scholarly journals Attributes of primary care in community health centres in China and implications for equitable care: a cross-sectional measurement of patients' experiences

QJM ◽  
2014 ◽  
Vol 108 (7) ◽  
pp. 549-560 ◽  
Author(s):  
H. H. X. Wang ◽  
S. Y. S. Wong ◽  
M. C. S. Wong ◽  
J. J. Wang ◽  
X. L. Wei ◽  
...  
Keyword(s):  
Primary Care ◽  
Community Health ◽  
Cross Sectional ◽  
Community Health Centres ◽  
Health Centres ◽  
Sectional Measurement

scholarly journals The development of urban community health centres for strengthening primary care in China: a systematic literature review

2015 ◽  
pp. ldv043 ◽  
Author(s):  
Harry H. X. Wang ◽  
Jia Ji Wang ◽  
Samuel Y. S. Wong ◽  
Martin C. S. Wong ◽  
Stewart W. Mercer ◽  
...  
Keyword(s):  
Primary Care ◽  
Literature Review ◽  
Community Health ◽  
Systematic Literature Review ◽  
Urban Community ◽  
Community Health Centres ◽  
Health Centres

Community Health and General Practice: The Impact of Different Cultures on the Integration of Primary Care

2001 ◽  
Vol 7 (1) ◽  
pp. 65 ◽  
Author(s):  
Hal Swerissen ◽  
Jenny Macmillan ◽  
Catuscia Biuso ◽  
Linda Tilgner
Keyword(s):  
Primary Care ◽  
Health Care ◽  
General Practice ◽  
Primary Health Care ◽  
Community Health ◽  
Community Health Centres ◽  
Care Services ◽  
Primary Health ◽  
Health Centres ◽  
The Relationship

This study examined the existing relationship between community health centres and General Practice Divisions in the State of Victoria, including the nature of joint working arrangements and the identification of barriers to greater collaboration. Improved integration of primary health care services has been advocated to improve consumer and population health outcomes and to reduce inappropriate use of acute and extended care services. General practitioners (GPs) and community health centres are two key providers of primary health care with potential for greater integration. The current study conducted telephone interviews with 20 community health centre CEOs and 18 Executive Officers of divisions, which were matched according to catchment boundaries. Results suggest, while some joint planning is occurring, especially on committees, working parties and projects, there is an overall low level of satisfaction with the relationship between community health centres and GPs and GP divisions. Major barriers to greater integration are the financial or business interests of GPs and misunderstanding and differences in perceived roles and ideology between GPs and community health centres. Improved communication, greater contact and referral and follow-up procedures are identified as a means of improving the relationship between GPs, GP divisions and community health centres. Community health centres and general practitioners (GPs) are key providers of primary care (Australian Community Health Association, 1990).

scholarly journals Stroke survivors’ levels of community reintegration, quality of life, satisfaction with the physiotherapy services and the level of caregiver strain at community health centres within the Johannesburg area

2017 ◽  
Vol 6 ◽  
Author(s):  
Adrian Kusambiza-Kiingi ◽  
Douglas Maleka ◽  
Veronica Ntsiea
Keyword(s):  
Quality Of Life ◽  
Community Health ◽  
Caregiver Strain ◽  
Stroke Survivors ◽  
Community Reintegration ◽  
Cross Sectional ◽  
Community Health Centres ◽  
Quality Of Life Scale ◽  
Health Centres

Background: Stroke survivors are discharged home before they are functionally independent and return home with activity limitations that would not be manageable without a caregiver. Aim: To determine stroke survivors’ levels of community reintegration, quality of life (QOL), satisfaction with the physiotherapy services and the level of caregiver strain at community health centres within the Johannesburg area. Method: This was a cross-sectional study using the following outcome measures: Maleka Stroke Community Reintegration Measure, Stroke-specific quality of life scale, Caregiver strain index and Physical therapy patient satisfaction questionnaire. Results: A total of 108 stroke survivors and 45 caregivers participated in this study. The average age of the stroke survivors was 54 years (standard deviation = 12.73) and 58% (n = 62) had moderate to full community reintegration. They were happy with physiotherapy services but not with parking availability and cost of services. The QOL was poor with the lowest scores for energy and highest scores for vision and language domains. Twenty five (55%) caregivers were strained. A positive correlation was found between community reintegration and satisfaction with services (r = 0.27, p 0.0001) and QOL (r = 0.51, p 0.0001). A negative correlation was found between community reintegration and caregiver strain (r = -0.37, p 0.0001). Conclusion: Most stroke survivors are reintegrated into their communities except in the areas of work and education and have poor QOL and most of their caregivers are strained; however, they are satisfied with physiotherapy services.

scholarly journals Analysis of COVID-19 Prevention Behaviour among Diabetes Mellitus Comorbidity Patients in Palembang

2021 ◽  
Vol 9 (2) ◽  
pp. 168
Author(s):  
Giszka Putri ◽  
Hamzah Hasyim ◽  
Nur Alam Fajar
Keyword(s):  
Diabetes Mellitus ◽  
Community Health ◽  
Statistical Significance ◽  
Health Centre ◽  
P Value ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
Community Health Centres ◽  
Health Centres ◽  
Preventive Behaviour

Background: COVID-19 in Diabetes Mellitus (DM) patients are at higher risk for severe complications than people without DM. Preventive behaviour is the best way to avoid COVID-19 infection for DM patients due to its bad impact, such as severe symptoms requiring intensive care, leading to death. Objective: This study aims to analyse the COVID-19 preventive behaviour among DM comorbidity patients in Palembang. Method: The cross-sectional study was conducted from April 2021 to May 2021 using a questionnaire to diabetic patients at six community health centres in Palembang. The questionnaire has four sections: patient characteristics, knowledge, attitude, and COVID-19 prevention behaviour. A proportional random sampling technique was used to determine the number of samples according to the data on diabetic patients in each health centre. The total sample was 183 respondents from 1.266 total population diabetic patients in six community health centres. Respondents were diabetic patients aged ³ 18 years old and willing to fill out the questionnaire. Univariate, bivariate, and multivariate statistical analyses were used to analyse the data. Results: More respondents have good knowledge (50.3%), negative attitude (57.3%), and poor COVID-19 preventive behaviour (53.0%). The findings revealed a statistical significance between knowledge (P-value = 0.0001), attitude (P-value = 0.0001), and educational status (P-value = 0.0001) with COVID-19 preventive behaviour. Furthermore, knowledge is the most determinant factor of COVID-19 preventive behaviour (PR= 7.597, 95% CI: 3.701 – 15.597). Conclusion: According to this study, diabetic patients with poor knowledge are at greater risk of having poor COVID-19 prevention behaviours. COVID-19 prevention programs, especially health education programs at the community health centre, need to be improved to ensure that diabetic patients adopt reasonable and appropriate COVID-19 prevention practices.

scholarly journals Perceived Value of Electronic Medical Records in Community Health Services: A National Cross-Sectional Survey of Primary Care Workers in Mainland China

2020 ◽  
Vol 17 (22) ◽  
pp. 8510
Author(s):  
Zining Xia ◽  
WenJuan Gao ◽  
Xuejuan Wei ◽  
Yingchun Peng ◽  
Hongjun Ran ◽  
...  
Keyword(s):  
Primary Care ◽  
Community Health ◽  
Electronic Medical Records ◽  
Medical Records ◽  
Chronic Conditions ◽  
Mainland China ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Community Health Centres ◽  
Care Workers

Objective: To evaluate the degree to which electronic medical records (EMRs) were used in primary care and the value of EMRs as perceived by primary care workers in China. Methods: A cross-sectional survey was conducted on 2719 physicians (n = 2213) and nurses (n = 506) selected from 462 community health centres across all regions of mainland China except for Tibet. Regional differences in the responses regarding the functionality of existing EMR systems and the perceived value of EMRs were examined using Chi-square tests and ordinal regression analyses. Results: Less than 59% of the community health centres had adopted EMRs. More than 89% of the respondents believed that it was necessary to adopt EMRs in primary care. Of the existing EMR systems, 50% had access to telehealth support for laboratory, imaging or patient consultation services. Only 38.4% captured data that met all task needs and 35.4% supported referral arrangements. “Management of chronic conditions” was voted (66%) as the top preferred feature of EMRs. Higher levels of recognition of the value of EMRs were found in the relatively more developed eastern region compared with their counterparts in other regions. Conclusions: Rapid EMR adoption in primary care is evident in mainland China. The low level of functionality in data acquisition and referral arrangements runs counter to the requirements for “management of chronic conditions”, the most preferred feature of EMRs in primary care. Regional disparities in the realised value of EMRs in primary care deserve policy attention.

scholarly journals The impact of hospital attributes on patient choice for first visit: evidence from a discrete choice experiment in Shanghai, China

2019 ◽  
Vol 35 (3) ◽  
pp. 267-278 ◽  
Author(s):  
Yun Liu ◽  
Qingxia Kong ◽  
Shan Wang ◽  
Liwei Zhong ◽  
Joris van de Klundert
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Community Health ◽  
Discrete Choice ◽  
Choice Experiment ◽  
Patient Flow ◽  
Urban China ◽  
Community Health Centres ◽  
Health Centres ◽  
Efficiency And Effectiveness

Abstract The underutilization of primary care in urban China threatens the efficiency and effectiveness of the Chinese health system. To guide patient flow to primary care, the Chinese government has rolled out a sequence of health care reforms which improve the affordability, the infrastructure and workforce of the primary care system. However, these measures have not yielded the desired effect on the utilization of primary care, which is lowest in urban areas. It is unclear how the factors identified to influence facility choice in urban China are actually impacting choice behaviour. We conducted a discrete choice experiment to elicit the quantitative impact of facility attributes when choosing a health care facility for first visit and analysed how the stated choice varies with these attributes. We found that the respondents placed different weights on the identified attributes, depending on whether they perceived their condition to be minor or severe. For conditions perceived as minor, the respondents valued visit time, equipment and medical skill most. For conditions perceived as severe, they placed most importance on equipment, travel time and facility size. We found that for conditions perceived as minor, only 14% preferred visiting a facility over opting out, a percentage which would more than double to 37% if community health centres were maximally improved. For conditions perceived as severe, improvements in community health centres may almost double first visits to primary care, mostly from patients who would otherwise choose higher-level facilities. Our findings suggest that for both severity conditions, improvements to medical equipment and medical skill at community health centres in urban China can effectively direct patient flow to primary care and promote the efficiency and effectiveness of the urban health system.

Coordination and Integration in the Bentleigh Bayside Community Health Service

2000 ◽  
Vol 6 (4) ◽  
pp. 241
Author(s):  
Lillith Collins ◽  
John Turner
Keyword(s):  
Primary Care ◽  
Health Promotion ◽  
Health Service ◽  
Community Health ◽  
Support Groups ◽  
Community Health Service ◽  
Specific Reference ◽  
Base Line ◽  
Community Health Centres ◽  
Health Centres

The paper examines the development of coordinated and integrated primary care services through the establishment of community health centres in Victoria, with specific reference to the Bentleigh Bayside Community Health Service. In 1985 a random sample of 412 case records indicated that 52.4% of patients had seen more than one discipline at the Centre, and 34.7% of these patients received integrated care through case planning meetings. Fourteen criteria derived from the current literature were used to evaluate the integration and coordination of treatments and of health promotion activities. A repeat study demonstrated gains in health promotion, especially with respect to establishing support groups and the local coordination of community interventions. Integrated casework with external agencies has not changed. The analysis provides a base line for examining the effects of policy developments such as Primary Care Partnerships that address the issues of common assessments, exchange of client information and health promotion. Primary Care Partnerships are an extension of the structures in Community Health Centres. Primary Care Partnerships need to encourage personal contacts between agencies in order for individual and community health plans to be as effective as possible.

scholarly journals What should primary care look like after the COVID-19 pandemic?

2020 ◽  
Vol 26 (3) ◽  
pp. 207 ◽  
Author(s):  
Stephen Duckett
Keyword(s):  
Primary Care ◽  
Health System ◽  
Community Health ◽  
New Normal ◽  
Community Health Centres ◽  
New Ways Of Working ◽  
Health Centres ◽  
General Practices ◽  
Coronavirus Infections

The response to COVID-19 transformed primary care: new telehealth items were added to the Medicare Benefits Schedule, and their use quickly escalated, general practices and community health centres developed new ways of working and patients embraced the changes. As new coronavirus infections plummet and governments contemplate lifting spatial distancing restrictions, attention should turn to the transition out of pandemic mode. Some good things happened during the pandemic, including the rapid introduction of the new telehealth items. The post-pandemic health system should learn from the COVID-19 changes and create a new normal.

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