scholarly journals Variation in levels of uptake of Enhanced Primary Care item numbers between rural and urban settings, November 1999 to October 2001

2002 ◽  
Vol 25 (6) ◽  
pp. 123 ◽  
Author(s):  
David Wilkinson ◽  
Heather McElroy ◽  
Justin Beilby ◽  
Kathy Mott ◽  
Kay Price ◽  
...  
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Urban Areas ◽  
South Australia ◽  
Full Time ◽  
Full Time Equivalent ◽  
Care Plans ◽  
Rural And Urban ◽  
Wide Range ◽  
Health Assessments

We aimed to report on variation in levels of uptake of enhanced primary care item numbers between rural and urban Divisions of General Practice between November 1999 and October 2001.Most providers of EPC services and most services (close to 70%)are located in capital cities and other metropolitan centres. The average number of health assessments done per provider was slightly lower (8-14) in remote than urban and rural (20-30) areas. A similar pattern was observed for care plans, but rates of case conferences were similar in rural and urban areas. However, adjusted for population aged 75 years and over, in all jurisdictions except South Australia, between 30% and 144% more health assessments were done per full time equivalent general practitioner (FTE GP) in rural divisions. For rural and urban Divisions of General Practice, there is a wide range in the rate of services provided, between and within Divisions. However, overall, more services are provided per FTE GP in rural Divisions.

scholarly journals Variation between Divisions of General Practice in the uptake of health assessments, care plans and case conferences through the Enhanced Primary Care program

2002 ◽  
Vol 25 (6) ◽  
pp. 119
Author(s):  
David Wilkinson ◽  
Heather McElroy ◽  
Justin Beilby ◽  
Kathy Mott ◽  
Kay Price ◽  
...  
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Total Population ◽  
Care Program ◽  
Care Plans ◽  
Eligible Population ◽  
Primary Care Program ◽  
Health Assessments ◽  
Case Conferences ◽  
Second Year

We aimed to describe the variation in rates of uptake of the enhanced primary care (EPC) Medicare Benefits Schedule items for health assessments (HA), care plans (CP) and case conferences (CC), between Divisions of General Practice from November 1999 (when these items first became available) to October 2001.There was substantial variation in uptake of the various EPC services between Divisions of General Practice, ranging from very low to high. For HA the rate in the highest uptake Division was 496 per 1000 eligible population, and the lowest was zero. There are seven Divisions with high and six with very low uptake, with the rest ranging between 100 and 400/1000.Five Divisions had CP rates over 15/1000 total population; most Divisions had fewer than 10/1000,and many had less than 5/1000.A similar pattern is observed for CC. The levels of uptake for HA increased in the second year of the program for all but eight Divisions of General Practice, and the levels of uptake for CP increased in all but two Divisions. In the first two years of availability, uptake has been highly variable across Divisions of General Practice. Uptake has however increased substantially and consistently in the second year of the program.

scholarly journals Characteristics of general practitioners that provided health assessments, care plans or case conferences, as part of the Enhanced Primary Care program

2002 ◽  
Vol 25 (6) ◽  
pp. 121 ◽  
Author(s):  
David Wilkinson ◽  
Heather McElroy ◽  
Justin Beilby ◽  
Kathy Mott ◽  
Kay Price ◽  
...  
Keyword(s):  
Primary Care ◽  
General Practitioners ◽  
Care Program ◽  
First Year ◽  
Care Plans ◽  
Primary Care Program ◽  
Wide Range ◽  
Health Assessments ◽  
Case Conferences ◽  
Second Year

We aimed to describe the characteristics of general practitioners (GPs) who provided health assessments (HA), care plans (CP) or case conferences (CC) as part of the Enhanced Primary Care (EPC) program between November 1999 and October 2001.While the gender distribution of EPC-active GPs is similar to that of non-EPC-active GPs, EPC-active GPs tend to be younger (72% vs 58% aged 35-54 years). Among EPC-active GPs, males account for about 66% of providers and about 80%of services. There is a very wide range in the number of EPC services provided per GP. In all, 1591 (14%)have rendered a single service while 919 (8.1%)have rendered over 100 services each (accounting for almost half of all EPC activity in Australia). The number of GPs providing any EPC service each month gradually increased to around 5000 in October 2001.Most patients (80-90%)that received multiple EPC services did so from the same GP. Across Divisions of General Practice the proportion of practices registered for the Practice Incentive Program (PIP) that have provided EPC services ranges from 100 to 0%. In the first year at least 50% of all practices in 84 Divisions rendered at least one EPC service while in the second year 108 did. Across Australia 58% of PIP practices rendered at least one service in the first year and 76% did in the second year. A little over half the GP workforce rendered at least one EPC service in the first year of the program, but there was a very wide range in the number of services provided per GP. Most GPs provide very few and a small number provide very many. There is wide variation in the proportion of practices providing EPC services, but this is increasing.

Variation in levels of uptake of Enhanced Primary Care item numbers between medical practices, within Divisions of General Practice and jurisdictions

2002 ◽  
Vol 25 (6) ◽  
pp. 122
Author(s):  
David Wilkinson ◽  
Heather McElroy ◽  
Justin Beilby ◽  
Kathy Mott ◽  
Kay Price ◽  
...  
Keyword(s):  
Primary Care ◽  
General Practice ◽  
National Level ◽  
Substantial Variation ◽  
Medical Practices ◽  
Care Plans ◽  
Health Assessments ◽  
Case Conferences ◽  
Almost All ◽  
Control Limits

We aimed to report on variation in levels of uptake of services between medical practices across Divisions of General Practice, and jurisdictions, through the Enhanced Primary Care (EPC) program between November 1999 and October 2001.No Divisions had levels of EPC uptake outside upper control limits plus/minus three standard deviations the national level, suggesting limited substantial systematic variation relating to high uptake. Four Divisions had rates of practices providing EPC services (33.3%-67.7%)substantially lower than the national rate (81.2%). For all EPC services combined and for health assessments (HAs) there is substantial variation between practices in almost all Divisions of General Practice, and in some this is extreme. For care plans (CPs), while several Divisions show wide variation in rates across practices (and in a few there is extreme variation), in other Divisions there are very low rates of CP across all practices. For case conferences (CCs) the picture is even more extreme, and these patterns are expressed across all jurisdictions. There is substantial variation in the level of uptake of EPC services across medical practices in Australia.

scholarly journals Economic Transformation in Africa from the Bottom Up: New Evidence from Tanzania

2019 ◽  
Vol 34 (Supplement_1) ◽  
pp. S58-S62
Author(s):  
Xinshen Diao ◽  
Josaphat Kweka ◽  
Margaret McMillan ◽  
Zara Qureshi
Keyword(s):  
Labor Productivity ◽  
Small Businesses ◽  
Urban Areas ◽  
Business Owners ◽  
Economic Transformation ◽  
Full Time ◽  
Rural And Urban Areas ◽  
Rural And Urban ◽  
Nationally Representative ◽  
New Evidence

Abstract Tanzania's rapid labor productivity growth has been accompanied by a proliferation of small, largely informal firms. Using Tanzania's first nationally representative survey of micro, small, and medium-sized enterprises (MSMEs)—this paper explores the nature of these businesses. It finds that these firms are located in both rural and urban areas and that they operate primarily in trade services and manufacturing. Roughly half of all business owners say they would not leave their job for a full-time salaried position. Fifteen percent of these small businesses contribute significantly to economy-wide labor productivity. The most important policy implication of the evidence presented in this paper is that if the goal is to grow MSMEs with the potential to contribute to productive employment, policies must be targeted at the most promising firms.

scholarly journals European Respiratory Society International Congress, Paris, 2018: highlights from the Clinical Assembly

2019 ◽  
Vol 5 (1) ◽  
pp. 00176-2018
Author(s):  
Lowie E.G.W. Vanfleteren ◽  
Iñigo Ojanguren ◽  
Claire M. Nolan ◽  
Frits M.E. Franssen ◽  
Vasileios Andrianopoulos ◽  
...  
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Chronic Care ◽  
International Congress ◽  
European Respiratory Society ◽  
Interventional Pulmonology ◽  
Thoracic Imaging ◽  
Wide Range ◽  
Clinical Problems ◽  
Selection Of

This article contains highlights and a selection of the scientific advances from the European Respiratory Society's Clinical Assembly (Assembly 1 and its five respective groups) that were presented at the 2018 European Respiratory Society International Congress in Paris, France. The most relevant topics from each of the groups will be discussed, covering a wide range of areas including clinical problems, rehabilitation and chronic care, thoracic imaging, interventional pulmonology, and general practice and primary care. The newest research, actual data and highlight sessions will be discussed.

scholarly journals Characteristics of patients receiving health assessments, care plans or case conferences by general practitioners, as part of the Enhanced Primary Care program between November 1999 and October 2001

2002 ◽  
Vol 25 (6) ◽  
pp. 120
Author(s):  
David Wilkinson ◽  
Heather McElroy ◽  
Justin Beilby ◽  
Kathy Mott ◽  
Kay Price ◽  
...  
Keyword(s):  
Primary Care ◽  
Older People ◽  
Indigenous People ◽  
Care Program ◽  
The Elderly ◽  
Care Plans ◽  
Department Of Health ◽  
Health Assessments ◽  
Case Conferences ◽  
Gender Patterns

We aimed to describe the characteristics of patients receiving health assessments (HA), care plans (CP) or case conferences (CC) through the Enhanced Primary Care (EPC) program between November 1999 and October 2001. The Commonwealth Department of Health and Ageing provided data. In all, 43%of non-Indigenous people who had a HA were aged 75-79 years and 32%were aged 80-84 years. Those having a HA at home were older (30.3% aged 85 years and above) than those having a HA in GP's rooms (20.2%85 years and above). For Indigenous people, between 12 and 17%of all HAs were done among each five-year age group between 55 and 84 years. As a group, CPs were mostly done among older people, with a higher proportion done among older women (74.2%among those 55 years and above) than older men (66.4%). Most CCs were also done among older people (60.4%55 years and above). Of the 286,250 people that had at least one EPC service, most (219,210; 76.6%)had only one. Of these, 153,624 (70.1%)had a HA. Of those having at least one EPC service, 95.7%had two services (most often a HA plus a CP). To date EPC activity has been concentrated among the elderly, gender patterns are similar, and few patients have received more than a single EPC service, which is usually a HA.

scholarly journals Analisis Kualitas Layanan, Kemampuan Dan Kinerja Pengurus Pokjar Terhadap Kepuasan Mahasiswa di UPBJJ-UT Palangka Raya

2019 ◽  
Vol 19 (1) ◽  
pp. 121-129
Author(s):  
Rahmaddian Rahmaddian ◽  
Stefani Made Ayu A.K ◽  
Deni Surapto
Keyword(s):  
Organizational Development ◽  
Urban Areas ◽  
Study Groups ◽  
University Education ◽  
Rural And Urban Areas ◽  
Rural And Urban ◽  
Wide Range ◽  
Attainment Gap ◽  
And Performance ◽  
Set Up

Open University of Palangka Raya (UPBJJ-UT of Palangka Raya) has acknowledged the education-attainment gap between rural and urban areas, and officials have determined ways to connect with students in the far corners of Central Kalimantan. UPBJJ-UT of Palangka Raya has set up study groups (PokJar) through which non urban students acquire university education. Due to its wide range of locations and heterogeneous student populations, PokJar is established through management partnership that constitutes a governing body that oversees the district-wide operation and the delivery of the continuing education programs. On this optimistic basis, the service provided by PokJar administrators becomes central to optimizing quality education in a learning environment where the administrators and students are physically separated. However, the complexity of PokJar service and administrator performance may link to negative perceptions among students. Recognizing the nature of challenges facing PokJar management is expected to usher in the planning of improvement crucial to organizational development that is effective, efficient, accountable, responsive and transparent. This study taps into the quality service, the competence and performance of PokJar administrators of UPBJJ-UT of Palangka Raya in terms of student-perceived values using PLS-SEM method. The overall results address favorable responses, strongly suggesting a good measure of how PokJar administrators� service, competence and performance meet student expectation.

scholarly journals Email Consultations Between Patients and Doctors in Primary Care: Content Analysis

10.2196/18218 ◽  
2020 ◽  
Vol 22 (11) ◽  
pp. e18218
Author(s):  
Helen Atherton ◽  
Anne-Marie Boylan ◽  
Abi Eccles ◽  
Joanna Fleming ◽  
Clare R Goyder ◽  
...  
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Content Analysis ◽  
Communication Technologies ◽  
Face To Face ◽  
The United Kingdom ◽  
Wide Range ◽  
The Face ◽  
And Function

Background Increasingly, consultations in health care settings are conducted remotely using a range of communication technologies. Email allows for 2-way text-based communication, occurring asynchronously. Studies have explored the content and nature of email consultations to understand the use, structure, and function of email consultations. Most previous content analyses of email consultations in primary care settings have been conducted in North America, and these have shown that concerns and assumptions about how email consultations work have not been realized. There has not been a UK-based content analysis of email consultations. Objective This study aims to explore and delineate the content of consultations conducted via email in English general practice by conducting a content analysis of email consultations between general practitioners (GPs) and patients. Methods We conducted a content analysis of anonymized email consultations between GPs and patients in 2 general practices in the United Kingdom. We examined the descriptive elements of the correspondence to ascertain when the emails were sent, the number of emails in an email consultation, and the nature of the content. We used a normative approach to analyze the content of the email consultations to explore the use and function of email consultation. Results We obtained 100 email consultations from 85 patients, which totaled 262 individual emails. Most email users were older than 40 years, and over half of the users were male. The email consultations were mostly short and completed in a few days. Emails were mostly sent and received during the day. The emails were mostly clinical in content rather than administrative and covered a wide range of clinical presentations. There were 3 key themes to the use and function of the email consultations: the role of the GP and email consultation, the transactional nature of an email consultation, and the operationalization of an email consultation. Conclusions Most cases where emails are used to have a consultation with a patient in general practice have a shorter consultation, are clinical in nature, and are resolved quickly. GPs approach email consultations using key elements similar to that of the face-to-face consultation; however, using email consultations has the potential to alter the role of the GP, leading them to engage in more administrative tasks than usual. Email consultations were not a replacement for face-to-face consultations.

Findings from a clinical audit in regional general practice of management of patients following acute coronary syndrome

2017 ◽  
Vol 23 (2) ◽  
pp. 170
Author(s):  
Mithilesh Dronavalli ◽  
Manavi M. Bhagwat ◽  
Sandy Hamilton ◽  
Marisa Gilles ◽  
Jacquie Garton-Smith ◽  
...  
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Acute Coronary Syndrome ◽  
Risk Factor ◽  
Care Plans ◽  
Coronary Syndrome ◽  
Diet And Exercise ◽  
National Heart Foundation ◽  
To Receive ◽  
Heart Foundation

Patients with acute coronary syndrome (ACS) require ongoing treatment and support from their primary care provider to modify cardiovascular risk factors (including diet, exercise and mood), to receive evidence-based pharmacotherapies and be properly monitored and to ensure their take-up and completion of cardiac rehabilitation (CR). This study assesses adherence to National Heart Foundation guidelines for ACS in primary care in a regional centre in Western Australia. Patients discharged from hospital after a coronary event (unstable angina or myocardial infarction) or a coronary procedure (stent or coronary artery bypass graft) were identified through general practice electronic medical records. Patient data was extracted using a data form based on National Heart Foundation guidelines. Summary statistics were calculated and reported. Our study included 22 GPs and 44 patients in a regional centre. In total, 90% (n=39) of discharge summaries recorded medications. Assessment of pharmacological management showed that 53% (n=23) of patients received four or more classes of pharmacotherapy and that GPs often augmented medication beyond that prescribed at discharge. Of 15 smokers, 13 (87%) had advice to quit documented. Minimal advice for other risk-factor modification was documented in care plans. Patients with type 2 diabetes (n=20) were 70% more likely to receive allied health referral (P=0.02) and 60% more likely to receive advice regarding diet and exercise (P=0.007). However, overall, only 30% (n=13) of those eligible were referred to a dietician, and only 25% were referred to CR (n=10) with six completing CR. Although most GPs did not use standardised tools for mood assessment, 18 (41%) patients were diagnosed as depressed, of which 88% (n=16) were started on antidepressants and 28% (n=6) were referred to a psychologist. Although pharmacotherapy, mood management and smoking cessation management generally followed recommended guidelines, risk factor management relating to diet and exercise by GPs require improvement. Detailed care plans and referral to CR and allied health staff for patient support is recommended.

scholarly journals Biodiversity of Vegetation and Flora in Tropical Africa

Diversity ◽  
2020 ◽  
Vol 12 (10) ◽  
pp. 369
Author(s):  
Luís Catarino ◽  
Maria M. Romeiras
Keyword(s):  
Urban Areas ◽  
Sustainable Use ◽  
Endemic Plant ◽  
Rural And Urban Areas ◽  
Rural And Urban ◽  
Wide Range ◽  
African Populations ◽  
Ecosystem Diversity ◽  
Endemic Plant Species ◽  
Impacts Of Climate Change

African ecosystems comprise a wealthy repository of biodiversity with a high proportion of native and endemic plant species, which makes them biologically unique and providers of a wide range of ecosystem services. A large part of African populations, in both rural and urban areas, depends on plants for their survival and welfare, but many ecosystems are being degraded, mostly due to the growing impacts of climate change and other anthropogenic actions and environmental problems. Loss of habitat and biodiversity affects livelihoods, water supply and food security, and reduces the resilience of ecosystems in the African continent. Knowledge of the huge African plant and ecosystem diversity, and on the structure, composition and processes involved in vegetation dynamics, is crucial to promote their sustainable use and to preserve one of the most understudied regions in the world. This Special Issue aimed to gather contributions that update and improve such knowledge.

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