Enhancing Role of District Hospitals and Community Health Centres in Primary Health Care in Rajasthan

2014 ◽  
Vol 16 (1) ◽  
pp. 53-66
Author(s):  
S. D. Gupta
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Community Health ◽  
Community Health Centres ◽  
Primary Health ◽  
District Hospitals ◽  
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 Development of a hexagonal, mesh-based distribution method for community health centres

2018 ◽  
Vol 13 (2) ◽  
Author(s):  
Yinan Zhou ◽  
Ge Bai ◽  
Li Luo
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Community Health ◽  
Health Care Services ◽  
Local Population ◽  
Distribution Method ◽  
Community Health Centres ◽  
Care Services ◽  
Primary Health ◽  
Health Centres

Community health centres (CHCs) are the health gatekeepers of the local population. Location and numbers of the CHCs affect fairness and effectiveness with regard to access to primary health care. In the past, the distribution of the CHCs was solely empiric-based. The goal of this study was to devise a method for CHC distribution based on the principle of improving equity as well as ensuring efficiency. We tested the effectiveness and operability of the method through a process of revision and simulation using Guangdong Province, China as sample district. A methodology based on literature review and expert consultation was repeatedly applied until an ideal result had been reached. A hexagonal, mesh-based method was developed and used to find a solution where the CHCs could be distributed where their location would be the most needed and total number suitable. Testing the effectiveness of the proposed plan, we found the proportion of area covered to be 52.8% and the proportion of the population covered 80.7%, which is 15.4% and 14.7%, respectively, better than before. It was concluded that the hexagonal mesh-based, distribution method can effectively define the location as well as the number or required CHCs, not only improving the accessibility for residents to primary health care services but also maximizing cost-effectiveness. Management of the city by grid is a new idea in urban management, which improves rationality of planning and also may be applied for many different purposes in addition to CHC localization.

Primary Health Care Under Pressure: A Case Study of Amalgamation in Victoria

1996 ◽  
Vol 2 (3) ◽  
pp. 38 ◽  
Author(s):  
Brigid McCoppin ◽  
Christine Birrell
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Policy ◽  
Care Policy ◽  
Community Health Centres ◽  
Primary Health ◽  
Health Centres ◽  
Common Response ◽  
Future Demands

Amalgamation of community health centres has become a fairly common response to Victorian government changes in primary health care policy (both Labor and Coalition). This is a study of one such amalgamation and of its effects. The amalgamation brought staff and management many difficulties of adjustment, but it has produced a larger organisation which, while it has some residual problems, appears well fitted to withstand the pressure of today's policy directions and to meet future demands.

What are the roles of community health workers? Looking back at the philosophies of primary health care

2019 ◽  
Vol 27 (2) ◽  
pp. 117-120
Author(s):  
Marietou Niang
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Community Development ◽  
Health System ◽  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Primary Health ◽  
Looking Back

This commentary discusses the different roles of community health workers (CHWs), their challenges and limitations in a historical perspective of primary health care (PHC). We first try to show that the comprehensive philosophy of PHC promulgated in Alma-Ata proposed the role of CHWs as actors who work in community development. On the other hand, in the 1980s, with the emergence of the selective philosophy of PHC, CHWs’ role was more affiliated with the health system. We conclude our pitch about the balance that can exist between these different roles by suggesting that CHWs can work in continuity with the health system, but they should not be considered as affordable labor. Also, they must be supported in their activities to develop their communities, allowing them to participate effectively in programs and policies that concern them and their community.

scholarly journals 1997 Awards for Innovation and Excellence in Primary Health Care - Alliances and Collaboration: North Eastern Community Health Centre Alliance

1997 ◽  
Vol 3 (3) ◽  
pp. 80
Author(s):  
Bruce Hurley
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Community Health ◽  
Health Centre ◽  
Community Health Centres ◽  
Healthcare Network ◽  
North East ◽  
The North ◽  
Primary Health ◽  
North Eastern

Brief Description of the Program: An alliance was formed between the East Preston, Northcote, West Heidelberg, Eltham, Lalor, Whittlesea, and Diamond Valley Community Health Centres in the North East of Melbourne, first, to position the Centres to play a key role in developing a coherent and strong primary health care sector, based on 'community health principles', within the prime catchment area of the North Eastern Healthcare Network. The second purpose of the alliance was to assist in facilitating continuity of care between the acute and primary health sectors.

scholarly journals Factors Influencing on Utilization of Primary Health Care for Internal Elderly Migrants in China: The Role of Social Contacts

2020 ◽  
Author(s):  
Yanwei Lin ◽  
Chengjing Chu ◽  
Qin Chen ◽  
Junhui Xiao ◽  
Chonghua Wan
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Community Health ◽  
Social Contact ◽  
Binary Logistic Regression ◽  
Community Health Services ◽  
Exercise Time ◽  
Primary Health ◽  
Elderly Migrants

Abstract Objective: To explore the influencing factors of the utilization of primary health care from the perspective of social contact among internal elderly migrants in China to provide further insights that might promote their utilization of primary health care. Methods: 1544 internal elderly migrants in eight cities participated in the survey. Whether to participate in the free health checkup organized by community health service institutions in the past year was adopted as an indicator of the utilization of primary health care, number of local friends and exercise time per day were measured for social contact. Multivariate binary logistic regression was used to understand the association of the variables with the likelihood of using community health services. Results: Internal elderly migrants who had more social contact were more inclined to use primary health care. Conclusion: The role of the community should be expanded, such as creating community-based promotions targeting internal elderly migrants or designing social or sports activities tailored to increase the opportunity for contact between local elders and internal elderly migrants.

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