scholarly journals Editorial

1995 ◽  
Vol 1 (1) ◽  
pp. 2
Author(s):  
Heather Gardner
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Continuity Of Care ◽  
Health Sector ◽  
Community Health Services ◽  
Continuing Care ◽  
Australian Health ◽  
Primary Health

The advent of the Australian Journal of Primary Health - Interchange reflects the changes which are taking place in the Australian health sector and the increased and increasing importance of primary health care and community health services. The significant role of primary care in maintaining health and enhancing wellbeing is at last being recognised, and the relationships between primary care, continuing care, and acute care are being redefined and the connections made, so that improvement in continuity of care can be achieved.

scholarly journals ASSESSMENT OF AWARENESS OF FAMILY PHYSICIANSABOUT THE OSTEOPOROSIS AS A PROBLEM OF ELDERLY

2017 ◽  
Vol 9 (1) ◽  
pp. 79-82
Author(s):  
O Yu Kuznetsova ◽  
I E Moiseeva
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Primary Care Physicians ◽  
Age Group ◽  
Treatment Of Osteoporosis ◽  
Family Doctors ◽  
Primary Health ◽  
Prevalence Of Osteoporosis

The prevalence of osteoporosis in Russia is about 10%, and in the age group over 50 years - up to 25-35%. The role of primary care physicians in the prevention, diagnosis and treatment of this disease is high, because 80% of patients seeking medical help in primary health care. The article presents the results of the assessment of the awareness of the general practitioners (family doctors) on the preven- tion, diagnostics and treatment of osteoporosis

How the Institutional and Policy Context Shapes the Establishment of Nurse Practitioner Roles and Practice in New Zealand’s Primary Health Care Sector

2020 ◽  
pp. 152715442096553
Author(s):  
Sue Adams ◽  
Jenny Carryer
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
New Zealand ◽  
Nurse Practitioner ◽  
Central Government ◽  
Health Sector ◽  
District Health ◽  
Policy Context ◽  
Primary Health

The implementation of the nurse practitioner (NP) workforce in primary health care (PHC) in New Zealand has been slow, despite ongoing concerns over persisting health inequalities and a crisis in the primary care physician workforce. This article, as part of a wider institutional ethnography, draws on the experiences of one NP and two NP candidates, as they struggle to establish and deliver PHC services in areas of high need, rural, and Indigenous Māori communities in New Zealand. Using information gathered initially by interview, we develop an analysis of how the institutional and policy context is shaping their experiences and limiting opportunities for the informants to provide meaningful comprehensive PHC. Their work (time and effort), with various health organizations, was halted with little rationale, and seemingly contrary to New Zealand’s strategic direction for PHC stipulated in the Primary Health Care Strategy 2001. The tension between the extant biomedical model, known as primary care, and the broader principles of PHC was evident. Our analysis explored how the perpetuation of the neoliberal health policy environment through a “hands-off” approach from central government and district health boards resulted in a highly fragmented and complex health sector. Ongoing policy and sector perseverance to support privately owned physician-led general practice; a competitive contractual environment; and significant structural health sector changes, all restricted the establishment of NP services. Instead, commitment across the health sector is needed to ensure implementation of the NP workforce as autonomous mainstream providers of comprehensive PHC services.

scholarly journals Strategies for improving primary care for adolescents and young adults transitioning from pediatric services: perspectives of Canadian primary health care professionals

2020 ◽  
Author(s):  
Kyleigh Schraeder ◽  
Gina Dimitropoulos ◽  
Brooke Allemang ◽  
Kerry McBrien ◽  
Susan Samuel
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Young Adults ◽  
Primary Health Care ◽  
Chronic Conditions ◽  
Critical Role ◽  
Transition Care ◽  
Primary Health ◽  
Pediatric Services

Abstract Background Family physicians and other members of the primary health care (PHC) team may be ideally positioned to provide transition care to adolescents and young adults (AYAs; aged 12–25 years) exiting pediatric specialty services. Potential solutions to well-known challenges associated with integrating PHC and specialty care need to be explored. Objective To identify strategies to transition care by PHC professionals for AYAs with chronic conditions transitioning from pediatric to adult-oriented care. Methods Participants were recruited from six Primary Care Networks in Calgary, Alberta. A total of 18 semi-structured individual interviews were completed, and transcribed verbatim. Data were analyzed using a qualitative description approach, involving thematic analysis. Results Participants offered a range of strategies for supporting AYAs with chronic conditions. Our analysis resulted in three overarching themes: (i) educating AYAs, families, and providers about the critical role of primary care; (ii) adapting existing primary care supports for AYAs and (iii) designing new tools or primary care practices for transition care. Conclusions Ongoing and continuous primary care is important for AYAs involved with specialty pediatric services. Participants highlighted a need to educate AYAs, families and providers about the critical role of PHC. Solutions to improve collaboration between PHC and pediatric specialist providers would benefit from additional perspectives from providers, AYAs and families. These findings will inform the development of a primary care-based intervention to improve transitional care.

scholarly journals The use of Artificial Neural Networks in the diagnosis of manageable factors on Brazilian Primary Health Care

2021 ◽  
Vol 10 (1) ◽  
pp. e31010111740
Author(s):  
Kerla Fabiana Dias Cabral ◽  
Fábio Ribeiro Cerqueira ◽  
Rodrigo Siqueira-Batista ◽  
Marco Aurélio Marques Ferreira ◽  
Bruna Rodrigues de Freitas
Keyword(s):  
Neural Networks ◽  
Primary Care ◽  
Health Care ◽  
Artificial Neural Networks ◽  
Primary Health Care ◽  
Health Sector ◽  
Welfare Programs ◽  
Primary Health ◽  
The Social ◽  
Artificial Neural

The social determinants of health are relevant in the main strategies of Primary Health Care. However, it is known the difficulties of the health sector to overcome the factors that negatively interfere with the health of the population. Thus, it was aimed to create a computer model to present in detail the factors that somehow are related to the Primary Health Care, enabling public health managers to make decisions efficiently. Using artificial neural networks, it was possible to create a classifier model that could show which variables are related to the efficiency in Primary Care and which lead to inefficiency. Moreover, it was used the NICeSim simulator as a tool to evaluate the behavior of each variable identified as relevant to the efficiency in Primary Care of cities. The results demonstrate that the created model was superior to previously proposed models. Furthermore, our model has been demonstrated to be very effective in identifying variables that affect Primary Health. The created model shows that factors, such as illiteracy and welfare programs, considerably affect the efficiency of health care, reinforcing the argument that the focus of the public policies should be dealt in an intersectoral way, improving the factors that positively influence the population health.

Donor Agencies' Involvement in Reproductive Health: Saying One Thing and Doing Another?

2005 ◽  
Vol 35 (3) ◽  
pp. 579-601 ◽  
Author(s):  
Susannah H. Mayhew ◽  
Gill Walt ◽  
Louisiana Lush ◽  
John Cleland
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Reproductive Health ◽  
Health Sector ◽  
Health Service Delivery ◽  
Sub Saharan Africa ◽  
Reproductive Health Services ◽  
Primary Health ◽  
Donor Agencies

The debates about what services constitute reproductive health, how these services should be organized, managed, and delivered, and what the role of donor agencies' support should be mirror the long-standing debates on how best to implement primary health care. After briefly reviewing the development of the discourse on primary health care and reproductive health, the authors present results of qualitative research in Ghana, Kenya, and Zambia that indicate a range of factors influencing and explaining the way donors operate in these countries and consider the implications of these results for the delivery of comprehensive reproductive health services. These findings are compared with South Africa, a country with limited donor activity. In the light of the complex interplay of factors, the authors suggest that donors' words and actions frequently do not correlate. Conclusions are drawn as to the potential for donor support for integrated reproductive health service delivery in sub-Saharan Africa, drawing on the research to provide lessons and a reappraisal of the role of donors in health sector aid.

scholarly journals Crise, Atenção Primária de Saúde e Enfermagem: conhecimento e ação para novos modos de produzir saúde [Crisis, Primary Health Care and Nursing: reflection and action for new ways of producing health] [Crisis, Atención Primaria de Salud y Enfermería: reflexión y acción para nuevas formas de producir salud]

2020 ◽  
Vol 28 ◽  
pp. e55687
Author(s):  
Helena Maria Scherlowski Leal David
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Health Crisis ◽  
Primary Health

Editorial sobre a importancia da atenção Primária no contexto da pandemia por covid-19, as ameaças que sofre e o papel da enfermagem.ABSTRACTEditorial aproaching the importance of primary care in the context of the 19-covid pandemic, the threats it suffers and the role of nursing.RESUMENEditorial sobre la importancia de la atención primaria en el contexto de la pandemia del 19-covid, las amenazas que sufre y el papel de la enfermería.

scholarly journals CONTINUITY OF HOSPITAL DISCHARGE CARE FOR PRIMARY HEALTH CARE: SPANISH PRACTICE

2020 ◽  
Vol 29 ◽  
Author(s):  
Maria Fernanda Baeta Neves Alonso da Costa ◽  
Suely Itsuko Ciosak ◽  
Selma Regina de Andrade ◽  
Cilene Fernandes Soares ◽  
Esperanza I. Ballesteros Pérez ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Hospital Discharge ◽  
Continuity Of Care ◽  
University Hospitals ◽  
Online Questionnaire ◽  
Primary Health ◽  
Discharge Care ◽  
Discharge Plan

ABSTRACT Objective: to understand discharge plan and the facilities and difficulties for continuity of care in Primary Health Care. Method: a qualitative and exploratory study carried out in Madrid, Barcelona, Murcia, Seville and Granada, with 29 hospital liaison nurses working in university hospitals, between 2016 and 2018. For data collection, an online questionnaire was used with open and closed questions about the profile of nurses; work context; hospital discharge plan; communication between hospital nurses and primary care. All were analyzed based on Thematic Analysis. Results: hospital liaison nurses from Spain draw up a discharge plan at least 48 hours in advance. They offer a Continuity of Care Report, guide patients, families and caregivers to the necessary care after hospital discharge, coordinate consultations and referrals and carry out home visits. Communication with primary care occurs through the computerized system and telephone. Monitoring takes place using indicators and statistical reports. In cases of readmission, nurses are requested and contacted by nurses in primary care. Communication with primary care is among the facilities. Lack of liaison nurses is among the difficulties. Conclusion: hospital liaison nurses from Spain carry out a discharge plan and communicate with primary care. When patients are hospitalized, they are called when there is a need for continuity of care for primary care.

scholarly journals The role of primary care pharmacists in the response to the Zika epidemic

2021 ◽  
Vol 19 (2) ◽  
pp. 2290
Author(s):  
Cláudia B. Santos-Pinto ◽  
Claudia S. Osorio-de-Castro ◽  
Larissa M. Ferreira ◽  
Elaine S. Miranda
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Health Knowledge ◽  
Preventive Measures ◽  
Knowledge Gaps ◽  
Mato Grosso ◽  
Primary Health

Background: Zika virus (ZIKV) infection emerged in Brazil in 2015, leading to the declaration of a national public health emergency, mainly due to its consequences for pregnant women and newborn babies. The Zika epidemic demanded major efforts from the public health system to address the full range of disease consequences. Objective: The objective of this study was to investigate the role of Primary Health Care pharmacists working in the city of Campo Grande in the State of Mato Grosso do Sul. Methods: A qualitative cross-sectional interview-based study with pharmacists working in municipal Primary Health Care services was carried out to investigate knowledge about the disease and involvement in the response to the health emergency. Informed consent was obtained. After coding, the corpus underwent thematic analysis. Results: The data show that few professionals had received specific training in public health. Knowledge largely encompassed disease transmission by the mosquito and collective and individual preventive measures. Findings highlight knowledge gaps relating to signs and symptoms, diagnosis, consequences of infection, and the role of epidemiological surveillance. Most professionals mentioned at least one of the recommendations on the use of medicines in symptom management protocols. The practical implications surrounding knowledge gaps and misconceptions were reflected in pharmacists´ role in response, restricted to counselling on preventive measures. Few respondents participated in institutional groups and committees or in multiprofessional teams involving case management. Conclusions: The study identified important knowledge gaps and showed that the involvement of pharmacy professionals in the response to the Zika epidemic was timid or inadequate. The results also suggest that pharmacists failed to recognize their role in interventions related to the ZIKV epidemic. Findings highlight the need to increase the involvement of primary care pharmacists in community-based actions, for communication and reduction of health risks, and emergency preparedness and response.

scholarly journals Educar para humanizar: o papel transformador da educação permanente na humanização da atenção básica [Educating to humanize: the transformer role of permanent education in the primary care humanization] [Educar para humanizar: el papel transformador de la educación permanente en la humanización de la atención primaria]

2017 ◽  
Vol 25 ◽  
pp. e26278
Author(s):  
Maria Tereza Soares Rezende Lopes ◽  
Célia Maria Gomes Labegalini ◽  
Vanessa Denardi Antoniassi Baldissera
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Continuing Education ◽  
Health Care Workers ◽  
Educational Interventions ◽  
Review Of Literature ◽  
Primary Health ◽  
Care Workers

Objetivo: elaborar os preceitos teóricos das práticas de Educação Permanente em Saúde para a implantação e utilização dos dispositivos da Política Nacional de Humanização na atenção básica brasileira. Método: revisão realista da literatura do período de 2003 a 2016, norteada pela questão de estudo: Quais as práticas de Educação Permanente em Saúde têm sido utilizadas para a implantação e organização dos dispositivos da Política Nacional de Humanização no âmbito da atenção básica? Resultados: metodologias ativas de aprendizagem e grupalidade foram intervenções educativas relevantes para implantação e utilização dos dispositivos de humanização. A partir dessa evidência, foram identificadas duas teorias que explicitam os processos de educação permanente na atenção básica para a implantação e utilização destes dispositivos. Conclusão: as práticas de Educação Permanente são importantes para a implantação e organização dos referidos dispositivos na atenção básica e os preceitos teóricos elaborados podem tornar os trabalhadores da atenção básica permeáveis à sua implantação e facilitar esse processo.ABSTRACTObjective: to develop the theoretical principles of continuing education in health practices for deployment and use of the provisions of Brazil’s National Humanization Policy in primary care. Method: realistic review of literature from 2003 to 2016, guided by the study question: what continuing health education practices have been used to deploy and organize National Humanization Policy provisions in the primary care context? Results: active learning methodologies and grouping were significant educational interventions used to deploy and use humanization provisions. On this evidence, two theories were identified to explain continuing education processes applied in primary care to deploy and use these provisions. Conclusion: continuing education practices are important to deploy and organize these provisions in primary care, and the theoretical principles developed can make primary health care workers receptive to their introduction, and facilitate this process.RESUMENObjetivo: desarrollar los preceptos teóricos de la Educación Permanente en Salud para la implementación y uso de los dispositivos de la Política Nacional de Humanización en la atención básica brasileña. Método: revisión realista de literatura de 2003 a 2016, guiada por la cuestión de estudio: ¿Qué prácticas de Educación Permanente en Salud se han utilizado para la implementación y organización de los dispositivos de la Política Nacional de Humanización en el contexto de la atención primaria? Resultados: metodologías de aprendizaje y grupalidad fueron intervenciones educativas pertinentes para la implementación y uso de los dispositivos de humanización. Desde esta evidencia, se identificaron dos teorías que explican los procesos de educación permanente en la atención básica para la implementación y uso de estos dispositivos. Conclusión: las prácticas de Educación Permanente son importantes para la organización y la implementación de estos dispositivos en la atención básica y los preceptos teóricos elaborados pueden volver a los trabajadores de atención básica permeables para su implementación y así facilitar este proceso. DOI: http://dx.doi.org/10.12957/reuerj.2017.26278

Interorganisational and interprofessional partnership approaches to achieve more coordinated and integrated primary and community health services: the Australian experience

2009 ◽  
Vol 15 (4) ◽  
pp. 262 ◽  
Author(s):  
Julie McDonald ◽  
Gawaine Powell Davies ◽  
Mark Fort Harris
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Community Health ◽  
Interprofessional Collaboration ◽  
Community Health Services ◽  
Allied Health Professionals ◽  
Hub And Spoke ◽  
Primary Health ◽  
Comprehensive Primary Health Care

Improving collaboration and coordination in primary and community health is a national priority. Two major approaches have been taken: strengthening interorganisational and interprofessional collaboration. This paper reviews current and emerging models of partnerships: divisions of general practice and primary care partnerships (organisational models); and collaboration between general practitioners with practice nurses and with allied health professionals (interprofessional models). The models are reviewed in terms of the governance and formalisation of the partnership arrangements and the level of collaboration they achieve. The organisational models have had different purposes and taken different forms, the ‘hub and spoke’ model of divisions and decentralised ‘network’ relationships of primary care partnerships, both of which have broadly achieved their aims. Interprofessional collaboration involves a complex mix of allegiances and interests that influences the level of collaboration that is achieved. A combination of approaches is needed to achieve more coordinated and integrated primary health care. The implications for several current policy debates are discussed: the establishment of local integrated and comprehensive primary health care centres, regional level primary care organisations and alternative payment mechanisms.

Sign in / Sign up

Export Citation Format

Share Document