Describing the primary care system capacity for the prevention and management of non-communicable diseases in rural Vietnam

2013 ◽  
Vol 29 (2) ◽  
pp. e159-e173 ◽  
Author(s):  
Hoang Van Minh ◽  
Young Kyung Do ◽  
Mary Ann Cruz Bautista ◽  
Tran Tuan Anh
Keyword(s):  
Primary Care ◽  
Communicable Diseases ◽  
System Capacity ◽  
Primary Care System ◽  
Non Communicable Diseases ◽  
Care System

Role of Geography and Nurse Practitioner Scope-of-Practice in Efforts to Expand Primary Care System Capacity

Medical Care ◽  
2016 ◽  
Vol 54 (1) ◽  
pp. 81-89 ◽  
Author(s):  
John A. Graves ◽  
Pranita Mishra ◽  
Robert S. Dittus ◽  
Ravi Parikh ◽  
Jennifer Perloff ◽  
...  
Keyword(s):  
Primary Care ◽  
Nurse Practitioner ◽  
System Capacity ◽  
Scope Of Practice ◽  
Primary Care System ◽  
Care System

scholarly journals Integrated management of non-communicable diseases in low-income settings: palliative care, primary care and community health synergies

2018 ◽  
pp. bmjspcare-2018-001579 ◽  
Author(s):  
Daniel Munday ◽  
Vandana Kanth ◽  
Shadrach Khristi ◽  
Liz Grant
Keyword(s):  
Primary Care ◽  
Palliative Care ◽  
Community Health ◽  
Low Income ◽  
Integrated Management ◽  
Premature Mortality ◽  
Communicable Diseases ◽  
Health Coverage ◽  
Non Communicable Diseases ◽  
Care Community

Palliative care is recognised as a fundamental component of Universal Health Coverage (UHC), which individual countries, led by the United Nations and the WHO, are committed to achieving worldwide by 2030—Sustainable Development Goal (SDG) 3.8. As the incidence of non-communicable diseases (NCD) in low-income and middle-income countries (LMICs) increases, their prevention and control are the central aspects of UHC in these areas. While the main focus is on reducing premature mortality from NCDs (SDG 3.4), palliative care is becoming increasingly important in LMICs, in which 80% of the need is found. This paper discusses the challenges of providing comprehensive NCD management in LMICs, the role of palliative care in addressing the huge and growing burden of serious health-related suffering, and also its scope for leveraging various aspects of primary care NCD management. Drawing on experiences in India and Nepal, and particularly a project on the India–Nepal border in which palliative care, community health and primary care-led NCD management are being integrated, we explore the synergies arising and describe a model where palliative care is integral to the whole spectrum of NCD management, from promotion and prevention, through treatment, rehabilitation and palliation. We believe this model could provide a framework for integrated NCD management more generally in rural India and Nepal and also other LMICs as they work to make NCD management as part of UHC a reality.

scholarly journals Estimating the Costs of Implementing Comprehensive Primary Care: A Narrative Review

2019 ◽  
Vol 6 ◽  
pp. 233339281984248
Author(s):  
Grant R. Martsolf ◽  
Ryan Kandrack ◽  
Mark W. Friedberg ◽  
Brian Briscombe ◽  
Peter S. Hussey ◽  
...  
Keyword(s):  
Primary Care ◽  
Narrative Review ◽  
Fee For Service ◽  
Primary Care System ◽  
High Functioning ◽  
Illness Burden ◽  
Care Practices ◽  
Primary Care Practices ◽  
Limited Generalizability ◽  
Care System

The performance of the any health-care system relies on a high-functioning primary care system. Increasing primary care practices’ adoption of “comprehensive primary care” capabilities might yield meaningful improvements in the quality and efficiency of primary care. However, many comprehensive primary care capabilities, such as care management and coordination, are not compensated via traditional fee-for-service payment. To calculate new payments for these capabilities, policymakers would need estimates of the costs that practices incur when adopting, maintaining, and using the capabilities. We performed a narrative review of the existing literature on the costs of adopting and implementing comprehensive primary care capabilities. These studies have found that practices incur significant costs when adopting and implementing comprehensive primary care capabilities. However, the studies had significant limitations that prevent extensive use of their estimates for payment policy. Particularly, the strongest studies focused on a small numbers of practices in specific geographic areas and the concepts and methods used to assess costs varied greatly across the studies. Furthermore, none of the studies in our review attempted to estimate differences in costs across practices with patients at varying levels of complexity and illness burden which is important for risk-adjusting payments to practices. Therefore, due to the heterogeneous designs and limited generalizability of published studies highlight the need for additional research, especially if payers wish to link their financial support for comprehensive primary care capabilities to the costs of these capabilities for primary care practices.

scholarly journals Strengthening management of non-communicable diseases in primary care, Malawi: A short report

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Amos Mailosi ◽  
Christina Miller ◽  
Catherine Hodge ◽  
Serah Msimuko
Keyword(s):  
Primary Care ◽  
Family Medicine ◽  
Team Building ◽  
Health Centre ◽  
Communicable Diseases ◽  
Short Report ◽  
Medicine Department ◽  
Non Communicable Diseases ◽  
The Relationship ◽  
Initial Focus

Within the community-orientated primary care module for training family physicians at the Kamuzu University of Health Sciences in Malawi, a relationship was formed between Nkhoma Mission Hospital’s Family Medicine Department and the Diamphwe Community Health Centre (HC) to strengthen the continuity of healthcare and capacity team building. The initial focus was on improving the management of hypertension and diabetes in terms of diagnosis, tracking of the patients in a registry and timely referral to secondary care facilities The relationship has received positive support from Diamphwe healthcare workers, which then improved the management of non-communicable diseases and patient care at Diamphwe. It has also shown how family medicine physicians can improve HC capacity through support and mentorship.

Do We Need More Pediatricians? Effect of Group Practice

PEDIATRICS ◽  
1973 ◽  
Vol 51 (4) ◽  
pp. 754-755
Author(s):  
Harvey Klevit
Keyword(s):  
Primary Care ◽  
Health Plan ◽  
Statistical Data ◽  
Group Practice ◽  
Primary Care System ◽  
Manpower Shortage ◽  
Care System

We appreciate being cited as a model efficient primary care system by D. Haggerty1 in his commentary which questions the existence of a pediatric manpower shortage. Readers might be interested in some of our statistical data. Our group of 20 pediatricians (18 when corrected for research and administrative activities), has provided primary services to a known Kaiser Health Plan (Oregon Region) population of 55,000 children under age 17 in 1972. We have been able to function at a ratio of one pediatrician per 2,800 to 3,200 patients since 1965, when we began "keeping score."

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