Surviving or thriving in the primary health care research workforce: the Australian experience

2017 ◽  
Vol 23 (2) ◽  
pp. 183
Author(s):  
Jodie Oliver-Baxter ◽  
Lynsey Brown ◽  
Ellen McIntyre
Keyword(s):  
Job Satisfaction ◽  
Health Care ◽  
Primary Health Care ◽  
Primary Healthcare ◽  
Health Care Research ◽  
Healthcare Research ◽  
Full Time ◽  
Policy And Practice ◽  
Primary Health ◽  
Research Workforce

Primary healthcare research strives for high-quality, priority-driven research to inform policy and practice. This relies on a robust and sustainable workforce to tackle complex problems faced in primary health care locally and globally. The current study investigated characteristics, experiences and career paths of the Australian primary healthcare research workforce. Thirty-seven former Research Higher Degree students from University Departments of General Practice and Rural Health completed a survey. Number of provisions for researchers and career path clarity were associated with job satisfaction. Motivators to stay in research included job satisfaction, research in role descriptions, and identification of problems requiring change. Barriers related to funding, time, and other work roles taking priority were identified. Comparisons were made between participants self-identifying as working in primary healthcare research (‘stayers’; n=22) and those no longer part of this workforce (‘leavers’; n=15). Leavers were more likely to be in permanent full-time work whereas stayers had experienced more career progression and mentoring. This study raises challenges faced by primary healthcare researchers and will inform strategies for supporting the sustainability of this workforce.

scholarly journals The contribution of Primary Health Care Research, Evaluation and Development-supported research to primary health care policy and practice

2014 ◽  
Vol 20 (1) ◽  
pp. 47 ◽  
Author(s):  
Lynsey J. Brown ◽  
Ellen L. McIntyre
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Research Evaluation ◽  
Health Care Research ◽  
Research Capacity ◽  
Policy And Practice ◽  
Care Research ◽  
Primary Health ◽  
Diverse Field ◽  
The Impact

The importance of primary health care (PHC) research is well understood yet conducting this research can be challenging. Barriers include a lack of funding, support and opportunity. In 2000 the Australian government introduced the Primary Health Care Research, Evaluation and Development (PHCRED) Strategy to address the gap in high-quality research. One component of the strategy, the Research Capacity Building Initiative, provided funding to university departments of general practice and rural health, allowing them to expand their pool of researchers and produce more research relevant to policy and practice. This study investigates the impact of phase two of the PHCRED Strategy by analysing peer-reviewed publications from PHCRED-supported departments. Research output was recorded from 2006 to 2010 incorporating 661 publications in 212 journals. Rural departments often had fewer resources than urban departments yet demonstrated steady research contributions focusing on issues relevant to their community. Since its inception the PHCRED Strategy has enabled development of research capacity and contributed to the body of PHC knowledge. While PHC is a diverse field, reflected in the publications produced, the themes underlying much of this work were representative of current health reform and the priority areas and building blocks of the National PHC Strategy.

scholarly journals Primary care organizational model mix and avoidable hospitalization: an ecological study in Portugal

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A Pinto ◽  
J V Santos ◽  
M Lobo ◽  
J Viana ◽  
J Souza ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Primary Healthcare ◽  
Pay For Performance ◽  
Care Quality ◽  
Organizational Model ◽  
Avoidable Hospitalizations ◽  
Primary Health ◽  
Age And Sex

Abstract Background In Portugal, there are different organizational models in primary health care (PHC), mainly regarding the payment scheme. USF-B is the only type with financial incentives to the professional (pay-for-performance). Our goal was to assess the relationship between groups of primary healthcare centres (ACES) with higher proportion of patients within USF-B model and the rate of avoidable hospitalizations, as proxy of primary care quality. Methods We conducted a cross-sectional study considering the 55 ACES from mainland Portugal, in 2017. We used data from public hospitalizations to calculate the prevention quality indicator (avoidable hospitalizations) adjusted for age and sex, using direct standardization. The main independent variable was the proportion of patients in one ACES registered in the USF-B model. Unemployment rate, proportion of patients with family doctor and presence of Local Health Unit (different organization model) within ACES were also considered. The association was assessed by means of a linear regression model. Results Age-sex adjusted PQI value varied between 490 and 1715 hospitalizations per 100,000 inhabitants across ACES. We observed a significant effect of the proportion of patients within USF-B in the crude PQI rate (p = 0.001). However, using the age-sex adjusted PQI, there was not a statistical significant association (p = 0.504). This last model was also adjusted for confounding variables and the association remains non-significant (p = 0.865). Conclusions Our findings suggest that, when adjusting for age and sex, there is no evidence that ACES with more patients enrolled in a pay-for-performance model is associated with higher quality of PHC (using avoidable hospitalizations as proxy). Further studies addressing individual data should be performed. This work was financed by FEDER funds through the COMPETE 2020 - POCI, and by Portuguese funds through FCT in the framework of the project POCI-01-0145-FEDER-030766 “1st.IndiQare”. Key messages Adjusting PQI to sex and age seems to influence its value more than the type of organizational model of primary health care. Groups of primary healthcare centres with more units under the pay-for-performance scheme was not associated with different rate of avoidable hospitalizations.

scholarly journals Cross-cultural adaptation and validation of the teamwork climate scale

2016 ◽  
Vol 50 (0) ◽  
Author(s):  
Mariana Charantola Silva ◽  
Marina Peduzzi ◽  
Carine Teles Sangaleti ◽  
Dirceu da Silva ◽  
Heloise Fernandes Agreli ◽  
...  
Keyword(s):  
Job Satisfaction ◽  
Health Care ◽  
Factor Analysis ◽  
Primary Health Care ◽  
Confirmatory Factor Analysis ◽  
Cultural Adaptation ◽  
Cross Cultural ◽  
Cross Cultural Adaptation ◽  
Primary Health ◽  
Confirmatory Factor

ABSTRACT OBJECTIVE To adapt and validate the Team Climate Inventory scale, of teamwork climate measurement, for the Portuguese language, in the context of primary health care in Brazil. METHODS Methodological study with quantitative approach of cross-cultural adaptation (translation, back-translation, synthesis, expert committee, and pretest) and validation with 497 employees from 72 teams of the Family Health Strategy in the city of Campinas, SP, Southeastern Brazil. We verified reliability by the Cronbach’s alpha, construct validity by the confirmatory factor analysis with SmartPLS software, and correlation by the job satisfaction scale. RESULTS We problematized the overlap of items 9, 11, and 12 of the “participation in the team” factor and the “team goals” factor regarding its definition. The validation showed no overlapping of items and the reliability ranged from 0.92 to 0.93. The confirmatory factor analysis indicated suitability of the proposed model with distribution of the 38 items in the four factors. The correlation between teamwork climate and job satisfaction was significant. CONCLUSIONS The version of the scale in Brazilian Portuguese was validated and can be used in the context of primary health care in the Country, constituting an adequate tool for the assessment and diagnosis of teamwork.

Interdisciplinary primary health care research training through TUTOR-PHC: The insiders' view

2009 ◽  
Vol 23 (4) ◽  
pp. 414-416 ◽  
Author(s):  
Kadija Perreault ◽  
Antoine Boivin ◽  
Enette Pauzé ◽  
Amanda L. Terry ◽  
Christie Newton ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Research Training ◽  
Health Care Research ◽  
Care Research ◽  
Primary Health

An assessment of job satisfaction among primary health care workers in Rivers State, Nigeria

2018 ◽  
Vol 27 (3) ◽  
pp. 282
Author(s):  
NP Kadiri-Eneh ◽  
BS Uzochukwu ◽  
C Tobin-West ◽  
EC Azuike
Keyword(s):  
Job Satisfaction ◽  
Health Care ◽  
Primary Health Care ◽  
Health Care Workers ◽  
Primary Health ◽  
Care Workers ◽  
Rivers State

scholarly journals Psychological trauma and access to primary healthcare for people from refugee and asylum-seeker backgrounds: a mixed methods systematic review

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Clemence Due ◽  
Erin Green ◽  
Anna Ziersch
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Primary Health Care ◽  
General Population ◽  
Primary Healthcare ◽  
Asylum Seeker ◽  
Psychological Trauma ◽  
Service Access ◽  
Primary Health ◽  
The Relationship

Abstract Background Several reviews have found that psychological trauma affects access to health care services, including mental health care, in the general population. People from refugee and asylum seeker backgrounds are more likely to have a mental illness than the general population, and experience a broad range of barriers and facilitators to service access. However, to date there has been no comprehensive consideration of the potential effect of psychological trauma on access to primary health care within this population. Methods This paper provides a mixed-methods systematic review of literature which included any consideration of the relationship between psychological trauma and access to primary health care. A systematic search of Medline, PsychInfo, Scopus, Web of Science, Embase, CINAHL and Cochrane Library was conducted. Study eligibility criteria were empirical, peer-reviewed studies that considered the relationship between psychological trauma and access to, or use of, primary healthcare in resettlement countries for refugees (including asylum seekers). Papers were required to be written in English and published between 1998 and August 2019. Quality was assessed using the Multi-Methods Appraisal Tool. The search identified a total of 14 eligible studies (11 quantitative and 3 qualitative) which had explored this relationship in refugee and asylum seeker populations. Results Overall, synthesis of findings indicated variable results with respect to the impact of psychological trauma on service access. Specifically, the review found that while rates of psychological trauma were high. Key themes were that while general health care access was comparable or greater than the general population, rates of mental healthcare specifically were low. In addition, included papers identified a range of barriers to service access—particularly somatisation, stigma and healthcare provide knowledge about psychological trauma. Conclusions While there is a critical need for more research in this area, the study points to several key recommendations including training of general practitioners in relation to psychological trauma, ensuring culturally responsive services, and the use of interpreters. Finally, due to the levels of somatisation found in some studies, ensuring general practitioners understand the somatic element of psychological trauma—particularly within some groups of people from refugee backgrounds—is important.

scholarly journals Bringing evidence to bear on policy processes: the challenge of the Australian Primary Health Care Research Institute

2008 ◽  
Vol 188 (S8) ◽  
Author(s):  
Nicholas J Glasgow ◽  
John E Marley ◽  
Linda J Kristjanson ◽  
Janette A Donovan ◽  
Sally J Hall ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Research ◽  
Care Research ◽  
Primary Health ◽  
Research Institute
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