A qualitative study of primary health care access, barriers and satisfaction among people with mental illness

2008 ◽  
Vol 13 (3) ◽  
pp. 303-312 ◽  
Author(s):  
Marita P. McCabe ◽  
Loranie Leas
Keyword(s):  
Health Care ◽  
Mental Illness ◽  
Primary Health Care ◽  
Qualitative Study ◽  
Health Care Access ◽  
Access Barriers ◽  
Care Access ◽  
Primary Health ◽  
People With Mental Illness ◽  
Health Care Access Barriers

An analysis of the Primary Health Care Access Program in the Northern Territory: A major Aboriginal health policy reform

2004 ◽  
Vol 10 (3) ◽  
pp. 89 ◽  
Author(s):  
Clive Rosewarne ◽  
John Boffa
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Access ◽  
Aboriginal Health ◽  
Northern Territory ◽  
Care Access ◽  
Health Policy Reform ◽  
Funding Model ◽  
Primary Health ◽  
Access Program

This paper describes the development of and lessons learned in implementing the Primary Health Care Access Program (PHCAP) in the Northern Territory. The implementation of the PHCAP is a major Aboriginal health policy reform. PHCAP provides an opportunity for Aboriginal people to gain access to properly resourced comprehensive primary health care (PHC) services. PHCAP is described in its unique funding model that attempts to address tensions within the federal governance system. In this paper we argue that access to PHC services is a key determinant of health and that funding of PHC services has been inadequate and inequitable throughout the Northern Territory. The implementation of PHCAP is reforming the existing health system and leading to the establishment of new PHC services. We analyse the barriers encountered in this process. The PHCAP funding model is analysed for its adequacy and design strength to address federal relations. We consider issues of workforce shortage that will limit our capacity to implement the program and the need for effective regional PHC support services. We conclude that the basic funding model within PHCAP - a grant payment plus access to the Medicare Benefits Schedule and Pharmaceutical Benefits Scheme - is the best possible way to fund comprehensive PHC at the present time, and call for bipartisan party commitment to fully realise the potential of this program to address Aboriginal health inequalities.

Employment-Related Constraints: Determinants of Primary Health Care Access?

2004 ◽  
Vol 5 (2) ◽  
pp. 73-83 ◽  
Author(s):  
Robyn Panther Gleason ◽  
Shawn M. Kneipp
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Access ◽  
Care Access ◽  
Primary Health

scholarly journals Utilization of Breast Cancer Screening in Brazil: An External Assessment of Primary Health Care Access and Quality Improvement Program

2018 ◽  
Vol 4 (1) ◽  
pp. 42-55 ◽  
Author(s):  
Mara Rejane Barroso Barcelos ◽  
Bruno Pereira Nunes ◽  
Suele Manjourany Silva Duro ◽  
Elaine Tomasi ◽  
Rita de Cássia Duarte Lima ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Health Care ◽  
Quality Improvement ◽  
Primary Health Care ◽  
Health Care Access ◽  
Improvement Program ◽  
External Assessment ◽  
Care Access ◽  
Primary Health ◽  
Access And Quality

scholarly journals Barriers to Maori sole mothers' primary health care access

2013 ◽  
Vol 5 (4) ◽  
pp. 315 ◽  
Author(s):  
Rochelle Lee ◽  
Nicola North
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Services ◽  
Health Care Access ◽  
Single Parent ◽  
Health Needs ◽  
Personal Health ◽  
Care Access ◽  
Primary Health ◽  
Barriers To Access

INTRODUCTION: International research consistently shows that sole mothers experience poorer health and suboptimal health care access. New Zealand studies on sole mothers’ health report similar findings. The aim of this exploratory research was to better understand the experiences of Maori sole mothers’ access to health services, particularly primary health care, for personal health needs. METHODS: This qualitative study employed a general inductive design informed by a Kaupapa Maori approach, providing guidance on appropriate cultural protocols for recruiting and engaging Maori participants. Distributing written information and snowballing techniques were used to purposively recruit seven Maori sole mothers. Data collection involved semi-structured interviews which were digitally recorded and transcribed verbatim. Data were analysed using general inductive thematic analysis to identify commonalities and patterns in participants’ experiences. FINDINGS: The dominant themes that emerged captured and described participants’ experiences in accessing health care. The major barrier to access reported was cost. Compounding cost, transport difficulties and location or scheduling of services were additional barriers to health service accessibility. Child-related issues also posed a barrier, including prioritising children’s needs and childcare over personal health needs. CONCLUSION: The findings illuminate Maori sole mothers’ experiences of accessing health care and the complex socioeconomic inequalities affecting access options and uptake of services. Further investigation of barriers to access is needed. The study has implications for addressing barriers to access at policy, funding and practice levels to improve health outcomes and equitable health care access for Maori sole mothers. KEYWORDS: Health services accessibility; Maori; primary health care; single parent; single-parent family; socioeconomic factors

scholarly journals Opinions on mental illness from the perspective of primary care nurses in Portugal

2019 ◽  
Vol 40 ◽  
Author(s):  
Carla Silvia Neves da Nova Fernandes ◽  
Wallace Borges Costa dos Santos ◽  
Wanderson Carneiro Moreira ◽  
Divane de Vargas ◽  
Maria do Perpétuo Socorro de Sousa Nóbrega
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Mental Illness ◽  
Primary Health Care ◽  
Cross Sectional ◽  
Primary Health ◽  
People With Mental Illness ◽  
Primary Care Nurses ◽  
Opinions About Mental Illness ◽  
Unit Of Action

Abstract Objective: To identify the opinions of primary care nurses regarding mental illness and the care provided to this population. Methodology: Cross-sectional, quantitative study with the participation of 328 nurses of primary health care in Porto, Portugal. Data collected between April and August of 2018 through the scale "Opinions about Mental Illness" and socio demographic and labor questionnaire. Descriptive and correlational statistics were applied. Results: A total of 50% of the nurses presented positive opinions about the mental illness. Regarding the assistance provided in their unit of action, 53.4% considered inadequate and 50.3% recognized as adequate their knowledge about the role that primary health care has in assisting the person with mental illness. Conclusion: Positive opinions and recognition of the importance of primary care to people with mental illness are important indicators for qualified mental health care outside the field of specialty.

Health and Health Care Access Barriers Among Transgender Women Engaged in Sex Work: A Synthesis of U.S.-Based Studies Published 2005–2019

LGBT Health ◽  
2020 ◽  
Author(s):  
Neena K. Aggarwal ◽  
Katherine E. Consavage ◽  
Ida Dhanuka ◽  
Kesiah W. Clement ◽  
Jennifer H. Bouey
Keyword(s):  
Health Care ◽  
Sex Work ◽  
Health Care Access ◽  
Transgender Women ◽  
Access Barriers ◽  
Care Access ◽  
Health Care Access Barriers

Defining and Targeting Health Care Access Barriers

2011 ◽  
Vol 22 (2) ◽  
pp. 562-575 ◽  
Author(s):  
J. Emilio Carrillo ◽  
Victor A. Carrillo ◽  
Hector R. Perez ◽  
Debbie Salas-Lopez ◽  
Ana Natale-Pereira ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Access ◽  
Access Barriers ◽  
Care Access ◽  
Health Care Access Barriers

Community-Driven Prioritization of Primary Health Care Access Issues by Bangladeshi-Canadians to Guide Program of Research and Practice

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Tanvir C. Turin ◽  
Sarika Haque ◽  
Nashit Chowdhury ◽  
Fahmida Yeasmin ◽  
Mahzabin Ferdous ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Access ◽  
Research And Practice ◽  
Care Access ◽  
Primary Health

scholarly journals Focused policy is needed to reduce inequities in primary health care access for children

2018 ◽  
Vol 190 (14) ◽  
pp. E412-E413
Author(s):  
Astrid Guttmann
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Access ◽  
Care Access ◽  
Primary Health
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