doctors?","authors":"S. Daga, S. Jafferbhoy, G. Menon, M. Ali, S. Chakravorty, S. Ghani, A. Burney, J. Bamrah, R. Mehta, I. Chakravorty","doi":"10.1101/2020.06.15.20125450","DOIUrl":"https://doi.org/10.1101/2020.06.15.20125450","url":null,"abstract":"The novel coronavirus pandemic is posing significant challenges to healthcare workers (HCWs) in adjusting to redeployed clinical settings and enhanced risk to their own health. Studies suggest a variable impact of COVID-19 based on factors such as age, gender, comorbidities and ethnicity. Workplace measures such as personal protective equipment (PPE), social distancing (SD) and avoidance of exposure for the vulnerable, mitigate this risk. This online questionnaire-based study explored the impact of gender and religion in addition to workplace measures associated with risk of COVID-19 in hospital doctors in acute and mental health institutions in the UK. The survey had 1206 responses, majority (94%) from BAME backgrounds. A quarter of the respondents had either confirmed or suspected COVID-19, a similar proportion reported inadequate PPE and 2/3 could not comply with SD. One third reported being reprimanded in relation to PPE or avoidance of risk. In univariate analysis, age over 50 years, being female, Muslim and inability to avoid exposure in the workplace was associated with risk of COVID-19. On multivariate analysis, inadequate PPE remained an independent predictor with a twofold (OR 2.29, (CI - 1.22-4.33), p=0.01) risk of COVID-19. This study demonstrates that PPE, SD and workplace measures to mitigate risk remain important for reducing risk of COVID-19 in hospital doctors. Gender and religion did not appear to be independent determinants. It is imperative that employers consolidate risk reduction measures and foster a culture of safety to encourage employees to voice any safety concerns.","PeriodicalId":365463,"journal":{"name":"Sushruta Journal of Health Policy & Opinion","volume":"180 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132895804","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abrar Hussain, Samir Shah, S. Dave, R. Ramkisson, Mir Furruq Ali Quadri
{"title":"Remote Consultations","authors":"Abrar Hussain, Samir Shah, S. Dave, R. Ramkisson, Mir Furruq Ali Quadri","doi":"10.38192/13.2.11","DOIUrl":"https://doi.org/10.38192/13.2.11","url":null,"abstract":"COVID-19 pandemic has presented with unique challenges and opportunities for healthcare services globally. Remote consultation has played an integral part to allow the healthcare systems to function and at the same time to adhere to the restrictions to prevent the spread of SARS-CoV-2. Regulators, organisations, clinicians and patients have all adapted and adjusted to the widespread use of remote consultations across specialities and healthcare settings. In this article, we discuss the advantages and limitations of remote consultation in the NHS and its consideration in day-to-day clinical practice.","PeriodicalId":365463,"journal":{"name":"Sushruta Journal of Health Policy & Opinion","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115571071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Air Pollution","authors":"R. Ravindrane","doi":"10.38192/13.2.4","DOIUrl":"https://doi.org/10.38192/13.2.4","url":null,"abstract":"This article describes the battle with air pollution in two large cities, London and Delhi. Air pollution is a major cause of morbidity and mortality across the globe, particularly affecting those in large, urban environments. Action has been take to reduce pollution levels and some improvement have been seen, but not to a significant enough degree. We as healthcare professionals have a responsibility to advocate for greater change to be made.","PeriodicalId":365463,"journal":{"name":"Sushruta Journal of Health Policy & Opinion","volume":"103 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125675056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Millennials - The Missing Piece in the NHS Workforce Puzzle?","authors":"F. Patel, I. Chakravorty","doi":"10.38192/13.1.7","DOIUrl":"https://doi.org/10.38192/13.1.7","url":null,"abstract":"UK healthcare is in the throes of a workforce crisis. There are 10,000 fewer doctors and over 50,000 fewer nurses than are required to run a safe and sustainable service. Multiple factors from removal of nursing bursaries, introduction of university fees, poor working conditions, under-resourcing of healthcare services, unmanageable workloads, learned helplessness of clinical risk and a culture of incivility or blame is driving the workforce of the future away from NHS. Several governmental agencies, arm’s length bodies and trade unions have been grappling with this challenge. A few solutions have been recommended under the new contract for junior doctors, reintroduction of support for nurses and expansion of medical school places, but some are yet to be implemented. NHS leaders continue to support blue-sky thinking in terms of workforce innovations but tend to drag their feet when it comes to adoption. This reluctance by senior clinicians, managers and policy makers may be related to a lack of understanding of the values that drive the millennial generation that most younger healthcare workforce belong to. This article will explore the challenges and solutions from a generational perspective and offer an insight to guide future decision-making.","PeriodicalId":365463,"journal":{"name":"Sushruta Journal of Health Policy & Opinion","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128698113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}