scholarly journals Primary health care quality and hospitalizations for ambulatory care sensitive conditions in the public health system in Porto Alegre, Brazil

2015 ◽  
Vol 33 (3) ◽  
pp. 238-242 ◽  
Author(s):  
Marcelo Rodrigues Gonçalves ◽  
Lisiane Hauser ◽  
Isaías Valente Prestes ◽  
Maria Inês Schmidt ◽  
Bruce Bartholow Duncan ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Primary Health Care ◽  
Health Care Quality ◽  
Public Health System ◽  
Care Quality ◽  
Ambulatory Care Sensitive Conditions ◽  
Porto Alegre ◽  
The Public ◽  
Primary Health

scholarly journals The importance of strengthening public health systems based on primary health care in designing a successful vaccination strategy: an example of qualitative research in three regions of Senegal.

2019 ◽  
Author(s):  
Jacopo Bianchi ◽  
Chiara Milani ◽  
Angela Bechini ◽  
Sara Boccalini ◽  
Maria José Caldes Pinilla ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Primary Health Care ◽  
Health System ◽  
Public Health System ◽  
Health Workers ◽  
Conventional Medicine ◽  
Specific Information ◽  
The Public ◽  
Primary Health

Abstract Background Because of its low cost and its capability in reducing child mortality and morbidity, vaccination is considered a successful preventive deed in Low and Middle-Income Countries. In Senegal, vaccines are provided free of charge by the public health system, but the provision of the service is not evenly distributed between and within the Regions. Our study aimed at identifying barriers and enabling factors towards vaccination in three Regions of Senegal. Methods We performed 41 face-to-face semi-structured interviews with health services’ workers and three focus groups with local women in nine different structures in three different Regions of Senegal. We combined health workers’ (HW) and mothers’ points of view with direct observation in order to fulfill our purpose. Results We identified three groups of barriers – structural, personal and psychological – and many subthemes for each of them. Structural and personal barriers such as inadequacy of health structures, shortage of HW, lack of money, distance between villages and health facilities and lack of public transport, hamper mothers from utilising the vaccination service, even when they want to. The lack of effective communication between health personnel and mothers, the lack of collaboration between traditional and conventional medicine and the lack of trust in the public health system as a whole, are major problems to the vaccination uptake too. Conclusions The interlink of several elements in conditioning vaccination coverage suggests the need of implementing global and national strategies to overcome them. The key factor is the presence of a solid health system, publicly funded, based on primary health care. On the other hand, context-specific determinants cannot be detected based on global and non-specific information. The role of community health workers (CHWs) is crucial in overcoming wrong beliefs, lack of knowledge and distrust. They must be regarded as a bridge between HW and population. CHWs should be formally included in the organization of the social-health system, adequately formed and enhanced.

scholarly journals Use of online knowledge base in primary health care and correlation to health care quality: an observational study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Christian Gerdesköld ◽  
Eva Toth-Pal ◽  
Inger Wårdh ◽  
Gunnar H. Nilsson ◽  
Anna Nager
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Knowledge Base ◽  
Health Care Quality ◽  
Knowledge Bases ◽  
Patient Experiences ◽  
Outcome Data ◽  
Care Quality ◽  
Evidence Based ◽  
Primary Health

Abstract Background Evidence-based information available at the point of care improves patient care outcomes. Online knowledge bases can increase the application of evidence-based medicine and influence patient outcome data which may be captured in quality registries. The aim of this study was to explore the effect of use of an online knowledge base on patient experiences and health care quality. Methods The study was conducted as a retrospective, observational study of 24 primary health care centers in Sweden exploring their use of an online knowledge base. Frequency of use was compared to patient outcomes in two national quality registries. A socio-economic Care Need Index was applied to assess whether the burden of care influenced the results from those quality registries. Non-parametric statistical methods and linear regression were used. Results Frequency of knowledge base use showed two groups: frequent and non-frequent users, with a significant use difference between the groups (p < 0.001). Outcome data showed significant higher values for all seven National Primary Care Patient Survey dimensions in the frequent compared to the non-frequent knowledge base users (p < 0.001), whereas 10 out of 11 parameters in the National Diabetes Register showed no differences between the groups (p > 0.05). Adjusting for Care Need Index had almost no effect on the outcomes for the groups. Conclusions Frequent users of a national online knowledge base received higher ratings on patient experiences, but figures on health care quality in diabetes showed near to no correlation. The findings indicate that some effects may be attributed to the use of knowledge bases and requires a controlled evaluation.

scholarly journals Primary health care quality in Iran: a systematic review and meta-analysis

2019 ◽  
Vol 21 (1) ◽  
pp. 71-77
Author(s):  
Hasan Abolghasem Gorji ◽  
Sanaz Royani ◽  
Mohammad Mohseni ◽  
Saber Azami-Aghdash ◽  
Ahmad Moosavi ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Primary Health Care ◽  
Health Care Quality ◽  
Meta Analysis ◽  
Care Quality ◽  
Primary Health

scholarly journals What is the relative impact of primary health care quality and conditional cash transfer program in child mortality?

2019 ◽  
Vol 110 (6) ◽  
pp. 756-767
Author(s):  
Anya Pimentel Gomes Fernandes Vieira-Meyer ◽  
Maria Socorro de Araújo Dias ◽  
Maristela Ines Osawa Vasconcelos ◽  
Emilia Soares Chaves Rouberte ◽  
Ana Mattos Brito de Almeida ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Quality ◽  
Conditional Cash Transfer ◽  
Care Quality ◽  
Cash Transfer ◽  
Relative Impact ◽  
Transfer Program ◽  
Primary Health ◽  
Conditional Cash Transfer Program

scholarly journals PRIMARY CARE QUALITY FROM PROFESSIONALS’ PERSPECTIVE: HEALTH OF CHILDREN AND ADOLESCENTS WITH HIV

2017 ◽  
Vol 26 (2) ◽  
Author(s):  
Graziela Piovesan ◽  
Cristiane Cardoso de Paula ◽  
Luis Felipe Dias Lopes ◽  
Stela Maris de Mello Padoin ◽  
Raquel Einloft Kleinubing ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Children And Adolescents ◽  
Health Care Quality ◽  
Health Care Service ◽  
Care Quality ◽  
Integration Of Care ◽  
Primary Health ◽  
Care Assessment

ABSTRACT Objective: evaluate, based on the professionals’ experience, the primary health care quality in home cities of children and adolescents with HIV, treated at a specialized service. Method: cross-sectional study involving 527 professionals in 25 interior cities in Rio Grande do Sul, Brazil, in the first semester of 2014. The Primary Care Assessment Tool was applied. Pearson’s chi-square Test, the Mann Whitney Test and the Poisson Regression were used. Results: the Estratégia Saúde da Família and the primary health care service presented a high score related to the essential attributes: longitudinality (7.17 and 6.74), coordination-integration of care (6.87 and 7.03) and coordination-information systems (8.24 and 8.19); and a low score for the attribute access (3.96 and 3.8). The variables: female gender (0.009), education as general practitioner (<0.001), statutory staff (0.029), coordinator position (0.087) and not having another job (0.027) were also associated with the high score. Conclusion: the coverage of the Estratégia Saúde da Família needs to be expanded and structural and organizational shortages in the access need to be overcome.

scholarly journals The need for biokineticists in the South African public health care system

2017 ◽  
Vol 28 (3) ◽  
Author(s):  
R Evans
Keyword(s):  
Public Health ◽  
Physical Activity ◽  
South Africa ◽  
Health Care ◽  
Primary Health Care ◽  
Health Care System ◽  
Public Health Care ◽  
The Public ◽  
Primary Health ◽  
Care System

Background: Noncommunicable diseases (NCDs) are increasingly prevalent within South Africa. Physical inactivity is a significant, independent and modifiable risk factor increasing the prevalence of NCDs.Discussion: The integration of physical activity programmes into the primary health care system through multidisciplinary platforms is thus advocated for and envisioned to be more cost-effective than current practices. However, currently within the primary health care setting of South Africa, there is an absence of health care professionals adequately equipped to develop and implement physical activity programmes. Biokineticists, whose scope of practice is to improve physical functioning and health through exercise as a modality, are ideally suited to developing and implementing physical activity programmes in the public sector. Yet despite their evident demand, the role of the biokineticist is not incorporated into the national public health care system.Conclusion: This short report calls firstly, for the inclusion of biokinetics into the public health care sector, and secondly, for the funding of multidisciplinary community health programmes supporting education, healthy eating and physical activity levels.

scholarly journals Community and health staff perceptions on non-communicable disease management in primary care in El Salvador: a qualitative study

2019 ◽  
Author(s):  
Nicole Vidal ◽  
Montserrat León ◽  
Marta Jiménez ◽  
Keven Bermúdez ◽  
Pol De Vos
Keyword(s):  
Public Health ◽  
Health Care ◽  
Primary Health Care ◽  
Health System ◽  
El Salvador ◽  
Public Health System ◽  
Term Care ◽  
Primary Health ◽  
Patient Resources

Abstract Non-communicable Diseases (NCDs) are the leading cause of global mortality and disability, with a rising burdenin low- and middle-income countries. Their multifactorial aetiology, and their requirement of long-term care, imply the need for comprehensive approaches. From 2009, the Ministry of Health (MoH) in El Salvador has developed a national public health system based on comprehensive primary health care. This analysis explores community perceptions related to the management of NCDs in this health system. During three fieldwork periods in 2018, three complementary qualitative data collection methods were deployed. First, we used illness narrative methodology to document the life histories of people living with a chronic disease and being treated in second and third level health facilities. Second, through social mapping, we analysed support-resources that NCD patients used throughout the process of their illness. Third, semi-structured interviews were conducted with both chronic patients and health personnel working at different levels of the primary health care setting. Participants were recruited through purposive sampling, and a deductive approach was implemented for coding during the analysis phase. After grouping codes into potential themes, a thematic framework was elaborated for each method through a reflexive approach and triangulation of the data. This innovative approach of combining three well-defined qualitative analysis frameworks identified key implications for the implementation of a comprehensive first line approach to NCDs management in resource-poor settings. Following dimensionsare identified: social risk factors, barriers to care, patient resources and pathways to care, trust in community social connections, and strategies for community health promotion and prevention of NCDs. The Salvadoran public health system has been able to strengthen its comprehensive approach to NCDs, combining a clinical approach – including long term follow-up – with a preventive community-based strategy. The structural collaboration between the health system and the (self)organized community has been key to identify failings, discuss tensions and work out adapted solutions.

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