Linda Whiteford and Laurence Branch, Primary Health Care in Cuba: The Other Revolution

Society ◽  
2009 ◽  
Vol 46 (3) ◽  
pp. 293-296 ◽  
Author(s):  
Katherine Hirschfeld
2008 ◽  
Vol 64 (1) ◽  
Author(s):  
Douglas Maleka ◽  
D. Franzsen ◽  
A. Stewart

This study was conducted to determine the opinion of physiotherapists and physiotherapy assistants with regards to physiotherapyservices required at a Primary Health Care (PHC) level in two provinces ofSouth Africa, one being urban (Gauteng) and the other one more rural(Limpopo). Using a descriptive study design, a sample consisting of 728 physio-therapists and assistants was selected from the HPCSA register list. Datacollection was by a self-administered questionnaire. Sixty six percent of physiotherapists in Gauteng Province and 68% inLimpopo Province agreed that promotive services are required whereas thepercentage for physiotherapy assistants in Gauteng province and Limpopoprovince were 78% and 89% respectively. Preventative services were suggested by 82% and 85% by physiotherapistsand 95% and 96% by physiotherapy assistants in Gauteng and Limpopo. Eighty nine percent and 88% of physio-therapists, 80% and 85% of physiotherapy assistants in Gauteng and Limpopo respectively agreed that curative services are required.  Rehabilitative services were suggested to be required by 83% and 90% of physiotherapists, 85% and 95% by physiotherapy assistants in Gauteng and Limpopo respectively.


2020 ◽  
Vol 26 (2) ◽  
pp. 175-187
Author(s):  
Antonia Nathalia Duarte de MORAES ◽  
Geórgia Sibele Nogueira da SILVA

Based on SUS guidelines, with principles of universality, completeness and equity, we carried out a study with the objective of identifying conceptions, desires, fears and suggestions regarding humanized health care for transvestites, in primary health care. The theoretical-methodological path was the Dialectic Hermeneutics using an in-depth interview and use of "scenes", with seven participants. The interviewees reported difficulties in accessing and using health services. In view of the difficulties encountered, in order to carry out a humanized care, we identify some necessary changes in the interlocution of health with the transvestite population: Training of health professionals, dialogue with the social movement, dissemination campaigns and the approximation with the meaning of the experience of being transvestite There is an urgent need for effective work in the training of health professionals, as well as in the daily lives of our lives, surrounded by discriminatory attitudes, in the name of commitment to suffering the other.


2016 ◽  
Vol 46 (3) ◽  
pp. 344-362 ◽  
Author(s):  
Jian Pei Kong ◽  
Azlee Bin Ayub ◽  
Rawa Ak Bau

Purpose National Health and Morbidity Survey of Malaysia 2011 revealed that hypercholesterolemia (35.1 per cent, 6.2 million) was the primary leading causes of cardiovascular disease in Malaysia. Currently, three established recommended approaches such as therapeutic lifestyle change (TLC) diet, pharmacotherapy (simvastatin) and TLC + simvastatin are available to the public but, to our knowledge, have never been compared in Malaysia Primary Health Care setting. Hence, this paper aims to compare the lipid lowering effects of these three approaches in a primary health care clinic. Design/methodology/approach This randomized trial enrolled 180 patients with hypercholesterolemia who met adult treatment panel III (ATP III) criteria. All participants were randomized to TLC diet, simvastatin (10-20 mg/d) or TLC + simvastatin diets. The TLC group was enrolled in a 12-week multidisciplinary lifestyle program that involved monthly 45 minutes to hour meetings. The simvastatin group received medication, and traditional counseling was conducted by registered medical officer. Another group was enrolled into TLC + simvastain treatment. The primary outcome measure was the percentage change in low-density lipoprotein-cholesterol. Secondary measures were changes in weight loss, blood pressure and dietary changes. Assessments were repeated at three-month interval. Findings Lifestyle changes combined with simvastatin had a better lipid lowering effect compared to the other two treatments. However, TLC had a better weight and blood pressure reduction compared to the other two treatments. Nevertheless, TLC group showed reduction proportions similar to standard therapy with simvastatin or TLC + simvastatin. TLC has proven as an alternative approach to hyperlipidemia for a subset of patients unwilling or unable to take statins especially in a community-based, primary health care setting. Research limitations/implications Weight loss was not recorded for simvastatin participants, and this was the major drawback of this study, and there was no comparable weight loss reduction with other groups. Originality/value In Malaysia, the efficacy of hypocholesterolemic therapies among patients who are receiving the most common lipid-lowering drug, simvastatin, in primary health care setting has not been clearly defined. There is also a lack of research on the efficacy of TLC conducted by registered dietitian in a primary health care setting in Malaysia.


2016 ◽  
Vol 6 (2) ◽  
pp. 100-108 ◽  
Author(s):  
H. Kalandyk ◽  
B. Penar-Zadarko ◽  
E. Krajewska-Kułak

Introduction: In the nurses group, it is required to have great psychosocial skills, guaranteeing the high quality of professional services. Purpose: To assess the psychosocial working conditions of nurses, depending on their place of employment. Material and methods: The study involved 570 randomly selected nurses. It was based on a diagnostic survey using a standardised questionnaire of Psychosocial Working Conditions (PWC). Results: Correlation factors between the overall and average level of satisfaction with the work were quite high – exceed 0.30 and even 0.40. The greater was the need for change, the lower was the job satisfaction. High sense of self-control at work, social support, or wellbeing was linked with better ratings. Psychophysical requirements were assessed as the worst, and the least frequent were the additional requirements resulting from the conflict nature of the job and overload. Nurses from voivodeship hospitals rated their work lower in the category of intellectual demands, and nurses from the Primary Health Care - in the category of requirements resulting from the conflict nature of the job and overload. Behavioural control and the need for change were different for PHC and the other two hospitals. Psychological wellbeing in district hospitals was worse than in the other two types of medical institutions. Conclusions: The larger was the sense of work control, or sense of social support, the higher was the job satisfaction. The higher the level of requirements and the need for change, the lower was the satisfaction of the assessed aspects of work. There were clear differences in the assessment of the psychosocial working conditions of nurses from hospitals and nurses from PHC.


2021 ◽  
Vol 4 (4) ◽  
Author(s):  
Jorge Mandl Stangl

The COVID-19 pandemic has put enormous pressure on countries around the world, exposing long-standing gaps in public health and exacerbating chronic structural inequalities that, coupled with fragile health systems, have disrupted lives and radically altered the political landscape, especially for vulnerable groups. On the other hand, measures taken to mitigate its impact have highlighted the links between public health and the quality of our environment, our income and work, transport choices, how our children learn, air quality and social justice.


2011 ◽  
Vol 47 (4) ◽  
pp. 709-718 ◽  
Author(s):  
Niurka María Dupotey Varela ◽  
Djenane Ramalho de Oliveira ◽  
Caridad Sedeño Argilagos ◽  
Kisvel Oliveros Castro ◽  
Elisveidis Mosqueda Pérez ◽  
...  

This study was carried out to understand the perceptions and expectations of the other health care professionals about pharmacists' role in primary health care centers and hospitals in Santiago de Cuba (Cuba). A cross-sectional descriptive study was conducted, applying a self-administered questionnaire to health care professionals. The sample included 763 professionals (40.9% physicians and 59.1 % nurses) from hospitals and primary health care clinics, chosen by random stratified sampling,. The most common activity performed by pharmacists was the distribution of medications or the drug supply management (51.5%) and adverse drug reactions reporting (29.4%), activities performed daily by pharmacists. Pharmaceutical care practice was considered as poor by the professionals, and only 15.6% of them have collaborated in these programs in the past. For nurses and physicians, interprofessional communication occurs sometimes (56.9%) and never (25.8%). Pharmacists' integration into the health team was considered as fair (50.7%). A total of 70.1% perceived the pharmacist as a drug expert and 60.1% as a professional who provides medication counseling. The main expectations these health care professionals expressed were that pharmacists provide more education about medication (97.4%) and improve their interprofessional communication techniques in order to communicate more effectively with the other members of the health care team (96.6%).


2020 ◽  
Vol 3 (2) ◽  
pp. 83
Author(s):  
Asti Nuris ◽  
Al- Munawir ◽  
Dewi Rokhmah

As health service provider, primary health care should provide qualified and satisfied service among patients. The PONED is government’s program to reduce the maternal mortality rate. On the other hand, QA is a program used to preserve the quality of primary health care. The aim of this study is to analyze basic emergency neonatal obstetric by using QA program. This is qualitative study, where there were four informants in this study, consist of key-, main-, and additional- informant. Furthermore, the data was collected by in-depth interview. This study found that the variable of input of QA has not fulfilled and supported the implementation of PONED. The variable of process has not performed in accordance with the procedure yet. On the other hand, the variable of output showed that the performance has not been optimal yet. Keyword: PONED, QA, Quality


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