MyMedR

Organizational barriers and ethnicity in the Scottish NHS

Sheffield J, Hussain A, Coleshill P

J Manag Med, 1999;13(4-5):263-4.

The NHS faces a crisis in terms of staffing and recruitment. Many of the ethnic minority GPs in inner city areas throughout the UK are coming up to retirement age, and there is an insufficient supply of trainees to fill estimated vacancies. Over 2,000 nursing vacancies exist across the UK, and recruitment to the profession and retention within the profession are poor. Nurses have been recruited from overseas for the past 40 years, and are currently being recruited from Finland, Malaysia, and the West Indies, whilst doctors are being sought in India, Pakistan and Africa. Overseas recruitment is not a new phenomenon, and numerous studies have been carried out to examine equal opportunities and racial discrimination within the NHS. The aim of this paper was to examine ethnicity and equal opportunities within the Scottish NHS and record the levels of organisational awareness of ethnicity and equal opportunities' issues. The paper also examines the link between health service delivery to ethnic minorities and internal cultural attitudes to staff.

Matched MeSH terms: State Medicine/organization & administration*

Fulltext Lessons on integration from the developing world's experience

Bodeker G

BMJ, 2001 Jan 20;322(7279):164-7.

PMID: 11159579

Matched MeSH terms: State Medicine/organization & administration*

Malaysia's 21st century goal: IT-based health gains for one and all

Spohr MH

Healthc Inform, 2000 Apr;17(4):49-52, 54.

PMID: 11066568

Matched MeSH terms: State Medicine/organization & administration*

Fulltext Effectiveness of a quality improvement collaborative in reducing time to surgery for patients requiring emergency cholecystectomy

Bamber JR, Stephens TJ, Cromwell DA, Duncan E, Martin GP, Quiney NF, et al.

BJS Open, 2019 12;3(6):802-811.

PMID: 31832587 DOI: 10.1002/bjs5.50221

Background: Acute gallstone disease is a high-volume emergency general surgery presentation with wide variations in the quality of care provided across the UK. This controlled cohort evaluation assessed whether participation in a quality improvement collaborative approach reduced time to surgery for patients with acute gallstone disease to fewer than 8 days from presentation, in line with national guidance.

Methods: Patients admitted to hospital with acute biliary conditions in England and Wales between 1 April 2014 and 31 December 2017 were identified from Hospital Episode Statistics data. Time series of quarterly activity were produced for the Cholecystectomy Quality Improvement Collaborative (Chole-QuIC) and all other acute National Health Service hospitals (control group). A negative binomial regression model was used to compare the proportion of patients having surgery within 8 days in the baseline and intervention periods.

Results: Of 13 sites invited to join Chole-QuIC, 12 participated throughout the collaborative, which ran from October 2016 to January 2018. Of 7944 admissions, 1160 patients had a cholecystectomy within 8 days of admission, a significant improvement (P

Matched MeSH terms: State Medicine/organization & administration

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