scholarly journals Vulnerability and Primary Health Care: An Integrative Literature Review

2021 ◽  
Vol 12 ◽  
pp. 215013272110497
Author(s):  
Janise Braga Barros Ferreira ◽  
Luciane Loures dos Santos ◽  
Luciana Cisoto Ribeiro ◽  
Belkiss Rolim Rodrigues Fracon ◽  
Sabrina Wong

The objective was to analyze the evidence available in the scientific literature on the concept of vulnerability, in theoretical perspectives and its use, in Primary Health Care. An integrative literature review was carried out with the inclusion criteria: articles in English, full text, peerreviewed, related to vulnerability and primary health care, with the explicit concept of vulnerability, and published until July 31, 2020. The electronic databases accessed were by crossing the descriptors “vulnerability,” “vulnerabilities,” “primary health care,” “primary healthcare,” and “primary care.” The final sample consisted of 19 articles. The thematic analysis produced 2 themes: “Theoretical foundations of the concept of vulnerability” and “The use of the concept of vulnerability in PHC.” In the second theme, 2 sub-themes emerged: Evaluation of health policies, programs, and services and Classification of individuals, groups, and families. There was a plurality of theoretical foundations for the concept of vulnerability and a smaller scope of its use in Primary Health Care. It is expected that the study will subsidize public policymakers and health teams in the design of services and actions aimed at vulnerable populations and in situations of vulnerability.

2021 ◽  
Vol 16 (1) ◽  
pp. 32-36
Author(s):  
Annette Kaspar ◽  
Aleki Fuimaono ◽  
Shaun Mauiliu ◽  
Sione Pifeleti ◽  
Junior Posini

Background: Surgeons are scarce in the Pacific Islands, and improvements to public and primary health care services should reduce the burden of avoidable surgical interventions. Three communicable and non-communicable diseases of public health concern in Samoa are filariasis, childhood overweight/obesity, and Helicobacter pylori (H. pylori)-induced gastric cancer. Strengthening existing public and primary health care strategies for these issues should, in turn, reduce the avoidable surgical burden of Hydrocelectomy for filarial hydrocele, in-situ pinning for Slipped Upper Femoral Epiphysis (SUFE), and endoscopic Esophago-Gastro-Duodenoscopy (EGD) for the differential diagnosis of H. pylori-induced gastric pathologies. This study aimed to perform a literature review of these conditions requiring surgical intervention in the Pacific Islands to contribute recommendations to the current public and primary health care activities in Samoa.  Method: A literature review was conducted using the PubMed and ScienceDirect databases. The primary search strategy utilized the terms and keywords “Pacific Islands”; “Filarial Hydrocele”; “SUFE”; “H. pylori-induced gastric pathology”; and their relevant synonyms. Inclusion criteria: the study population were Pacific Islanders residing in the Pacific Islands, and the study investigated presentation, etiology, epidemiology, treatment, and/or management for the three diseases of interest. Articles published before 2000 were excluded.  Results: There was only one journal article that met the inclusion criteria.  There is virtually no research literature on the current state of these preventable surgical conditions among the population residing in the Pacific Islands.  Conclusion: Data are needed to inform evidence-based policy formulation and implementation. The surgical voice should positively contribute to public health efforts.


2018 ◽  
Vol 8 (7) ◽  
pp. 44 ◽  
Author(s):  
Hajer Arbabi ◽  
Jessie Johnson ◽  
Daniel Forgrave

Background and objective: The Primary Health Care Corporation in Qatar was established in 2012 and is comprised of 23 Health Centers. One of its goals is to create excellence in its workforce. A preceptorship program needs to be initiated at the Primary Health Care Corporation to ensure a high level of training for its nurses. The purpose of these preceptorship programs is to ensure nurses are equipped to carry out Qatar’s National Health Strategy and in doing so the Primary Health Care Corporation has this as its goal. This study amis to assess the effectiveness of preceptorship program models that can eventually be used for adoption as training programs for nurses in Health Centers in Qatar.Methods: A literature review of twenty articles published between 2006 and 2017 that focused on different models of preceptorship programs was conducted. The Mixed Methods Appraisal Tool was used to assess the quality of these studies. The data was analyzed by categorizing the included articles in a matrix sheet based on study design.Results and conclusions: Preceptorship programs are effective in four key areas: increasing nursing knowledge, supporting effective and safe care delivery by newly graduated nurses, increasing organizational support, and decreasing turnover rate and cost. 


Medwave ◽  
2018 ◽  
Vol 18 (05) ◽  
pp. e7246-e7246
Author(s):  
Carolina Abarca ◽  
Cecilia Gheza ◽  
Constanza Coda ◽  
Bernardita Elicer

Author(s):  
Ahmad Hajebi ◽  
Vandad Sharifi ◽  
Maryam Abbasinejad ◽  
Ali Asadi ◽  
Nahid Jafari ◽  
...  

Objective: The main objective of this study was to review aspects of the current situation and structure of the integrated mental health care services for planning a reform. Aspects of the newly designed infrastructure, along with specification of duties of the various human resources, and its relation with Iran’s Comprehensive Mental and Social Health Services (the SERAJ Program), will also be presented Method: This is a study on service design and three methods of literature review, deep interview with stakeholders, and focused group discussions. In the literature review, national and international official documents, including official reports of the World Health Organization (WHO) and consultant field visits, were reviewed. Deep semi-structured interviews with 9 stakeholders were performed and results were gathered and categorized into 3 main questions were analyzed using the responsibility and effectiveness matrix method. The Final results were discussed with experts, during which the main five-domain questions were asked and the experts’ opinions were observed. Results: In this study, the main gaps of the public mental health care (PHC) services in Iran were identified, which included reduction of risk factors for mental disorders, training the general population, early recognition and treatment of patients with mental disorders, educating patients and their families, and rehabilitation services. The new model was then proposed to fill these gaps focusing on increasing access, continuity of care, coordination in service delivery, and comprehensiveness of care. A mental health worker was placed besides general healthcare workers and general practitioners (GPs). Services were prioritized and the master flowchart for mental health service delivery was designed. Conclusion: A reform was indeed necessary in the integrated mental health services in Iran, but regarding the infrastructure needed for this reform, including human and financial resources, support of the senior authorities of the Ministry of Health (MOH) is necessary for the continuity and enhancement of services. In this model, attention has been given to the principles of integrating mental health services into primary health care. Current experience shows that the primary health care system has been facing many executive challenges, and mental health services are not exclusion to this issue. Monitoring and evaluation of this model of service and efforts for maintaining sustainable financial resources is recommended to make a reform in this system and to stabilize it.


2021 ◽  
Vol 4 (2) ◽  
pp. 8577-8598
Author(s):  
Ana Maria Menezes de Souza ◽  
Alana Lalucha de Andrade Guimarães ◽  
Laís Melo Andrade ◽  
Janayna de Almeida Andrade ◽  
Taislayne Fraga da Cruz ◽  
...  

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Jego ◽  
J Abcaya ◽  
C Calvet-montredon ◽  
S Gentile

Abstract Background Homeless people have poorer health status than the general population. They need complex care management, because of associated medical troubles (somatic and psychiatric) and social difficulties. However, they face multiple difficulties in accessing primary health care and receive less preventive health care than the general population. Methods We performed a literature review that included articles which described and evaluated primary care programs for homeless people. We searched into the MEDLINE, PsycINFO, COCHRANE library, and Cairn.info databases primary articles published between 1 January 2012 and 15 December 2016. We also performed a grey literature search, and we added relative articles as we read the references of the selected articles. We described the main characteristics of the primary care programs presented in the selected articles. Then we classified these characteristics in main categories, as a descriptive thematic analysis. Secondarily, we synthetized the main results about the evaluation of each intervention or organization. Results Most of the programs presented a team-based approach, multidisciplinary and/or integrated care. They often proposed co-located services between somatic health services, mental health services and social support services. They also tried to answer to the specific needs of homeless people. Some characteristics of these programs were associated with significant positive outcomes: tailored primary care organizations, clinic orientation, multidisciplinary team-based models which included primary care physicians and clinic nurses, integration of social support, and engagement in the community’s health. Conclusions Primary health care programs that aimed at taking care of the homeless people should emphasize a multidisciplinary approach and should consider an integrated (mental, somatic and social) care model. Key messages To improve the health care management of homeless people it seems necessary to priorize multidisciplinary approach, integrated care, involve community health and answer their specific needs. It is necessary to evaluate more non-tailored primary care programs that collaborate with tailored structures.


2020 ◽  
Vol 15 (12) ◽  
pp. 1902-1916
Author(s):  
Fernanda Cangussu Botelho ◽  
Ivan França Junior ◽  
Lúcia Dias da Silva Guerra ◽  
Samara Ferrari Rodrigues ◽  
Larissa Vicente Tonacio

2020 ◽  
Author(s):  
Alisarjuni padang

PENGARUH PROMOSI KESEHATAN TERHADAP PENINGKATAN KESEHATAN MASYARAKAT ALI SARJUNI PADANG 197046017 [email protected] AbstrakLatar belakang : Perkembangan Promosi Kesehatan tidak terlepas dariperkembangan sejarah Kesehatan Masyarakat di Indonesia dan dipengaruhi juga oleh perkembangan Promosi Kesehatan International yaitu dimulainya program Pembangunan Kesehatan Masyarakat Desa (PKMD) pada tahun 1975 dan tingkat Internasional tahun 1978Deklarasi Alma Ata tentang Primary Health Care tersebut sebagai tonggak sejarah cikal bakalPromosi Kesehatan (Departemen Kesehatan, 1994). Green dan Kreuter (2005) menyatakan bahwa “Promosi kesehatan adalah kombinasiupaya-upaya pendidikan, kebijakan (politik), peraturan, dan organisasi untuk mendukungkegiatan-kegiatan dan kondisi-kondisi hidup yang menguntungkan kesehatan individu,kelompok, atau komunitas”.Tujuan : tujuan dari penelitian ini adalah untuk mengetahui bagaimana pengaruh promosi kesehatan terhadap peningkatan kesehatan masyarakat.Metode : Metode penelitian yang digunakan pada penelitian ini adalah dengan kajian pustaka terhadap beberapa jurnal yang berhubungan dengan pengaruh promosi kesehatan terhadap peningkatan kesehatan masyarakat, dan beberapa jurnal yang digunakan dalam melakukan literature review adalah tahun 2011 sampai 2019 sebanyak 10 jurnalHasil : dari 5 jurnal yang dilakukan sebagai pembanding, keseluruhanya menunjukkan ada peningkatan perilaku sehat sebelum dan sesudah dilakukanya promosi kesehatan.Rekomendasi : Bagi seluruh staff dalam layanan kesehatan agar meningkatkan kualitas dan frekuensi promosi kesehatan di masyarakat, karna metode ini sangatlah efektif dalam memberikan pemahaman tentang hidup sehat dan meningkatkan pengetahuan masyarakat tentang hidup sehat.Kata kunci : Promosi, masyarakat, staff kesehatan


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