The next step of community health construction: Training general practitioners and implementing health management

2010 ◽  
Vol 4 (2) ◽  
pp. 134-138
Author(s):  
Kan Zhang ◽  
Wei Dong ◽  
Ying-Yao Chen
Keyword(s):  
Community Health ◽  
General Practitioners ◽  
Health Management ◽  
Construction Training

scholarly journals Profit distribution and managers’ behavior in vertical integrated medical delivery systems - An experimental economics study

2019 ◽  
Author(s):  
Yunque Bo ◽  
Miaojie Qi ◽  
Siyu Liu ◽  
Jiyu Cui ◽  
Youli Han
Keyword(s):  
Health Service ◽  
Community Health ◽  
Health Management ◽  
Delivery Systems ◽  
Community Health Service ◽  
Experimental Program ◽  
Improvement Rate ◽  
Effort Level ◽  
Profit Distribution ◽  
Medical Delivery

Abstract Background：Fragmentation of medical care has become one of the main reasons for the inefficiency of medical delivery systems. Vertical integration of medical delivery systems (VIMDS) is a reform direction in the world. Managers’ behavior toward profit distribution is an important factor that influences them to pursue the goal of VIMDS. We conducted a controlled economics experiment to explore decision-making by managers of medical institutions in respect of profits and what influences the distribution mechanism in VIMDS. Methods：Undergraduate and postgraduate Students majoring in health management, and administrative staffs from hospitals were recruited to make choices in the role of directors of institutions. Z-Tree software was used to design the experimental program. 96 subjects participated in the experiment. We gathered 479 valid contracts. Results: 66.39% of the subjects choose flexible contracts. The median of the bidding distribution rate to community health service centers of all auctions was 18.50%. The final distribution rate is about 3 percentage points higher than the bidding distribution rate. The median of the effort level was 9.00. There was a significant correlation between the improvement rate and the choice of effort level (p＜0.05) in flexible contracts. Conclusions: The hospital managers have a preference for flexible contracts because of uncertainty in the medical system. Community health service center director may be perfunctory as shading in the integration. Flexible contract and sharing rate beyond participants’ expectation motivate managers to make more cooperative behaviors.

General Practitioners’ Roles in Disaster Health Management: Perspectives of Disaster Managers

2021 ◽  
pp. 1-8
Author(s):  
Penelope L. Burns ◽  
Gerard J. FitzGerald ◽  
Wendy C. Hu ◽  
Peter Aitken ◽  
Kirsty A. Douglas
Keyword(s):  
Health Care ◽  
New Zealand ◽  
General Practitioners ◽  
Health Management ◽  
Health Care Systems ◽  
Health Resources ◽  
Local Health ◽  
Structured Interviews ◽  
Care Needs ◽  
Study Objective

Abstract Introduction: General Practitioners (GPs) are inevitably involved when disaster strikes their communities. Evidence of health care needs in disasters increasingly suggests benefits from greater involvement of GPs, and recent research has clarified key roles. Despite this, GPs continue to be disconnected from disaster health management (DHM) in most countries. Study Objective: The aim of this study was to explore the perspectives of disaster management professionals in two countries, across a range of all-hazard disasters, regarding the roles and contributions of GPs to DHM, and to identify barriers to, and benefits of, more active engagement of GPs in disaster health care systems. Methods: A qualitative research methodology using semi-structured interviews was conducted with a purposive sample of Disaster Managers (DMs) to explore their perspectives arising from experiences and observations of GPs during disasters from 2009 through 2016 in Australia or New Zealand. These involved all-hazard disasters including natural, man-made, and pandemic disasters. Responses were analyzed using thematic analysis. Results: These findings document support from DM participants for greater integration of GPs into DHM with New Zealand DMs reporting GPs as already a valuable integrated contributor. In contrast, Australian DMs reported barriers to inclusion that needed to be addressed before sustained integration could occur. The two most strongly expressed barriers were universally expressed by Australian DMs: (1) limited understanding of the work GPs undertake, restricting DMs’ ability to facilitate GP integration; and (2) DMs’ difficulty engaging with GPs as a single group. Other considerations included GPs’ limited DHM knowledge, limited preparedness, and their heightened vulnerability. Strategies identified to facilitate greater integration of GPs into DHM where it is lacking, such as Australia, included enhanced communication, awareness, and understanding between GPs and DMs. Conclusion: Experience from New Zealand shows systematic, sustained integration of GPs into DHM systems is achievable and valuable. Findings suggest key factors are collaboration between DMs and GPs at local, state, and national levels of DHM in planning and preparedness for the next disaster. A resilient health care system that maximizes capacity of all available local health resources in disasters and sustains them into the recovery should include General Practice.

The Role of Primary Care in Population and Community Health: Pragmatic Approaches to Integration

2019 ◽  
pp. 101-108
Author(s):  
Julie Wood ◽  
Kevin Grumbach
Keyword(s):  
Primary Care ◽  
Community Health ◽  
Population Health ◽  
Health Management ◽  
Parks And Recreation ◽  
Centered Care ◽  
Care Models ◽  
Primary Care Clinicians ◽  
Family Centered

This chapter looks at the role of primary health care in community health. Primary care, it argues, has built on its historical roots of holistic family-centered care to embrace the broader concept of population health. The chapter looks at the evolution of care models from patient/family-centered to panel management (the sum of patients being cared for by a primary care practice), to community health management. This broader concept of health necessitates collaboration with partners outside the clinical practice, including public health professionals, policymakers, schools, housing, parks and recreation, law enforcement, transportation, and food systems. The chapter describes the population and community framework and its historical role in the development of primary care, and then turns to the proposal of pragmatic approaches that busy primary care clinicians and care teams can use to integrate population health approaches into their practices.

Disease Prevention and Health Promotion Activity During Consultations by Private and Community Health Centre General Practitioners

1996 ◽  
Vol 2 (1) ◽  
pp. 41 ◽  
Author(s):  
Michael Montalto ◽  
David Dunt ◽  
Robyn Vafiadis ◽  
Doris Young
Keyword(s):  
Health Promotion ◽  
Medical Students ◽  
Disease Prevention ◽  
Community Health ◽  
General Practitioners ◽  
Pap Smear ◽  
Health Centre ◽  
Community Health Centre ◽  
Observation Study ◽  
Preventive Activity

The aims of this study are to compare the rates of health promotion and disease prevention activity within Community Health Centre (CHC) and private general practice (GP) consultations. A prospective field�based observation study was designed using medical students as observers. Private and CHC general practitioners involved in the teaching of the medical students in metropolitan Melbourne were observed for one week of consecutive consultations. Primary preventive interventions or behaviours during GP consultations were recorded, based on best practice guidelines. Twenty two students acted as observers. Fifty-one general practitioners were observed, 20 from CHCs and 31 from private general practices. Inter-observer reliability was satisfactory. CHC general practitioners had higher rates of overall preventive activity. Of the four broad categories of activities coded, CHC general practitioners were significantly more likely to detect patients' risk status but no more likely to conduct casefinding examinations, make test recommendations and provide advice. Among the 46 specific activities coded, CHC general practitioners were more likely to detect their patients' exercise levels and dietary details, perform a pap smear, and give advice on smoking, alcohol and diet. It was not possible to determine to what extent doctor and patient characteristics, as distinct from practice setting, were responsible for these results. While CHC general practitioners had higher levels of preventive activity, the differences were not great. Patient-initiated disease prevention is an under-reported phenomenon which deserves further attention.

Assessing, Consulting, Reporting Heuristics in Professional Decision-Making Regarding Suspected Child Maltreatment in Community Healthcare Services

2020 ◽  
pp. 107755952093735
Author(s):  
Guy Enosh ◽  
Ravit Alfandari ◽  
Hani Nouman ◽  
Lilach Dolev ◽  
Hagit Dascal-Weichhendler
Keyword(s):  
Decision Making ◽  
Child Maltreatment ◽  
Community Health ◽  
Child Protection ◽  
Healthcare Professionals ◽  
Health Management ◽  
Survey Design ◽  
Healthcare Services ◽  
Community Health Services ◽  
Community Healthcare

This study investigated child protection decision-making practices of healthcare-professionals in community-health-services. We examined the effect of heuristics in professional judgments regarding suspected maltreatment, as affected by the child’s ethnicity, gender, and family socioeconomic-status, as well as the healthcare-worker’s workload-stress, and personal and professional background. Furthermore, we examined how these variables influence judgments regarding suspected maltreatment and intentions to consult and report child-maltreatment. We used an experimental survey design including vignettes manipulating the child’s characteristics. Data was collected from 412 professionals employed at various community-health-service-clinics of the largest health-management organization in northern Israel. Findings show that all subjective factors have a significant effect on suspected child-maltreatment assessment, which appears as a significant predictor of later decisions regarding consultation and reporting. This study lends support to prior research indicating that healthcare-professionals’ decisions may incorporate biases, and suggests how the effects of these biases’ are mediated through a sequence of decisions. Recommendations focus on providing regular consultation opportunities for practitioners.

scholarly journals Approaches to population health care: The emerging context!

2005 ◽  
Vol 11 (2) ◽  
pp. 45 ◽  
Author(s):  
Peter Harvey
Keyword(s):  
Health Care ◽  
Community Health ◽  
Population Health ◽  
Service Management ◽  
Health Management ◽  
Population Level ◽  
Population Based ◽  
Social Contexts ◽  
Illness Management ◽  
The Impact

This paper provides a review of recent developments in population-based approaches to community health and explores the origins of the population health concept and its implications for the operation of health service management. There is a growing perception among health professionals that the key to improving health outcomes will be the implementation of integrated and preventive population-based resource management rather than investment in systems that respond to crises and health problems at the acute end of the service provision spectrum only. That is, we will need increasingly to skew our community health and welfare investments towards preventive care, education, lifestyle change, self-management and environmental improvement if we are to reduce the rate of growth in the incidence of chronic disease and mitigate the impact of these diseases upon the acute health care system. While resources will still need to be devoted to the treatment and management of physical trauma, infectious diseases, inherited illness and chronic conditions, it is suggested we could reduce the rate at which demand for these services is increasing at present by managing our environment and communities better, and through the implementation of more effective early intervention programs across particular population groups. Such approaches are known generally as population health management, as opposed to individual or illness - based health management' or even public health - and suggest that health systems might productively focus in the future on population level causation and not just upon disease-specific problems or illness management after the fact. Population health approaches attempt to broaden our understanding of causation and manage health through an emphasis on the health of whole populations and by building healthy communities rather than seeing "health care" as predominantly about illness management or responses to health crises. The concept also presupposes the existence of cleaner and healthier environments, clean water and food, and the existence of vibrant social contexts in which individuals are able to work for the overall good of communities and, ultimately, of each other.

scholarly journals Community Health Management and Nursing Strategies for Elderly Hypertension

2021 ◽  
Vol 5 (6) ◽  
pp. 135-138
Author(s):  
Qize Zhong ◽  
Wanling Chen
Keyword(s):  
Blood Pressure ◽  
Systolic Blood Pressure ◽  
Community Health ◽  
Health Management ◽  
Control Group ◽  
Study Group ◽  
Hypertensive Patients ◽  
Satisfaction Rate ◽  
Elderly Hypertensive ◽  
Elderly Hypertensive Patients

Objective: To explore the therapeutic effects of community health management and nursing strategies for elderly hypertensive patients. Methods: A total of 64 elderly hypertensive patients who were treated in our hospital from March 2020 to March 2021 were selected. The control group took conventional care and guidance. The research group carried out community health management and nursing strategy guidance on the basis of the control group. Then compare the blood pressure levels of the two groups of patients before and after nursing and the patients’ satisfaction with nursing. Results: Through comparison, it can be seen that the diastolic and systolic blood pressure levels of the study group and the control group are not significantly different before nursing. After nursing, the diastolic blood pressure of the patients in the study group was 81.22.1 mmHg and the systolic blood pressure was 126.58.7 mmHg. The diastolic blood pressure of the control group was 90.55.4 mmHg and the systolic blood pressure was 136.412.9 mmHg. There are obvious differences in the comparison of the two sets of data. By comparing the two groups of patients’ satisfactions with nursing care, it can be seen that among the 32 patients in the study group: 31 were very satisfied and basically satisfied, with a satisfaction rate of 96.87%. Among the 32 patients in the control group, 28 were very satisfied and basically satisfied, with a satisfaction rate of 87.5%. The data of the two groups of patients are clearly comparable. Conclusion: Through community health management and nursing strategies, the satisfaction and treatment effect of elderly hypertensive patients can be improved, thereby contributing to the recovery of patients.

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