Distance from the Primary Health Center: A GIS method to study geographical access to health care

1995 ◽  
Vol 19 (6) ◽  
pp. 425-436 ◽  
Author(s):  
S. Kohli ◽  
K. Sahlén ◽  
Å. Sivertun ◽  
O. Löfman ◽  
E. Trell ◽  
...  
Keyword(s):  
Health Care ◽  
Health Center ◽  
Access To Health Care ◽  
Primary Health Center ◽  
Primary Health ◽  
Geographical Access ◽  
Access To Health

Factors affecting Medicare affordability

2004 ◽  
Vol 10 (3) ◽  
pp. 144
Author(s):  
Hal Swerissen ◽  
Lucinda Jordan
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Health Care Policy ◽  
Care Policy ◽  
Factors Affecting ◽  
Primary Health ◽  
Access To Health ◽  
Commonwealth Government ◽  
Health Need ◽  
The Relationship

The Commonwealth Government, currently, does not have a primary health care policy. Instead, policy is heavily focused on general practitioners (GPs) and, in particular, on payment arrangements. Since 2000 bulk-billing rates have declined significantly in Australia, raising concerns about affordability and access to health care. This paper examines the relationship between affordability, health need, the supply of GPs, and capacity to pay. Bulk-billing and per capita consultation rates are likely to be higher and co-payments lower in areas where GP supply is higher, health needs are high and capacity to pay is low. Implications for the Commonwealth Government?s new MedicarePlus package are also discussed in light of the findings.

PALANGOS INICIATYVA: AMBULATORINĖ REABILITACIJA PIRMINĖS ASMENS SVEIKATOS PRIEŽIŪROS CENTRE

2013 ◽  
Vol 23 (6) ◽  
pp. 108-110
Author(s):  
Mantė Agnė Jurkevičiūtė ◽  
Egidijus Rimkus
Keyword(s):  
Health Care ◽  
Physical Therapy ◽  
Health Center ◽  
Care Center ◽  
Precise Determination ◽  
Outpatient Rehabilitation ◽  
Primary Health Center ◽  
Health Care Center ◽  
Primary Health ◽  
Health Care Institutions

The efficiency and scale of outpatient rehabilitation provided by the first stage health care institutions can not outperform those provided by second and third stage health care institutions. However, the outpatient rehabilitation provided by first stage health care center in Palanga can significantly improve the chronic disease treatment, decrease disability and improve quality of life to the patients. Everyday there are provide 25 massage, 10 kinesitherapy and around 40 physical therapy procedures.. Every year around 700 are provided 4000 procedure to the patients. More specifically, 300 patients went through 2200 individual kinesitherapy treatment procedures and around 900 patients had 5800 physical therapy procedures. Medical procedures are performed on individuals once per year based on doctors’ recommendations regardless in which primary health center they are registered. The primary health center in Palanga has a license to provide services of physical medicine and rehabilitation nurse as well as massage and assistance to kinesitherapist. Based on medicine law MN:2005 section on family doctor’s duties, competence and responsibility, there is no precise determination of family doctor’s legitimate to provide rehabilitation treatment, hence this treatment is provided by rehabilitation therapist, working in licensed rehabilitation institution.

scholarly journals Antenatal and Postnatal Care Practices among Indigenous People in Bangladesh: A Case Study in Dinajpur

2020 ◽  
pp. 38-56
Author(s):  
Sumaia Aktar ◽  
U. K. Majumder ◽  
Md. Salauddin Khan
Keyword(s):  
Health Care ◽  
Antenatal Care ◽  
Health Center ◽  
Indigenous People ◽  
Postnatal Care ◽  
Access To Health Care ◽  
Care Service ◽  
Indigenous Communities ◽  
Access To Health ◽  
Antenatal And Postnatal Care

Antenatal (ANC) and postnatal care (PNC) contact have long been considered a critical component of the continuum of care for a pregnant mother along with the newborn child. The study aims to determine the influential factors related to the practice of antenatal and postnatal care amongst indigenous mothers of newborns and identifier associated with the ANC and PNC contacts for women in indigenous communities. This study was carried out purposefully selected six upazilas of Dinajpur district where most of the indigenous people live and respondents were 223 married women having at least one under-five children. Results found that the respondents had very poor knowledge about their maternal status and literacy. During the pregnancy period, 39.5% and 6.7% mothers had one and two-time miscarriage respectively. Only 43.9% indigenous pregnant mothers appointed to the health center during pregnancy, 27.8% appointed within three months, 13% went at the last stages of pregnancy and 10.3% felt no need to go there. In 69.1% cases delivery occurred at home by inexpert birth attendance. About 10.3% of deliveries, the placenta was removed manually during delivery. About 33% mothers and their husbands (34%) were found illiterate. The likelihood of mothers who received either antenatal care or postnatal care depended on husband’s education level. It was significantly lower for illiterate (OR=0. 247, 95% CI = 0.063-0.969) husband’s compared to a secondary and above level of educated husbands. Distant health service center (More than 2 km from home) was the lower chances (OR=0. 384, 95% CI = 0.152-0.970) for mothers being access to health care service centers compared to low distant centers (≤ 2 km from home). Also, the age of the mother (30+) was another factor that influenced the mothers for taking the service from hospitals or health centers during pregnancy. This study concludes that about one-third of the respondents of the community has access to health care services, which can be one of the most important factors in their poor health. Counseling and proper education can influence people to take antenatal care and visits to the health center to take postnatal care service further.

scholarly journals The Primary Health Center Factors Associated with Contraceptive Use Among Women in Indonesia

2021 ◽  
Vol 8 (4) ◽  
pp. 261
Author(s):  
Arini Hardianti ◽  
Siswanto Agus Wilopo ◽  
Mohammad Hakimi ◽  
Althaf Setiawan
Keyword(s):  
Health Care ◽  
Health Center ◽  
Access To Health Care ◽  
Multivariable Analysis ◽  
Health Centers ◽  
Modern Contraceptive ◽  
Research Subjects ◽  
Primary Health ◽  
Contraceptive Utilization ◽  
Days Open

<em><em>Access to health care, especially health care’s days open was one of the important poin to increasing contraceptive user. Many people who want to use contraception tend to want to get the method in the same day when visited the health care. The aim of this study is to find the relationship health care days open and contraceptive utilization. The cross-sectional study used Performance Monitoring and Accountability (PMA) 2020 data in 33 provinces of Indonesia in 2015. The research subjects were primary health care (Puskesmas). In this research, a number of districts were merged to reach a minimum number of respondents of 30 women. One hundred and four health center were studied and analyzed with t-test and correlation, and multivariable analysis by looking at the level of significance p &lt;0.05, and multivariable analysis. Female, household, and service delivery point questionnaire were used in this study. Result: All health centers in 76% area in Indonesia open more than five days a week and no stock out more than five contraceptive methods. All health centers in 69% area provides more than 5 methods. Days open statistically significant with modern contraceptive utilization after considering the stock out and method provides. Conclusion: contraceptive days open in health care generally good and have relation with contraceptive utilization after considers the stock and how many methods they provide.</em></em>

scholarly journals Access to primary health care among women: the role of Ghana’s community-based health planning and services policy

2019 ◽  
Vol 20 ◽  
Author(s):  
Joseph Asumah Braimah ◽  
Yujiro Sano ◽  
Kilian Nasung Atuoye ◽  
Isaac Luginaah
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Access To Health Care ◽  
Health Planning ◽  
Household Wealth ◽  
Considerable Proportion ◽  
Wealth Status ◽  
Community Based ◽  
Primary Health ◽  
Access To Health

AbstractBackground:Ghana in 1999 adopted the Community-based Health Planning and Service (CHPS) policy to enhance access to primary health care (PHC) service. After two decades of implementation, there remains a considerable proportion of the country’s population, especially women who lack access to basic health care services.Aim:The aim of this paper is to understand the contribution of Ghana’s CHPS policy to women’s access to PHC services in the Upper West Region (UWR) of Ghana.Methods:A logistic regression technique was employed to analyse cross-sectional data collected among women (805) from the UWR.Findings:We found that women who resided in CHPS zones (OR = 1.612;P ≤0.01) were more likely to have access to health care compared with their counterparts who resided in non-CHPS zones. Also, rural-urban residence, distance to health facility, household wealth status and marital status predicted access to health care among women in the region. Our findings underscore the need to expand the CHPS policy to cover many areas in the country, especially rural communities and other deprived localities in urban settings.

Gambaran Farmakoterapi Pasien Common Cold Di Puskesmas Pekanbaru

2017 ◽  
Vol 10 (1) ◽  
pp. 63
Author(s):  
Dimas Pramita Nugraha ◽  
Inayah Inayah
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Medication Error ◽  
Health Center ◽  
Medication Errors ◽  
Common Cold ◽  
Total Sample ◽  
Primary Health Center ◽  
Primary Health ◽  
The Common

Common cold is still a disease with the most number of cases in Indonesia and the province of Riau in out patientswho visited the primary health center (Puskesmas). However, in primary health care, like Puskesmas and privatepractice physicians are expected pharmacotherapy common cold is not rational. Medication errors is a common problem.The purpose of this study was to determine how the use of pharmacotherapy in patients with the common cold inPuskesmas Pekanbaru. This study was an observational descriptive , with a total sample 4602 people who meet thespecified criteria .The results showed that the percentage patients common cold using symptomatic analgesic-antipyreticdrugs 70.2%.However, the percentage of patients that using antibiotics in common cold is still quite a lot (36%), alsothe use corticosteroid (17,9%) that showed medication error. The patterns pharmacotherapy of common cold inPuskesmas Pekanbaru was relatively good, but need improvement .

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