scholarly journals Improving the evidence-base for access to primary health care in Canterbury: a panel study

2014 ◽  
Vol 38 (2) ◽  
pp. 171-176 ◽  
Author(s):  
Philip J. Schluter ◽  
Paul Bridgford ◽  
Lynley Cook ◽  
Greg Hamilton
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Panel Study ◽  
Evidence Base ◽  
Primary Health

scholarly journals International and Russian Experience in Primary Health Care Organization

2018 ◽  
pp. 146-148
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Medical Care ◽  
Health Care Organization ◽  
The United States ◽  
Evidence Base ◽  
Care Organization ◽  
Care Provision ◽  
Primary Health ◽  
Effective Instrument

In this study, they presented the analysis of current views on the important link in medical care provision to the population, namely, primary health care. According to the Alma-Ata Declaration on the organization of primary health care this type of medical assistance has made it possible to carry out reforms within this area in many countries, which has led to effective results (the reduction of infant mortality, the increase of life expectancy and a number of other indicators). In this paper, they performed the analysis of Russian and foreign sources of literature on the topic under study between 1978 and 2018. It has been established that primary health care is regarded as the most effective instrument of health protection than specialized medical care according to the experience of Russian Federation, a number of countries in Europe, Asia and the African continent, Australia and the United States. The performed analysis clearly shows that the experience of some countries demonstrates the correlation between the general coverage of primary health care and the achievement of public health indicative indicators. At the same time, the question is raised about the expediency of certain aspect replacement concerning the provision of specialized medical care by the doctors of general practice, i.e. primary health care. The obtained results can be interpreted as an evidence base for the necessity and an undeniable effectiveness of primary health care as a central link in the health care system.

Towards Integrated Service Delivery for Primary Health Care: Can Programs Meet People's Lives?

2000 ◽  
Vol 6 (4) ◽  
pp. 43
Author(s):  
Vivian Lin
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Service Delivery ◽  
Health Care Policy ◽  
Unit Cost ◽  
Policy Research ◽  
Evidence Base ◽  
Integrated Service Delivery ◽  
Primary Health ◽  
Integrated Service

The primary health care sector faces a number of challenges. Some of these are in the form of persistent problems which include, inter alia, health disparities in resources and outcomes, a fragmented health system, issues of power with respect to priority setting and resource allocation, and a poor information and evidence base with which to allocate resources and evaluate outcomes. These problems are perennially accompanied by a gap between the rhetoric of policy and the reality of implementation. Neo-liberal reforms present a series of challenges to primary health, with the introduction of unit-cost funding, competitive tendering and increased user pays. Changing epidemiological patterns, the rise of evidence-based medicine, and new information and communication technology all question accepted methods of practice. Eroding community confidence in government and professionals, and the growing polarisation of society are also cause for concern. Three areas for development in primary health care policy and practice may provide the keys for dealing with these challenges. These are, first, the development of integrated service delivery models, which move away from narrowly defined single purpose programs delivered by one provider. Second, the development of innovative policy and managerial tools that support the objectives of primary health care while addressing the concerns of policy makers. Finally, the development of a strategic research and development agenda that effectively links policy, research and practice.

scholarly journals Delivering primary health care as envisioned

2018 ◽  
Vol 26 (3) ◽  
pp. 231-241 ◽  
Author(s):  
Jennifer Rayner ◽  
Laura Muldoon ◽  
Imaan Bayoumi ◽  
Dale McMurchy ◽  
Kate Mulligan ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Equity ◽  
Care Delivery ◽  
Well Being ◽  
Evidence Base ◽  
Content Type ◽  
Primary Health ◽  
Comprehensive Primary Health Care ◽  
Health And Well Being

PurposeFor over 40 years, Canadian and international bodies have endorsed comprehensive primary health care (PHC), yet very little work has been done to describe how services and programs are delivered within these organizations. Because health equity is now of greater interest to policy makers and the public, it is important to describe an evidence-informed framework for the delivery of integrated and equitable PHC. The purpose of this paper is to describe the development of a “Model of Health and Well-being” (MHWB) that provides a roadmap to the delivery of PHC in a successful network of community-governed PHC organizations in Ontario, Canada.Design/methodology/approachThe MHWB was developed through an iterative process that involved members of community-governed PHC organizations in Ontario and key stakeholders. This included literature review and consultation to ensure that the model was evidence informed and reflected actual practice.FindingsThe MHWB has three guiding principles: highest quality health and well-being for people and communities; health equity and social justice; and community vitality and belonging. In addition, there are eight attributes that describe how services are provided. There is a reasonable evidence base underpinning the all principles and attributes.Originality/valueAs comprehensive, equitable PHC organizations become increasingly recognized as critical parts of the health care system, it is important to have a means to describe their approach to care and the values that drive their care. The MHWB provides a blueprint for comprehensive PHC as delivered by over 100 Community Governed Primary Health Care (CGPHC) organizations in Ontario. All CGPHC organizations have endorsed, adopted and operationalized this model as a guide for optimum care delivery.

scholarly journals Guest Editorial: Getting Evidence into Policy - Stimulating Debate and Building the Evidence Base

2007 ◽  
Vol 13 (2) ◽  
pp. 7
Author(s):  
Nicholas Glasgow ◽  
Lucio Naccarella
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Guest Editorial ◽  
Evidence Base ◽  
Ageing Population ◽  
Medical Workforce ◽  
Health Technologies ◽  
Primary Health ◽  
Co Morbidity ◽  
Productivity Commission

In this special edition of the Journal, we have brought together papers with the aim of contributing to primary health care reform in Australia. The papers will stimulate further debate and increase the evidence base through which policies can be informed. Does primary health care in Australia need reform? Are there fundamental problems with the health system demanding a reform response? The challenges confronting Australia's health care system over the next decade are real and well documented (Productivity Commission, 2005; Australian Medical Workforce Advisory Committee [AMWAC], 2005). They include the ageing population and longer life expectancies, the increasing prevalence of chronic illness and co-morbidity, heightened consumer expectations, advances in health technologies and shortages in the health workforce.

scholarly journals Innovations in primary health care

2021 ◽  
Vol 18 (4) ◽  
pp. 17-25
Author(s):  
E. N. Platoshkin ◽  
Yu. M. Platoshkina ◽  
S. A. Shut ◽  
H. N. Ramanov ◽  
A. N. Kavalchuk ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Medical Practice ◽  
Evidence Base ◽  
Practical Implementation ◽  
Family Practitioner ◽  
Primary Health ◽  
Modern Medical Practice

This review is devoted to a number of important innovations and their role in modern medical practice of a family practitioner. We have discussed benefits, restrictions and controversies related to their use. We have also reviewed the evidence base on the practical implementation of these innovations. This review is devoted to a number of important innovations and their role in modern medical practice of a family practitioner. We have discussed benefits, restrictions and controversies related to their use. We have also reviewed the evidence base on the practical implementation of these innovations.

scholarly journals Activating Partnership Assets to Produce Synergy in Primary Health Care: A Mixed Methods Study

Healthcare ◽  
2021 ◽  
Vol 9 (8) ◽  
pp. 1060
Author(s):  
Ekaterina Loban ◽  
Catherine Scott ◽  
Virginia Lewis ◽  
Susan Law ◽  
Jeannie Haggerty
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Mixed Methods ◽  
Assessment Tool ◽  
Evidence Base ◽  
Mixed Methods Study ◽  
Management Decision ◽  
Structured Interviews ◽  
Primary Health ◽  
Intermediate Outcomes

Partnerships are an important mechanism to tackle complex problems that extend beyond traditional organizational divides. Partnerships are widely endorsed, but there is a need to strengthen the evidence base relating to claims of their effectiveness. This article presents findings from a mixed methods study conducted with the aim of understanding partnership processes and how various partnership factors contribute to partnership effectiveness. The study involved five multi-stakeholder partnerships in Canada and Australia working towards improving accessibility to primary health care for vulnerable populations. Qualitative data were collected through the observation of 14 partnership meetings and individual semi-structured interviews (n = 16) and informed the adaptation of an existing Partnership Self-Assessment Tool. The instrument was administered to five partnerships (n = 54). The results highlight partnership complexity and the dynamic and contingent nature of partnership processes. Synergistic action among multiple stakeholders was achieved through enabling processes at the interpersonal, operational and system levels. Synergy was associated with partnership leadership, administration and management, decision-making, the ability of partnerships to optimize the involvement of partners and the sufficiency of non-financial resources. The Partnership Synergy framework was useful in assessing the intermediate outcomes of ongoing partnerships when it was too early to assess the achievement of long-term intended outcomes.

scholarly journals Innovative technologies in estimation of efficiency and activity efficacy of medical institutions of Stavropol region rendering primary health care

2019 ◽  
Vol 100 (5) ◽  
pp. 810-815
Author(s):  
Yu V Mikhaylova ◽  
I M Son ◽  
N A Golubev ◽  
V N Sorokin ◽  
A A Murav’eva
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Well Being ◽  
Evidence Base ◽  
Primary Health ◽  
Multi Criteria Evaluation ◽  
Medical Institutions ◽  
Efficiency And Effectiveness ◽  
Stavropol Region ◽  
Outpatient Settings

Aim. To assess the efficiency and effectiveness of medical institutions (legal entities) that provide primary health care to the population of Stavropol Region, to form the analytical, scientifically based decision-making base for optimizing the primary health care sector of the Stavropol Region. Methods. The comprehensive analysis of the efficiency and effectiveness of the activities of medical institutions providing primary health care based on the developed technique. Results. The results of the study confirmed the objectivity of the developed system of multi-criteria evaluation of the effectiveness and efficiency of the activities of medical institutions providing primary health care to the population. The results of the assessment became an evidence base for improving the activities of medical institutions providing health care in outpatient settings, and allow providing the comparative analysis of their performance, which is integrated into a single indicator, the well-being index, to form the ratings of medical institutions in the region. Conclusion. The results of the assessment will serve as the evidence base for choosing priority socially important directions and will optimize the activity of providing primary health care to each medical institution of the entire system of outpatient primary health care in Stavropol region.

Evidence-informed primary health care workforce policy: are we asking the right questions?

2010 ◽  
Vol 16 (1) ◽  
pp. 25 ◽  
Author(s):  
Lucio Naccarella ◽  
Jim Buchan ◽  
Peter Brooks
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Workforce ◽  
Policy Making ◽  
Workforce Planning ◽  
Evidence Base ◽  
Policy Reforms ◽  
Health Care Workforce ◽  
Primary Health ◽  
Workforce Policy

Australia is facing a primary health care workforce shortage. To inform primary health care (PHC) workforce policy reforms, reflection is required on ways to strengthen the evidence base and its uptake into policy making. In 2008 the Australian Primary Health Care Research Institute funded the Australian Health Workforce Institute to host Professor James Buchan, Queen Margaret University, UK, an expert in health services policy research and health workforce planning. Professor Buchan’s visit enabled over forty Australian PHC workforce mid-career and senior researchers and policy stakeholders to be involved in roundtable policy dialogue on issues influencing PHC workforce policy making. Six key thematic questions emerged. (1) What makes PHC workforce planning different? (2) Why does the PHC workforce need to be viewed in a global context? (3) What is the capacity of PHC workforce research? (4) What policy levers exist for PHC workforce planning? (5) What principles can guide PHC workforce planning? (6) What incentives exist to optimise the use of evidence in policy making? The emerging themes need to be discussed within the context of current PHC workforce policy reforms, which are focussed on increasing workforce supply (via education/training programs), changing the skill mix and extending the roles of health workers to meet patient needs. With the Australian government seeking to reform and strengthen the PHC workforce, key questions remain about ways to strengthen the PHC workforce evidence base and its uptake into PHC workforce policy making.

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