Primary Health and The Problem with Men?

2002 ◽  
Vol 8 (1) ◽  
pp. 83 ◽  
Author(s):  
Rick Hayes

It would be a brave health promotion coordinator who would suggest to Primary Care Partnership health promotion sub-committee members that just providing "information" to "people who are problems" is a "best-practice" approach (Legge et aI., 1996). One, and only one, of the many reasons for the change has been the creation and dissemination of the Men's Health Promotion Strategic Framework (Hayes, 1999). This framework was developed through a project funded by the Victorian Health Promotion Foundation and commissioned by the North East Health Promotion Centre (NEHPC), Melbourne.

1945 ◽  
Vol 82 (6) ◽  
pp. 267-273 ◽  
Author(s):  
W. Anderson

Formerly there were several surface brine springs in the North-East Coalfield; to-day there are none. From the many accounts of their occurrence nothing has been learned of their exact position, and very little of the composition of their waters. The earliest record, made in 1684, described the Butterby spring (Todd, 1684), and then at various times during the next two centuries brine springs at Framwellgate, Lumley, Birtley, Walker, Wallsend, Hebburn, and Jarrow were noted. In particular the Birtley salt spring is often mentioned, and on the 6-in. Ordnance map, Durham No. 13, 1862 edition, it is sited to the south-east of the village. Although no record has been found there must have been either a brine spring or well at Gateshead, for the name of the present-day suburb, Saltwell, is very old, and brine springs are still active in the coal workings of that area.


2020 ◽  
Vol 14 (1) ◽  
pp. 38-44
Author(s):  
Rajesh Varma

Sterilisation is one of many methods of contraception available to men and women. Primary care has a key role in sterilisation counselling and referral. This article outlines the risks and benefits of male (vasectomy) and female (laparoscopic tubal occlusion) sterilisation and how they compare to similarly effective methods, particularly long-acting reversible contraception. The article provides an innovative decision-aid algorithm and sterilisation counselling checklist to promote a ‘best practice’ approach.


1997 ◽  
Vol 3 (3) ◽  
pp. 80
Author(s):  
Bruce Hurley

Brief Description of the Program: An alliance was formed between the East Preston, Northcote, West Heidelberg, Eltham, Lalor, Whittlesea, and Diamond Valley Community Health Centres in the North East of Melbourne, first, to position the Centres to play a key role in developing a coherent and strong primary health care sector, based on 'community health principles', within the prime catchment area of the North Eastern Healthcare Network. The second purpose of the alliance was to assist in facilitating continuity of care between the acute and primary health sectors.


Author(s):  
Vicky Sbarouni ◽  
Elena Petelos ◽  
Apostolos Kamekis ◽  
Stylianos Ioannis Tzagkarakis ◽  
Emmanouil K Symvoulakis ◽  
...  

Background. In Greece, both Primary Health Care (PHC) system and National Health System (NHS) in general, were plagued by several inefficiencies even prior to the financial crisis; the imposed austerity measures dramatically worsened the level of health provision and access, especially for vulnerable social groups, resulting in an exacerbation of existing disparities and access gaps.  Aim and methods. The current branch study was conducted in two regions of Greece, namely Crete and Epirus, with the main aim of eliciting responses to gather baseline information regarding crucial PHC-related aspects, using questionnaires with dichotomous questions. Directors or managers (physicians who have been assigned administrative/governance duties), of the Primary Health Care Centres (PHCCs) in two Greek geographic and administrative regions of Crete and Epirus, were invited to participate and to contribute to the investigation of issues on the provision of prevention and health promotion services, e-health topics and primary care research. Thirty directors/managers were approached and twenty-eight agreed to participate. Data processing and analysis of the responses was performed for the completed questionnaires.   Results. Data analysis did not demonstrate a surprisingly substantial deviation in the average score of positive responses of directors/managers in the PHCCs of Crete in comparison to those of directors/managers in the PHCCs of Epirus. The findings show that several gaps exist in terms of prevention and health promotion resources and activities in both regions, while e-health, electronic health record (EHR) and telemedicine services are poorly developed.  Conclusion. The study confirms that the Greek PHC is characterized by several inefficiencies, which may affect the quality of the services provided. An overall deficit has been emerged for PHCCs in both regions, a fact that indicates crucial points lacking in terms of overall PHC provision, thus adversely impacting upon living conditions, health quality and prevention.    


2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Sanny Kappen ◽  
Lisa Koops ◽  
Verena Jürgens ◽  
Michael H. Freitag ◽  
Marco H. Blanker ◽  
...  

Abstract Background There is wide variation in clinical practice for the early detection of prostate cancer, not least because of the ongoing debate about the benefits of prostate-specific antigen (PSA) testing. In this study, we aimed to assess the approaches, attitudes, and knowledge of general practitioners (GPs) regarding PSA testing in primary care in the Netherlands, particularly regarding recommendations for prostate cancer. Methods Questionnaire surveys were sent to 179 GPs in the north-east of the Netherlands, of which 65 (36%) were completed and returned. We also surveyed 23 GPs attending a postgraduate train-the-trainer day (100%). In addition to demographic data and practice characteristics, the 31-item questionnaire covered the attitudes, clinical practice, adherence to PSA screening recommendations, and knowledge concerning the recommendations for prostate cancer early detection. Statistical analysis was limited to the descriptive level. Results Most GPs (95%; n = 82) stated that they had at least read the Dutch GP guideline, but just half (50%; n = 43) also stated that they knew the content. Almost half (46%; n = 39) stated they would offer detailed counseling before ordering a PSA test to an asymptomatic man requesting a test. Overall, prostate cancer screening was reported to be of minor importance compared to other types of cancer screening. Conclusions Clinical PSA testing in primary care in this region of the Netherlands seems generally to be consistent with the relevant guideline for Dutch GPs that is restrictive to PSA testing. The next step will be to further evaluate the effects of the several PSA testing strategies.


2019 ◽  
Author(s):  
Ewa Taranta ◽  
Ludmila Marcinowicz

Abstract Background There is increasing focus on collaboration in primary health care, but there is insufficient patient perspective on collaboration between the family nurse and family doctor. Objective To explore how patients perceive collaboration between the family nurse and family doctor in primary health care in Poland. Methods A qualitative approach and an inductive, naturalistic inquiry strategy were used. Thirty-seven patients from eight general practice clinics in the north-eastern part of Poland participated in semi-structured, face-to-face interviews. The qualitative data were examined by means of thematic analysis. The study was reported according to the consolidated criteria for reporting qualitative research (COREQ) checklist. Results Four subthemes emerged in the context of nurse–doctor collaboration, namely: (i) carrying out the doctor’s orders; (ii) visit preparation; (iii) the family nurse as a source of information and (iv) participants’ perceptions of the status of the family nurse. Nurses performing instrumental activities connected with a doctor’s orders was understood by the participants to be collaboration and prevailed in their responses. Conclusion The perception of collaboration (or lack thereof) between the family nurse and family doctor results from patients’ varied experiences and observations during their visits to a primary care clinic. The traditional model of nursing care and the hierarchical relationship, in which the doctor has the dominant role, are evident in the patients’ remarks. The autonomy of nursing could be strengthened by expanding, and highlighting, the primary care activities that a nurse can perform on her own.


2005 ◽  
Vol 11 (2) ◽  
pp. 38 ◽  
Author(s):  
Lauren Cordwell

This paper presents an overview of the North Central Metro Primary Care Partnership (NCMPCP) process to strengthen consumer participation. The NCMPCP is a voluntary alliance of 60 health and community services in Melbourne's Northern metropolitan region that aims to make positive, sustainable improvements to services from the perspective of clients, their carers and their families. The population of the NCMPCP catchment includes significant cultural and linguistic diversity and social and economic disadvantage. In strengthening consumer participation, consumers and service providers from NCMPCP member agencies identified the need for a consumer participation training resource to be developed to support the ongoing engagement of consumers in participation opportunities in primary health services. The development of a consumer participation training resource involved consumers and service providers from 14 agencies. Consumers were involved in all stages of needs identification, design, implementation and evaluation. The process to develop the consumer participation training resources has contributed to a greater understanding of consumer participation for the NCMPCP member agencies and has increased the level of engagement and participation by consumers. The process has highlighted the need for consumers and service providers to be trained, resourced and supported to carry out consumer participation work.


2021 ◽  
pp. archdischild-2021-321644
Author(s):  
Jennifer Katherine Townshend ◽  
Sally Hails ◽  
Ruth Levey ◽  
Patty DeZwart ◽  
Michael McKean ◽  
...  

To objective of this project was to reduce unplanned hospital admission rates in children related to asthma to the Newcastle upon Tyne Hospitals National Health Service Trust (NUTH).Multiple educational interventions were introduced both locally and regionally including: a collection of educational materials aimed at young people and families, schools, primary care and secondary care on the website www.beatasthma.co.uk; regional training days; a nurse-led one-stop clinic; a new pathway following an acute attendance to hospital with an asthma attack; a local asthma service and cascade training for schools.The primary outcome measure was reduction in unplanned hospital admission rates in children due to asthma to the NUTH.Results showed that admission rates had been increasing at a sustained rate of approximately 30% each year in the 3 years prior to our intervention. After the Beating Regional Asthma Through Health Education interventions, unplanned admissions to NUTH reduced by 29% and this reduction has been sustained for the last 3 years. This compares with a regional increase of 10% over the same time period.In conclusion, simple but effective educational interventions resulted in a significant and sustained reduction in unplanned asthma admissions to NUTH. Further work is underway to extend the reach of these interventions into primary care and schools.


Author(s):  
Olga N. Truevtseva ◽  
◽  
Vitaly А. Kozhokar ◽  

The article «History of formation and activity of Council of Museums in museums of local history of the north-east of Kazakhstan in the 40-50s of the XX century» deals with the problem of organizing research in museums. The First All-Russian Museum Congress in 1931 contributed the transformation of museums from academic centers to cultural institutions and made scientific research impossible in museums. However, the lack of professionally trained personnel, the low level of scientific description of collections, construction of expositions, exhibitions, content of lectures and excursions, led to a gradual decline of the authority of museums. Based on the documents that were found in the funds of the State archives of Pavlodar region, Semipalatinsk, Ust-Kamenogorsk, the authors convincingly prove the flawed and erroneous attitudes of the congress. The study used archival documents on the creation of Council of Museums, their personnel composition, and main activities. It is proved that the need to revive the research activities of museums has led to new forms and methods of organizing research work. Council of Museums in local history museums of the north-east of Kazakhstan were established in the late 1940s. There were difficulties in organization due to the lack of specialists who could work in the museum on a voluntary basis. They attracted employees of party, soviet, and trade union organizations who were educated as teachers of geography and history. In special cases, managers of agriculture and industry were included. The members of the Council worked in three directions corresponding to the structure of the departments of local history museums of that time: nature, history, industry and agriculture. The Council of the Pavlodar regional Museum of Local History was registered only formally, its members did not meet and did not take any part in the activities of the museum. This was explained by the insufficient number of professional personnel, due to the lack of higher educational institutions in the region, as well as the employment of specialists in the main job. A significant number of interested specialists lived in Semipalatinsk and Ust-Kamenogorsk, forming a group of local history activists there, which had a positive impact on the creation and work of Council of Museums. Members of the councils gave lectures in the museum, went on business trips to collect exhibits, were engaged in the preparation, examination and adjustment of thematic and exposition plans, preparation of collected materials for exhibition, helped to establish the relationship of museums with administrative, industrial and public organizations. Museum employees could not perform such work on their own, due to the lack of necessary professional competencies and time. Thus, we can conclude that it is necessary to include third-party workers of science and education in the museum councils. The governing bodies and museum workers felt a lack of specialists in various fields of knowledge. The staff of the museums consisted of people without secondary, and in most cases higher education. They did not have the skills of systematization and were not familiar with the scientific methods of collecting and processing museum materials. The decisions of the Council of Museums were not official, but they were very significant and necessary. Without their activities, the museum practice of the region would not be so effective and efficient.


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