![]() ![]() Although there are some social benefits to residing in a sizeable refugee community, significant barriers to successful adaptation to U.S. Many families relocated to the U.S., where Lincoln, Nebraska has become known as the ‘capital’ of Yazidis residing in the U.S. After a brutal attack on their homeland by the Islamic State of Iraq and Syria (ISIS) in August 2014, more than half a million Yazidi survivors fled to refugee camps. ![]() The Yazidi are a historically persecuted ethnic and religious minority group from northern Iraq. Community representation in priority-setting and decision-making is essential to ensure relevance, acceptability, and utilization of developed strategies. ConclusionĬommunity agencies, healthcare organizations, policymakers, and other stakeholders must work together to develop strategies to reduce systemic barriers to equitable care. We describe themes related to specific barriers to healthcare access analyze the influence of relational dynamics in the focus group explore experiential themes related to healthcare access in the Yazidi community, and finally interpret our findings through a social-ecological lens. Meeting recordings were transcribed into English, coded for themes, and validated. ![]() The nine-member focus group included social workers, healthcare providers, and members of the Yazidi community. Informed by the Interpretative Phenomenological Approach, three focus group meetings with a community advisory board were conducted between September 2019 and January 2020. This study investigates barriers to healthcare system access faced by Yazidi refugees in the Midwestern United States. To address ongoing disparities, there is an urgent need for ecological approaches to better understand the barriers that hinder and resources that facilitate access to healthcare. In conclusion, the PPI can contribute to improvement in physicians' ability to predict survival of terminally ill cancer patients.The COVID-19 pandemic has shed new light on inequities in healthcare access faced by immigrant and refugee communities. As well, serious errors, defined as the cases where AS was either (a) 28 days and twice longer than CPS or (b) 28 days and half shorter than CPS, significantly decreased from 27% in the first study to 16% in the second study (P = 0.028). Also, the cases where AS was either twice longer or half shorter than CPS significantly declined (49% vs 37%, P = 0.050). The cases where the differences between actual survival (AS) and CPS were 28 days or longer significantly decreased in the second study compared to the first study (42% vs 23%, P < 0.01). ![]() In the second study, physicians estimated patient prognoses with a reference to the PPI score. In the first study, the CPS was prospectively recorded by primary physicians on the basis of their clinical experiences. To clarify whether physicians' clinical prediction of survival (CPS) can be improved using this objective assessment aid, two sequential prospective studies were performed on two independent series of hospice inpatients (n = 150 and 108). The Palliative Prognostic Index (PPI) has recently been developed for survival prediction in terminally ill cancer patients. ![]()
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