scholarly journals The Application of Salutogenesis in Primary Care

2022 ◽  
pp. 419-432
Author(s):  
Daniela Rojatz ◽  
Peter Nowak ◽  
Ottomar Bahrs ◽  
Jürgen M. Pelikan
Keyword(s):  
Primary Care ◽  
Contact Point ◽  
Local Population ◽  
Policy Research ◽  
Practice Research ◽  
Health Coverage ◽  
Her Family ◽  
Care Services ◽  
Primary Care Services ◽  
First Contact

AbstractPrimary care is understood as the first contact point to medical care. It operates at the interface between the social and the health systems, between the patient with his or her family and the professional environment, and refers to the local population, while primary health care, following WHO, is defined as a whole-of-society approach envisioned to contribute to universal health coverage and equality. This chapter is dedicated primarily to the application of salutogenesis in primary care. Since primary care services are a complex of strongly interrelated professional practice, research, and supporting policy, applying salutogenesis in primary care comprehensively should introduce salutogenesis in all these fields simultaneously.This chapter examines how salutogenesis is addressed and discussed in policy, research, and practice of primary care and discusses the application of salutogenesis as an orientation, a model, and the construct of ‘sense of coherence’. Thus, it contributes to supporting the application of salutogenesis in primary care and provides an outlook on further research needs.

scholarly journals Patients’ experience of using primary care services in the context of Indonesian universal health coverage reforms

2017 ◽  
Vol 16 (1) ◽  
Author(s):  
Fitriana Murriya Ekawati ◽  
Mora Claramita ◽  
Krishna Hort ◽  
John Furler ◽  
Sharon Licqurish ◽  
...  
Keyword(s):  
Primary Care ◽  
Universal Health Coverage ◽  
Health Coverage ◽  
Care Services ◽  
Primary Care Services ◽  
Patients Experience ◽  
Universal Health

Role of the Pediatrician in the Multidisciplinary Team

PEDIATRICS ◽  
1992 ◽  
Vol 89 (3) ◽  
pp. 519-519
Author(s):  
DANIEL R. BRONFIN ◽  
SYDNEY S. GELLIS
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Multidisciplinary Team ◽  
Task Force ◽  
Level Of Care ◽  
Care Services ◽  
Primary Care Services ◽  
First Contact ◽  
Intensity Of Treatment

To the Editor.— We would like to commend Dr Lowe and the remainder of the Task Force on the recent Report on the Future Role of the Pediatrician in the Delivery of Health Care.1 The distinction between "primary care" and "level of care" is of major importance. It is correctly stated that "the essential nature of primary care services includes first contact, continuity, comprehensiveness, and coordination of needed services"; however, "level of care describes intensity of treatment, the need for technologic support, and specially trained support personnel."

Measuring Consumer Experiences With Primary Care

PEDIATRICS ◽  
2000 ◽  
Vol 105 (Supplement_3) ◽  
pp. 998-1003 ◽  
Author(s):  
Charlyn E. Cassady ◽  
Barbara Starfield ◽  
Margarita P. Hurtado ◽  
Ronald A. Berk ◽  
Joy P. Nanda ◽  
...  
Keyword(s):  
Primary Care ◽  
Assessment Tool ◽  
Principal Component ◽  
Children And Youth ◽  
Care Services ◽  
Primary Care Services ◽  
Patterns Of Use ◽  
Care Assessment ◽  
Key Aspects ◽  
First Contact

Objective. To assess the adequacy of the Primary Care Assessment Tool-Child Edition (PCAT-CE) for evaluating the attainment of the key characteristics of primary care services for children and youth. Design. Community-based telephone survey. Setting. Specific political subdivision in Washington, DC. Participants. Four hundred fifty parents/guardians of offspring 18 years of age or less. Measures. Reliability, validity and principal component analysis of 5 scales representing key aspects of the 4 cardinal domains of primary care included in the PCAT-CE. In addition, 2 subdomains (first contact use and extent of affiliation with a primary care source) were included as indices to describe overall patterns of use and affiliation with the particular source of care. Results. Most scales had adequate internal consistency, test-retest reliability, and construct validity. The principal components factor analysis yielded 5 separate factors. These corresponded to the subdomains of first contact accessibility; coordination of care; characteristics of the professional-patient relationship over-time; and comprehensiveness (both services available and indicated services received). Conclusions. Psychometric assessment supported the integrity and general adequacy of the PCAT-CE for assessing the characteristics and quality of primary care for children and youth. Testing of revised versions in a variety of different settings is underway. A major component of this testing is to explore the possibility of reducing the number of items while retaining sufficient detail about each component of primary care to make judgements about people's experiences with that care.

scholarly journals Why do patients with minor complaints choose emergency departments and does satisfaction with primary care services influence their decisions?

2017 ◽  
Vol 19 (04) ◽  
pp. 398-406 ◽  
Author(s):  
Yakup Akpinar ◽  
Hakan Demirci ◽  
Ersin Budak ◽  
Ayse Karalar Baran ◽  
Ali Candar ◽  
...  
Keyword(s):  
Primary Care ◽  
Patient Satisfaction ◽  
Emergency Departments ◽  
Emergency Services ◽  
Family Doctor ◽  
Working Hours ◽  
Family Doctors ◽  
Care Services ◽  
Primary Care Services ◽  
First Contact

AimTo identify the reasons why patients with minor complaints choose emergency departments (EDs) as a first contact of care and whether dissatisfaction with primary care services influences their decisions.MethodsIn this study, a self-completed survey called EUROPEP was given to 535 outpatients who were admitted to the XXXXX Hospital in Bursa and examined in the green zone in July 2015. Patients were asked about their complaints and why they preferred EDs as a first contact of care.ResultsEDs were the first contact of care in 87.8% of cases. In all, 9% of patients registered to family physicians who were working outside the city of Bursa. There was no relationship between patient satisfaction and the number of previous visits to EDs in last 12 months (P=0.09). The main reasons for admitting to the emergency services were feeling excessive pain (20.4%), perception of urgency (14.5%) and that the family doctor services were closed outside working hours (13.2%). The mean patient satisfaction with family practice offices was calculated to be 68.1%.ConclusionsThe frequency of admission to EDs as a first contact of care was extremely high in the absence of a referral system. Patients who did not have family doctors in the settlement where they live put an extra burden on the EDs. Overall, patient satisfaction with their GPs did not influence the number of visits to EDs but accessibility remains a big challenge.

scholarly journals Screening Neurocognitive Disorders in Primary Care Services: The Quick Mild Cognitive Impairment Approach

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 158-158
Author(s):  
Constanca Paul ◽  
Susana Sousa ◽  
Pedro Santos ◽  
Rónán O’Caoimh ◽  
William Molloy
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Cognitive Impairment ◽  
Community Sample ◽  
Neurocognitive Disorders ◽  
Cognitive Status ◽  
Health Concerns ◽  
Care Services ◽  
Primary Care Services ◽  
Mental Health Concerns

Abstract Neurocognitive Disorders (NCD) is an increasingly common condition in the community. The General Practitioner (GP) in Primary Care Services (PCS), have a crucial role in early detection of NCD and is usually the first professional to detect the signs of MCI. The objective of this study was to test the feasibility and utility of the cognitive screening instrument QMCI in Primary Care. A community sample of 436 people 65+ living in the community was randomly selected from a larger group of old people with mental health concerns (N=2734), referred by their GPs. The mean age of the sample was 75.2 years (sd 7.2), with 41.3% men and 58.7% women; 60.4% married followed by 28.7% widows. The education level was low with 21% illiterate and 69,8% people with 4 years education. The QMCI mean was 37.1/100 (sd 16.2). The amount of people screening positive for cognitive impairment QMCI (<62/100) was 94.2%. In the distribution of people with cognitive impairment by Global Deterioration Scale (GDS) three recoded categories, of the 286 people 76,1% where classified as having very mild or mild impairment, 19,4% moderate or moderately serious and 4,5% severe or very severe impairment. These results confirm the perception of GPs about their clients having mental health concerns and the ability of QMCI accurately discriminate MCI. The QMCI is very brief (3-5mins) fitting the short time of GPs to assess cognitive status and timely refer clients to nonpharmacological interventions that could postpone NCD symptoms.

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