Development and evaluation of a web-based capacity building course in the EUR-HUMAN project to support primary health care professionals in the provision of high-quality care for refugees and migrants

Abstract Background Non-communicable diseases are leading causes of death and disability across the world. Countries with the highest non-communicable disease (NCD) burden in the WHO European Region are often those that have some of the greatest health system challenges for achieving good outcomes in prevention and care. The aim of this study was to evaluate the effect of an interprofessional capacity building intervention carried out in Ukraine to improve the management non-communicable diseases in primary health care. Methods A mixed-methods evaluation study was performed in 2018 to analyse the effect of a capacity building intervention carried out for over 10,000 primary care professionals in Ukraine in 2018. Quantitative data were collected from primary health care records of intervention and control areas preceding the intervention and 1.5 to 2 years after the intervention. Altogether 2798 patient records before and 2795 after the intervention were reviewed. In control areas, 1202 patient records were reviewed. Qualitative data were collected carrying out focus group interviews for health professionals, clinic managers and patients. Also, observations of clinical practice and patient pathways were performed. Results The capacity building intervention improved the capacity of professionals in detection and management of non-communicable disease risk factors. Significant improvement was seen in detection rates of both behavioural and biological risk factors and in medication prescription rates in the intervention areas. However, almost similar improvement in prescription rates was also observed in control clinics. Improvements in control of blood pressure, blood glucose and cholesterol were not seen during the evaluated implementation period. Qualitative analyses highlighted the improved knowledge and skills but challenges in changing the current practice. Conclusions A large scale capacity building intervention improved primary health care professionals’ knowledge, skills and clinical practice on NCD risk detection and reduction. We were not able to detect improvements in treatment outcomes - at least within 1.5 to 2 years follow-up. Improvement of treatment outcomes would most likely need more comprehensive systems change.

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An Alternative Approach To User Fee Policy In The Primary Health Care Setting Of Bangladesh.

10.31219/osf.io/n5j8k ◽

2020 ◽

Author(s):

Nazneen Akhter

Keyword(s):

Health Care ◽

Primary Health Care ◽

Complex Dynamics ◽

Quality Care ◽

Secondary Data ◽

User Fees ◽

Primary Health ◽

Alternative Approach ◽

Benefit Principle ◽

User Fee

The concept of ascribing user fee in health care settings always remained a policy struggle and countries experienced different learning in this regards while implementing user fee at different tiers of health settings. The most exquisite learning among the many country specific evidences related to user fee are the match and mismatch between the equity principle and benefit principle while considering the client perspective. There is an added dimension of quality care which also add more complex dynamics into this concept since the quality care consideration has a double edged perspective both for clients and providers, where which one will get superiority over whom is a great question in health care, especially in the Primary Health care (PHC) of the country. In this reality the appropriate implementation guideline, followed by an appropriate practice of the administrative and management both service oriented and financial are of great importance in this user fee implementation consideration which always remained a challenge in the health care specially in remote care of PHC. This paper attempted a secondary data searching and scoping the available documents of Bangladesh and across the world to find an alternative approach to user fees policy where equity and benefit principle and quality - these three have to be placed in a well-constructed triad in PHC implementation which has been recommended as an alternative policy imperative in approaching user fees for Bangladesh PHC settings.

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Disaster Management in Rural and Remote Primary Health Care: A Scoping Review

Prehospital and Disaster Medicine ◽

10.1017/s1049023x21000200 ◽

2021 ◽

Vol 36 (3) ◽

pp. 362-369

Author(s):

Katie A. Willson ◽

Gerard J. FitzGerald ◽

David Lim

Keyword(s):

Mental Health ◽

Health Care ◽

Primary Health Care ◽

Mental Health Care ◽

Disaster Management ◽

Scoping Review ◽

Health Care Professionals ◽

Disaster Preparedness ◽

Rural And Remote ◽

Primary Health

AbstractObjective:This scoping review aims to map the roles of rural and remote primary health care professionals (PHCPs) during disasters.Introduction:Disasters can have catastrophic impacts on society and are broadly classified into natural events, man-made incidents, or a mixture of both. The PHCPs working in rural and remote communities face additional challenges when dealing with disasters and have significant roles during the Prevention, Preparedness, Response, and Recovery (PPRR) stages of disaster management.Methods:A Johanna Briggs Institute (JBI) scoping review methodology was utilized, and the search was conducted over seven electronic databases according to a priori protocol.Results:Forty-one papers were included and sixty-one roles were identified across the four stages of disaster management. The majority of disasters described within the literature were natural events and pandemics. Before a disaster occurs, PHCPs can build individual resilience through education. As recognized and respected leaders within their community, PHCPs are invaluable in assisting with disaster preparedness through being involved in organizations’ planning policies and contributing to natural disaster and pandemic surveillance. Key roles during the response stage include accommodating patient surge, triage, maintaining the health of the remaining population, instituting infection control, and ensuring a team-based approach to mental health care during the disaster. In the aftermath and recovery stage, rural and remote PHCPs provide long-term follow up, assisting patients in accessing post-disaster support including delivery of mental health care.Conclusion:Rural and remote PHCPs play significant roles within their community throughout the continuum of disaster management. As a consequence of their flexible scope of practice, PHCPs are well-placed to be involved during all stages of disaster, from building of community resilience and contributing to early alert of pandemics, to participating in the direct response when a disaster occurs and leading the way to recovery.

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Supportive supervision: An effective intervention in achieving high quality malaria case management at primary health care level in Jos, Nigeria

Annals of African Medicine ◽

10.4103/1596-3519.122695 ◽

2013 ◽

Vol 12 (4) ◽

pp. 243 ◽

Cited By ~ 15

Author(s):

DanjumaAyotunde Bello ◽

ZuwairaIbrahim Hassan ◽

TolulopeOlumide Afolaranmi ◽

YetundeOlubusayo Tagurum ◽

OluwabunmiOluwayemisi Chirdan ◽

...

Keyword(s):

Health Care ◽

Primary Health Care ◽

Case Management ◽

Malaria Case ◽

Effective Intervention ◽

Supportive Supervision ◽

Malaria Case Management ◽

High Quality ◽

Care Level ◽

Primary Health

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Further steps to define and deliver high quality care for care clusters: the mental health care clusters and pathways website

Mental Health Review Journal ◽

10.1108/13619321311306893 ◽

2013 ◽

Vol 18 (1) ◽

pp. 4-13

Author(s):

Michael Clark ◽

Clare Hilton ◽

Wendy Shiels ◽

Carole Green ◽

Christina Walters ◽

...

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Health Care ◽

Quality Care ◽

High Quality ◽

High Quality Care

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The Use of and Attitude Towards Telehealth in Rural Communities

Australian Journal of Primary Health ◽

10.1071/py07035 ◽

2007 ◽

Vol 13 (3) ◽

pp. 29 ◽

Cited By ~ 4

Author(s):

Emily Mauldon

Keyword(s):

Health Care ◽

Primary Health Care ◽

Health Care Providers ◽

Health Care Professionals ◽

Routine Practice ◽

Care Providers ◽

Urban Hospital ◽

Primary Health ◽

The Impact ◽

Rural Patients

This paper reports on the attitudes of a sample of health care providers towards the use of telehealth to support rural patients and integrate rural primary health and urban hospital care. Telehealth and other information technologies hold the promise of improving the quality of care for people in rural and remote areas and for supporting rural primary health care providers. While seemingly beneficial for rural patients, study participants believed that telehealth remains underused and poorly integrated into their practice. In general, participants thought that telehealth is potentially beneficial but places constraints on their activities, and few actually used it. Published literature usually reports either on the success of telehealth pilot projects or initiatives that are well resourced and do not reflect the constraints of routine practice, or has an international focus limiting its relevance to the Australian context. Because of the paucity of systematic and generalisable research into the effects of the routine use of telehealth to support rural patients, it is unclear why health care professionals choose to provide such services or the costs and benefits they incur in doing so. Research and policy initiatives continue to be needed to identify the impact of telehealth within the context of Australian primary health care and to develop strategies to support its use.

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Development of the perceptions of preventable adverse events assessment tool (PPAEAT): measurement properties and patients’ mental health status

International Journal for Quality in Health Care ◽

10.1093/intqhc/mzab063 ◽

2021 ◽

Vol 33 (2) ◽

Author(s):

Franziska Maria Keller ◽

Christina Derksen ◽

Lukas Kötting ◽

Martina Schmiedhofer ◽

Sonia Lippke

Keyword(s):

Mental Health ◽

Health Care ◽

Patient Safety ◽

Primary Health Care ◽

Adverse Events ◽

Health Care Professionals ◽

Discriminant Validity ◽

Assessment Tool ◽

Primary Health ◽

Item Scale

Abstract Background Patient-centered care and patient involvement have been increasingly recognized as crucial elements of patient safety. However, patient safety has rarely been evaluated from the patient perspective with a quantitative approach aiming at making patient safety and preventable adverse events measurable. Objectives The objectives of this study were to develop and evaluate the psychometric properties of a questionnaire assessing patient safety by perceived triggers of preventable adverse events among patients in primary health-care settings while considering mental health. Methods Two hundred and ten participants were recruited through various digital and print channels and asked to complete an online survey between November 2019 and April 2020. Exploratory factor analysis was performed to identify domains of triggers of preventable adverse events affecting patient safety. Furthermore, a multi-trait scaling analysis was performed to evaluate internal reliability as well as item-scale convergent–discriminant validity. A multivariate analysis of covariance evaluated whether individuals below and above the symptom threshold for depression and generalized anxiety perceive triggers of preventable adverse events differently. Results The five factors determined were information and communication with patients, time constraints of health-care professionals, diagnosis and treatment, hygiene and communication among health-care professionals, and knowledge and operational procedures. The questionnaire demonstrated a good total and subscale internal consistency (α = 0.90, range = 0.75–0.88), good item-scale convergent validity with significant correlations between 0.57 and 0.78 (P < 0.05; P < 0.01) for all items with their associated subscales, and satisfactory item-scale discriminant validity between 0.14 and 0.55 (P > 0.05) with no significant correlations between the items and their competing subscales. The questionnaire further revealed to be a generic measure irrespective of patients’ mental health status. Patients older than 50 years of age perceived a significantly greater threat to their own safety compared to patients below that age. Conclusion The developed Perceptions of Preventable Adverse Events Assessment Tool (PPAEAT) exhibits good psychometric properties, which supports its use in future research and primary health-care practice. Further validation of the PPAEAT in different settings, languages and larger samples is needed. The results of this study need to be considered when assessing patient safety in the context of health-care research.

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The Role of Primary Health Care Professionals

Chronic Kidney Disease in Disadvantaged Populations ◽

10.1016/b978-0-12-804311-0.00031-5 ◽

2017 ◽

pp. 329-335 ◽

Cited By ~ 4

Author(s):

Alfonso M. Cueto-Manzano ◽

Héctor R. Martínez-Ramírez ◽

Laura Cortés-Sanabria ◽

Enrique Rojas-Campos

Keyword(s):

Health Care ◽

Primary Health Care ◽

Health Care Professionals ◽

Primary Health

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