scholarly journals The Development of a Community-wide Primary Health Comprehensive Planning and Response Coordination Group to Plan for and Manage Seasonal Influenza and Possible Pandemic Response

2019 ◽  
Vol 34 (s1) ◽  
pp. s56-s57
Author(s):  
Philip Schroeder ◽  
Kelly Robertson ◽  
Deborah Callahan ◽  
Gareth Frew ◽  
Graeme McColl
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Seasonal Influenza ◽  
Influenza Pandemic ◽  
Primary Response ◽  
Health Providers ◽  
Care Providers ◽  
Primary Health ◽  
Wide Range

Introduction:The Canterbury Primary Response Group (CPRG) was formed following the threats of severe acute respiratory syndrome (SARS) and avian influenza worldwide. The possible impact of these viruses alerted health care professionals that a community-wide approach was needed to manage and coordinate a response to any outbreak or potential outbreak. In Canterbury, New Zealand, the CPRG group took the responsibility to coordinate and manage the regional, out of hospital, planning and response coordination to annual influenza threats and the possible escalation to pandemic outbreaks.Aim:To outline the formation of a primary health and community-wide planning group, bringing together not only a wide range of health providers, but also key community agencies to plan strategies and responses to seasonal influenza and possible pandemic outbreaks.Methods:CPRG has developed a Pandemic Plan that focuses on the processes, structures, and roles to support and coordinate general practice, community pharmacies, community nursing, and other primary health care providers in the reduction of, readiness for, response to, and recovery from an influenza pandemic. The plan could reasonably apply to other respiratory-type pandemics such as SARS.Results:A comprehensive group of health professionals and supporting agencies meet monthly (more often if required) under the chair of CPRG to share information of the influenza-like illness (ILI) situation, virus types, and spread, as well as support strategies and response activities. Regular communication information updates are produced and circulated amongst members and primary health providers in the region.Discussion:Given that most ILI health consultations and treatments are self or primary health administered and take place outside of hospital services, it is essential for providers to be informed and consistent with their responses and knowledge of the extent and symptoms of ILI and any likelihood of a pandemic.

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.

scholarly journals The devil is in the detail: lessons for multi-disciplinary care teams from alocal evaluation of coordinated care

2002 ◽  
Vol 25 (2) ◽  
pp. 87 ◽  
Author(s):  
Elizabeth Shannon
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Local Analysis ◽  
Health Providers ◽  
Care Providers ◽  
Coordinated Care ◽  
Care Coordinator ◽  
Wide Range ◽  
Care Coordinators ◽  
Gp Care

The national evaluation report on the first round of Coordinated Care Trials focused on relationships of care coordination from two main perspectives: that of the General Practitioner (GP) as care coordinator; and the GP perception of non-GP care coordinators. As the majority of the Tasmanian care coordinators came from a nursing background and dealt with a wide range of health care providers, in addition to GPs, a more complex local analysis was required. It was found that relations between care coordinators and other health providers varied considerably by profession andnew strategies were required to ameliorate the resulting conflict. This aspect of the local evaluation provides useful lessons for analysing and avoiding some sources of conflict in the formation and functioning of multi-disciplinary health care teams.

scholarly journals Level of willingness to report to work during a pandemic among the emergency department health care professionals

2014 ◽  
Vol 5 (3) ◽  
pp. 58-62 ◽  
Author(s):  
Anas Khan ◽  
Mohammad Al Johani
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Influenza Pandemic ◽  
Medical Science ◽  
Care Providers ◽  
Cross Sectional ◽  
Knowledge And Attitudes ◽  
Positive Attitudes ◽  
Hypothetical Scenario

Objectives: To quantify the knowledge and attitudes of Health care providers (HCP) towards their willingness to work during an influenza pandemic. Methods: A Questionnaire based cross sectional study among the 350 emergency departments’ staff in seven different tertiary hospitals in Riyadh, Saudi Arabia was conducted in Jan 2010. A structured questionnaire with items to quantify the knowledge and attitudes of health care providers based on hypothetical scenario about the occurrence of H1N1 pandemic was developed. The questionnaire was validated before it was distributed among the study subjects. Data was analyzed using SPSS Pc+ 21.0 statistical software. Results: Out of the 254 responders, 190 (74.8%) stated that they will report to work during a pandemic, 29 (11.4%) won’t, and 35 (13.7%) don’t know. From those who won’t report or don’t know; 29 (45.31%) won’t change their minds for salary increase, and 40 (62.5%) won’t change their mind even if it meant they were to be dismissed. About 93 (36.4%) of study subjects were of the opinion that, HCP without children should primarily look after the patients. Among the HCPs, higher number of consultants and nurses were more willing to work than other HCPs. The consultants were having positive attitudes towards working during pandemics. Conclusion: Our results suggested that most participants were having positive attitudes towards willingness to work during an influenza pandemic. Their concerns should be considered, so that during a real situation faced, plans could be translated to reality smoothly. Asian Journal of Medical Science, Volume-5(3) 2014: 58-62 http://dx.doi.org/10.3126/ajms.v5i3.9343

Assessment of Argentine Health Care Providers' Knowledge on Sports-Related Concussion: A Cross-sectional Study

Neurology ◽  
2021 ◽  
Vol 98 (1 Supplement 1) ◽  
pp. S15.2-S15
Author(s):  
Maria Julieta Russo ◽  
Fernando Salvat ◽  
Gustavo Sevlever ◽  
Ricardo F. Allegri
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Cross Sectional Study ◽  
Care Providers ◽  
Cross Sectional Survey ◽  
Questionnaire Response ◽  
Cross Sectional ◽  
Wide Range ◽  
Significant Difference

ObjectiveTo assess the current experience, beliefs and knowledge of survey respondents in the diagnosis and management of sports-related concussion and their relationship to formal concussion training.BackgroundAthletes who have had a concussion may be at risk of a wide range of short- or long-term complications. The experience with and knowledge about concussion may be the most important factors for an effective concussion management.Design/MethodsA cross-sectional survey was conducted in July and August 2020 all over Buenos Aires, Argentina among health care professionals involved in the training and care of the competitive or recreational athletes. The survey covered: (i) the socio-demographic characteristics; (ii) experience; (iii) beliefs; and (iv) assessment of knowledge on sports concussion.ResultsA total of 626 participants completed and returned the questionnaire (response rate 86%). The majority of the health care professionals were physicians (n = 429; 68.5%). Nearly two-thirds (72%) of the respondents were related to rugby. Soccer was the second sport (6.2%). Seventy 4 percent of the respondents (n = 463) reported having concussion training. Respondents correctly answered on average 6.23 ± 2.16 (out of 10) concussion knowledge questions. The largest gaps were related to the topics of clinical interpretation of severity symptoms scales and neuroimaging. The smallest gaps were identified for young athletes (<18 years of age) management after a concussion. There was a significant difference in mean survey respondents' knowledge scores about concussion (F [1,622] = 109.479, p < 0.001) between who had received the formal concussion training and those who had not, whilst adjusting for age and years the participant reported having had experience in sport.ConclusionsKnowledge gaps exist in the clinical practice when dealing with professionals who are involved in the care of athletes. Our findings confirm the need for training and education on sport-related concussion.

scholarly journals Disaster Medicine for India & Nepal: A Model for Developing Countries

2019 ◽  
Vol 34 (s1) ◽  
pp. s17-s17
Author(s):  
Peter Patel ◽  
James Kingsland ◽  
Virginia Murray ◽  
James O’Brien ◽  
Annapurna Sen ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Disaster Medicine ◽  
Lead Author ◽  
Published Data ◽  
Care Providers ◽  
Wide Range ◽  
Health Related ◽  
Training Programmes

Introduction:Both India and Nepal are prone to a wide range of natural and man-made disasters. Almost 85% of India’s area is vulnerable to one or more hazards, and more than 80% of the total population of Nepal is at risk of natural hazards. In terms of the number of people affected in reported disastrous events, India is in the top 10 and Nepal is in the top 20 globally. Over the last two decades, India and Nepal have taken steps to establish their respective National Disaster Management organizations, which provide essential disaster responses. However, key gaps still remain in trained clinical capacity for managing impacts from various disasters. Our review of the region has shown that large parts of the population suffer injuries, diseases, disabilities, psychosocial, and other health-related problems from disasters.Aim:Develop disaster medicine clinical capacity to reduce morbidities and mortalities from disasters.Methods:Independent published data and work undertaken by the lead author in various disasters in India and Nepal since 1993 formed the basis of establishing the Faculty of Disaster Medicine for South Asia. The Faculty of Disaster Medicine - India and Nepal (FDMIN) was launched from Pune in March 2015. This initiative is supported by the National Association of Primary Care (UK), Public Health England, Faculty of Pre-hospital Care of Royal College of Surgeons - Edinburgh and CRIMEDIM (Novara) - Italy.Discussion:FDMIN has international expert advisors and has outlined 16 modules training curriculum for health care professionals. FDMIN currently has partnerships for teaching disaster medicine program with 3 medical universities and 12 major health care providers. Six pilot training programmes have been conducted in Pune, Delhi, Chennai, and Kochin. Work is underway to submit an application to the Indian regulatory bodies for approval to establish a post-graduate diploma and Master’s for Disaster Medicine.

scholarly journals Female genital mutilation: an update for primary health-care professionals

2018 ◽  
Vol 10 (2) ◽  
pp. 110 ◽  
Author(s):  
Nikhilesh Todkari
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Female Genital Mutilation ◽  
Health Concern ◽  
Care Providers ◽  
Genital Mutilation ◽  
Primary Health ◽  
Female Genital

ABSTRACT Female genital mutilation (FGM) has historically been seen as a health concern limited to women living in other parts of the world. However, with the rising number of migrants, refugees and asylum seekers, countries like New Zealand, Australia and Europe have seen a surge in the number of women and girls affected by FGM seeking medical care. This topic is increasingly becoming relevant to primary health-care providers in this country and therefore a good understanding of this practice is important.

scholarly journals Challenges of Shifting Diabetes Mellitus Care From Secondary- to Primary-Level Care in Urban and Rural Districts: A Qualitative Inquiry Among Health Providers

2020 ◽  
Vol 11 ◽  
pp. 215013272092421
Author(s):  
Likke Prawidya Putri ◽  
Dian Mawarni ◽  
Laksono Trisnantoro
Keyword(s):  
Diabetes Mellitus ◽  
Health Care ◽  
Primary Health Care ◽  
Blood Glucose ◽  
Health Care Providers ◽  
Program Effectiveness ◽  
Qualitative Inquiry ◽  
Health Providers ◽  
Care Providers ◽  
Primary Health

Objectives: The study aims to understand the acceptability of Prolanis, a program that shifts the diabetes mellitus type 2 (T2DM) patient management from secondary to primary care, among Indonesian primary health care providers. Method: We completed face-to-face semistructured interviews with 14 health professionals from 3 urban and 4 rural government-owned primary health care clinics ( Puskesmas) in 4 districts. We performed content analysis using the theoretical framework of acceptability (TFA) to understand which factors could facilitate or reduce acceptability. Results: Our study identifies that lack of health care providers’ acceptability to Prolanis was attributable to the negative affective attitude, low perceived effectiveness, poor self-efficacy, and work burden. The use of Prolanis output as one of the pay-for-performance indicators was deemed unsuitable because it could demotivate health providers to capture more undetected T2DM cases. This, compounded by lacking perceived benefit for the health care providers, leading to negative attitudes. Participants believed that the program improved patients’ adherence to visiting clinics routinely; however, the absence of a formal evaluation of reductions of key T2DM indicators—blood glucose level and HbA1c—causing the health providers to doubt the program effectiveness. Availability of or access to adequate blood glucose testing equipment is also of paramount importance to improve acceptability. Although the significant increase in patient load only occurred to Puskesmas with lacking doctors, an increased workload burden due to clerical works was experienced by the nonmedical workforce. The program appears to be more acceptable for health care providers in urban Puskesmas compared with their rural counterparts, attributable to better geographical accessibility and care-seeking behavior among people living in urban locations. Conclusions: This study highlights critical issues that should be addressed to improve the acceptability of Prolanis among health care professionals. Government or stakeholders play a critical role in improving program acceptability. More study is needed to capture wider variety of health care facilities’ characteristics.

The Impact of Professional Language Interpreting in Midwifery Care: A Review of the Evidence

2017 ◽  
Vol 7 (1) ◽  
pp. 18-30
Author(s):  
Eleanor Cramer
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Health Care Disparities ◽  
Complex Interventions ◽  
Future Research ◽  
Care Providers ◽  
Midwifery Care ◽  
Wide Range ◽  
The Impact

BACKGROUND: Patients’ limited proficiency in the language of health care providers is known to be associated with health care disparities. Reluctance to use professional interpreting is documented across a wide range of health care professionals. Most of the literature on the effect of interpreting practices has focused on non-midwifery contexts.OBJECTIVE: To review the evidence regarding how using professional interpreters impacts the midwifery care of women with limited dominant language proficiency (LDLP).METHODS: Eligible studies were identified using searches of MEDLINE, CINAHL, and Maternity and Infant Care, then analyzed and assessed for applicability to midwifery.RESULTS: 40 eligible papers, and two systematic reviews containing 48 additional papers, were included. The use of professional interpreters was found to support all aspects of the midwife’s direct role, with some complex findings on woman-centered communication during interpreted encounters. The use of ad hoc interpreters, or no interpreting, undermines all aspects of midwifery care for women with LDLP.IMPLICATIONS: Midwifery care should be enhanced by increasing midwives’ use of professional interpreters; future research should consider how best to achieve this or investigate the comparative efficacy of more complex interventions, such as interpreter-doulas.

scholarly journals A Teledermatology Pilot Programme for the Management of Skin Diseases in Primary Health Care Centres: Experiences from a Resource-Limited Country (Mali, West Africa)

2018 ◽  
Vol 3 (3) ◽  
pp. 88 ◽  
Author(s):  
Ousmane Faye ◽  
Cheick Bagayoko ◽  
Adama Dicko ◽  
Lamissa Cissé ◽  
Siritio Berthé ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Skin Diseases ◽  
Health Workers ◽  
Sub Saharan Africa ◽  
Care Providers ◽  
Pilot Programme ◽  
Primary Health ◽  
Wide Range ◽  
Health Centres

In sub-Saharan Africa, in particular in rural areas, patients have limited access to doctors with specialist skills in skin diseases. To address this issue, a teledermatology pilot programme focused on primary health centres was set up in Mali. This study was aimed at investigating the feasibility of this programme and its impact on the management of skin diseases. The programme was based on the store-and-forward model. Health care providers from 10 primary centres were trained to manage common skin diseases, to capture images of skin lesions, and to use an e-platform to post all cases beyond their expertise for dermatologists in order to obtain diagnosis and treatment recommendations. After training, the cases of 180 patients were posted by trained health workers on the platform. Ninety-six per cent of these patients were properly managed via the responses given by dermatologists. The mean time to receive the expert’s response was 32 h (range: 13 min to 20 days). Analysis of all diseases diagnosed via the platform revealed a wide range of skin disorders. Our initiative hugely improved the management of all skin diseases in the targeted health centres. In developing countries, Internet accessibility and connection quality represent the main challenges when conducting teledermatology programmes.

Law, Liability, and Public Health Emergencies

2009 ◽  
Vol 3 (2) ◽  
pp. 117-125 ◽  
Author(s):  
Sharona Hoffman ◽  
Richard A. Goodman ◽  
Daniel D. Stier
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Influenza Pandemic ◽  
Public Health Emergency ◽  
Care Providers ◽  
The Public ◽  
Public Health Emergencies ◽  
Medical Response

ABSTRACTAccording to many experts, a public health emergency arising from an influenza pandemic, bioterrorism attack, or natural disaster is likely to develop in the next few years. Meeting the public health and medical response needs created by such an emergency will likely involve volunteers, health care professionals, public and private hospitals and clinics, vaccine manufacturers, governmental authorities, and many others. Conducting response activities in emergency circumstances may give rise to numerous issues of liability, and medical professionals and other potential responders have expressed concern about liability exposure. Providers may face inadequate resources, an insufficient number of qualified personnel, overwhelming demand for services, and other barriers to providing optimal treatment, which could lead to injury or even death in some cases. This article describes the different theories of liability that may be used by plaintiffs and the sources of immunity that are available to public health emergency responders in the public sector, private sector, and as volunteers. It synthesizes the existing immunity landscape and analyzes its gaps. Finally, the authors suggest consideration of the option of a comprehensive immunity provision that addresses liability protection for all health care providers during public health emergencies and that, consequently, assists in improving community emergency response efforts. (Disaster Med Public Health Preparedness. 2009;3:117–125)

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