scholarly journals Development and evaluation of a training programme on asset-based community development aimed at general practice trainees: protocol for a mixed-method multilevel and multicentric action research study

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e040043
Author(s):  
Sara Calderón-Larrañaga ◽  
Blanca Valls-Pérez ◽  
Adrián Cardo-Miota ◽  
Blanca Botello ◽  
Nieves Lafuente ◽  
...  
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Action Research ◽  
Community Development ◽  
Community Health ◽  
Research Study ◽  
Training Programme ◽  
Care Workers ◽  
Asset Based Community Development ◽  
Health Assets

IntroductionAsset-based community development (ABCD) is a strategy aimed at strengthening communities of interest through the identification and enhancement of those protective resources (also called ‘health assets’) that contribute to improve population health. Although primary care is specially well placed to contribute to ABCD by facilitating patients’ access to community health assets, the implementation of ABCD approaches is limited, in part due to training deficiencies amongst general practitioners. In this study, we will develop a training programme on ABCD aimed at general practice trainees and evaluate its implementation and scale-up in Andalusia, Spain. We will also investigate whether the programme may contribute to strengthen the community orientation of the primary care practices involved in the study.Methods and analysisWe will undertake a mixed methods, multilevel and multicentric action research study drawing on theoretical frameworks relevant to learning (pedagogy) and community health promotion. The intervention will be implemented and evaluated in eight different study areas over 48 months. It will comprise a classroom-based session and a practical exercise, which will involve general practice trainees producing a map of community health assets relevant to common health conditions. In each study area, we will set up a stakeholder group to guide our study. We will run the intervention sequentially across the eight study areas, and modify and refine it iteratively by incorporating the findings from the evaluation. We will employ qualitative (interviews and focus groups with general practice trainees, primary care workers, members of the teaching units and policymakers) and quantitative methods (self-administered questionnaires with an approximate sample of 157 general practice trainees and 502 primary care workers).Ethics and disseminationEthics approval from the Andalusian Regional Health Council has been granted (6/2020). It is envisaged that this research will provide relevant, evidence-based guidance on how best to incorporate learning on ABCD into the general practice training curriculum. Findings will be disseminated in an ongoing manner and will target the following audiences: (1) general practice trainees, primary care workers and members of the teaching units, (2) policymakers and strategic decision makers and (3) the academic community.

scholarly journals Integrating a nationally scaled workforce of community health workers in primary care: a modelling study

2018 ◽  
Vol 111 (12) ◽  
pp. 453-461 ◽  
Author(s):  
Benedict Hayhoe ◽  
Thomas E Cowling ◽  
Virimchi Pillutla ◽  
Priya Garg ◽  
Azeem Majeed ◽  
...  
Keyword(s):  
Primary Care ◽  
General Practice ◽  
Community Health ◽  
Health Worker ◽  
Community Health Workers ◽  
Community Health Worker ◽  
Health Workers ◽  
Pilot Studies ◽  
Cancer Screenings ◽  
Home Based

Objective To model cost and benefit of a national community health worker workforce. Design Modelling exercise based on all general practices in England. Setting United Kingdom National Health Service Primary Care. Participants Not applicable. Data sources Publicly available data on general practice demographics, population density, household size, salary scales and screening and immunisation uptake. Main outcome measures We estimated numbers of community health workers needed, anticipated workload and likely benefits to patients. Results Conservative modelling suggests that 110,585 community health workers would be needed to cover the general practice registered population in England, costing £2.22bn annually. Assuming community health workerss could engage with and successfully refer 20% of eligible unscreened or unimmunised individuals, an additional 753,592 cervical cancer screenings, 365,166 breast cancer screenings and 482,924 bowel cancer screenings could be expected within respective review periods. A total of 16,398 additional children annually could receive their MMR1 at 12 months and 24,716 their MMR2 at five years of age. Community health workerss would also provide home-based health promotion and lifestyle support to patients with chronic disease. Conclusion A scaled community health worker workforce integrated into primary care may be a valuable policy alternative. Pilot studies are required to establish feasibility and impact in NHS primary care.

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 Women, wellbeing and the city: A model of participatory health research exploring physical activity in Black, Asian and minority ethnic communities

2020 ◽  
pp. 001789692097132
Author(s):  
Denise Peerbhoy ◽  
Masoumeh Minou ◽  
Gareth Stratton
Keyword(s):  
Physical Activity ◽  
Action Research ◽  
Community Development ◽  
Feasibility Study ◽  
Health Research ◽  
Research Study ◽  
Advisory Group ◽  
Participatory Health Research ◽  
The City ◽  
Minority Ethnic

Objective: The aim of this project was to document a partnership working process from a cross-sectoral and cross-cultural participatory health research study focused on promoting physical activity among women from Black, Asian and minority ethnic (BAME) backgrounds. Design: A participatory health research paradigm was used to support this pilot feasibility study into partnership working for health promotion. Action research and community development principles underpinned the design, delivery and interpretation of findings from a community-based survey, data from four focus groups and bespoke interventions. Setting: Community groups from education, leisure, health and religious community sectors, and charity sectors, in the City of Liverpool, met in different venues representing those sectors. Method: Reflection on the process of community engagement in a research study guided by socio-ecological model, community development and action research principles. Results: Seven emerging collaborative processes based on effective partnership working, capacity-building practice and sustaining health and wellbeing evolved from a partnership between a Community Researchers Advisory Group and a Partners Advisory Group. BAME ‘community connectors’ were key to obtaining feedback from 213 women from 16 ethnic groups, which influenced the development of bespoke interventions and local sport and physical activity long-term policy, as one means of reducing social inequalities for women from BAME backgrounds. Conclusion: This feasibility study demonstrates the effectiveness and limitations of partnership working as a public health tool. The local Sport and Physical Activity Alliance and council department worked together to promote the sustainability of BAME-focused programmes as part of their governance and policy frameworks.

scholarly journals Introducing Pharmaceutical Care to Primary Care in Iceland—An Action Research Study

Pharmacy ◽  
2017 ◽  
Vol 5 (4) ◽  
pp. 23 ◽  
Author(s):  
Anna Blondal ◽  
Sofia Sporrong ◽  
Anna Almarsdottir
Keyword(s):  
Primary Care ◽  
Action Research ◽  
Pharmaceutical Care ◽  
Research Study ◽  
Action Research Study

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 Implementing a service users' framework for cancer care in primary care: an action research study

2008 ◽  
Vol 25 (2) ◽  
pp. 78-85 ◽  
Author(s):  
S. A Murray ◽  
K. Boyd ◽  
C. Campbell ◽  
P. Cormie ◽  
K. Thomas ◽  
...  
Keyword(s):  
Primary Care ◽  
Action Research ◽  
Cancer Care ◽  
Research Study ◽  
Service Users ◽  
Action Research Study

scholarly journals Bridges and Barriers in Public Service Interpreting Training: Instructing Non-Professional Longserving Interpreters

2021 ◽  
Vol 8 (1) ◽  
pp. 28-42
Author(s):  
Noelia Burdeus-Domingo ◽  
Suzanne Gagnon ◽  
Sophie Pointurier ◽  
Yvan Leanza
Keyword(s):  
Action Research ◽  
Public Service ◽  
Research Study ◽  
Training Programme ◽  
Research Report ◽  
Public Healthcare ◽  
Dual Purpose ◽  
Training Programmes ◽  
The City ◽  
Pedagogical Approaches

This paper reports on an action-research study with a dual purpose: (1) to design a PSI training programme adapted to the needs of the City of Québec’s public healthcare institutions, and (2) to assess its contribution to the development of trainees’ PSI competences. The course was designed adapting ÉSIT’s special regime methodology to PSI training, and delivered to a group of non-professional interpreters (N=23). The evaluation was undertaken qualitatively, through two focus groups (n=11). The data collected was submitted to content analysis and contrasted with the trainer’s action-research report. Findings reveal (1) that the special regime methodology can be applied to PSI training programmes, if combined with pedagogical approaches adjusting it to the group’s needs, and (2) that trainees’ preconceptions about PSI add up to the list of challenges of training non-professional longserving interpreters. Our concluding remarks present several recommendations on how to overcome the detected difficulties.

scholarly journals El arte y la creatividad como nuevas formas de bienestar. Primera fase de ARTYS La Experimental, proyecto de Arte y Salud Comunitaria en la Colonia Experimental de Villaverde Alto (Madrid)

2019 ◽  
pp. 150
Author(s):  
Silvia Siles
Keyword(s):  
Action Research ◽  
Community Health ◽  
Public Space ◽  
Community Intervention ◽  
Research Process ◽  
Community Art ◽  
Calidad De Vida ◽  
Toma De Decisiones ◽  
Art Community ◽  
Health Assets

Resumen: El presente artículo tiene como objetivo describir la primera fase del proyecto de investigación ARTYS La Experimental, un proyecto de Arte y Salud comunitaria, que se lleva a cabo en la Colonia Experimental del barrio madrileño de Villaverde Alto. Se trata de una propuesta práctica diseñada durante el proceso por todas las personas implicadas en él. De esta manera, pretende crear nuevas oportunidades para mejorar el bienestar y la salud de un colectivo concreto a través de la creatividad y promover el uso de las prácticas artísticas como vehículo para mejorar la calidad de vida de la vecindad. Además, parte de los preceptos del arte basado en la comunidad, las prácticas artísticas colaborativas, el arte activista, la promoción de la salud comunitaria a través de los activos en salud, la metodología de investigación-acción participativa y la intervención comunitaria. Se trata de la fase inicial de un proceso que tiene como protagonista acciones artísticas en el espacio público, la participación activa y la toma de decisiones colectiva y que ha tenido lugar desde mayo de 2017 y hasta finales de enero de 2018. Por último, se presenta un análisis y una discusión de los resultados obtenidos hasta el momento de la publicación de este texto.  Palabras clave: arte basado en la comunidad, prácticas artísticas colaborativas, salud comunitaria, activos en salud, investigación-acción participativa, espacio público. Abstract: The purpouse of this paper is to describe the first phase of the research project ARTYS La Experimental, which is an Art & Community Health Project that took place in La Colonia Experimental, a neighborhood located in Villaverde Alto in the province of Madrid. The practical proposal is designed during the process by the people involved in it. Thus, the project intends to create new opportunities for a collective group to improve their health and wellbeing across the creativity and the artistic practices as a way of increasing the neighborhood’s quality of life. The project is based on the community art-based projects, collaborative arts, activist art, community health promote through health assets, action-research participative method and community intervention. This phase of the research process has been developed from May 2017 to the end of January 2018 which includes artistic actions in the public space, active participation and collective decision-making as key protagonists. Lastly, analysis and disscusion of the results achieved to date are written in this publication.  Keywords: community art-based projects, collaborative arts, community health, health assets, action-research participative, public space.   DOI: http://dx.doi.org/10.7203/eari.10.12608

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