scholarly journals The effect of a family health-team approach on the quality of health care for Palestinian infants in Jordan: a mixed methods study

The Lancet ◽  
2018 ◽  
Vol 391 ◽  
pp. S28 ◽  
Author(s):  
Noortje Gerritsma ◽  
Maartje-Maria van den Berg ◽  
Ali Khader ◽  
Majed Hababeh ◽  
Loai Farajallah ◽  
...  
2006 ◽  
Vol 14 (2) ◽  
pp. 163-169 ◽  
Author(s):  
Mariko Koga ◽  
Antonia Regina Ferreira Furegato ◽  
Jair Licio Ferreira Santos

Authors aimed at learning about the mental health care provided at a Family Health Program. 142 subjects were interviewed (18 nurses, 78 agents, 17 patients and 29 family members). In order to collect data, authors used the Scale of Opinion on Mental Health Care with 25 statements on the care, orientation by the members of the Program of Family Health team and the benefits of this Program. The total scores showed a difference between the agents and other groups. Among nurses, they found the shorter deviation and among the patients the greater variability in the responses. They emphasize the need for efficacy in arranging the appointments. Authors found a lack of coherence among the opinions of the subjects regarding the professionals' orientations.


2018 ◽  
Vol 5 (1) ◽  
Author(s):  
Andrea Nadine Frolic ◽  
Elaine Principi ◽  
Alan Taniguichi ◽  
Ken Burgess ◽  
Valerie Spironello ◽  
...  

Given the pressures that exist in our health care system, health care professionals often are under significant stress to provide both quality clinical care to patients and quality teaching to their learners. We present an innovative program to develop faculty and health professional  skills in reflective practice and resilience, which strengthen participants' ability to act as effective clinicians, educators, role models, and leaders. The basis of the curriculum  rests in the neuroscience of mindfulness  and its applications. This program was enabled through a unique partnership between acute care hospitals (Hamilton Health Sciences and St Joseph's Healthcare Hamilton), Family Health Teams (McMaster Family Health Team and Hamilton Family Health Team) and the McMaster Faculty of Health Sciences Program for Faculty Development (PFD), with additional funding support in 2013 from the Ontario Ministry of Health and Long Term Care (MOH-LTC). Data from 2013 course participants (validated measurement  tools and qualitative feedback) was analyzed to evaluate the effectiveness of this initiative. This poster outlines the journey of this work and a summary of the data gathered to inform further education. 


2020 ◽  
Author(s):  
Ainul Nadziha Mohd Hanafiah ◽  
Mohammad Zabri Johari ◽  
Syafinas Azam

Abstract Background: Malaysia has committed to the global call to achieve universal health coverage, and with the adoption of Sustainable Development Goals, is further strengthening the health system through the primary health care services, particularly the family doctor concept. The Enhanced Primary Health Care (EnPHC) initiative was implemented to address the worrying upward trend of non-communicable disease[I1] prevalence, and incorporates the Family Health Team (FHT) concept. The aim of this paper is to describe the implementation of the FHT as part of the EnPHC intervention.Methods: In-depth interviews and focus group discussions were conducted with the intervention design team, healthcare providers and patients in two rounds during the implementation period. A total of 121 individuals in the two rounds, split into different groups, where some of the participants of the FGD were also interviewed individually[I2] . Data were analysed using a thematic analysis, with codes being organised into larger themes.Results: Themes that emerged from the data were around the process of FHT implementation and the advantages of the FHT, which included continuity of health care and improved quality of care. Patients and health care providers were receptive to the FHT concept, and took the effort to adapt the concept in the local settings. Conclusions: The FHT concept implemented at 20 public primary health clinics has benefits appreciated by health care providers and patients. Addressing the viable shortcomings would better prepare the current primary healthcare system to scale up the FHT concept nationwide and enhance its feasibility and sustainability.Trial registration: The study is registered with the National Medical Research Register, Ministry of Health Malaysia (NMRR-17-295-34771).


2019 ◽  
Vol 24 ◽  
pp. 2515690X1985707 ◽  
Author(s):  
Jennifer Hunter ◽  
Mike Armour

This commentary discusses the concept of value-based or value-focused health care as a rationale for researchers to incorporate mixed methods study designs a priori into clinical trials evaluating traditional, complementary, alternative, and integrative medicine (TCAIM). Along with assessing patient outcomes, information about patients’ experiences and preferences are needed to determine the value of an intervention. Incorporating a mixed-methods approach can improve the quality of clinical trials and provide important information about the potential value of the intervention.


2021 ◽  
Author(s):  
Juliani Ibrahim ◽  
Saori Kashima

Abstract Background: Antenatal care is an intensive program for mother and child, predominantly received from healthcare professionals during pregnancy. Recent studies have shown a high rate of incomplete consultations, while several qualitative and quantitative assessments highlighted the influencing risks and motivational factors. These were performed in an attempt to gain a more comprehensive understanding hence data were collected and consequently evaluated on the basis of competition, using a convergent mixed-methods design.Methods: The data were collected in Makassar, Indonesia, using a sequential explanatory designed that was initially conducted as a quantitative study in the form of a questionnaire for pregnant/reproductive women (n=326), followed by a focus group discussion (FGD), as a qualitative study targeted at people, which includes pregnant/reproductive women and health workers (n=60). To quantitatively evaluate the relationship between each factor and the completion of antenatal care consultations, odds ratios (ORs) were calculated using the logistic regression model. Similarly, in order to validate the results from the quantitative study and explore the real background in each motivation factor, qualitative analysis was conducted by FGD.Results: In the qualitative analysis, the level of education of the husband and the time allocated to examination were linked with the completion status of antenatal care consultations. Particularly, the women that received accurate and prompt services were more likely to complete the antenatal care consultations [Adjusted OR for additional physical examination:1.90 (95% CI: 1.03–3.48); and OR for additional obstetric physical examination: 9.10 (95% CI: 3.42–24.23)] compared to the women that did not receive. According to the FGD, the quality of health care centers was an important factor for the completion of antenatal care performance, and pregnant women frequently visited Posyandu which is a health post in the community instead of going to the community health center.Conclusions: The main challenges for individual motivation to complete their consultations remain the socio-economic status, lack of knowledge on pregnancy experiences, and the quality of health care centers. These factors need to be considered in order to improve the health policy for adequate services for pregnant women.


2015 ◽  
Vol 32 (1-2) ◽  
pp. 117-132 ◽  
Author(s):  
Rachelle Ashcroft

This article provides an overview of political decisions that led up to the implementation of the Ontario Family Health Team (FHT) model. FHTs have broadened primary health care in Ontario by bringing together family physicians with various interdisciplinary professionals. Political decisions have long influenced the shape and need for the FHT model. Knowledge of historically imbedded elements in the FHT model helps to strengthen current and future policy and decision-making. This article is informed by qualitative data collected from interviews with seven policy informants and 29 FHT leaders.


2020 ◽  
Author(s):  
Ainul Nadziha Mohd Hanafiah ◽  
Mohammad Zabri Johari ◽  
Syafinas Azam

Abstract Background: Malaysia has committed to the global call to achieve universal health coverage, and with the adoption of Sustainable Development Goals, is further strengthening the health system through the primary health care services, particularly the family doctor concept (FDC). The Enhanced Primary Health Care (EnPHC) initiative was implemented to address the worrying upward trend of NCD prevalence, and incorporates the Family Health Team (FHT) concept. The aim of this paper is to describe the implementation of the FHT as part of the EnPHC intervention. Methods: In-depth interviews and focus group discussions were conducted with the intervention design team, healthcare providers and patients in two rounds during the implementation period. We explored their views on the design and plans for the intervention, the process, acceptance, adoption, feasibility and sustainability of the intervention, as well as patients’ awareness and understanding of the FHT implementation. Results: Themes that emerged from the data were around the process of FHT implementation and the advantages of the FHT, which included continuity of health care and improved quality of care. Patients and health care providers were receptive to the FHT concept, and took the effort to adapt the concept in the local settings. Conclusions: The FHT concept implemented at 20 public primary health clinics has benefits appreciated by HCPs and patients. Addressing the viable shortcomings would better prepare the current primary healthcare system to scale up the FHT concept nationwide and enhance its feasibility and sustainability. Trial registration: The study is registered with the National Medical Research Register, Ministry of Health Malaysia (NMRR-17-295-34771).


Anemia ◽  
2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Tatiana Lachi ◽  
Cássia Barbosa Reis

Anemia is a clinical manifestation with high prevalence in the world, reaching about 30% of the total inhabitants of the planet. It is responsible for a great reduction in quality of life of affected people. The present paper aimed to obtain the frequency of anemia in the blood counts of a sample from the population of registered patients of a Family Health Team in Dourados, MS, Brazil. 462 patients, who had blood counts done from February 2008 to March 2009, were included in this research. The frequency of anemia was 22.7% in the studied population, including all age groups.


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