Trust in Relationships Between Primary Health Care Organisations

2001 ◽  
Vol 7 (1) ◽  
pp. 56 ◽  
Author(s):  
Jenny Adam ◽  
Rae Walker
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Service Providers ◽  
Care Service ◽  
Local Population ◽  
Partnership Development ◽  
Health And Wellbeing ◽  
Primary Health ◽  
Primary Care Sector

In Victoria the primary health care sector is in a period of change intended to strengthen the integration of a complex service system through a process of partnership development based on collaboration. The partnerships are voluntary alliances of the primary care service providers, usually within a locality of two to three local government areas. Their purpose is to improve the health and wellbeing of the local population by strengthening inter-agency coordination in the areas of needs identification, planning and service delivery. Trust is a key issue in this process. This paper is a report of the first stage of a study to explore trust in the context of relationships between organisations in the primary care sector.

scholarly journals Cross-cultural adaptation of the primary health care satisfaction questionnaire

2014 ◽  
Vol 27 (5) ◽  
pp. 419-426 ◽  
Author(s):  
Elisabete Pimenta Araujo Paz ◽  
Pedro Miguel Santos Dinis Parreira ◽  
Alexandrina de Jesus Serra Lobo ◽  
Rosilene Rocha Palasson ◽  
Sheila Nascimento Pereira de Farias
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Psychometric Properties ◽  
Internal Consistency ◽  
Cultural Adaptation ◽  
Care Service ◽  
Cross Cultural ◽  
Care Services ◽  
Primary Health

Objective To develop the cross-cultural validation and assessment of the psychometric properties of the Questionnaire about the quality and satisfaction dimensions of patients with primary health care. Methods Methodological cultural adaptation and assessment study of the psychometric properties, involving 398 users from a primary care service. The construct validity was verified through principal components factor analysis and internal consistency assessment as determined by Cronbach’s alpha, using SPSS. Results A factorial structure was identified that is equivalent to the original instrument, showing six factors that explain 70.81% of the total variance. All internal consistency coefficients were higher than 0.84, indicating appropriate psychometric properties. Conclusion The results show that the Brazilian Portuguese version of the instrument is culturally and linguistically appropriate to assess the satisfaction of users attended in primary care services.

Why Primary Health Care Offers a more Comprehensive Approach to Tackling Health Inequities than Primary Care

2001 ◽  
Vol 7 (2) ◽  
pp. 57 ◽  
Author(s):  
Helen Keleher
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Health Inequities ◽  
Collaborative Partnerships ◽  
Primary Health ◽  
Comprehensive Primary Health Care ◽  
Improve Health Status ◽  
Primary Care Sector ◽  
Improve Health

As governments attempt to focus more intently on how to deal with alarming measures of health disadvantage and inequities, a reformist gaze seems to have settled on the primary care sector. Simultaneously, in literature about this area, whether intended or not, primary health care and primary care are terms that are increasingly interchanged. This article argues that the slippage in language is counter-productive, first because it disguises the transformative potential of strategies and approaches that can make the fundamental changes necessary to improve health status, and second because the structures and practices of the primary care sector are not necessarily compatible with notions of comprehensive primary health care. There is much to be lost if primary health care and health promotion are disguised as primary care, and not understood for their capacity to make a difference to health inequities although of course in some circumstances, comprehensive primary health care is interdependent with services provided by primary care. In this article, characteristics of primary care and primary health care are juxtaposed to show that if the strengths and limitations of each model are understood, they can be mobilised in collaborative partnerships to deal more effectively with health inequities, than our system has so far been able to do.

Sustaining Chronic Disease Management in Primary Care: Lessons from a Demonstration Project

2007 ◽  
Vol 13 (2) ◽  
pp. 121 ◽  
Author(s):  
Anna Williams ◽  
Mark Harris ◽  
Kathy Daffurn ◽  
Gawaine Powell Davies ◽  
Shane Pascoe ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Chronic Disease ◽  
Health Service ◽  
Service Providers ◽  
Care Delivery ◽  
Demonstration Project ◽  
Service Utilisation ◽  
Primary Health

Chronic disease self-management (CDSM) programs have been found effective in improving clinical, behavioural, and self-efficacy outcomes associated with a range of chronic illnesses, and evidence suggests that CDSM is effective in reducing health care costs and health service utilisation. As the setting where most chronic disease is managed, primary health care is an ideal setting for supporting CDSM. This study aimed to explore the uptake and sustainability of CDSM within routine activities of primary health care clinicians involved in the implementation of a demonstration project within an Area Health Service in Sydney NSW. Interviews and focus groups were conducted with managers and clinicians involved in the project. Findings included (1) widespread support from participants for CDSM (2) participating clinicians thought that CDSM was valuable to themselves, their clients and the health system (3) the program required clients to be able to speak and understand English and so presented many barriers for implementation in CALD communities, and (4) the program was not effective in engaging some key members of the primary care team; in particular, general practitioners. The study highlights system design issues including communication and continuity of care between service providers, workforce supply and demands of acute care delivery in the community that will need to be addressed for sustainable and effective CDSM to be achieved.

scholarly journals Improving eye care in the primary health care setting

Curationis ◽  
2000 ◽  
Vol 23 (1) ◽  
Author(s):  
M De Wet ◽  
L Ackermann
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Workers ◽  
Service Providers ◽  
Care Service ◽  
Eye Care ◽  
Primary Health Care Worker ◽  
Primary Health ◽  
Care Workers ◽  
Service Training

One of the challenges facing primary health care in South Africa is the delivery of quality eye care to all South Africans. In this regard the role of the primary health care worker, as the first point of contact, is crucial. This paper reports on the problems primary health care workers experience in providing quality eye care in Region B of the Free State. Problems identified by those involved in the study include the cumbersome referral system, the unavailability of appropriate medicine at clinics, the insufficient knowledge of primary health care workers regarding eye conditions and the lack of communication between the various eye care service providers. Suggestions to address the problems identified included more in-service training of primary health care workers regarding eye conditions, liaison with NGO’s providing eye care, decentralisation of services and the establishment of an eye care committee in the region.

scholarly journals The Impact of COVID-19 on the Performance of Primary Health Care Service Providers in a Capitation Payment System: A Case Study from Poland

2021 ◽  
Vol 18 (4) ◽  
pp. 1407
Author(s):  
Piotr Korneta ◽  
Magdalena Kludacz-Alessandri ◽  
Renata Walczak
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Service Providers ◽  
Care Service ◽  
Health Care Service ◽  
Payment System ◽  
Primary Health Care Service ◽  
Capitation Payment ◽  
Primary Health ◽  
Health Care Service Providers

In Poland, as in many other countries, the use of capitation payment schemes in primary health care is popular. Despite this popularity, the subject literature discusses its role in decreasing the quality of primary medical services. This problem is particularly important during COVID-19, when medical entities provide telehealth services to patients. The objective of the study is to examine the effects of COVID-19 pandemic on the performance of the primary health care providers in Poland under a capitation payment scheme. In this study the authors use data from interviews with personnel of medical entities and financial and administrative reports of primary health care providers in order to identify how this crisis situation impacts the performance of primary health care entities, under capitation payment system. The performance indicators include both the financial and quality measures. Selected to the case study primary health care service providers significantly improved their profitability due to considerable costs savings and reduction of services provided to patients in a time of COVID-19 pandemic. Capitation payment system proved to be inefficient, in the studied pandemic period, in terms of the services provided by primary health care service providers to patients and the funds paid to them, in exchange, by the government entities.

scholarly journals Community oriented primary care in Tshwane District, South Africa: Assessing the first phase of implementation

2013 ◽  
Vol 5 (1) ◽  
Author(s):  
Hans-Friedemann Kinkel ◽  
Tessa Marcus ◽  
Shehla Memon ◽  
Nomonde Bam ◽  
Jannie Hugo
Keyword(s):  
South Africa ◽  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Health Care Providers ◽  
Service Providers ◽  
Health Sector ◽  
Political Commitment ◽  
Care Providers ◽  
Primary Health

Background: Re-engineering primary health care is a cornerstone of the health sector reforminitiated nationally in South Africa in 2009. Using the concept of ward based NGO-run healthposts, Tshwane District, Gauteng, began implementing community oriented primary care (COPC) through ward based outreach teams (WBOT) in seven wards during 2011.Objectives: This study sought to gain insight into how primary health care providers understood and perceived the first phase of implementing COPC in the Tshwane district.Method: Qualitative research was performed through focus group interviews with staff of the seven health posts during September 2011 and October 2011. It explored primary health careproviders’ understanding, perception and experience of COPC.Results: Participants raised organisational, workplace and community relationship issues in the discussions. Organisationally, these related to the process of initiating and setting up COPC and the relationship between governmental and nongovernmental organisations. Issues that arose around the workplace related to the job situation and employment status and remuneration of health post staff. Community related issues centred on the role and relationship between service providers and their communities.Conclusion: COPC touched a responsive nerve in the health care system, both nationallyand locally. It was seen as an effective way to respond to South Africa’s crisis of health care. Initiating the reform was inevitably a complex process. In this initial phase of implementing COPC the political commitment of governmental and nongovernmental organisations was evident. What still had to be worked through was how the collaboration would materialise in practice on the ground.

scholarly journals Empanelment: A foundational component of primary health care

2019 ◽  
Vol 3 ◽  
pp. 1654 ◽  
Author(s):  
Trudy Bearden ◽  
Hannah L. Ratcliffe ◽  
Jonathan R. Sugarman ◽  
Asaf Bitton ◽  
Leonard Abbam Anaman ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Universal Health Coverage ◽  
Care Service ◽  
Target Population ◽  
Health Coverage ◽  
Critical Pathway ◽  
Primary Health ◽  
Universal Health

Empanelment is a foundational strategy for building or improving primary health care systems and a critical pathway for achieving effective universal health coverage. However, there is little international guidance for defining empanelment or understanding how to implement empanelment systems in low- and middle-income countries. To fill this gap, a multi-country collaborative within the Joint Learning Network for Universal Health Coverage developed this empanelment overview, proposing a people-centered definition of empanelment that reflects the responsibility to proactively deliver primary care services to all individuals in a target population. This document, building on existing literature on empanelment and representing input from 10 countries, establishes standard concepts of empanelment and describes why and how empanelment is used. Finally, it identifies key domains that may influence effective empanelment and that must be considered in deciding how empanelment can be implemented. This document is designed to be a useful resource for health policymakers, planners and decision-makers in ministries of health, as well as front line providers of primary care service delivery who are working to ensure quality people-centered primary care to everyone everywhere.

scholarly journals The role of practice nurses in coordinated care of people with chronic and complex conditions

2007 ◽  
Vol 31 (2) ◽  
pp. 231 ◽  
Author(s):  
Elizabeth Patterson ◽  
Heidi Muenchberger ◽  
Elizabeth Kendall
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Providers ◽  
Service Providers ◽  
Care Service ◽  
National Level ◽  
Care Providers ◽  
Coordinated Care ◽  
Practice Nurses ◽  
Primary Health

General practice in Australia must cope with growing numbers of individuals with chronic and complex needs. The Australian Government has recognised the need to reform the primary health care sector to address this issue, with recent initiatives, such as coordinated care. The overall goal of coordinated care at a national level is to facilitate integrated care for people with chronic and complex conditions, by enhancing collaborative partnerships among general practitioners, primary health care providers, community service providers and clients. Interestingly, practice nurses (PNs) have not been identified as key stakeholders in the coordinated care service delivery model in Australia. In contrast, an expanded role for PNs has been in place in the United Kingdom and New Zealand for some time. This paper is based on focus group discussions with Australian PNs who have had a range of experiences in coordinated care models. The study identifies an important role for PNs, suggesting trial of a variety of models of coordinated care that include PNs in chronic disease management process.

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