Pharmacist’s Demand for Optimal Primary Care Service Delivery in a Community Pharmacy: The OPTiPharm Study

2017 ◽  
Vol 51 (12) ◽  
pp. 1069-1076 ◽  
Author(s):  
Mark A. Munger ◽  
Michael Walsh ◽  
Jon Godin ◽  
Michael Feehan
Keyword(s):  
Primary Care ◽  
Community Pharmacy ◽  
Health Care Services ◽  
Point Of Care ◽  
Care Service ◽  
Community Pharmacists ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services ◽  
Pharmacy Setting

Background: The US population continues to expand providing the need for primary health care services. Community pharmacies integrated with medicine may provide greater access while providing high quality care. Objective: To gauge pharmacists’ demand for primary health care services delivered through community pharmacies. Methods: An online survey was administered to determine community pharmacists’ preferences for varying primary care services that could be offered in the community pharmacy setting. A Discrete Choice Experiment was employed to show pharmacists competing scenarios with varied primary care service offerings in the community pharmacy setting. Attributes evaluated were operation hours, service provider, medical records, service logistics, physical examinations, point-of-care diagnostic testing, preventative care, and drug prescribing. Respondents chose the scenario most likely to induce switching employment from base pharmacy to one providing advanced services. Results: The optimal service delivery model from 291 community pharmacists comprised: inclusion of patient prescriptions and health information into the patient’s medical record; provision of point of care testing and vital sign, including blood pressure, heart rate and breathing rate, and blood sugar and cholesterol measurement; and pharmacists prescribing (under physician oversight). Pharmacists were 4 times more likely to switch employment from their current pharmacy to their choice for advanced pharmacy services. Pharmacist demand was highest among those with a PharmD, less experience, working >40 hours per week, and in rural areas. Conclusions: This study provides empirical support for the model of pharmacists playing a greater role in the provision of primary care health services through community pharmacy settings.

Overpopulation as Crisis: Redirecting Health Care Services in Rural Bangladesh

1987 ◽  
Vol 17 (1) ◽  
pp. 113-131 ◽  
Author(s):  
Shelley Feldman
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Services ◽  
Population Control ◽  
Care Service ◽  
Health Care Service ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services ◽  
Limited Health

This article examines the consequences of a “population-as-crisis” theme on the institutional configuration and resource endowments of health care services in an integrated Ministry of Health and Population Control in Bangladesh. The Ministry's focus on women as child bearers and its emphasis on sterilization supported by incentives has contradictory consequences as women become vulnerable to a limited health service and incentives encourage a focus on meeting sterilization targets. Both undermine people's access to and use of primary health care services. Findings from three studies, undertaken between 1978 and 1983, support the argument that despite international concern with preventive and promotive primary health care, simultaneous support for and emphasis on population control inhibits meeting the goals of a broad-based rural primary health care service.

scholarly journals Main characteristics of patients of primary health care services in Brazil

2017 ◽  
Vol 51 (suppl.2) ◽  
Author(s):  
Ione Aquemi Guibu ◽  
José Cássio De Moraes ◽  
Augusto Afonso Guerra Junior ◽  
Ediná Alves Costa ◽  
Francisco de Assis Acurcio ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Services ◽  
Care Service ◽  
Health Care Service ◽  
Health Condition ◽  
Cross Sectional ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services

OBJECTIVE: To characterize patients of primary health care services according to demographic and socioeconomic aspects, habits and lifestyle, health condition, and demand for health services and medicines. METHODS: This study is part of the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos – Serviços (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines – Services), a cross-sectional study carried out between 2014 and 2015. Interviews were conducted with patients over the age of 17 years, with a standardized questionnaire, in primary health care services of a representative sample of cities, stratified by regions of Brazil. The analysis was performed for complex samples and weighted according to the population size of each region. RESULTS: A total of 8,676 patients were interviewed, being 75.8% women, most of them aged from 18 to 39 years; 24.2% men, most of them aged from 40 to 59 years; 53.7% with elementary school; 50.5% reported to be of mixed race ethnicity, 39.7%, white, and 7.8%, black. Half of patients were classified as class C and 24.8% received the Bolsa Familia benefit. Only 9.8% had health insurance, with higher proportion in the South and lower in the North and Midwest. The proportion of men who consumed alcohol was higher than among women, as well as smokers. The self-assessment of health showed that 57% believed it to be very good or good, with lower proportion in the Northeast. The prevalence of chronic diseases/conditions, such as hypertension (38.6%), dyslipidemia (22.7%), arthritis/rheumatism (19.4%), depression (18.5%), diabetes (13.6%), and others are higher in these patients them among the general population. Medicines were predominantly sought in the health care service or in pharmacies of the Brazilian Unified Health System. CONCLUSIONS: It was possible to characterize the profile of patients of Primary Health Care, but the originality of the research and its national scope hinders the comparison of results with official data or other articles

scholarly journals The Perception of South African Adolescents Regarding Primary Health Care Services

2006 ◽  
Vol 6 ◽  
pp. 737-744 ◽  
Author(s):  
Magdalena S. Richter ◽  
Vivian Mfolo
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Services ◽  
South African ◽  
Health Care Services ◽  
Care Service ◽  
Health Care Service ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services

Most of the South African public health facilities fail to provide adolescent-friendly health services. A quantitative, descriptive research study was conducted at Stinkwater, a rural area in Hammanskraal, South Africa. The objective of the study was to describe the adolescent's preferences regarding primary health care services. A survey was conducted among 119 adolescents. It was found that adolescents wished to be involved in the planning of the activities of the adolescent health service, and that friendliness and respect for adolescents were seen as desirable characteristics of an adolescent-friendly health care service. Adolescents preferred services to be available throughout the week and to be located at the school, youth center, community center, hospital, or clinic. Health education was indicated as a priority and the health care team should include different members of a multidisciplinary team. Adolescents preferred that their health services be separated from adult services and that a male nurse be employed in the adolescent service in order to create a less feminine image. It was also recommended that all adolescents be educated about the types of services available. Understanding health care service preferences of adolescents is needed in order to deliver optimal health care to this group.

scholarly journals Profile of Children Referred to Primary Health Care Physiotherapy: A Longitudinal Observational Study in Norway

2020 ◽  
Author(s):  
Kari Anne I Evensen ◽  
Siw Sellæg ◽  
Anne-Cath Stræte ◽  
Anne E. Hansen ◽  
Ingebrigt Meisingset
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Health Care Services ◽  
Daily Activities ◽  
Care Services ◽  
Longitudinal Observational Study ◽  
Primary Health ◽  
Primary Health Care Services

Abstract Background: Physiotherapy services are an important part of the primary health care services for children, serving a broad spectrum of children referred from different sources and for a variety of reasons. There is limited knowledge about their characteristics and outcome. The aim of this study was to describe the profile, i.e. referral patterns, baseline demographical and clinical characteristics, as well as treatment outcome at follow-up six months after baseline in children receiving physiotherapy in primary care. Methods: Children referred to primary care physiotherapy in a municipality in Norway were invited to participate in this longitudinal observational study. The children’s demographics, referral source, causes of referral, functional diagnoses, influence on their daily activities, main goals and planned treatments were registered at baseline. Goal attainment and treatment compliance were registered at follow-up maximum six months after baseline. Results: The physiotherapists registered baseline characteristics for 148 children. Parent-reported data at baseline were available for 101 (68.2%) of these children. Children were mainly referred from child health care centres (n=74; 50.0%), hospital (n=25; 16.9%) and kindergarten (n=22; 14.9%). The most frequent causes of referral were concerns for motor development (n=50; 33.8%), asymmetry (n=40; 27.0%) and orthopaedic conditions (n=25; 16.9%). Eighty-one (54.7%) children were below the age of one year. There was partly agreement between causes of referral and the physiotherapists’ functional diagnoses. Parents of 69 (71.1%) children reported that their child’s daily activities were little to not at all influenced by the problem or complaint for which they were referred. Follow-up data was registered for 64 children. The main treatment goal was achieved in 37 (57.8%) and partly achieved in 26 (40.6%) children and the treatment was carried out as planned in 55 (87.3%) children. Conclusions: The large variation in the profile of children receiving primary health care physiotherapy in Norway shows how primary health care PT’s can contribute to fulfil the broad purpose of the primary health care services.Trial registration: ClinicalTrials.gov Identifier: NCT03626389. Registered on August 13th 2018 (retrospectively registered).

scholarly journals Editorial

2008 ◽  
Vol 14 (1) ◽  
pp. 7
Author(s):  
Rae Walker
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Health Care Services ◽  
Social Inclusion ◽  
Research And Practice ◽  
Care Services ◽  
Primary Health ◽  
Illness Prevention ◽  
Primary Health Care Services ◽  
Commonwealth Government

The Australian Journal of Primary Health provides a voice for researchers, and research informed practitioners, interested in the health of the community and the provision of primary health care services. The Journal builds on a long tradition of multi-disciplinary research and practice in primary care, and reflects widely held values that emphasise illness prevention and social inclusion. The priority placed on prevention and social inclusion by the new Commonwealth Government suggests that our readers may be able to look forward to a more optimistic future than many anticipated only a year ago.

What can the Experiences of Primary Care Organisations in England, Scotland and New Zealand Suggest About the Potential Role of Divisions of General Practice and Primary Care Networks/Partnerships in Addressing Australian Challenges?

2007 ◽  
Vol 13 (2) ◽  
pp. 46 ◽  
Author(s):  
Julie McDonald ◽  
Gawaine Powell Davies ◽  
Jacqueline Cumming ◽  
Mark Fort Harris
Keyword(s):  
Primary Care ◽  
Health Care ◽  
General Practice ◽  
Primary Health Care ◽  
Health Care Services ◽  
Potential Role ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services

This paper focuses on what can be learnt from the experiences of Primary Care Organisations (PCOs) in England, Scotland and New Zealand about the potential role of Divisions of General Practice (DGPs) and Primary Health Care Networks/Partnerships (PCN/Ps) in Australia, in addressing the challenges of ensuring access to a comprehensive range of primary health care services that are well coordinated and address population health needs. Responsibility for contracting and commissioning gives PCOs considerable leverage to influence the availability and range of primary health care services. A capitation-based funding system and associated patient enrolment enables a population focus and care over time, while aligned regional and local planning boundaries between PCOs and other health service planning boundaries also help with more coordinated approaches to planning, service development and service delivery. These elements are largely absent in the Australian health care system and set significant limitations on the role of DGPs and PCN/Ps. While DGPs can contribute to improving general practice quality and access to multidisciplinary care, and PCN/Ps can improve coordination, their scope of responsibilities and authority will need to be significantly strengthened to enable them to take a comprehensive approach to ensuring access to primary health care, service coordination and addressing population health needs.

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