Books

Social Diversity and Access to Healthcare Reigniting the Human Connection: A Pathway to Diversity, Equity, and Inclusion in Healthcare Culture, Diversity and Health in Australia: Towards Culturally Safe Health Care

Editors: Pawel Lukow, Amir Muzur, Mojca Ramsak, Florian Steger Date of Publishing: 23 June 2022 No of Pages: 320

Book Description:

Social diversity may affect health outcomes in situations when access to health care is limited for certain social groups. Although non-discriminatory access to healthcare service is one of the basic principles of medical ethics and health law, there are still debates regarding the implementation of this concept in practice. Barriers such as inadequate legal entitlements, language, different concepts of health and disease, socio-economic factors or attitudes of healthcare professionals can hinder equity in access to healthcare. The authors of contributions gathered in this volume analyze challenges in access to healthcare for various minority groups and propose possible solutions. Author: M.D. Mieres, Jennifer H., Ph.D. McCulloch, Elizabeth C., Michael P. Wright Date of Publishing: 10 May 2022 No. of Pages: 279

Book Description:

Developed from the data, experience, and research that emerged from ten years of intentional creation of such an approach at Northwell Health, Reigniting the Human Connection: A Pathway to Diversity, Inclusion, and Health Equity offers readers an adaptable framework on which to build their own response. This carefully constructed framework is centered on a holistic vision of care, one that utilizes approaches that support the emergence of patients as partners in their care in order to meet the demands of twenty-first-century healthcare. Editors: Tinashe Dune, Kim McLeod, Robyn Williams Date of Publishing: 31 May 2021 No of Pages: 300

Book Description:

Culture, Diversity and Health in Australia is a sensitive, richly nuanced and comprehensive guide to effective health practice in Australia today and is a key reference text for either undergraduate or postgraduate students studying health care. It will also be of interest to professional health care practitioners and policy administrators.

Diagnostic Radiation Exposure Dangers to Patients and Healthcare Professionals

“Dose Creep” was ranked 7th out of the Top 10 Health Hazards for 2015. This is an unnoticed variation in diagnostic radiation exposure.1 This is a concern on potential sources of danger to patients and also health care professionals–warrant the greatest attention for the coming years.

We have seen significant advances in radiation emitting technology worldwide over the last 2 decades with reduced radiation dose scanners, iterative reconstruction image techniques and newer technologies that automate radiation dose reduction. However, with all these advances we still have not progressed as much as technology, with significant variation in national diagnostic reference levels

1 Ecri.org. 2022. [online] Available at: https://www.ecri.org/Resources/Whitepapers_and_ reports/Top_Ten_Technology_Hazards_2015.pdf [Accessed 30 August 2022]. that are above the recommended thresholds set by national and international radiation monitoring bodies.2

At Guerbet we recognise this safety hazard and have added to our solutions portfolio Dose&Care®. Dose&Care® is also known as DACS (Dose Archiving Communication System) which is designed to collect, control, analyse and optimise doses delivered to patients during medical imaging, interventional radiology, and cardiology examinations.

Dose&Care® is a medical device intended for use by medical professionals responsible and involved in the dose cycle: Radiologists, Interventional Radi-

2 Awad MF, Karout L, Arnous G, Rawashdeh MA, Hneiny L, Saade C. A systematic review on the current status of adult diagnostic reference levels in head, chest and abdominopelvic Computed Tomography. J Radiol Prot. 2020 Sep;40(3):R71-R98.

ologists and Radiographers, Technologists, Heads of Department, Medical Physicists, Surgeons, Cardiologists, and Interventional Vascular Surgeons.

The application can be connected to the central informatics environment (including, for example: PACS, RIS, HIS), imaging devices, and accessories (CT scanners, X-ray tables, image intensifiers, interventional tables, PET-CT and so on) using DICOM and HL7 communication standards.

Dose&Care® centralises the data to provide a history of the X-ray dose for each patient and displays it graphically and numerically, in the form of effective dose DLP, CTDI, CTDIvol and Size Specific Dose Estimates (SSDE).

It is also generally accepted that in light of recent technological advances, radiographers may lack the relevant knowledge and understanding, leading to radiation dose deskilling.3 With Dose&Care®, the

3 Benfield, S., Hewis, J. D., &Hayre, C. M. (2021). Investigating perceptions of ‘dose creep’amongst student radiographers: A grounded theory study. Radiography, 27(2), 605610 software allows you to review – why radiation doses are high due to incorrect patient positioning and protocol exam type. Also, graphical presentation in 2D or 3D of the skin dose and calculation of the Peak Skin Dose (PSD) from any interventional radiology and cardiology procedure.

The main function of Dose&Care® is to record, retrieve, create a radiation dose history for the patient, set benchmarks against national diagnostic reference levels, audit, create quality improvement programs to reduce radiation dose, examination alerts systems for patients and radiology management with user friendly and adjustable digital dashboard matrix that suits the user’s needs.

Dose&Care® is a web application, which can be accessed from any standard browser, either through secured internet or intranet (LAN). There is no limitation on the number of users. Each user has a login and password to access the data. The administration module allows customising the data access rights and functionalities for each user.

For more information on Dose&Care®, explore this video:

Dose&Care

https://bit.ly/3BzCMqO

AUTHOR BIO

CHARBEL SAADE joined Guerbet from a very solid academic and clinical background. He was formerly the Professor and Chair of Radiology at the American University of Beirut and still holds many Adjunct Professor roles worldwide as well as sits on university advisory boards. He has published more than 120 scientific papers and 120 conference abstracts in international congresses. He served as the APAC Clinical Applications and Education Manager and now taking charge of the APAC Digital Solutions and Technical Service. He is passionate about lifting the clinical and technical practice of Diagnostic Imaging for better patient outcomes. Email: charbel.saade@guerbet.com

About Guerbet

At Guerbet, we build lasting relationships so that we enable people to live better. That is our purpose. A world leader in medical imaging, Guerbet is a publicly traded company on the Euronext Paris Stock Exchange, headquartered in France with offices and production facilities in Europe, the Americas and Asia-Pacific. It has a long-standing reputation as a pioneer in the research and development of contrast media for radiology.

Today, Guerbet contributes to progress made in the diagnosis of major disease areas including cancer, cardiovascular, inflammatory and neurodegenerative diseases. The company’s novel and effective imaging solutions help to improve patient management throughout the world. Guerbet offers a comprehensive range of imaging products, solutions, and services for Diagnostic Imaging –MRI, X Ray, Digital Solutions / AI– and Interventional Imaging, to enhance clinical decision-making, from diagnosis to treatment and follow-up, and improve patients’ quality of life.

For more information, please visit: www.guerbet.com.