Challenges and innovations in Primary Health Care in the Amazon: A Scoping Review

Abstract Background The Amazon region crosses the territorial borders of nine countries with a vast complexity of ecological and social relations. Outside of large and medium cities, this region comprises a mosaic of ranches, villages, farms, isolated houses and small towns scattered over a vast territory, in large part accessed only by waterway. Working with health in this region requires specific strategies that respect the dynamics of this place. This research aimed to reveal the challenges and innovations of Primary Health Care (PHC) in places outside the largest cities in the Amazon. Methods The scoping review methodology was applied to peer-reviewed articles. Six databases were searched to identify scientific papers published in English, Spanish and Portuguese between January 2000 and November 2019. The analytical strategy was to combine descriptive statistics and qualitative content analysis to extract from each article all the content related to the research questions. Results This review included 26 papers. The most frequent challenges reported in the studies were related to the way of working (8), specific training for professionals (5), leadership and governance (4) and infrastructure improvement (2). A smaller number of studies were dedicated to innovative experiences, which approached training and methodologies for health agents recruited in the communities (4), technologies to the services (2) and a river unit as a model to work in Amazon(1). Conclusions The challenges presented in this review indicate the need to build services that are more sensitive to Amazonian locations and the need to train professionals for this region. Also, it revealed innovations with positive impacts which can be taken as key lessons regarding the functioning of PHC in the Amazon. Key messages This research fills a knowledge gap about PHC in the Amazon. The challenges and innovations presented in the review provide insights to assist PHC policy makers and managers with the design and delivery of health services in the Amazon.

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Patient safety challenges in primary health care: a scoping review

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2019-0209 ◽

2020 ◽

Vol 73 (5) ◽

Author(s):

Carlise Rigon Dalla Nora ◽

Mariur Gomes Beghetto

Keyword(s):

Health Care ◽

Patient Safety ◽

Primary Health Care ◽

Scoping Review ◽

Health Professionals ◽

Health Care Professionals ◽

Improve Patient Safety ◽

Policy Makers ◽

Primary Health ◽

Enhancing Resources

ABSTRACT Objectives: to identify the patient safety challenges described by health professionals in Primary Health Care. Methods: a scoping review was conducted on the LILACS, MEDLINE, IBECS, BDENF, and CINAHL databases, and on the Cochrane, SciELO, Pubmed, and Web of Science libraries in January 2019. Original articles on patient safety in the context of Primary Health Care by health professionals were included. Results: the review included 26 studies published between 2002 and 2019. Four categories resulted from the analysis: challenges of health professionals, administration challenges of health services, challenges with the patient and family, and the potential enhancing resources for patient safety. Conclusions: patient safety challenges for Primary Care professionals are multiple and complex. This study provides insight into resources to improve patient safety for health care professionals, patients, administrators, policy makers, educators, and researchers.

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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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Primary Health Care Models Addressing Health Equity for Immigrants: A Systematic Scoping Review

Journal of Immigrant and Minority Health ◽

10.1007/s10903-016-0531-y ◽

2016 ◽

Vol 20 (1) ◽

pp. 214-230 ◽

Cited By ~ 7

Author(s):

Ricardo Batista ◽

Kevin Pottie ◽

Louise Bouchard ◽

Edward Ng ◽

Peter Tanuseputro ◽

...

Keyword(s):

Health Care ◽

Primary Health Care ◽

Health Equity ◽

Scoping Review ◽

Primary Health ◽

Health Care Models ◽

Care Models

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Organisational models in primary health care to manage chronic conditions: A scoping review

Health & Social Care in the Community ◽

10.1111/hsc.13611 ◽

2021 ◽

Author(s):

Jessica Longhini ◽

Federica Canzan ◽

Elisabetta Mezzalira ◽

Luisa Saiani ◽

Elisa Ambrosi

Keyword(s):

Health Care ◽

Primary Health Care ◽

Scoping Review ◽

Chronic Conditions ◽

Primary Health

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"Scoping Review Nurse’s Knowledge and Practices Regarding Wound Dressing at Primary Health Care Center"

Open Access Journal of Biomedical Science ◽

10.38125/oajbs.000246 ◽

2021 ◽

Vol 3 (3) ◽

Author(s):

Nourah Yousef Aldousari

Keyword(s):

Health Care ◽

Primary Health Care ◽

Scoping Review ◽

Wound Dressing ◽

Care Center ◽

Primary Health Care Center ◽

Health Care Center ◽

Primary Health

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Integration of Primary Health-Care Services in Women’s Shelters: A Scoping Review

Trauma Violence & Abuse ◽

10.1177/1524838018781105 ◽

2018 ◽

Vol 21 (3) ◽

pp. 610-623 ◽

Cited By ~ 2

Author(s):

Tara Mantler ◽

Kimberley T. Jackson ◽

Edmund J. Walsh

Keyword(s):

Health Care ◽

Primary Health Care ◽

Scoping Review ◽

Health Care Services ◽

Health Consequences ◽

Women's Shelters ◽

Care Services ◽

Primary Health ◽

Primary Health Care Services ◽

Women’S Shelters

Women who have experienced intimate partner violence (IPV) have significant detrimental physical and mental health consequences associated with the violence as well as numerous barriers to health-care and social service utilization. Service integration offers a solution to help support women who have experienced violence overcome negative health consequences as well as barriers to system navigation and use. The purpose of this scoping review was to examine research activity pertaining to IPV and primary health-care and women’s shelters integration. Namely, the aim was to determine the extent, range, and nature of research related to the effects of integrating primary health-care services and women’s shelters. Nineteen sources were identified as potentially relevant from four electronic databases, with four articles meeting the inclusion criteria of integration of primary health-care and women’s shelter services where outcomes were presented related to the efficacy of primary health-care received and integration. Numerical analysis revealed considerable homogeneity among articles in terms of methodological approaches, patient populations, and type of integration. Inductive thematic content analysis revealed three themes that resulted from integration: (1) increased access to and acceptability of services, (2) bridge back to health-care, and (3) decreasing future health-care burden. The findings from this scoping review represent a first attempt to summarize the literature, indicate a need for additional research, and suggest implications for practice.

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