Health Care, Health Promotion and the Future General Practice

BMJ ◽  
1995 ◽  
Vol 310 (6985) ◽  
pp. 1016-1017 ◽  
Author(s):  
C J Watkins
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
General Practice ◽  
The Future ◽  
Care Health

scholarly journals Telehealth consultations in general practice during a pandemic lockdown: survey and interviews on patient experiences and preferences

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Fiona Imlach ◽  
Eileen McKinlay ◽  
Lesley Middleton ◽  
Jonathan Kennedy ◽  
Megan Pledger ◽  
...  
Keyword(s):  
Health Care ◽  
General Practice ◽  
Access To Health Care ◽  
Online Survey ◽  
Sudden Change ◽  
High Satisfaction ◽  
The Future ◽  
Clinical Relationship ◽  
General Practices ◽  
Key Aspects

Abstract Background During the first COVID-19 pandemic ‘lockdown’ in Aotearoa/New Zealand (March–May 2020, in which strict ‘stay at home’ measures were introduced), general practices were advised to use telephone and video consultations (telehealth) wherever possible instead of the usual in-person visits. This was a sudden change for most practices and patients. This research aimed to explore how patients accessed general practice during lockdown and evaluate their experiences with telehealth, to inform how telehealth could be most effectively used in the future. Methods Using a mixed-method approach, we undertook an online survey and in-depth interviews with adults (> 18 years) who had contact with practices during lockdown, recruited through social media and email lists. We present descriptive statistics from the survey data (n = 1010) and qualitative analysis of interview data (n = 38) and open-ended survey questions, using a framework of access to health care, from the patient’s perspective. Results In general, patients reported high satisfaction with telehealth in general practice during lockdown. Telehealth was convenient and allowed patients to safely access health care without having to weigh-up the fear of COVID-19 infection against the need to be seen. Telehealth worked best for routine and familiar health issues and when rapport was established between patients and clinicians. This was easier with a pre-existing clinical relationship, but not impossible without one. Telehealth was less suitable when a physical examination was needed, when the diagnosis was unknown or for patients who had a strong preference to be seen in-person. Conclusions Even in this disruptive lockdown period, that prompted an unexpected and rapid implementation of telehealth services in general practices, most patients had positive experiences with telehealth. In the future, patients want the choice of consultation type to match their needs, circumstances, and preferences. Technological issues and funding barriers may need to be addressed, and clear communication for both patients and clinicians is needed about key aspects of telehealth (e.g. cost, appropriateness, privacy). Maintaining telehealth as an option post-lockdown has the potential to increase timely and safe access to primary health care for many patients.

scholarly journals Role Identification: an Impediment to Effective Core Primary Health Care Teamwork?

2021 ◽  
Author(s):  
◽  
Jean Ross
Keyword(s):  
Health Care ◽  
General Practice ◽  
Primary Health Care ◽  
General Practitioners ◽  
Team Work ◽  
Role Clarity ◽  
Practice Nurses ◽  
Attitudinal Differences ◽  
Primary Health ◽  
The Future

<p>This study, which is methodologically grounded in qualitative research and philosophically informed by critical social science, explores important aspects of the socio-political context in which practice nurses and general practitioners (core primary health care team) work within a team environment. It is indicated in the literature that there are benefits for improved health care through the development of collaborative teamwork. However, there have been many barriers identified which prevent collaborative teamwork. Amongst the many barriers, is the lack of role clarity and attitudinal differences. Role clarity and attitudinal differences are the topic of this thesis. This thesis explored and highlighted whether the lack of role clarity and attitudinal differences do indeed impede the team's success, and are barriers to teamwork. The views and opinions of practice nurses and general practitioners understanding of their own and each other's current roles within the general practice setting were explored. The participants had the opportunity to discuss together, in focus group meetings, their thoughts on the topic. This raised their awareness of their taken for granted ideas on role and teamwork. Focus groups offered the participants the added opportunity to question each other which allowed for a deeper and more fulfilling understanding of role. New understandings that emerged could lead to alternative models of health care and influence the future delivery and planning of general practice. The thesis concludes by offering a potentially suitable model/framework which has been developed to further the understanding of teamwork in the future.</p>

scholarly journals Telehealth consultations in general practice during a pandemic lockdown: survey and interviews on patient experiences and preferences

2021 ◽  
Author(s):  
F Imlach ◽  
E McKinlay ◽  
Lesley Middleton ◽  
J Kennedy ◽  
Megan Pledger ◽  
...  
Keyword(s):  
Health Care ◽  
General Practice ◽  
Access To Health Care ◽  
Online Survey ◽  
Sudden Change ◽  
High Satisfaction ◽  
The Future ◽  
Clinical Relationship ◽  
General Practices ◽  
Key Aspects

© 2020, The Author(s). Background: During the first COVID-19 pandemic ‘lockdown’ in Aotearoa/New Zealand (March–May 2020, in which strict ‘stay at home’ measures were introduced), general practices were advised to use telephone and video consultations (telehealth) wherever possible instead of the usual in-person visits. This was a sudden change for most practices and patients. This research aimed to explore how patients accessed general practice during lockdown and evaluate their experiences with telehealth, to inform how telehealth could be most effectively used in the future. Methods: Using a mixed-method approach, we undertook an online survey and in-depth interviews with adults (> 18 years) who had contact with practices during lockdown, recruited through social media and email lists. We present descriptive statistics from the survey data (n = 1010) and qualitative analysis of interview data (n = 38) and open-ended survey questions, using a framework of access to health care, from the patient’s perspective. Results: In general, patients reported high satisfaction with telehealth in general practice during lockdown. Telehealth was convenient and allowed patients to safely access health care without having to weigh-up the fear of COVID-19 infection against the need to be seen. Telehealth worked best for routine and familiar health issues and when rapport was established between patients and clinicians. This was easier with a pre-existing clinical relationship, but not impossible without one. Telehealth was less suitable when a physical examination was needed, when the diagnosis was unknown or for patients who had a strong preference to be seen in-person. Conclusions: Even in this disruptive lockdown period, that prompted an unexpected and rapid implementation of telehealth services in general practices, most patients had positive experiences with telehealth. In the future, patients want the choice of consultation type to match their needs, circumstances, and preferences. Technological issues and funding barriers may need to be addressed, and clear communication for both patients and clinicians is needed about key aspects of telehealth (e.g. cost, appropriateness, privacy). Maintaining telehealth as an option post-lockdown has the potential to increase timely and safe access to primary health care for many patients.

1997 Awards for Innovation and Excellence in Primary Health Care - Health Promotion: Syringe Disposal Hotline

1997 ◽  
Vol 3 (3) ◽  
pp. 94
Author(s):  
Tony Palmer
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Health Risks ◽  
Syringe Exchange ◽  
Exchange Programs ◽  
The Public ◽  
Primary Health ◽  
Syringe Disposal ◽  
Local Residents ◽  
Care Health

Brief Description of the Program: Although needle and syringe exchange programs (NSEP) remain integral to Australia's internationally recognised response to the pandemic, the public have very real concerns about the health risks posed by syringes that are improperly disposed. The Syringe Disposal Hotline provides a seven days per week advice, referral, collection and disposal service for local residents concerned about inappropriately discarded sharps.

scholarly journals Translational research: Current status, challenges and future strategies in Nepal

2018 ◽  
Vol 15 (2) ◽  
pp. 3-8 ◽  
Author(s):  
Surya B. Parajuli ◽  
P Bhattarai ◽  
Heera KC
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Translational Research ◽  
Care Delivery ◽  
Clinical Care ◽  
Health Care Delivery System ◽  
Review Article ◽  
Current Status ◽  
Evidence Based ◽  
Care Health

The concept of translational research is emerging around the globe. The practice of clinical care, health promotion and health care delivery system need to be evidence based. Translational research is the utmost solution to generate evidence and implement the scientific findings. Now the time has come to conduct translational research in Nepal to generate our own evidence and to integrate it into the policy of new federal health system. The objective of this review article was to identify status, challenges and future strategies of translational research in Nepal.

scholarly journals Telehealth consultations in general practice during a pandemic lockdown: survey and interviews on patient experiences and preferences

2021 ◽  
Author(s):  
F Imlach ◽  
E McKinlay ◽  
Lesley Middleton ◽  
J Kennedy ◽  
Megan Pledger ◽  
...  
Keyword(s):  
Health Care ◽  
General Practice ◽  
Access To Health Care ◽  
Online Survey ◽  
Sudden Change ◽  
High Satisfaction ◽  
The Future ◽  
Clinical Relationship ◽  
General Practices ◽  
Key Aspects

© 2020, The Author(s). Background: During the first COVID-19 pandemic ‘lockdown’ in Aotearoa/New Zealand (March–May 2020, in which strict ‘stay at home’ measures were introduced), general practices were advised to use telephone and video consultations (telehealth) wherever possible instead of the usual in-person visits. This was a sudden change for most practices and patients. This research aimed to explore how patients accessed general practice during lockdown and evaluate their experiences with telehealth, to inform how telehealth could be most effectively used in the future. Methods: Using a mixed-method approach, we undertook an online survey and in-depth interviews with adults (> 18 years) who had contact with practices during lockdown, recruited through social media and email lists. We present descriptive statistics from the survey data (n = 1010) and qualitative analysis of interview data (n = 38) and open-ended survey questions, using a framework of access to health care, from the patient’s perspective. Results: In general, patients reported high satisfaction with telehealth in general practice during lockdown. Telehealth was convenient and allowed patients to safely access health care without having to weigh-up the fear of COVID-19 infection against the need to be seen. Telehealth worked best for routine and familiar health issues and when rapport was established between patients and clinicians. This was easier with a pre-existing clinical relationship, but not impossible without one. Telehealth was less suitable when a physical examination was needed, when the diagnosis was unknown or for patients who had a strong preference to be seen in-person. Conclusions: Even in this disruptive lockdown period, that prompted an unexpected and rapid implementation of telehealth services in general practices, most patients had positive experiences with telehealth. In the future, patients want the choice of consultation type to match their needs, circumstances, and preferences. Technological issues and funding barriers may need to be addressed, and clear communication for both patients and clinicians is needed about key aspects of telehealth (e.g. cost, appropriateness, privacy). Maintaining telehealth as an option post-lockdown has the potential to increase timely and safe access to primary health care for many patients.

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