A new model of training physicians and health care professionals in women's primary health care: the women's health scholar program

1997 ◽  
Vol 7 (6) ◽  
pp. 380-384
Author(s):  
Claire C. Murphy ◽  
Helen Batty
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Women’S Health ◽  
Women's Health ◽  
Health Care Professionals ◽  
New Model ◽  
Primary Health ◽  
Training Physicians

Bases and Horizons of Person-Centered Women’s Health 40 Years after Alma Ata

2019 ◽  
Author(s):  
C Ruth Wilson ◽  
Petra ten Hoope-Bender ◽  
Juan E. Mezzich ◽  
James Appleyard ◽  
Ann Karin Helgesen ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Women’S Health ◽  
Women's Health ◽  
Human Right ◽  
Primary Health ◽  
Health Strategy ◽  
Centered Care ◽  
International College ◽  
The Life Course

Forty years after the Alma Ata Declaration, opportunities and challenges in achieving person-centered care for all people remain, particularly for women. This review describes the foundations and horizons of the Geneva Declaration Person-Centered Women’s Health 40 Years after Alma Ata, issued as a consensus statement of the International College of Person Centered Medicine (ICPCM) meeting in April 2018. Person-centered medicine has as its central precept the relationship between a health professional and a person seeking care. This principle is the link to primary health care, which is built on a lasting relationship with individuals and populations. Women have particular health needs, partly based on reproductive health, influenced by the social context of their lives. There is a need for recommitment to the principles of Alma Ata if health for all is to be achieved. Equitable access to person-centered integrated care for women and men throughout the life course is a human right. Universal health care, based on primary health care as a general health strategy, is the precursor for achieving this aim.

scholarly journals Práticas educativas com gestantes na atenção primária à saúde

2017 ◽  
Vol 11 (12) ◽  
pp. 5370 ◽  
Author(s):  
Líbna Laquis Capistrano Quental ◽  
Lília Candice Carlos da Costa Nascimento ◽  
Léa Costa Leal ◽  
Rejane Marie Barbosa Davim ◽  
Isabelle Cristina Braga Coutinho Cunha
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Education ◽  
Women’S Health ◽  
Women's Health ◽  
Theoretical Explanation ◽  
Active Listening ◽  
Educational Practices ◽  
Primary Health ◽  
Nursing Health

RESUMOObjetivo: conhecer os principais aspectos relacionados às práticas educativas desenvolvidas por enfermeiros às gestantes na Atenção Primária à Saúde. Método: revisão integrativa, percorrendo seis etapas para sistematizar a pesquisa. Dados coletados nas bases de dados Lilacs, Medline, Biblioteca Virtual SciELO, nove artigos atenderam aos critérios de inclusão e os Descritores para nortear a pesquisa foram: Enfermagem; Educação em Saúde; Gravidez; Saúde da Mulher; Atenção Primária; Atividades Cotidianas. Resultados: o estudo identificou que as práticas educativas desenvolvidas por enfermeiros na Atenção Primária à Saúde estão relacionadas à educação em saúde com orientações à prevenção do autocuidado, cuidado adequado com o bebê, promoção da autonomia e empoderamento materno, comunicação interpessoal, capacitação da equipe e incentivo à participação de enfermeiros obstetras neste contexto. Conclusão: o estudo contribuiu para explicitação teórica dos elementos que compõem a relação enfermeiro/gestante a partir de práticas educativas. É relevante para desenvolvimento de estratégias que fortaleçam comunicação entre profissional e usuária por meio da escuta ativa, acolhimento humanizado, jogos e dinâmicas, incentivo à participação de familiares, acompanhantes e colaboração dos componentes da equipe multiprofissional. Descritores: Enfermagem; Educação em Saúde; Gravidez; Saúde da Mulher; Atenção Primária; Atividades Cotidianas.ABSTRACTObjective: to know the main aspects related to the educational practices developed by nurses to the pregnant women in Primary Health Care. Method: this is an integrative review, going through six stages to systematize the research. Data collected in the Lilacs, Medline, and SciELO Virtual Library databases. Nine articles met the inclusion criteria and the Descriptors to guide the research were: Nursing; Health education; Pregnancy; Women's Health; Primary care; Daily Activities. Results: the study identified that the educational practices developed by nurses in Primary Health Care are related to health education with guidelines to prevent self-care, adequate care with the baby, promotion of autonomy and maternal empowerment, interpersonal communication, the participation of obstetrical nurses in this context. Conclusion: the study contributed to the theoretical explanation of the elements that make up the nurses/pregnant relationship from educational practices. It is relevant for the development of strategies that strengthen communication between the professional and the patient through active listening, humanized acceptance, games, and dynamics, encouraging the participation of family members, partners and collaboration of the multi-professional team members. Descriptors: Nursing; Health Education; Pregnancy; Women's Health; Primary Health Care; Activities of Daily Living.RESUMENObjetivo: conocer los principales aspectos relacionados a las prácticas educativas desarrolladas por enfermeros a las gestantes en la Atención Primaria a la Salud. Método: revisión integradora, recurriendo seis etapas para sistematizar la investigación. Datos recogidos en las bases de datos Lilacs, Medline, Biblioteca Virtual SciELO, nueve artículos atendieron los criterios de inclusión y los Descriptores para guiar a la investigación fueron: Enfermería; Educación en Salud; Embarazo; Salud de la Mujer; Atención Primaria; Actividades Cotidianas. Resultados: el estudio identificó que las prácticas educativas desarrolladas por enfermeros en la Atención Primaria a la Salud están relacionadas a la educación en salud con orientaciones a la prevención del autocuidado, cuidado adecuado con el bebé, promoción de la autonomía y empoderamiento materno, comunicación interpersonal, capacitación del equipo e incentivo  a la participación de enfermeros obstetras en este contexto. Conclusion: el estudio contribuyó para explicación teórica de los elementos que componen la relación enfermero/gestante a partir de prácticas educativas. Es relevante para desarrollo de estrategias que fortalezcan comunicación entre profesional y usuaria por medio de la escucha activa, acogida humanizada, juegos y dinámicas, incentivo a la participación de familiares, acompañantes y colaboración de los componentes del equipo multi-profesional. Descriptores: Enfermería; Educación en Salud; Embarazo; Salud de la Mujer; Atención Primaria de Salud; Actividades Cotidianas.

scholarly journals Role of primary health protection in the realization of the pronatalist population policy in Vojvodina

2010 ◽  
pp. 11-22
Author(s):  
Ilija Grujic ◽  
Ljubomir Milasinovic ◽  
Zorica Grujic
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Women’S Health ◽  
Women's Health ◽  
Population Policy ◽  
Active Role ◽  
Postnatal Period ◽  
Health Centers ◽  
Contraceptive Devices ◽  
Primary Health

The study was assumed to answer the question how to improve the women's health care at the primary level during prenatal, perinatal and postnatal period with the resulting giving birth to a healthy child and preservation of general and genital health of the woman and the consequent ability of nursing her child and giving birth to one more or more than one child. The investigation encompassed 300 patients (100 patients from each center: health centers at Temerin, Mali Idjos and Zitiste) of the generative age. The patients answered the anonymous questionnaire containing 24 questions by underlying one of the offered answers or by addition of a text where necessary-concerning the primary health care and its influence on reproduction of the population of Vojvodina. One half of investigated patients did not use contraceptive devices. 32,66% of the patients visited the health centers for the control of their pregnancies, 26,33% for the treatment of diseases, 11,33% for contraception advising, 2,66% for the treatment of infertility and 27,33% for other reasons. More than half of the polled patients thought that there was a need of improvement of the work in the women's health centers. The suggestions of 74,66% of the patients comprised organized lectures on different type of health care and family planning associated with the purchase of modern equipment for diagnostics (13,33%). The primary health care has a significant place in the process of reproduction of the population and these results point to the necessity of its more active role in the improvement of the women's health as well as in the implementation of the measures of the population policy. .

scholarly journals The primary health care and its role in the reproduction of the population of Vojvodina

2007 ◽  
Vol 60 (3-4) ◽  
pp. 168-172
Author(s):  
Ilija Grujic ◽  
Zorica Grujic
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Women’S Health ◽  
Women's Health ◽  
Active Role ◽  
Postnatal Period ◽  
Health Centers ◽  
Reproductive Age ◽  
Population Increase ◽  
Primary Health

Introduction. The problem of depopulation has been a serious threat to the province of Vojvodina leading to changes in the age structure, decrease in working and defensive population, increase in health and social service costs. The aim of this study was to examine how to improve women's health care at primary level during prenatal, perinatal and postnatal period in order to give birth to a healthy child, preserve general and genital health and promote the ability to take care of the child and give birth to another child or children. Material and methods. The investigation included 300 patients (100 patients from each center: health centers in Temerin, Mali Idjos and Zitiste) of reproductive age. All patients completed an anonymous questionnaire with 24 questions by choosing one of the offered answers or by writing an answer where necessary - concerning the primary health care and its role in the reproduction of the population of Vojvodina. Results. Half of the investigated patients did not use contraception. 32.66% of women visited their GP to control their pregnancies; 26.33% to treat their diseases, 11.33% for contraception advice, 2.66% for treatment of infertility and 27.33% for other reasons. More than half of the polled patients thought that there was a need for improvement of the work in women's health centers. 74.66% of patients suggested education on different types of health care and family planning associated with the use of modern equipment for diagnostics (13.33%). Conclusion. The primary health care has a significant role in the process of reproduction of the population and these results point to the necessity of a more active role in the improvement of women's health, as well as in the implementation of measures in the population planning policy. .

Best Practice in Women's Health: Outcomes, Processes and Pre-conditions

1998 ◽  
Vol 4 (3) ◽  
pp. 106
Author(s):  
Gai Wilson ◽  
David Legge ◽  
Paul Butler ◽  
Maria Wright
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Women’S Health ◽  
Women's Health ◽  
Best Practice ◽  
Health Workers ◽  
Social Model ◽  
Care Practice ◽  
Women Health ◽  
Primary Health

The pre-conditions, processes, and outcomes associated with best practice in women's health at the primary health care level are discussed. The paper draws on a study which identified projects that exemplified best practice in relation to: collaboration with consumers and communities; the adoption of a social model of health; the collaboration between providers at different levels of the health system and government; and addressing immediate health needs in a way which recognises the underlying conditions which cause ill health. The methodology involved identifying 187 recently published and documented episodes of primary health care practice. Using ratings and reports from 90 experienced referees from around Australia, the 187 case studies were reduced to 25 which the referees agreed represented 'best practice'. A more detailed investigation of these 25 studies was undertaken to determine what structures contributed to the good processes and outcomes. Of these, eight were women's health projects, with six undertaken by women's health services in Victoria. The paper outlines the kinds of outcomes, processes and pre-conditions which are associated with best practice as illustrated by one of the Victorian women's health projects. The findings from this research project provided practical, informative and useful models of best practice which can be of assistance to women, health workers, policy makers and government.

Some results of the implementation of the priority project «creating a new model of a medical organization that provides primary health care»: problems and prospects

2020 ◽  
pp. 35-43
Author(s):  
Alexey Smyshlyaev ◽  
Maria Sadovskaya
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Quality Management System ◽  
Primary Health Care System ◽  
Medical Organization ◽  
New Model ◽  
System A ◽  
Primary Health ◽  
The Creation ◽  
Care Problems

Optimization of the activities of medical organizations providing primary health care requires the development of new organizational and functional models. The introduction of new approaches to organizing the activities of medical organizations is primarily a step towards patients. The new model is a patient-oriented medical organization, the management of which is based on the use of a process-oriented approach and «lean» technologies. Since 2019, within the framework of the federal project «Development of a primary health care system,» a project has been launched to introduce the «New Model of a Medical Organization Providing Primary Health Care». The implementation of the project is scheduled for 2019-2024 inclusive. The creation and replication of the «new model» is planned for the participation of all subjects of the Russian Federation. The introduction of lean technology methods in the work of medical organizations has reduced the waiting time for doctors, optimized the burden on doctors, reduced the time for obtaining research results, streamlining the process of moving a patient within a medical organization. The creation of an effective quality management system in medical organizations is achieved through the phased implementation of lean-technology.

Disaster Management in Rural and Remote Primary Health Care: A Scoping Review

2021 ◽  
Vol 36 (3) ◽  
pp. 362-369
Author(s):  
Katie A. Willson ◽  
Gerard J. FitzGerald ◽  
David Lim
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Primary Health Care ◽  
Mental Health Care ◽  
Disaster Management ◽  
Scoping Review ◽  
Health Care Professionals ◽  
Disaster Preparedness ◽  
Rural And Remote ◽  
Primary Health

AbstractObjective:This scoping review aims to map the roles of rural and remote primary health care professionals (PHCPs) during disasters.Introduction:Disasters can have catastrophic impacts on society and are broadly classified into natural events, man-made incidents, or a mixture of both. The PHCPs working in rural and remote communities face additional challenges when dealing with disasters and have significant roles during the Prevention, Preparedness, Response, and Recovery (PPRR) stages of disaster management.Methods:A Johanna Briggs Institute (JBI) scoping review methodology was utilized, and the search was conducted over seven electronic databases according to a priori protocol.Results:Forty-one papers were included and sixty-one roles were identified across the four stages of disaster management. The majority of disasters described within the literature were natural events and pandemics. Before a disaster occurs, PHCPs can build individual resilience through education. As recognized and respected leaders within their community, PHCPs are invaluable in assisting with disaster preparedness through being involved in organizations’ planning policies and contributing to natural disaster and pandemic surveillance. Key roles during the response stage include accommodating patient surge, triage, maintaining the health of the remaining population, instituting infection control, and ensuring a team-based approach to mental health care during the disaster. In the aftermath and recovery stage, rural and remote PHCPs provide long-term follow up, assisting patients in accessing post-disaster support including delivery of mental health care.Conclusion:Rural and remote PHCPs play significant roles within their community throughout the continuum of disaster management. As a consequence of their flexible scope of practice, PHCPs are well-placed to be involved during all stages of disaster, from building of community resilience and contributing to early alert of pandemics, to participating in the direct response when a disaster occurs and leading the way to recovery.

The Use of and Attitude Towards Telehealth in Rural Communities

2007 ◽  
Vol 13 (3) ◽  
pp. 29 ◽  
Author(s):  
Emily Mauldon
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Routine Practice ◽  
Care Providers ◽  
Urban Hospital ◽  
Primary Health ◽  
The Impact ◽  
Rural Patients

This paper reports on the attitudes of a sample of health care providers towards the use of telehealth to support rural patients and integrate rural primary health and urban hospital care. Telehealth and other information technologies hold the promise of improving the quality of care for people in rural and remote areas and for supporting rural primary health care providers. While seemingly beneficial for rural patients, study participants believed that telehealth remains underused and poorly integrated into their practice. In general, participants thought that telehealth is potentially beneficial but places constraints on their activities, and few actually used it. Published literature usually reports either on the success of telehealth pilot projects or initiatives that are well resourced and do not reflect the constraints of routine practice, or has an international focus limiting its relevance to the Australian context. Because of the paucity of systematic and generalisable research into the effects of the routine use of telehealth to support rural patients, it is unclear why health care professionals choose to provide such services or the costs and benefits they incur in doing so. Research and policy initiatives continue to be needed to identify the impact of telehealth within the context of Australian primary health care and to develop strategies to support its use.

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