Coordination and Integration in the Bentleigh Bayside Community Health Service

2000 ◽  
Vol 6 (4) ◽  
pp. 241
Author(s):  
Lillith Collins ◽  
John Turner
Keyword(s):  
Primary Care ◽  
Health Promotion ◽  
Health Service ◽  
Community Health ◽  
Support Groups ◽  
Community Health Service ◽  
Specific Reference ◽  
Base Line ◽  
Community Health Centres ◽  
Health Centres

The paper examines the development of coordinated and integrated primary care services through the establishment of community health centres in Victoria, with specific reference to the Bentleigh Bayside Community Health Service. In 1985 a random sample of 412 case records indicated that 52.4% of patients had seen more than one discipline at the Centre, and 34.7% of these patients received integrated care through case planning meetings. Fourteen criteria derived from the current literature were used to evaluate the integration and coordination of treatments and of health promotion activities. A repeat study demonstrated gains in health promotion, especially with respect to establishing support groups and the local coordination of community interventions. Integrated casework with external agencies has not changed. The analysis provides a base line for examining the effects of policy developments such as Primary Care Partnerships that address the issues of common assessments, exchange of client information and health promotion. Primary Care Partnerships are an extension of the structures in Community Health Centres. Primary Care Partnerships need to encourage personal contacts between agencies in order for individual and community health plans to be as effective as possible.

scholarly journals Differences between dental health service quality and utilization of Community Health Centres in the City of Padang based on indicators of utilisation effectiveness

2018 ◽  
Vol 30 (2) ◽  
pp. 140
Author(s):  
Azri Darma ◽  
Hidayati Hidayati ◽  
Fadil Oenzil
Keyword(s):  
Health Service ◽  
Health Services ◽  
Service Quality ◽  
Community Health ◽  
Dental Health ◽  
Community Health Service ◽  
Community Health Centres ◽  
Health Centres ◽  
Health Service Quality ◽  
The City

Introduction: The high prevalence of oral disease have not been followed by the availability of oral healthcare, especially at the community-based level. This study was aimed to determine the differences between dental health service quality and utilisation of community health centres in the city of Padang based on indicators of utilisation effectiveness. Methods: A cross-sectional survey was conducted towards two Community Health Services (Puskesmas) as the samples selected using random sampling technique. One Community Health Service was representing a rarely visited Community Health Service with ≤ 9 patients visit per day, and another Community Health Service was representing oppositely. As much as 131 respondents were included in this study, selected using the purposive sampling method. Dimensional satisfaction of service quality including tangibility, reliability, responsiveness, assurance, and empathy, were collected by interviewing the respondents based on a self-reported questionnaire. All data were analysed using the chi-square test. Results: The majority of respondents agreed that dimensional satisfaction such as tangibility, reliability, responsiveness, assurance, and empathy at both Community Health Services were at a good level. There was a significant relationship (p < 0.05) between several dimensional satisfaction of service quality variables (the wide and clean parking area; intense involvement of dentists on every oral examination; friendly service by the front-office; and empathetic affection of dentists towards the patient’s complain) and the utilisation of oral health services. Conclusion: No service differences found from relationship analysis between dental health service quality and utilisation of community health centres in the city of Padang based on indicators of utilisation effectiveness.Keywords: Service quality, dimensional satisfaction, oral health service, service utilisation, Community Health Centre.

scholarly journals The development of urban community health centres for strengthening primary care in China: a systematic literature review

2015 ◽  
pp. ldv043 ◽  
Author(s):  
Harry H. X. Wang ◽  
Jia Ji Wang ◽  
Samuel Y. S. Wong ◽  
Martin C. S. Wong ◽  
Stewart W. Mercer ◽  
...  
Keyword(s):  
Primary Care ◽  
Literature Review ◽  
Community Health ◽  
Systematic Literature Review ◽  
Urban Community ◽  
Community Health Centres ◽  
Health Centres

scholarly journals Attributes of primary care in community health centres in China and implications for equitable care: a cross-sectional measurement of patients' experiences

QJM ◽  
2014 ◽  
Vol 108 (7) ◽  
pp. 549-560 ◽  
Author(s):  
H. H. X. Wang ◽  
S. Y. S. Wong ◽  
M. C. S. Wong ◽  
J. J. Wang ◽  
X. L. Wei ◽  
...  
Keyword(s):  
Primary Care ◽  
Community Health ◽  
Cross Sectional ◽  
Community Health Centres ◽  
Health Centres ◽  
Sectional Measurement

Community Health and General Practice: The Impact of Different Cultures on the Integration of Primary Care

2001 ◽  
Vol 7 (1) ◽  
pp. 65 ◽  
Author(s):  
Hal Swerissen ◽  
Jenny Macmillan ◽  
Catuscia Biuso ◽  
Linda Tilgner
Keyword(s):  
Primary Care ◽  
Health Care ◽  
General Practice ◽  
Primary Health Care ◽  
Community Health ◽  
Community Health Centres ◽  
Care Services ◽  
Primary Health ◽  
Health Centres ◽  
The Relationship

This study examined the existing relationship between community health centres and General Practice Divisions in the State of Victoria, including the nature of joint working arrangements and the identification of barriers to greater collaboration. Improved integration of primary health care services has been advocated to improve consumer and population health outcomes and to reduce inappropriate use of acute and extended care services. General practitioners (GPs) and community health centres are two key providers of primary health care with potential for greater integration. The current study conducted telephone interviews with 20 community health centre CEOs and 18 Executive Officers of divisions, which were matched according to catchment boundaries. Results suggest, while some joint planning is occurring, especially on committees, working parties and projects, there is an overall low level of satisfaction with the relationship between community health centres and GPs and GP divisions. Major barriers to greater integration are the financial or business interests of GPs and misunderstanding and differences in perceived roles and ideology between GPs and community health centres. Improved communication, greater contact and referral and follow-up procedures are identified as a means of improving the relationship between GPs, GP divisions and community health centres. Community health centres and general practitioners (GPs) are key providers of primary care (Australian Community Health Association, 1990).

The development of a Health Promotion Community Participation Framework

2005 ◽  
Vol 11 (2) ◽  
pp. 136 ◽  
Author(s):  
Lorraine Llewellyn-Jones ◽  
David Harvey
Keyword(s):  
Health Promotion ◽  
Community Health ◽  
Community Participation ◽  
Health Professionals ◽  
The State ◽  
Community Members ◽  
Community Health Centres ◽  
Health Centres ◽  
Rural Community Health ◽  
Organisational Level

This paper reports on research conducted through Monash University located in the state of Victoria, Australia. The outcome of the research was the development of a Health Promotion Community Participation Framework, providing guidelines for health professionals in community health centres and services to assist them with facilitating community participation in health promotion. A literature review was conducted and information collected from health professionals working in metropolitan and rural community health centres and services across the state of Victoria, Australia. The Framework does not emphasise levels of community participation as a hierarchy, but instead proposes using the levels or types of participation across a continuum. This has been done to encourage the use of appropriate transparent strategies that will enable both individual community members and different sections of communities to participate in health promotion activities. This is particularly important where government policies dictate the direction of health promotion, as this "top down" approach can lead to the community being excluded for health promotion processes. The use of a continuum promotes the concept that participation can be effective at different levels, even when the issue to be addressed has already been identified. The Framework also proposes that in order for community participation strategies to take place, there needs to be capacity building at both the organisational level and the community level.

A Model to Describe the Role of Health Promotion in Creating Healthy Communities

2000 ◽  
Vol 6 (4) ◽  
pp. 69
Author(s):  
Sherryl Smith
Keyword(s):  
Health Promotion ◽  
Community Health ◽  
Population Health ◽  
Current Literature ◽  
Theory And Practice ◽  
Healthy Communities ◽  
Community Health Centres ◽  
Health Centres

Health promotion theory and practice is grounded in the belief that health is far more than the absence of disease. In order to influence most effectively the health of communities, Community Health Centres must balance their attention and resources amongst medical, lifestyle/behavioural, and socioenvironmental approaches to health promotion. This discussion will include an overview of these approaches to health promotion based on current literature. Community Health Centres need to incorporate a variety of complementary health promotion approaches into their core services and activities. An analysis of one model, which integrates health promotion and population health, is provided with a discussion of its application in creating healthy communities.

scholarly journals The impact of hospital attributes on patient choice for first visit: evidence from a discrete choice experiment in Shanghai, China

2019 ◽  
Vol 35 (3) ◽  
pp. 267-278 ◽  
Author(s):  
Yun Liu ◽  
Qingxia Kong ◽  
Shan Wang ◽  
Liwei Zhong ◽  
Joris van de Klundert
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Community Health ◽  
Discrete Choice ◽  
Choice Experiment ◽  
Patient Flow ◽  
Urban China ◽  
Community Health Centres ◽  
Health Centres ◽  
Efficiency And Effectiveness

Abstract The underutilization of primary care in urban China threatens the efficiency and effectiveness of the Chinese health system. To guide patient flow to primary care, the Chinese government has rolled out a sequence of health care reforms which improve the affordability, the infrastructure and workforce of the primary care system. However, these measures have not yielded the desired effect on the utilization of primary care, which is lowest in urban areas. It is unclear how the factors identified to influence facility choice in urban China are actually impacting choice behaviour. We conducted a discrete choice experiment to elicit the quantitative impact of facility attributes when choosing a health care facility for first visit and analysed how the stated choice varies with these attributes. We found that the respondents placed different weights on the identified attributes, depending on whether they perceived their condition to be minor or severe. For conditions perceived as minor, the respondents valued visit time, equipment and medical skill most. For conditions perceived as severe, they placed most importance on equipment, travel time and facility size. We found that for conditions perceived as minor, only 14% preferred visiting a facility over opting out, a percentage which would more than double to 37% if community health centres were maximally improved. For conditions perceived as severe, improvements in community health centres may almost double first visits to primary care, mostly from patients who would otherwise choose higher-level facilities. Our findings suggest that for both severity conditions, improvements to medical equipment and medical skill at community health centres in urban China can effectively direct patient flow to primary care and promote the efficiency and effectiveness of the urban health system.

Preventing Childhood Injury: Developing a Home Safety Display in a Community Health Centre

1999 ◽  
Vol 5 (1) ◽  
pp. 76
Author(s):  
Sally Western
Keyword(s):  
Health Promotion ◽  
Child Care ◽  
Community Health ◽  
Health Centre ◽  
Community Health Centre ◽  
Care Providers ◽  
Home Safety ◽  
Childhood Injury ◽  
Community Health Centres ◽  
Health Centres

Childhood injury is a major health issue, with approximately 20,000 children under five hospitalised each year in Australia. The home is a common site for childhood injuries, with some of the more frequent episodes including falls, poisoning, burns, cuts and crush injuries. A regional initiative to develop a coordinated approach towards minimising injuries sustained by children between 0-4 years, resulted in the development of 'Childsafe Now', a health promotion program which involved training of child care providers, and the establishment of several home safety displays in the Eastern metropolitan region of Victoria. One of the home safety displays was developed in a Community Health Centre, utilising a pre-existing child care facility and the multidisciplinary skills of the staff. Community Health Centres were established with a focus on health promotion - encouraging illness and injury prevention through a holistic combination of education, community involvement, behavioural and social modification and multi-disciplinary primary health care services - yet the opportunity to establish a permanent, functional display which combines all of these aspects of health promotion is becoming increasingly rare. However, the skills and knowledge which have traditionally been nurtured within the Community Health Program make Community Health Centres a particularly appropriate location for establishing a Home Safety Display.

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