scholarly journals Local primary care 'dental clusters': Improving collaboration and the delivery of specialised services in dentistry?

2021 ◽  
Vol 34 (4) ◽  
pp. 28-32
Author(s):  
Issar Hussain ◽  
Tom Norfolk ◽  
Prem Nair
Keyword(s):  
Primary Care ◽  
Local Primary Care

scholarly journals Transformation of primary care during the COVID-19 pandemic: experiences of healthcare professionals in eight European countries

2021 ◽  
pp. BJGP.2020.1112
Author(s):  
Marta Wanat ◽  
Melanie Hoste ◽  
Nina Gobat ◽  
Marilena Anastasaki ◽  
Femke Boehmer ◽  
...  
Keyword(s):  
Primary Care ◽  
Secondary Care ◽  
Healthcare Professionals ◽  
Care Delivery ◽  
Practical Training ◽  
Structured Interviews ◽  
New Ways Of Working ◽  
Primary Care Delivery ◽  
Local Primary Care ◽  
Remote Care

Background: Primary care has a crucial role in responding to the COVID-19 pandemic as the first point of patient care and gatekeeper to secondary care. Qualitative studies exploring the experiences of healthcare professionals during the COVID-19 pandemic have mainly focused on secondary care. Aim: To understand the experiences of European PCPs working during the first peak of the COVID-19 pandemic. Design and Setting: An exploratory qualitative study, using semi-structured interviews in primary care in England, Belgium, the Netherlands, Ireland, Germany, Poland, Greece and Sweden, between April and July 2020. Method: Interviews were audio recorded, transcribed and analysed using a combination of inductive and deductive thematic analysis techniques. Results: Eighty interviews were conducted with PCPs. PCPs had to make their own decisions on how to rapidly transform services in relation to COVID-19 and non-COVID-19 care. Despite being overwhelmed with guidance, they often lacked access to practical training. Consequently, PCPs turned to their colleagues for moral support and information to try to quickly adjust to new ways of working, including remote care, and deal with uncertainty. Conclusion: PCPs rapidly transformed primary care delivery despite a number of challenges. Representation of primary care at policy level and engagement with local primary care champions will facilitate easy and coordinated access to practical information on how to adapt services, ongoing training and access to appropriate mental health support services for PCPs. Preservation of autonomy and responsiveness of primary care are critical to preserve the ability for rapid transformation in any future crisis of care delivery.

scholarly journals FAKTOR-FAKTOR YANG MEMPENGARUHI EFEKTIVITAS PENCEGAHAN PENULARAN HIV DARI IBU KE ANAK (PPIA) DI KOTA JAYAPURA

2017 ◽  
Vol 6 (4) ◽  
pp. 260-265
Author(s):  
Hesty Tumangke ◽  
Melkior Tappy ◽  
Rispan Kendek
Keyword(s):  
Primary Care ◽  
Hiv Prevention ◽  
Pregnant Women ◽  
Health Department ◽  
Total Sample ◽  
Pregnant Mother ◽  
High Prevalence ◽  
Local Primary Care ◽  
Report System ◽  
Hiv Aids

Abstrak Provinsi Papua memiliki prevalensi HIV/AIDS tinggi, dimana terdapat 6957 wanita usia 15-49 tahun menderita HIV/AIDS. Masalah ini dapat menyebabkan penularan HIV/AIDS ke bayi bahkan kematian bayi karena HIV. Penelitian ini bertujuan menganalisa faktor yang mempengaruhi keberlangsungan program PPIA. Penelitian menggunakan metode kualitatif dengan pengumpulan data melalui wawancara mendalam. Penelitian dilakukan di Jayapura, Dinas Kesehatan Kota Jayapura dari Januari 2015 sampai Juni 2015. Populasi penelitian adalah semua tenaga kesehatan di dinas kesehatan kota Jayapura, dan sampel nya adalah 12 orang mencakup kepala UPT AIDS TB, kepala seksi P2PL, kepala puksesmas, kepala KIA, staf KIA dan penanggung jawab HIV puskesmas. Pengambilan sampel adalah purposif sampling dan data dianalisis dengan triangulasi. PPIA tidak berhasil karena rendah nya K1 dan juga K4, dimana ada puskesmas yang memiliki K4 hanya 58%. Di rumah sakit Abepura ditemukan 8 kelahiran bayi dengan HIV, hal ini karena ibu hamil positif yang tidak menkonsumsi ARV secara rutin sampai melahirkan. Rendah nya K1 juga disebabkan oleh beberapa faktor yaitu ibu hamil lebih tertarik ke dokter praktek, suami yang tidak setuju bila istri nya mendapatkan tes VCT, dan rendah nya kesadaran ibu hamil akan pentingnya K1 sampai K4 dan juga VCT. Begitu juga dengan SIHA yang tidak berjalan dengan baik. Kata kunci : Pencegahan HIV, Ibu hamil, bayi, Jayapura   Papua province has high prevalence of HIV/AIDS where there was 6957 cases among women age 15-49 years old. Moreover, this increasedthe number of infants with HIV and impact the rise of infant mortality rate.This study aims to analize factors that affected this HIV prevention from mother to child. This study is qualitative using indeep interview, and located in Jayapura City from January 2015 to June 2015. The population is all staffs in Jayapura’s Health Department, and the total sample is 12 including head of this program, staff of local primary care, staf of hospital, and staffs that have responsibily to run this program. This is purposive sampling, and data will analize with triangulation. HIV prevention is not success due to the low rate of pregnant women visit to local primary care. There was a local primary care that only has 58% of pregnant women visit. In Abepura hospital 2015, there was 8 cases of childborn with HIV. This is because many positive mothers did not consum ARV. The low visit in local primary care has several causes such as mother more willing to go to private obsetric, treat from husband where husband  didn’t allow VCT to his wive, and the low self efficacy of pregnant mother. The HIV report system is not well implemented. Key words : HIV Prevention, pregnant mother, infant, Jayapura

The WestView Primary Care Network in the First Six Months: Defragmenting the System

2007 ◽  
Vol 20 (2) ◽  
pp. 34-37
Author(s):  
Allan L. Bailey ◽  
Grace Moe ◽  
Joy Myskiw
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Local Health ◽  
Care Network ◽  
Care Services ◽  
Primary Care Services ◽  
Primary Care Teams ◽  
Health Care Context ◽  
Local Primary Care ◽  
Local Health Care

The objective of this article is to describe the integration of local primary care services through the development of a primary care network in Alberta. WestView Primary Care Network (WPCN) has the vision of integrating primary care teams into the health system. As a result, WPCN has incorporated integrative primary care teams into its clinical programs. Through its strategy of “defragmentation,” WPCN is accomplishing the beginnings of service integration in the local health care context.

Use of a Hearing and Balance Screening Survey With Local Primary Care Physicians

2008 ◽  
Vol 17 (1) ◽  
pp. 3-13 ◽  
Author(s):  
Jeffrey L. Danhauer ◽  
Kristina E. Celani ◽  
Carole E. Johnson
Keyword(s):  
Primary Care ◽  
Primary Care Physicians ◽  
Local Primary Care ◽  
Screening Survey

The investment of a new medical school in its local primary care community

2015 ◽  
Vol 26 (2) ◽  
pp. 89-94 ◽  
Author(s):  
Maggie Bartlett ◽  
Matthew Webb ◽  
Robert K McKinley
Keyword(s):  
Primary Care ◽  
Medical School ◽  
Care Community ◽  
Local Primary Care

Inaccuracy in Hospital Surgical Coding

2009 ◽  
Vol 91 (4) ◽  
pp. 142-144 ◽  
Author(s):  
HA Khwaja ◽  
P Kerr ◽  
C Kelley ◽  
K Patel ◽  
ED Babu
Keyword(s):  
Primary Care ◽  
Financial Crisis ◽  
Primary Care Trust ◽  
Local Primary Care ◽  
The Uk

Coding data in hospitals in the UK has notoriously proved to be liable to inaccuracy. This finding from previous studies has significant implications for hospital trusts, with the dawn of the concept of payment by results, which determines how much money a hospital receives from its local primary care trust (PCT) on the basis of operations performed and associated patient comorbidities. Inaccuracies in hospital coding could potentially affect such payments and contribute to the financial crisis afflicting many NHS trusts.

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