scholarly journals Iceland and development aid in the era of the MDGs: a case study of an Alma Ata inspired primary healthcare project in southern Malawi

2018 ◽  
Vol 5 (sup1) ◽  
pp. S14-S26
Author(s):  
Geir Gunnlaugsson ◽  
Jónína Einarsdóttir
Keyword(s):  
Primary Healthcare ◽  
Development Aid

scholarly journals The Computer-Assisted Web Interview Method as Used in the National Study of ICT Use in Primary Healthcare in Poland – Reflections on a Case Study

2015 ◽  
Vol 43 (1) ◽  
pp. 137-146 ◽  
Author(s):  
Paweł Sowa ◽  
Bartosz Pędziński ◽  
Michalina Krzyżak ◽  
Dominik Maślach ◽  
Sylwia Wójcik ◽  
...  
Keyword(s):  
Primary Healthcare ◽  
National Study ◽  
Computer Assisted ◽  
Web Surveys ◽  
Technical Aspects ◽  
Interview Method ◽  
Advantages And Disadvantages ◽  
Ict Use ◽  
Aforementioned Study

Abstract The development and widespread use of ICT in society are reflected by the way research is designed and conducted. The Computer Assisted Web Interview method is becoming more attractive and is a frequently used method in health sciences. The National Study of ICT Use in Primary Healthcare in Poland was conducted using this method. The aim of this paper is to present the major advantages and disadvantages of web surveys. Technical aspects of methodology and important stages of the aforementioned study, as well as key elements for its procedure, are mentioned. The authors also provide reflections based on their analysis of this national study, conducted between January and April 2014.

scholarly journals Partnering for change

2019 ◽  
Vol 34 (3) ◽  
pp. 255-272 ◽  
Author(s):  
Martha L.P. MacLeod ◽  
Neil Hanlon ◽  
Trish Reay ◽  
David Snadden ◽  
Cathy Ulrich
Keyword(s):  
Primary Healthcare ◽  
Health Authority ◽  
Service Provision ◽  
Service Providers ◽  
Processes Of Change ◽  
Content Type ◽  
The Status ◽  
Managing Risk ◽  
Healthcare Transformation

Purpose Despite many calls to strengthen connections between health systems and communities as a way to improve primary healthcare, little is known about how new collaborations can effectively alter service provision. The purpose of this paper is to explore how a health authority, municipal leaders and physicians worked together in the process of transforming primary healthcare. Design/methodology/approach A longitudinal qualitative case study was conducted to explore the processes of change at the regional level and within seven communities across Northern British Columbia (BC), Canada. Over three years, 239 interviews were conducted with physicians, municipal leaders, health authority clinicians and leaders and other health and social service providers. Interviews and contextual documents were analyzed and interpreted to articulate how ongoing transformation has occurred. Findings Four overall strategies with nine approaches were apparent. The strategies were partnering for innovation, keeping the focus on people in communities, taking advantage of opportunities for change and encouraging experimentation while managing risk. The strategies have bumped the existing system out of the status quo and are achieving transformation. Key components have been a commitment to a clear end-in-view, a focus on patients, families, and communities, and acting together over time. Originality/value This study illuminates how partnering for primary healthcare transformation is messy and complicated but can create a foundation for whole system change.

scholarly journals Financial viability, benefits and challenges of employing a nurse practitioner in general practice

2015 ◽  
Vol 39 (2) ◽  
pp. 205 ◽  
Author(s):  
Christopher Helms ◽  
Jo Crookes ◽  
David Bailey
Keyword(s):  
General Practice ◽  
Nurse Practitioner ◽  
Primary Healthcare ◽  
Case Reports ◽  
Models Of Care ◽  
Careful Consideration ◽  
Scope Of Practice ◽  
Financial Viability ◽  
Practice Nurses

This case study examines the financial viability, benefits and challenges of employing a primary healthcare (PHC) nurse practitioner (NP) in a bulk-billing healthcare cooperative in the Australian Capital Territory. There are few empirical case reports in the Australian literature that demonstrate financial sustainability of this type of healthcare professional in primary healthcare. This case study demonstrates that the costs of employing a PHC-NP in general practice are offset by direct and indirect Medicare billings generated by the PHC-NP, resulting in a cost-neutral healthcare practitioner. The success of this model relies on bidirectional collaborative working relationships amongst general practitioners and NPs. PHC-NPs should have a generalist scope of practice and specialist expertise in order to maximise their utility within the general practice environment. What is known about the topic? NPs represent a growing workforce of highly trained and educated advanced practice nurses that aims to improve access to timely and affordable healthcare for underserviced populations. Recent legislation has allowed for greater exploration of innovative models of care using NPs in Australian primary healthcare. What does this paper add? This case study provides practical information on the financial and logistical implications of employing an NP in a bulk-billing general practice. It demonstrates the broad capability of this workforce in Australian primary healthcare, and gives an overview of the facilitators and barriers to their use in private practice. What are the implications for practitioners? Employment of a PHC NP in general practice requires careful consideration of the direct and indirect benefits associated with the complimentary care they offer. NP access to the Medicare Benefits Schedule is severely restricted, which impairs their ability to achieve a full scope of practice and may contribute to increased health system costs and inefficiencies. There are opportunities for integration and facilitation of this emerging role in general practice with existing nursing workforce. Further research into this evolving area would be of benefit.

scholarly journals Development Diplomacy: Learning from the Chinese Aid in Building A Road in Nepal

2019 ◽  
Vol 2 (1) ◽  
pp. 112-125
Author(s):  
Bhawana Regmi
Keyword(s):  
Foreign Aid ◽  
Development Aid ◽  
Foreign Assistance ◽  
Whole Process ◽  
Chinese Model ◽  
The People ◽  
High Investment ◽  
Developed Nations ◽  
Aid Policy

Infrastructures development is the backbone of a country's economy. The developing countries like Nepal have to rely upon foreign assistance for the constructions of its mega projects, which need high investment cost, technology, and capable human resources. On this scenario, China government had assisted Nepal in building the eight lanes wide and ten kilometers long Koteswor to Kalanki section of the ring road. This paper describes how local road beneficiaries in Nepal perceive the construction work based on the Chinese model and their understanding on foreign aid development. The paper is based on a qualitative study with an interpretative case study design. The study has revealed that though the development aid policy of the developed nations is useful to maintain the cordial relations with the other developing nations, but at the same time, the people-centered development should not be undermined under this whole process. The explorations of this research are useful in framing appropriate plans and policies for the governments to orient the foreign aid development as per the needs of a larger section of people.

scholarly journals Teaching-service integration: implications and roles in experiences of Undergraduate Courses in Nursing

2014 ◽  
Vol 48 (1) ◽  
pp. 118-124 ◽  
Author(s):  
Laura Cavalcanti de Farias Brehmer ◽  
Flávia Regina Souza Ramos
Keyword(s):  
Nursing Education ◽  
Focus Groups ◽  
Primary Healthcare ◽  
Service Integration ◽  
Qualitative Approach ◽  
Contributing Factors ◽  
Practical Experiences ◽  
Intervening Factors

The study aimed at understanding the implications of the teaching-service integration to nursing education from the perspective of teachers, students and professionals in Primary Healthcare as well as identifying the roles of teachers and professionals who follow practical experiences in education. This is a case study of qualitative approach carried out in five undergraduate courses in Nursing in the state of Santa Catarina. A total of 22 teachers and 14 professionals were interviewed and five focus groups were conducted with students. Results are presented in two categories: Implications of the teaching-service integration to education in Nursing: contributing factors and intervening factors and Relationships established in the experiences: a unison speech and a dissonant practice. The contributions of the teaching-service integration are undeniable. Despite this belief, there are intervening factors that need to be on the agenda for discussion. The role of facilitator in education emerged strongly despite conflicting perceptions remain.

scholarly journals Effective health service planning and delivery: A qualitative case study exploring health service users perspectives

2021 ◽  
Author(s):  
Gigil Marme
Keyword(s):  
Health Service ◽  
Health Services ◽  
Healthcare System ◽  
Primary Healthcare ◽  
Qualitative Case Study ◽  
Service Users ◽  
Health Services Delivery ◽  
Services Delivery ◽  
Delivery Of Health Services

Abstract Introduction: Healthcare service is an essential determinant to population health. This qualitative case study aims to explore health service users’ perspective of effective health services delivery and the current challenges affecting the management and delivery of health services at a primary healthcare facility in Madang Province, Papua New Guinea (PNG). Methods: Qualitative data were collected using semi-structured interviews with key informants (KI) representing academics, undergraduate students, administration staff, patients and healthcare workers. The interviews covered three main areas: users’ views of effective health services, current challenges affecting effective planning and management of primary healthcare services, and interventions to improve health services planning and delivery. Results: The services users associated effective health services delivery with increased availability, accessibility, acceptability, and quality healthcare. Many factors exist to influence the effective planning and delivery of health services. The results show that health systems and personal factors have a major influence on the planning and health services delivery. Conclusion: The findings from this study call for an evaluation of the current healthcare system, particularly at the primary healthcare level, as the primary point of contact to the formal healthcare system, and the need for developing a contextual model of healthcare that meet the needs of the service users. We concluded that if health services users’ perspectives are considered in health policy, the local community may experience significant improvement in health status.

scholarly journals A Case Study of Complementary Alternative Medicines in Primary Healthcare in Ghana

2021 ◽  
pp. 23-33
Author(s):  
Raphael Nyarkotey Obu ◽  
Lawrencia Aggrey–Bluwey
Keyword(s):  
Public Health ◽  
Alternative Medicine ◽  
Medical Practice ◽  
Primary Healthcare ◽  
Public Health System ◽  
Healthcare Delivery ◽  
Complementary Alternative Medicine ◽  
Alternative Medicines

Background: The embryonic field of complementary alternative medicine in Ghana is gradually taking shape. Alternative medicine in Ghana is an important system of medical practice with legislation currently pending for promulgation. Objectives: To support this embryonic industry for potential role into our primary healthcare and public health system, there is a need for robust health care policy in the area of standardization coupled with strong political willpower and research in Ghana. The aim of this case study is to reflect the role of complementary alternative medicine in primary healthcare in Ghana. Methods: The study incorporates a mixed method engaged in integrated data analysis to investigate the challenges of practitioners of complementary alternative medicines as primary healthcare givers. Additionally, it evaluates the pull factors that drive consumers to complementary alternative remedies from the perspectives of the practitioners and finally, to evaluate the opinions of practitioners on consumers’ push factors from mainstream medicine using Ghana as a case model. Results: This study demonstrates that there is a role of complementary alternative medicine in primary healthcare delivery as well as the public health system. However, there are multifactorial challenges in the sector as respondents outlined lack of standardization, disunity and mistrust between complementary alternative medicine and mainstream medical practice. Some of these opposing forces prevent recognition of these remedies into the national healthcare delivery system.  Conclusion: While our findings demonstrate that there is a role of complementary alternative medicines in our public health and primary healthcare in Ghana, we recommend collaboration between complementary alternative and conventional medical practitioners for improvement of quality of life the consumers. We are of the view that, unhealthy competition between the two medical systems should be controlled.

scholarly journals Access to and Quality of Primary Healthcare: a Multi-Country Qualitative Case Study in West and East Africa

2020 ◽  
Author(s):  
Soter Ameh ◽  
Bolarinwa Oladimeji Akeem ◽  
Caleb Ochimana ◽  
Abayomi Olabayo Oluwasanu ◽  
Shukri F Mohamed ◽  
...  
Keyword(s):  
East Africa ◽  
Universal Health Coverage ◽  
Primary Healthcare ◽  
Qualitative Case Study ◽  
Financial Burden ◽  
Cost Of Care ◽  
Health Coverage ◽  
Universal Health

Abstract Background: Universal health coverage is one of the Sustainable Development Goal targets known to improve population health and reduce financial burden. There is little qualitative data on access to and quality of primary healthcare in West and East Africa. We elicited in-depth viewpoints of healthcare users and providers, and other stakeholders regarding access to and quality of healthcare.Methods: A qualitative case study was conducted in four communities in Nigeria, and one community each in Kenya, Uganda and Tanzania in 2018. Purposive sampling was used to recruit 155 participants for 24 focus group discussions, 24 in-depth interviews, and 12 key informant interviews. The conceptual framework in this study combined elements of the Health Belief Model, Health Care Utilisation Model, four ‘As’ of access to care, and pathway model to better understand health-seeking behaviours of the study participants. The data were analysed with MAXQDA 2018 qualitative software to identify three themes identified a priori and one emerging theme.Results: Access to primary healthcare in the seven communities was limited. Quality of care was perceived to be unacceptable in public facilities whereas cost of care was unaffordable in private facilities. Patients and health providers and stakeholders highlighted shortage of equipment, frequent drug stock-outs and long waiting times as major issues, but had varying opinions on satisfaction with care. Use of herbal medicines and other traditional treatments delayed or deterred seeking modern healthcare in Nigerian sites. Conclusions: There was a substantial gap in primary healthcare coverage and quality in the selected communities in rural and urban East and West Africa. Alternative models of healthcare delivery should be used to fill this gap and facilitate achieving universal health coverage.

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