A Primary Health-Care System Approach to Improving Quality of Care and Outcomes in People with Diabetes: The University of Pittsburgh Medical Center Experience

2016 ◽  
pp. 51-64 ◽  
Author(s):  
Janice C. Zgibor ◽  
Francis X. Solano ◽  
Linda Siminerio
Author(s):  
Zeleke Yimechew Nigussie ◽  
Nebreed Fesseha Zemicheal ◽  
Gizachew Tadele Tiruneh ◽  
Yibeltal Tebekaw Bayou ◽  
Getnet Alem Teklu ◽  
...  

2017 ◽  
Vol 127 (1) ◽  
pp. 5-9
Author(s):  
Ewa Warchoł-Sławińska ◽  
Marzena Furtak-Niczyporuk ◽  
Marta Sławińska ◽  
Krzysztof Włoch ◽  
Marek Kos ◽  
...  

Abstract Introduction. General practitioner (GP) plays an important role in the health care system as he is the first person that a patient turns to with his health related problem. The crucial role of the primary health care system is to control risk factors contributing to civilization diseases such as cancer, diabetes or cardiovascular diseases. Aim. The aim of the research was the assessment of the selected aspects of patients’ satisfaction with a GP’s care. Conducted study provided answers to questions about the level of patient’s satisfaction, his expectations and needs in the field of doctor’s care within the primary health care system. Material and methods. Diagnostic poll was used as a method to study public opinion. The poll was based on the research technique in the form of the original questionnaire consisting of 23 closed-ended questions. Study group consisted of 99 primary health care patients from lubelskie voivodship. Results. The majority of the studied group assessed the quality of general practitioners’ services both in cities and rural areas as high. Respondents declared their satisfaction with the availability of diagnostic tests (73%), quality of information about health condition and treatment provided by the doctor (80%), information about how the medicine should be taken and about further treatment (65%) and respect for privacy and dignity (82%). Minority of the researched group was dissatisfied with the quality of general practitioner’s services mainly because of the limited access to diagnostic tests (27%), low quality of information provided by the doctor about method of taking medicine (35%), short time of the doctor’s visit (38%), suggested method of treatment (36%), disrespect for privacy and dignity of a patient (18%) and limited access to medical documentation (24%). Conclusions. There is a need to implement actions that will increase patients’ satisfaction with the medical services provided by general practitioners, especially in the following fields: length of the doctor’s visit, quality of information provided by the doctor, improvement in the patient – doctor relation, full access to medical documentation and promotion of health by doctors.


2013 ◽  
Vol 6 ◽  
pp. HSI.S11226
Author(s):  
Enakshi Ganguly ◽  
Bishan S. Garg

Introduction Health assistants are important functionaries of the primary health care system in India. Their role is supervision of field-based services among other things. A quality assurance mechanism for these health assistants is lacking. The present study was undertaken with the objectives of developing a tool to assess the quality of health assistants in primary health centres (PHCs) and to assess their quality using this tool. Methodology Health assistants from three PHCs in the Wardha district of India were observed for a year using a tool developed from primary health care management Aavancement program modules. Data was collected by direct observation, interview, and review of records for quality of activities. Results Staff strength of health assistants was 87.5%. None of the health assistants were clear about their job descriptions. A supervisory schedule for providing supportive supervision to auxiliary nurse midwives (ANMs) was absent; most field activities pertaining to maternal and child health received poor focus. Monthly meetings lacked a clear agenda, and comments on quality improvement of services provided by the ANMs were missing. Conclusion Continuous training with sensitization on quality issues is required to improve the unsatisfactory quality.


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