Co-production between immigrant and refugee patients and healthcare professionals: a scoping review

The recent introduction of basic principles of co-production to healthcare increases the focus on the relationship between patient and professional. This relationship is crucial for creating healthcare services that contributes to better health and improved well-being for patients. This is especially important for immigrant and refugee patients who risk not receiving the appropriate care when manoeuvring through the complex healthcare systems in a new country. Our scoping review contributes with an overview of individual and context-related factors that facilitate co-production between immigrant patients and healthcare professionals.

Presenter/s: Christina Radl-Karimi (OPEN Odense Patient data Explorative Network, Denmark)

Reduced antibiotic therapy and hospital stay in term neonates with suspected early onset sepsis after introduction of new treatment guidelines

Early onset sepsis in neonates is a potentially life-threatening complication of birth. Clinical symptoms are often unspecific why antibiotic therapy is frequently used in uninfected neonates. This study compared the duration of antibiotic therapy and hospital stay before (period 1) and after (period 2) introduction of new treatment guidelines for suspected early onset sepsis in term neonates including CRP-guided decision making. We found 61 neonates in period 1 and 24 neonates in period 2 who met the criteria of the new treatment guidelines. The duration of antibiotic therapy and hospital stay were significant reduced between period 1 and 2 without any reinfection or readmission. No death occurred. The estimated saved healthcare costs were calculated to EUR 61000, which corresponds to an annual saving of EUR 109000.

Presenter/s: Johan Gyllensvärd (Department of Pediatrics, Ryhov County Hospital, Jönköping, Sweden)

What matters to ESTHER in Enhanced Recovery After Surgery (ERAS) Knee Arthroplasty

The pilot showed that the changes have improved patients’ satisfaction, reduced the total length of stay for patients undergoing Total Knee Replacement and allowed them to recover in the comfort of their own home. Overall cost bored by patients and the hospital have also reduced. ESTHER was a pertinent member of the initiative as the idea came from patients. The improvement initiative aims to recruit 50 patients to do a more comprehensive study of the project which aims to scale to reach more patient groups.

Presenter/s: Esther Lim (Singapore General Hospital, Singapore)