scholarly journals Protecting resources for primary health care under fiscal federalism: options for resource allocation

2007 ◽  
Vol 22 (6) ◽  
pp. 415-426 ◽  
Author(s):  
O. A Okorafor ◽  
S. Thomas
Keyword(s):  
Health Care ◽  
Resource Allocation ◽  
Primary Health Care ◽  
Fiscal Federalism ◽  
Primary Health

On Measures of Deprivation and the Spatial Allocation of Resources for Primary Health Care

1994 ◽  
Vol 26 (12) ◽  
pp. 1911-1929 ◽  
Author(s):  
D Martin ◽  
M L Senior ◽  
H C W L Williams
Keyword(s):  
Health Care ◽  
Resource Allocation ◽  
Primary Health Care ◽  
General Practitioners ◽  
Empirical Studies ◽  
Health Sector ◽  
Allocation Of Resources ◽  
Methodological Issues ◽  
Spatial Allocation ◽  
Primary Health

In this paper some of the conceptual and empirical issues in the specification and aggregation of deprivation measures used as a basis for resource allocation in the primary health sector are explored. The problems of deriving deprivation payments to general practitioners (GPs) from data pertaining to individuals are examined, and two empirical studies which draw out methodological issues are described. In the first study, a Bristol database is used to explore the spatial aggregation issue in ranking GP practices on a selected measure of deprivation. In the second, a database relating to English wards is used to investigate the sensitivity of deprivation payments to the statistical transformation and standardisation in the specification of the deprivation index. It is argued that the aggregation and specification issues should be confronted directly in the conceptual and practical developments of current approaches.

scholarly journals Validation of ACG Case-mix for equitable resource allocation in Swedish primary health care

2009 ◽  
Vol 9 (1) ◽  
Author(s):  
Andrzej Zielinski ◽  
Maria Kronogård ◽  
Håkan Lenhoff ◽  
Anders Halling
Keyword(s):  
Health Care ◽  
Resource Allocation ◽  
Primary Health Care ◽  
Case Mix ◽  
Primary Health ◽  
Equitable Resource Allocation

scholarly journals A Percepção de Profissionais e Gestores da Saúde sobre a Alocação de Recursos na Atenção Primária de Municípios de Minas Gerais

2021 ◽  
Vol 28 (98) ◽  
pp. 519-548
Author(s):  
Lucas Maia dos Santos ◽  
Márcio Augusto Gonçalves
Keyword(s):  
Health Care ◽  
Resource Allocation ◽  
Primary Health Care ◽  
Focus Groups ◽  
Health Professionals ◽  
Field Research ◽  
Minas Gerais ◽  
Factors Affecting ◽  
Primary Health ◽  
Management Capability

Abstract This study aimed to examine and describe the perceptions of health professionals and managers about the main phenomena that influence resource allocation in primary health care. Adopting a qualitative approach, the field research was carried out in ten municipalities in Minas Gerais and involved eleven focus groups, six interviews and two semi-structured questionnaires in 2014 and 2015, and nine focus groups and five interviews in 2018, in which participated a total of 133 health professionals and managers. Other sources of evidence were also included, such as non-participating observations, photographs and documents from the Minas Gerais State Health Secretariat and the Ministry of Health. Based on the content analysis, eight categories of phenomena that influence resource allocation in PHC were obtained, derived from daily interactions between the population and health professionals and managers. Our findings show that primary health care is in a process of institutional change, dependent on the validity of actors and institutions, at different institutional levels. Among the determining factors affecting resource allocation in PHC, the main ones are the agency of the actors involved, the health service flow, the private sector, the medical corporatism, the influence of politicians, the municipal management capability, the infrastructure and groups of specific individuals.

scholarly journals The Perception of Health Care Professionals and Managers about Resource Allocation in Primary Health Care in Minas Gerais State Municipalities

2021 ◽  
Vol 28 (98) ◽  
pp. 519-548
Author(s):  
Lucas Maia dos Santos ◽  
Márcio Augusto Gonçalves
Keyword(s):  
Health Care ◽  
Resource Allocation ◽  
Primary Health Care ◽  
Focus Groups ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Field Research ◽  
Minas Gerais ◽  
Primary Health ◽  
Minas Gerais State

Abstract This study aimed to examine and describe the perceptions of health professionals and managers about the main phenomena that influence resource allocation in primary health care. Adopting a qualitative approach, the field research was carried out in ten municipalities in Minas Gerais and involved eleven focus groups, six interviews and two semi-structured questionnaires in 2014 and 2015, and nine focus groups and five interviews in 2018, in which participated a total of 133 health professionals and managers. Other sources of evidence were also included, such as non-participating observations, photographs and documents from the Minas Gerais State Health Secretariat and the Ministry of Health. Based on the content analysis, eight categories of phenomena that influence resource allocation in PHC were obtained, derived from daily interactions between the population and health professionals and managers. Our findings show that primary health care is in a process of institutional change, dependent on the validity of actors and institutions, at different institutional levels. Among the determining factors affecting resource allocation in PHC, the main ones are the agency of the actors involved, the health service flow, the private sector, the medical corporatism, the influence of politicians, the municipal management capability, the infrastructure and groups of specific individuals.

Non-Fatal Deliberate Self-Harm in Three Remote Indigenous Communities in Far North Queensland, Australia

Crisis ◽  
2019 ◽  
Vol 40 (6) ◽  
pp. 422-428 ◽  
Author(s):  
Chris Rouen ◽  
Alan R. Clough ◽  
Caryn West
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Care Center ◽  
Indigenous Communities ◽  
Indigenous Australians ◽  
Deliberate Self Harm ◽  
Health Care Center ◽  
Far North ◽  
Primary Health ◽  
Self Harm

Abstract. Background: Indigenous Australians experience a suicide rate over twice that of the general population. With nonfatal deliberate self-harm (DSH) being the single most important risk factor for suicide, characterizing the incidence and repetition of DSH in this population is essential. Aims: To investigate the incidence and repetition of DSH in three remote Indigenous communities in Far North Queensland, Australia. Method: DSH presentation data at a primary health-care center in each community were analyzed over a 6-year period from January 1, 2006 to December 31, 2011. Results: A DSH presentation rate of 1,638 per 100,000 population was found within the communities. Rates were higher in age groups 15–24 and 25–34, varied between communities, and were not significantly different between genders; 60% of DSH repetitions occurred within 6 months of an earlier episode. Of the 227 DSH presentations, 32% involved hanging. Limitations: This study was based on a subset of a larger dataset not specifically designed for DSH data collection and assesses the subset of the communities that presented to the primary health-care centers. Conclusion: A dedicated DSH monitoring study is required to provide a better understanding of DSH in these communities and to inform early intervention strategies.

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