Families reported repeated crossings, often in dangerous conditions – in flimsy rafts, wet and cold, carrying their children, sometimes injured, sometimes with smugglers who abused, robbed, or extorted them – in their desperation to find refuge in the United States. When asked if they feel safe in Mexico, all but one of the asylum seekers interviewed said that they did not feel safe. People told PHR researchers that they had been assaulted, kidnapped, extorted, and subjected to physical and sexual violence in Mexico. Interviewees reported that they did not have access to state protection from Mexican authorities, and several were even robbed or extorted by Mexican authorities after they were expelled from the United States. U.S. border officials not only refused to provide basic information to those they detained and expelled, they also frequently deceived and actively provided false information to asylum seekers.
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These approaches require multidisciplinary academic training to be better appreciated in universities, which tend to facilitate academic careers within traditional scientific disciplines. There is a frequent misfit between problems and approaches to implementation, resulting in the use of implementation strategies that do not match with the targeted problems. The proliferation of concepts, theories and frameworks for knowledge transfer – many of which are untested – has not advanced the field. Stakeholder involvement is regarded as crucial for successful knowledge implementation, but many approaches are poorly specified and unvalidated. Despite the apparent decreased appreciation of rigorous designs for effect evaluation, such as randomized trials, these should remain within the portfolio of implementation research. Outcome measures for knowledge implementation tend to be crude, but it is important to integrate patient preferences and the increased precision of knowledge. They can increase opportunities to exercise, get outside, and socialize.
Take care of your body
Of the 24 who screened positive for anxiety, the median score was 3.1, with a range of 1.8 to 4. Instead of rescuing families who were vulnerable in the river, U.S. border officials threatened their safety.
Learning more about the positive aspects of work, whether they are specific working conditions or factors intrinsic to organizations or occupations, would make the findings even more useful for interventions. For example, positive spillover from work to home domains has been linked to better mental and physical health employees (Grzywacz, 2000), and to less depression for spouses (Hammer, Cullen, Neal, Sinclair, & Shafiro, 2005).
Neither Safety nor Health: How Title 42 Expulsions Harm Health and Violate Rights
In some circles of researchers, practitioners, and policy makers, there seems to have emerged a decreased appreciation of rigorous designs for effect evaluation in healthcare, such as randomized trials. Implementation science needs a variety of study designs and methods, including systematic intervention development, observational pilot tests, qualitative studies, and quantitative simulation modeling. We believe that rigorous designs for effect evaluation, including randomized trials, should remain on the menu. Across the world, decision makers in healthcare struggle with the uptake of rapidly evolving scientific knowledge into healthcare practice, organisation, and policy. Rapid uptake of high-value clinical procedures, technologies, and organisational models is needed to achieve the best possible healthcare outcomes.
“You would never believe [these people] are over age 80,” Rogalski says, adding that they seem decades younger. Wherever you live and whatever your life experience or family history, you can benefit from specific actions to shore up body systems that may start to falter as you get older.
Some plans exclude coverage for services or supplies that Aetna considers medically necessary. The Peterson Center on Healthcare and KFF are partnering to monitor how well the U.S. healthcare system is performing in terms of quality and cost.
For example, it is unclear how available research evidence and theory is combined with stakeholder involvement, if stakeholders have suggestions that contradict existing knowledge. Stakeholder involvement also implies the use of resources, particularly health professionals’ time, which must be considered when planning implementation programs. We suggest that methods for stakeholder involvement must be better specified and validated in empirical research. Characterizing factors that underlie racial and ethnic disparities in the health and well-being among premature infants can be difficult. Studies have also examined the influence of neonatal care, illness severity, and NICU length of stay on outcomes. Nonetheless, the conceptualization of outcomes remains simplistic, failing to consider the joint effect of sociodemographic factors, chronic child illness, and maternal physical and mental health over time.
