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

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.

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 TUBERCULOSIS CONTROL ACTIONS: ANALYSIS BASED ON THE ACCESS AND PRIMARY HEALTH CARE QUALITY IMPROVEMENT PROGRAM

2016 ◽  
Vol 25 (4) ◽  
Author(s):  
Francisco de Sales Clementino ◽  
Emanuella de Castro Marcolino ◽  
Luciano Bezerra Gomes ◽  
Joria Viana Guerreiro ◽  
Francisco Arnoldo Nunes de Miranda
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Quality ◽  
National Level ◽  
Care Quality ◽  
Annual Number ◽  
Improvement Program ◽  
External Assessment ◽  
Primary Health ◽  
Directly Observed Treatment

ABSTRACT The study's aim was to analyze primary health care delivered to people with tuberculosis on a national level, based on the information collected by an external assessment implemented by the Programa de Melhoria do Acesso e da Qualidade da Atenção Básica. This cross-sectional study with a quantitative approach used data from the 2nd cycle external assessment of the Programa de Melhoria do Acesso e da Qualidade da Atenção Básica conducted in 2014. The Statistical Package for Social Sciences was used to establish frequencies and check for associations using the Chi-square test. The percentage of Family Health Strategy units recording the annual number of confirmed tuberculosis cases and respiratory symptoms was high for the entire country (81.1%). In contrast, the recording of follow-up of tuberculosis cases was performed by only 48.3% of the facilities, while only 48% of the health basic unites units implemented directly observed treatment. The findings reveal barriers in the structure of health basic unites units regarding the operationalization and sustainability of care provided to individuals with tuberculosis, including directly observed treatment.

Sign in / Sign up

Export Citation Format

Share Document