Primary health care utilisation and its costs among middle-aged smokers

Abstract. Greater investments and improvements in primary health care (PHC) can provide benefits in reducing the high costs of hospital admissions. Potentially preventable hospitalisations (PPH) are a health system performance indicator used to evaluate access to and effectiveness of community-based health services. The Western Australia Department of Health obtained detailed primary health care data, for the first time at the postcode level scale, and analysed its associations with PPH information for selected conditions. PHC data obtained from the Commonwealth Department of Health for the financial year 2013/14 was Medicare Benefits Schedule (MBS) and Pharmaceutical Benefits Scheme (PBS) records at postcode level. In this paper we explore the sensitivity of various benchmarks of spatial zonings for comparison of diabetes-related primary health care utilisation and potentially preventable hospitalisations and then examine the relationship between them among the various spatial zonings. From the geospatial visualisation and analysis undertaken, conclusions are drawn about the patterns and relationships between diabetes-related primary health care utilisation and potentially preventable hospitalisations. The scale of spatial zonings used for comparison is important as too large or too small areas may mask out the relative geospatial variation of diabetes-related PHC utilisation and PPH evident among postcode areas.

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Analysis of primary health care utilisation in south-western Finland—a tool for management

Health Policy ◽

10.1016/s0168-8510(03)00116-7 ◽

2003 ◽

Vol 66 (3) ◽

pp. 229-238 ◽

Cited By ~ 6

Author(s):

P.T. Ovaskainen ◽

P.T. Rautava ◽

A. Ojanlatva ◽

J.K. Päkkilä ◽

R.M. Päivärinta

Keyword(s):

Health Care ◽

Primary Health Care ◽

Health Care Utilisation ◽

Primary Health ◽

Care Utilisation

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Changing Lifestyle: Who Benefits and How? Prevention in Primary Health Care Within the Female Population in a Swedish Community

Behaviour Change ◽

10.1017/s0813483900005040 ◽

1994 ◽

Vol 11 (3) ◽

pp. 145-152 ◽

Cited By ~ 1

Author(s):

Cecilia Björkelund ◽

Calle Bengtsson

Keyword(s):

Risk Factors ◽

Cardiovascular Disease ◽

Health Care ◽

Primary Health Care ◽

Intervention Program ◽

Community Intervention ◽

Lifestyle Changes ◽

Middle Aged ◽

Female Population ◽

Primary Health

A primary health care community intervention program was offered to the middle-aged female population in a Swedish community aiming at reducing risk factors for cardiovascular disease. Around 30% of women with risk factors took active part in an intervention course program inspiring to lifestyle changes. Analysis showed few background differences between the group of women who participated and who did not participate in the intervention program. Most women with risk factors benefited from lifestyle changes, those with multiple risk factors to as large an extent as those with few risk factors for cardiovascular disease. Also women with risk factors who did not take part in the intervention course program changed their lifestyle habits to some extent.The pedagogics of the intervention program described in this paper are shown to be of value when addressed to middle-aged women with risk factors for cardiovascular disease.

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Skin diseases in children in rural Kenya: long-term results of a dermatology project within the primary health care system

British Journal of Dermatology ◽

10.1046/j.1365-2133.2001.03962.x ◽

2001 ◽

Vol 144 (1) ◽

pp. 118 ◽

Cited By ~ 6

Author(s):

W. Schmeller

Keyword(s):

Health Care ◽

Primary Health Care ◽

Health Care System ◽

Skin Diseases ◽

Long Term Results ◽

Primary Health Care System ◽

Primary Health ◽

Rural Kenya ◽

Care System

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Non-Fatal Deliberate Self-Harm in Three Remote Indigenous Communities in Far North Queensland, Australia

Crisis ◽

10.1027/0227-5910/a000589 ◽

2019 ◽

Vol 40 (6) ◽

pp. 422-428 ◽

Cited By ~ 1

Author(s):

Chris Rouen ◽

Alan R. Clough ◽

Caryn West

Keyword(s):

Health Care ◽

Primary Health Care ◽

Care Center ◽

Indigenous Communities ◽

Indigenous Australians ◽

Deliberate Self Harm ◽

Health Care Center ◽

Far North ◽

Primary Health ◽

Self Harm

Abstract. Background: Indigenous Australians experience a suicide rate over twice that of the general population. With nonfatal deliberate self-harm (DSH) being the single most important risk factor for suicide, characterizing the incidence and repetition of DSH in this population is essential. Aims: To investigate the incidence and repetition of DSH in three remote Indigenous communities in Far North Queensland, Australia. Method: DSH presentation data at a primary health-care center in each community were analyzed over a 6-year period from January 1, 2006 to December 31, 2011. Results: A DSH presentation rate of 1,638 per 100,000 population was found within the communities. Rates were higher in age groups 15–24 and 25–34, varied between communities, and were not significantly different between genders; 60% of DSH repetitions occurred within 6 months of an earlier episode. Of the 227 DSH presentations, 32% involved hanging. Limitations: This study was based on a subset of a larger dataset not specifically designed for DSH data collection and assesses the subset of the communities that presented to the primary health-care centers. Conclusion: A dedicated DSH monitoring study is required to provide a better understanding of DSH in these communities and to inform early intervention strategies.

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