Community-Driven Prioritization of Primary Health Care Access Issues by Bangladeshi-Canadians to Guide Program of Research and Practice

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Tanvir C. Turin ◽  
Sarika Haque ◽  
Nashit Chowdhury ◽  
Fahmida Yeasmin ◽  
Mahzabin Ferdous ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Access ◽  
Research And Practice ◽  
Care Access ◽  
Primary Health

An analysis of the Primary Health Care Access Program in the Northern Territory: A major Aboriginal health policy reform

2004 ◽  
Vol 10 (3) ◽  
pp. 89 ◽  
Author(s):  
Clive Rosewarne ◽  
John Boffa
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Access ◽  
Aboriginal Health ◽  
Northern Territory ◽  
Care Access ◽  
Health Policy Reform ◽  
Funding Model ◽  
Primary Health ◽  
Access Program

This paper describes the development of and lessons learned in implementing the Primary Health Care Access Program (PHCAP) in the Northern Territory. The implementation of the PHCAP is a major Aboriginal health policy reform. PHCAP provides an opportunity for Aboriginal people to gain access to properly resourced comprehensive primary health care (PHC) services. PHCAP is described in its unique funding model that attempts to address tensions within the federal governance system. In this paper we argue that access to PHC services is a key determinant of health and that funding of PHC services has been inadequate and inequitable throughout the Northern Territory. The implementation of PHCAP is reforming the existing health system and leading to the establishment of new PHC services. We analyse the barriers encountered in this process. The PHCAP funding model is analysed for its adequacy and design strength to address federal relations. We consider issues of workforce shortage that will limit our capacity to implement the program and the need for effective regional PHC support services. We conclude that the basic funding model within PHCAP - a grant payment plus access to the Medicare Benefits Schedule and Pharmaceutical Benefits Scheme - is the best possible way to fund comprehensive PHC at the present time, and call for bipartisan party commitment to fully realise the potential of this program to address Aboriginal health inequalities.

scholarly journals Utilization of Breast Cancer Screening in Brazil: An External Assessment of Primary Health Care Access and Quality Improvement Program

2018 ◽  
Vol 4 (1) ◽  
pp. 42-55 ◽  
Author(s):  
Mara Rejane Barroso Barcelos ◽  
Bruno Pereira Nunes ◽  
Suele Manjourany Silva Duro ◽  
Elaine Tomasi ◽  
Rita de Cássia Duarte Lima ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Health Care ◽  
Quality Improvement ◽  
Primary Health Care ◽  
Health Care Access ◽  
Improvement Program ◽  
External Assessment ◽  
Care Access ◽  
Primary Health ◽  
Access And Quality

scholarly journals Barriers to Maori sole mothers' primary health care access

2013 ◽  
Vol 5 (4) ◽  
pp. 315 ◽  
Author(s):  
Rochelle Lee ◽  
Nicola North
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Services ◽  
Health Care Access ◽  
Single Parent ◽  
Health Needs ◽  
Personal Health ◽  
Care Access ◽  
Primary Health ◽  
Barriers To Access

INTRODUCTION: International research consistently shows that sole mothers experience poorer health and suboptimal health care access. New Zealand studies on sole mothers’ health report similar findings. The aim of this exploratory research was to better understand the experiences of Maori sole mothers’ access to health services, particularly primary health care, for personal health needs. METHODS: This qualitative study employed a general inductive design informed by a Kaupapa Maori approach, providing guidance on appropriate cultural protocols for recruiting and engaging Maori participants. Distributing written information and snowballing techniques were used to purposively recruit seven Maori sole mothers. Data collection involved semi-structured interviews which were digitally recorded and transcribed verbatim. Data were analysed using general inductive thematic analysis to identify commonalities and patterns in participants’ experiences. FINDINGS: The dominant themes that emerged captured and described participants’ experiences in accessing health care. The major barrier to access reported was cost. Compounding cost, transport difficulties and location or scheduling of services were additional barriers to health service accessibility. Child-related issues also posed a barrier, including prioritising children’s needs and childcare over personal health needs. CONCLUSION: The findings illuminate Maori sole mothers’ experiences of accessing health care and the complex socioeconomic inequalities affecting access options and uptake of services. Further investigation of barriers to access is needed. The study has implications for addressing barriers to access at policy, funding and practice levels to improve health outcomes and equitable health care access for Maori sole mothers. KEYWORDS: Health services accessibility; Maori; primary health care; single parent; single-parent family; socioeconomic factors

scholarly journals Determinan Pemanfaatan Puskesmas pada Anak Penyandang Disabilitas

2016 ◽  
Vol 4 (1) ◽  
pp. 37
Author(s):  
Orin Annahriyah Syukria ◽  
Stefanus Supriyanto
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Access ◽  
Daily Living ◽  
Minority Group ◽  
Activity Of Daily Living ◽  
Care Access ◽  
Children With Disability ◽  
Primary Health ◽  
People With Disability

People with disability are the largest minority group. WHO informs that the group mostly stay in developing country and one third of them are children. People with disability reported to have less access to health care thancommon society. The objective of this study was to describe the factors possibly influencing the primary health care access of children with disability in Gubeng and Mulyorejo subdistrict, Surabaya, as the one of region in EastJava that reported to have not been accomodate the needs of disabled people. It was cross sectional study with observasional approach. Participants of this study were 160 children with disability along with their parents that choosen by purposive sampling. Half of population were visited and among them obtained 44 samples. The results showed that the variables significantly related to the access of primary health care were the kind of disabilty, activity of daily living value, distance between the house and health care, transportation, parents income, health cost and transportation cost. Either individual or environtmental factor could be known as thefactor that related to the access of health care in children with disability.Keywords: Activity of daily living, disability, environtmental factors, health care access

scholarly journals The expectations of transgender people in the face of their health-care access difficulties and how they can be overcome. A qualitative study in France

2020 ◽  
Vol 21 ◽  
Author(s):  
Emmanuel Allory ◽  
Ellie Duval ◽  
Marion Caroff ◽  
Candan Kendir ◽  
Raphaël Magnan ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Health Care Access ◽  
Primary Care Providers ◽  
Care Providers ◽  
Transgender People ◽  
Care Access ◽  
Care Services ◽  
Primary Health

Abstract Aim: Our objective was to explore the difficulties experienced by transgender people in accessing primary health-care services and their expectations towards primary care providers to improve their health-care access. Background: Because transgender people are exposed to many discriminations, their health-care access is particularly poor. Guidelines recommend greater involvement of primary care providers in the processes because of the accessibility feature of primary care services. Methods: A qualitative study using semi-directed interviews was conducted among 27 transgender people (February 2018 – August 2018). These voluntary participants were recruited through different means: local trans or LGBTI (lesbian, gay, bisexual, trans, and/or intersex) associations, primary care providers, and social networks. The data analysis was based on reflexive thematic analysis in an inductive approach. Findings: Difficulties in accessing health-care occurred at all the levels of the primary health-care system: primary care providers – transgender people interaction, access to the primary care team facility (starting with the secretariat), access to secondary care specialists, and continuity of care. Transgender people report ill-adapted health-care services as a result of gender-based identification in health-care settings. Their main expectation was depsychiatrization and self-determination. They supported mixed health network comprising primary care providers and transgender people with a coordinating role for the general practitioner. These expectations should be priorities to consider in our primary health-care system to improve access to health-care for transgender people.

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