Clinical governance in community health care settings: Evidence and issues

2005 ◽  
Vol 11 (2) ◽  
pp. 26 ◽  
Author(s):  
Hal Swerissen ◽  
Lucinda Jordan
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Community Health ◽  
Clinical Governance ◽  
Community Health Service ◽  
Community Health Care ◽  
Health Care Settings ◽  
Governance Framework ◽  
Suitable Framework

This paper identifies clinical governance frameworks within the literature that are applicable to community health care settings. The paper focuses on three main topics: the importance of developing a clinical governance framework within a community health service; the main elements of a clinical governance framework; and the process of implementing a suitable framework. Although research for primary care is more limited, the available evidence suggests that, as with hospitals, there are significant opportunities for improving the safety and quality of clinical practice in primary care through improved clinical governance. Frameworks for clinical governance, key elements for implementation, and methods of implementation are also identified.

scholarly journals Assessing the Quality of Tuberculosis Evaluation for Children with Prolonged Cough Presenting to Routine Community Health Care Settings in Rural Uganda

PLoS ONE ◽  
2014 ◽  
Vol 9 (8) ◽  
pp. e105935 ◽  
Author(s):  
Carina Marquez ◽  
J. Lucian Davis ◽  
Achilles Katamba ◽  
Priscilla Haguma ◽  
Emmanuel Ochom ◽  
...  
Keyword(s):  
Health Care ◽  
Community Health ◽  
Community Health Care ◽  
Health Care Settings

scholarly journals Quality of life and its association with cardiovascular risk factors in a community health care program population

Clinics ◽  
2008 ◽  
Vol 63 (6) ◽  
Author(s):  
Luiz Mário Baptista Martinelli ◽  
Bruno Moreira Mizutani ◽  
Anibal Mutti ◽  
Maria Paula Barbieri D'elia ◽  
Rodrigo Soler Coltro ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Health Care ◽  
Cardiovascular Risk ◽  
Community Health ◽  
Cardiovascular Risk Factors ◽  
Care Program ◽  
Community Health Care ◽  
Health Care Program

scholarly journals The Use of a Family History Risk Assessment Tool within a Community Health Care System: Views of Primary Care Providers

2012 ◽  
Vol 21 (5) ◽  
pp. 652-661 ◽  
Author(s):  
Carol A. Christianson ◽  
◽  
Karen Potter Powell ◽  
Susan Estabrooks Hahn ◽  
Susan H. Blanton ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Primary Care ◽  
Health Care ◽  
Family History ◽  
Community Health ◽  
Assessment Tool ◽  
Primary Care Providers ◽  
Community Health Care ◽  
Care Providers ◽  
Community Health Care System

Quality of Life Model: Predictors of Quality of Life Among Sick Older Adults

2010 ◽  
Vol 24 (4) ◽  
pp. 241-259 ◽  
Author(s):  
Liv Halvorsrud ◽  
Marit Kirkevold ◽  
Åge Diseth ◽  
Mary Kalfoss
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Health Care ◽  
Depressive Symptoms ◽  
Community Health ◽  
Environmental Conditions ◽  
Equation Modeling ◽  
Community Health Care ◽  
Health Satisfaction

The aim of this study was to explore how depressive symptoms, physical function, health satisfaction, age, and environmental conditions predict quality of life (QoL) in a conceptual model based on the Wilson and Cleary’s Model (WCM). A stratified sample by age, gender, and living area was drawn from the Norwegian population of older adults receiving community health care (mean age of 78.6 years, 94.4% living at home, 5.6% living in nursing homes). The study is part of a larger international study. Face-to-face interviews were conducted using the WHOQoL-Old, the WHOQoL-Bref Environment domain, the Geriatric Depression Scale, the Short Form SF-12, and sociodemographic and health questions. A path analysis (structural equation modeling) showed that the overall model provided empirical evidence for linkages in the WCM. QoL was manifested by significant direct effects of environmental conditions and health satisfaction. In addition, environmental conditions had indirect effects on QoL, in particular via depressive symptoms and health satisfaction. This model may help nurses in community health care to collect and assess information, to suggest suitable interventions, and to guide decision making.

scholarly journals Perceptions, Current Practices and Interventions of Community Pharmacists Regarding Antimicrobial Stewardship: A Qualitative Study in France

2021 ◽  
Author(s):  
Claire Durand ◽  
Aude Chappuis ◽  
Eric Douriez ◽  
Frédérique Poulain ◽  
Raheelah Ahmad ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Antimicrobial Resistance ◽  
Community Health ◽  
Antimicrobial Stewardship ◽  
Thematic Analysis ◽  
Community Pharmacists ◽  
Antibiotic Use ◽  
Antibiotic Prescribing ◽  
Community Health Care

Abstract Background: Community health care accounts for the vast majority of antibiotic use in Europe. Given the threat of antimicrobial resistance (AMR), there is an urgent need to develop new antimicrobial stewardship (AMS) interventions in primary care that could involve different health care providers including community pharmacists. This study aimed to explore the perceptions, currents practices and interventions of community pharmacists regarding antimicrobial stewardship.Methods: Semi-structured qualitative interviews were conducted with community pharmacists in France. Participants were recruited through a professional organization of community pharmacists combined with a snowballing technique. Interviews were audio recorded, transcribed and analyzed using thematic analysis. The Consolidated Framework for Implementation Research was used while developing the interview guide and carrying out thematic analysis.Results: Sixteen community pharmacists participated. All the respondents had good awareness about antimicrobial resistance and believed community pharmacists had an important role in tackling AMR. Some barriers to community pharmacists’ participation in AMS were identified such as difficult interactions with prescribers, lack of time and lack of access to patient medical records and diagnosis. Increased patient education, audits and feedback of antibiotic prescribing, increased point-of-care testing and delayed prescribing were interventions suggested by the pharmacists to improve antibiotic use in primary care. Strategies cited by participants to facilitate the implementation of such interventions are increased pharmacist-general practitioner collaboration, specialized training, clinical decision support tools as well as financial incentives. Conclusions: This study suggests that community pharmacists could play a greater role in infection management and AMS interventions. Further interprofessional collaboration is needed to optimize antibiotic prescribing and utilization in community health care.

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