scholarly journals Experiencing "change" from within: situating the transition to primary health care in a remote Australian context

2002 ◽  
Vol 25 (4) ◽  
pp. 31
Author(s):  
Chris Lockhart
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Service ◽  
Western Australia ◽  
One Health ◽  
Local Level ◽  
Health Care Organisation ◽  
Anthropological Perspective ◽  
Care Organisation ◽  
Primary Health

The transition to primary health care (PHC) is often described in an idealised manner, which either ignores or obscures the experiences associated with its implementation at the local level. By adopting an anthropological perspective, this article highlights some of these experiences and the context within which they occur for one health care organisation in remote Western Australia. It Specifically focuses on problems associated with economic rationalism, managerialism, and the inherently fragmented character of health service organisations. Such issues must be allowed to inform idealised PHC models in order to make them more applicable and attuned to local needs and realities.

A Round Peg in a Square Hole: Changes in a Rural Health Service

1996 ◽  
Vol 2 (2) ◽  
pp. 63 ◽  
Author(s):  
Debra Smith ◽  
Catherine Wilkin
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Service ◽  
Rural Health ◽  
Local Level ◽  
Health Care Service ◽  
Health Staff ◽  
Primary Health ◽  
Rural Health Service ◽  
Service Staff

The cultural partnerships which have been formed as a result of the decision to restructure a rural health service are discussed here. Previously, some aged care services and allied health staff in hospitals were responsible to the medical superintendent, and community health services answered to hospital chief executive officers in each location. The organisational principles, key elements of the structure, and changes in management are analysed using change management and primary care literature. The changes have been implemented within the context of several health cultures, which are often not only different by definition, but are also in direct competition with each other. Twelve months after restructuring the service, staff have responded positively to the changes so that now a partnership exists between management and staff. It is clear, however, that primary socialisation had made it difficult for the system to cope with these changes. Funding of primary health care remains an issue, and although there is an increasing reliance by medical services on the primary health care service system, there has not been a corresponding shift in resources. Changes have been significant at the local level, although much remains to be resolved before the health service becomes a health promoting service rather than a medically dominated sickness service.

Management for Primary Health Care

1996 ◽  
Vol 2 (1) ◽  
pp. 98 ◽  
Author(s):  
Sally Johnson
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Strategic Alliances ◽  
Best Practice ◽  
Health Care Systems ◽  
Health Care Organisation ◽  
Care Organisation ◽  
Primary Health ◽  
Care Systems

This paper is about the implementation of primary health care and particularly about the role of management in this approach to health care. Just as the organisation for primary health care has a very different 'look' from that of conventional health care systems so does its management. One of the reasons for this is the strong commitment in primary health care to community participation which grounds it solidly in the people whose health is at stake. Best practice in management for primary health care is about shared management, strong organisation with shared meanings, and the making of strategic alliances. The discussion focuses on some of the skills needed by a primary health care manager, and the effective use of these skills for the primary health care organisation. There is no doubt that the role of the manager in the implementation and maintenance of primary health care is critical to achieving best practice in this approach to health care.

scholarly journals Iwi (tribal) data collection at a primary health care organisation in Aotearoa

2021 ◽  
Author(s):  
James (Hemi) Enright ◽  
Anneka Anderson ◽  
Rawiri McKree Jansen ◽  
Jonathan Murray ◽  
Karen Brewer ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Data Collection ◽  
Health Care Organisation ◽  
Care Organisation ◽  
Primary Health

scholarly journals The Future of Health Care: Protocol for Measuring the Potential of Task Automation Grounded in the National Health Service Primary Care System (Preprint)

2018 ◽  
Author(s):  
Matthew Willis ◽  
Paul Duckworth ◽  
Angela Coulter ◽  
Eric T Meyer ◽  
Michael Osborne
Keyword(s):  
Machine Learning ◽  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Care Staff ◽  
Primary Health ◽  
The Future

BACKGROUND Recent advances in technology have reopened an old debate on which sectors will be most affected by automation. This debate is ill served by the current lack of detailed data on the exact capabilities of new machines and how they are influencing work. Although recent debates about the future of jobs have focused on whether they are at risk of automation, our research focuses on a more fine-grained and transparent method to model task automation and specifically focus on the domain of primary health care. OBJECTIVE This protocol describes a new wave of intelligent automation, focusing on the specific pressures faced by primary care within the National Health Service (NHS) in England. These pressures include staff shortages, increased service demand, and reduced budgets. A critical part of the problem we propose to address is a formal framework for measuring automation, which is lacking in the literature. The health care domain offers a further challenge in measuring automation because of a general lack of detailed, health care–specific occupation and task observational data to provide good insights on this misunderstood topic. METHODS This project utilizes a multimethod research design comprising two phases: a qualitative observational phase and a quantitative data analysis phase; each phase addresses one of the two project aims. Our first aim is to address the lack of task data by collecting high-quality, detailed task-specific data from UK primary health care practices. This phase employs ethnography, observation, interviews, document collection, and focus groups. The second aim is to propose a formal machine learning approach for probabilistic inference of task- and occupation-level automation to gain valuable insights. Sensitivity analysis is then used to present the occupational attributes that increase/decrease automatability most, which is vital for establishing effective training and staffing policy. RESULTS Our detailed fieldwork includes observing and documenting 16 unique occupations and performing over 130 tasks across six primary care centers. Preliminary results on the current state of automation and the potential for further automation in primary care are discussed. Our initial findings are that tasks are often shared amongst staff and can include convoluted workflows that often vary between practices. The single most used technology in primary health care is the desktop computer. In addition, we have conducted a large-scale survey of over 156 machine learning and robotics experts to assess what tasks are susceptible to automation, given the state-of-the-art technology available today. Further results and detailed analysis will be published toward the end of the project in early 2019. CONCLUSIONS We believe our analysis will identify many tasks currently performed manually within primary care that can be automated using currently available technology. Given the proper implementation of such automating technologies, we expect considerable staff resources to be saved, alleviating some pressures on the NHS primary care staff. INTERNATIONAL REGISTERED REPOR DERR1-10.2196/11232

scholarly journals Conceptual framework for the formulation of strategies to support registered nurses in their utilisation of the nursing process when executing their roles and functions in local-level Primary health care (PHC) practicein Namibia

2016 ◽  
Vol 4 (1) ◽  
pp. 17
Author(s):  
Hermine Iita ◽  
Scholastika Iipinge ◽  
Agnes Van Dyk
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Conceptual Framework ◽  
Registered Nurses ◽  
Local Level ◽  
Phase 1 ◽  
Care Practice ◽  
Nursing Process ◽  
Health Care Practice ◽  
Primary Health

<p>This paper describes the conceptual framework upon which the development of strategies to support use of the nursing process by registered nurses in local-level Primary health care practice in Namibia was based. The conceptual framework was developed based on the findings of phase 1 of this study, which was a situational analysis to explore and describe the use of the Nursing Process by registered nurses in local level primary health care practice in Namibia and to identify constraints that registered nurses in local level Primary health care practice face as they implement the nursing process in their daily practice. The study was conducted in four phases namely as follow: Phase1: Needs assessment quantitative survey; Phase 2: Conceptualisation of findings from phase 1; Phase 3: Development of strategies to support the roles and functions of the registered nurse in local level PHC and Phase 4: Validation of these strategies. This article focusses on Phase 2: Conceptualisation of findings from phase 1 and it describes objectives 4 of the study namely, to develop a conceptual framework on which to base the formulation of relevant strategies.</p><p>From phase 1 which focused on needs assessment, findings indicate that registered nurses in local level Primary health care practice in Namibia fulfill most of their expected role functions. However, five main problem areas were identified. The challenges identified were categorised according to the five elements of PHC and management, namely, water and sanitation and related environmental health issues; nutrition and food supply; health education and communication; community diagnosis and care; and management support or administration, including research.</p><p>It was concluded that strategies needed to be developed to support registered nurses in their daily local Primary health care practice.</p><p>The development of the conceptual framework, which guided the development of strategies to support registered nurses use the nursing process in local level Primary health care practice, makes this study an original contribution to the body on knowledge.</p>

scholarly journals Patient safety culture from the perspective of workers and primary health care teams

2019 ◽  
Vol 53 ◽  
pp. 42 ◽  
Author(s):  
Daiane Cortêz Raimondi ◽  
Suelen Cristina Zandonadi Bernal ◽  
Laura Misue Matsuda
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Primary Health Care ◽  
Oral Health ◽  
Health Service ◽  
Safety Culture ◽  
Family Health ◽  
Patient Safety Culture ◽  
Health Care Teams ◽  
Primary Health

OBJECTIVE: Analyze if the patient safety culture among professionals in the primary health care differs among health care teams. METHODS: Cross-sectional and quantitative study conducted in April and May 2017, in a city in Southern Brazil. A total of 144 professionals who responded to the questionnaire “Survey on Patient Safety Culture in Primary Health Care” participated in the study. Data were analyzed in the Statistical Analysis Software program and expressed in percentage of positive responses. The ethical principles established for research with human beings were applied. RESULTS: Patient safety culture is positive among 50.81% of the professionals, and the dimensions “your health service” (63.39%) and “patient safety and quality” (61.22%) obtained the highest average of positive responses. Significant differences were found between the family health and oral health teams (α = 0.05 and p < 0.05), in the dimensions “patient safety” (p = 0.0274) and “work at the health service” (p = 0.0058). CONCLUSIONS: We concluded that, although close to the average, patient safety culture among professionals in the Primary Health Care is positive and that there are differences in safety culture between family health and oral health teams in comparison with the primary health care teams.

scholarly journals Constraints that registered nurses in Namibia are faced with when utilising the nursing process in local-level Primary health care practice

2016 ◽  
Vol 4 (1) ◽  
pp. 32
Author(s):  
Hermine Iita ◽  
Scholastika Iipinge ◽  
Agnes Van Dyk
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Registered Nurses ◽  
Care Delivery ◽  
Local Level ◽  
Care Practice ◽  
Nursing Process ◽  
Primary Health ◽  
And Function ◽  
Role And Function

<p>The purpose of this study was twofold. Firstly to explore and describe the utilization of the Nursing Process by registered nurses in local level Primary health care practice in Namibia with regard to Primary health care delivery during their daily practices and secondly, to develop strategies that would support registered nurses in executing their role and function in this regard. These were prompted by the implementation of a Primary health care approach to health care delivery in the country. The objectives of the study were:</p><ul><li>To Explore and describe the way in which registered nurses in clinics, health care centres and outreach posts in the health districts use the nursing process as regards PHC delivery;</li><li> To determine how supervisors perceive the utilisation of the nursing process by registered nurses with regard to PHC;</li><li>To identify the constraints that registered nurses are faced with when utilising the nursing process with regard to the delivery of PHC;</li><li>To develop a conceptual framework on which to base the formulation of relevant strategies,</li><li>To incorporate the findings of this study into the development of strategies to support registered nurses in their utilisation of the nursing process with regard to the delivery of PHC;</li><li>To validate the appropriateness of these strategies.</li></ul><p>A multi- phase, quantitative, exploratory, descriptive and contextual design was selected to provide a picture of how registered nurses fulfill their role and function concerning Primary health care (PHC) during their daily practices.</p><p>The population consisted of two groups. The first group consisted of 239 registered nurses working in Clinics, health Centres and in Outreach Programmes. The second group consisted of 39 registered nurses supervisors, who supervised the registered nurses in these facilities. A survey was used to gather the data through self-report (questionnaire). Two questionnaires were developed, one for registered nurses and the other for immediate supervisors. Quantitative, descriptive analysis was used to summarize and organize data using tables and figures as well as t-test and analysis of variance (ANOVA), where applicable. Five main areas where registered nurses needed support in execution of their roles and functions were revealed from the results. The areas were: Water and sanitation and other environmental health issues; health education and communication including outreach activities; Nutrition and food supply; Community diagnosis and care and Management support or administrative functions in Primary health Care, including research and education of health workers including fellow registered nurses.</p><p>This paper discusses the constraints that registered nurses in Namibia face when they use the nursing process in local Primary health care facilities.</p>

scholarly journals Community participation in health service reform: the development of an innovative remote Aboriginal primary health-care service

2015 ◽  
Vol 21 (4) ◽  
pp. 409 ◽  
Author(s):  
Carole Reeve ◽  
John Humphreys ◽  
John Wakerman ◽  
Vicki Carroll ◽  
Maureen Carter ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Service ◽  
Care Service ◽  
Health Care Service ◽  
Aboriginal Health ◽  
Primary Health Care Service ◽  
Disadvantaged Area ◽  
Primary Health ◽  
Comprehensive Primary Health Care

The aim of this study was to describe the reorientation of a remote primary health-care service, in the Kimberley region of Australia, its impact on access to services and the factors instrumental in bringing about change. A unique community-initiated health service partnership was developed between a community-controlled Aboriginal health organisation, a government hospital and a population health unit, in order to overcome the challenges of delivering primary health care to a dispersed, highly disadvantaged Aboriginal population in a very remote area. The shared goals and clear delineation of responsibilities achieved through the partnership reoriented an essentially acute hospital-based service to a prevention-focussed comprehensive primary health-care service, with a focus on systematic screening for chronic disease, interdisciplinary follow up, health promotion, community advocacy and primary prevention. This formal partnership enabled the primary health-care service to meet the major challenges of providing a sustainable, prevention-focussed service in a very remote and socially disadvantaged area.

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