scholarly journals What are the perceptions of stakeholders on the utility of the nKPIs for Indigenous services?

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Finlay ◽  
M Williams ◽  
J Judd ◽  
A Brown
Keyword(s):  
Indigenous People ◽  
Policy Development ◽  
Health Care Services ◽  
Development Process ◽  
Care Services ◽  
Indigenous Policy ◽  
Primary Health Care Services ◽  
Level Information ◽  
Commonwealth Government ◽  
High Level

Abstract Background The Australian Commonwealth Government has introduced national key Performance Indicators, (nKPIs), for Indigenous primary health care services, including Aboriginal Community Controlled Health Organisations (ACCHOs). The nKPIs aim to assist in the monitoring of Indigenous people's health and aid ACCHOs to monitor their service delivery. The nKPI development and its ongoing implementation have involved stakeholders including the Council of Australian Governments; national and jurisdictional ACCHO peak bodies; government departments; software developers, and researchers. While high-level information is available about the nKPIs, there is very little publicly available information about how they were developed and implemented. This presentation discusses perspectives from stakeholders on the development and implementation of the nKPIs. Methods Stakeholder interviews (n = 15) aimed to understand the utility and appropriateness of the nKPIs and barriers/enablers to implementation. Stakeholders with knowledge of the development, management or reporting of the nKPIs were recruited. The analysis was conducted inductively and deductively and organised using NVivo. Results The interviews focused on the history of the nKPIs and the context within which these are collected and managed. Several key themes and sub-themes arose from the stakeholder interviews. These themes included the nKPI purpose, development, implementation, and appropriateness. Several interviewees considered the nKPI development process to be flawed, leading to poor data quality and an increased burden on ACCHOs. Conclusions The ACCHO sectors' needs and perspectives were mostly ignored in the development process. Numerous research papers and government documents highlight the need for active engagement of Indigenous people to be actively engaged in the design of policies, programs, and frameworks seeking to improve the health of Indigenous people. Key messages The nKPI implmentation issues could have been avoided had they been developed in partnership with Indigenous organisations. Indigenous policy development needs to be developed in partnership with Indigenous people.

scholarly journals How far can systematic reviews inform policy development for “wicked” rural health service problems?

2009 ◽  
Vol 33 (4) ◽  
pp. 592 ◽  
Author(s):  
John S Humphreys ◽  
Pim Kuipers ◽  
Leigh A D Kinsman ◽  
Robert Wells ◽  
Judith Jones ◽  
...  
Keyword(s):  
Health Service ◽  
Health Services ◽  
Systematic Reviews ◽  
Policy Development ◽  
Health Care Services ◽  
Wicked Problems ◽  
Care Services ◽  
Relevant Evidence ◽  
Primary Health Care Services ◽  
Key Issues

Policy makers and researchers increasingly look to systematic reviews as a means of connecting research and evidence more effectively with policy. Based on Australian research into rural and remote primary health care services, we note some concerns regarding the suitability of systematic review methods when applied to such settings. It suggests that rural and other health services are highly complex and researching them is akin to dealing with ?wicked? problems. It proposes that the notion of ?wicked? problems may inform our understanding of the issues and our choice of appropriate methods to inform health service policy. Key issues including the complexity of health services, methodological limitations of traditional reviews, the nature of materials under review, and the importance of the service context are highlighted. These indicate the need for broader approaches to capturing relevant evidence. Sustained, collaborative synthesis in which complexity, ambiguity and context is acknowledged is proposed as a way of addressing the wicked nature of these issues.

scholarly journals Dengue e chikungunya: soroepidemiologia em usuários da atenção básica

2019 ◽  
Vol 13 (4) ◽  
pp. 1006
Author(s):  
Ilana Mirian Almeida Felipe ◽  
Antonia Khaynnam Silva Costa ◽  
Larissa Neuza da Silva Nina ◽  
Alan Costa Carvalho ◽  
Maria Rosa Quaresma Bomfim
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Services ◽  
Epidemiological Surveillance ◽  
Age Group ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services ◽  
Epidemiological Profile ◽  
High Level

RESUMO Objetivo: caracterizar o perfil epidemiológico das arboviroses dengue e Chikungunya. Método: trata-se de um estudo epidemiológico, descritivo, retrospectivo, quantitativo. Escolheu-se um total de mil prontuários de pacientes com sorologia IgM positiva para dengue e Chikungunya de forma aleatória entre os resultados sorológicos ocorridos no ano de 2016. Coletaram-se as informações sociodemográficas dos pacientes, e os resultados se apresentam em forma de figuras. Resultados: revela-se que, dos mil prontuários escolhidos aleatoriamente de ambas as arboviroses, o sexo feminino foi o mais acometido; a faixa etária com maior número de casos foi de 21 a 40 anos e a com menor número foi em maiores de 60 anos; a etnia parda e a zona urbana foram as que mais apresentaram casos de dengue e Chikungunya e, em relação à notificação, somente um pouco mais da metade dos casos foi notificado. Conclusão: apontou-se, pelo estudo, um perfil endêmico de infecção por arboviroses que merece atenção e esforço dos gestores, profissionais e da sociedade, para o devido controle e monitoramento das arboviroses no Brasil. Ressalta-se a necessidade de os serviços de Atenção Primária à Saúde terem resolutividade quanto à vigilância epidemiológica, principalmente na notificação e investigação das arboviroses de forma adequada. Descritores: Infecções por Arbovírus; Epidemiologia; Chikungunya; Dengue; Atenção Primária à Saúde; Saúde Pública.ABSTRACTObjective: to characterize the epidemiological profile of arboviruses dengue and Chikungunya. Method: this is an epidemiological, descriptive, retrospective, quantitative study. A total of one thousand patient records were selected from patients with dengue-positive IgM seropositivity and were randomly selected from the serological results of the year 2016. Sociodemographic information was collected from the patients, and the results are presented in the form of figures. Results: it is revealed that, of the thousand records chosen at random from both arboviruses, the female was the most affected; the age group with the highest number of cases was between 21 and 40 years old, and the smallest age group was older than 60 years; the ethnic group and the urban area were the ones that presented the most cases of dengue and Chikungunya, and in relation to the notification, only a little more than half of the cases were reported. Conclusion: an endemic profile of arbovirus infection that deserves attention and effort by managers, professionals and society, for the proper control and monitoring of arboviruses in Brazil, was pointed out by the study. It is important to emphasize the need for Primary Health Care services to have a high level of epidemiological surveillance, especially when reporting and investigating arboviruses in an adequate manner. Descriptors: Arbovirus infections; Epidemiology; Chikungunya; Dengue; Primary Health Care; Public health.RESUMEN Objetivo: caracterizar el perfil epidemiológico de las arbovirosis dengue y chikungunya. Método: se trata de un estudio epidemiológico, descriptivo, retrospectivo, cuantitativo. Se eligió un total de mil prontuarios de pacientes con serología IgM positiva para dengue y chikungunya de forma aleatoria entre los resultados serológicos ocurridos en el año 2016. Se recogen las informaciones sociodemográficas de los pacientes y los resultados se presentan en forma de figuras. Resultados: se revela que, de los mil prontuarios elegidos aleatoriamente de ambas arbovirosis, el sexo femenino fue el más acometido; el grupo de edad con mayor número de casos fue de 21 a 40 años y la con menor número fue en mayores de 60 años; la etnia parda y la zona urbana fueron las que más presentaron casos de dengue y chikungunya y, en relación a la notificación, sólo un poco más de la mitad de los casos fue notificado. Conclusión: se apuntó, por el estudio, un perfil endémico de infección por arbovirosis que merece atención y esfuerzo de los gestores, profesionales y de la sociedad, para el debido control y monitoreo de las arbovirosis en Brasil. Se resalta la necesidad de que los servicios de Atención Primaria a la Salud tengan resolución en cuanto a la vigilancia epidemiológica, principalmente en la notificación e investigación de las arbovirosis de forma adecuada. Descriptores: Infecciones por Arbovirus; Epidemiología; Chikungunya; Dengue; Atención Primaria a la Salud; Salud Pública.

scholarly journals Editorial

2008 ◽  
Vol 14 (1) ◽  
pp. 7
Author(s):  
Rae Walker
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Health Care Services ◽  
Social Inclusion ◽  
Research And Practice ◽  
Care Services ◽  
Primary Health ◽  
Illness Prevention ◽  
Primary Health Care Services ◽  
Commonwealth Government

The Australian Journal of Primary Health provides a voice for researchers, and research informed practitioners, interested in the health of the community and the provision of primary health care services. The Journal builds on a long tradition of multi-disciplinary research and practice in primary care, and reflects widely held values that emphasise illness prevention and social inclusion. The priority placed on prevention and social inclusion by the new Commonwealth Government suggests that our readers may be able to look forward to a more optimistic future than many anticipated only a year ago.

scholarly journals Portugal's primary health care human resources assessment

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J Oliveira Miranda ◽  
P Santos Luis ◽  
M Sarmento
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Family Medicine ◽  
Human Resources ◽  
Health Professional ◽  
Health Care Services ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services ◽  
The Mean

Abstract Background Primary health care services are the cornerstone of all health systems. Having clear data on allocated human resources is essential for planning. This work intended to map and compare the primary health care human resources of the five administrative regions (ARS) of the Portuguese public health system, so that better human resources management can be implemented. Methods The chosen design was a descriptive cross sectional study. Each of the five ARS were divided into primary health care clusters, which included several primary health care units. All of these units periodically sign a “commitment letter”, where they stand their service commitments to the covered population. This includes allocated health professionals (doctors, nurses), and the information is publicly accessible at www.bicsp.min-saude.pt. Data was collected for 2017, the year for which more commitment letters were available. Several ratios were calculated: patients/health professional; patients/doctor (family medicine specialists and residents); patients/nurse and patients/family medicine specialist. Mean, standard deviation, minimum and maximum values were calculated. Results National patients/health professional ratio was 702 with the mean of the 5 ARS calculated at 674+-7.15% (min 619, max 734) whilst the national patients/doctor ratio was 1247 with the mean of the 5 ARS calculated at 1217+-7.17% (min 1074, max 1290). National patients/nurse ratio was 1607 with the mean of the 5 ARS calculated at 1529+-13.08% (min 1199, max 1701). Finally, national patients/family medicine specialist ratio was 1711 with the mean of the 5 ARS calculated at 1650+-6,36% (min 1551, max 1795). Conclusions Human resources were differently spread across Portugal, with variations between the five ARS in all ratios. The largest differences occur between nursing staff, and may translate into inequities of access, with impact on health results. A more homogeneous human resources allocation should be implemented. Key messages Human resources in the Portuguese primary health care services are not homogeneously allocated. A better and more homogeneous allocation of human resources should be implemented to reduce access health inequities.

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