Access to primary health care for immigrants: results of a patient survey conducted in 137 primary care practices in Ontario, Canada

The article “Factors Influencing the Implementation of Screening and Brief Interventions for Alcohol Use in Primary Care Practices: A Systematic Review Protocol”, published on our edition January 2018 [Acta Med Port 2018 Jan;31(1):45-50] exhibited an error on the authorship line.On page 45, where it currently reads:Frederico ROSÁRIO[AC,1,2], Maria Inês SANTOS[3], Kathryn ANGUS[4], Leo PAS[5], Niamh FITZGERALD[4]It should read:Frederico ROSÁRIO[AC,1,2], Maria Inês SANTOS[3], Kathryn ANGUS[4], Leo PAS[5], Cristina RIBEIRO[1,6], Niamh FITZGERALD[4]Also, on the affiliation informations on the footer in the same page 45, where it reads:1. Institute of Preventive Medicine and Public Health. Faculty of Medicine. Lisbon University. Lisbon. Portugal.2. Tomaz Ribeiro Primary Health Care Center. Dão Lafões Primary Health Care Centers Grouping. Viseu. Portugal.3. Department of Pediatrics. Tondela-Viseu Hospital Center. Viseu. Portugal.4. Institute for Social Marketing (ISM). UK Centre for Tobacco & Alcohol Studies. Faculty of Health Sciences & Sport. University of Stirling. Stirling. United Kingdom.5. Academic Centre for General Practice. KU Leuven. Leuven. Belgium.It should read:1. Institute of Preventive Medicine and Public Health. Faculty of Medicine. Lisbon University. Lisbon. Portugal.2. Tomaz Ribeiro Primary Health Care Center. Dão Lafões Primary Health Care Centers Grouping. Viseu. Portugal.3. Department of Pediatrics. Tondela-Viseu Hospital Center. Viseu. Portugal.4. Institute for Social Marketing (ISM). UK Centre for Tobacco & Alcohol Studies. Faculty of Health Sciences & Sport. University of Stirling. Stirling. United Kingdom.5. Academic Centre for General Practice. KU Leuven. Leuven. Belgium.6. Quality Department. Directorate-General of Health. Lisbon. Portugal.Link for the full published article.

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The role of alcohol in the management of hypertension in patients in European primary health care practices – a survey in the largest European Union countries

BMC Family Practice ◽

10.1186/s12875-016-0529-5 ◽

2016 ◽

Vol 17 (1) ◽

Cited By ~ 16

Author(s):

Jürgen Rehm ◽

Jose Angel Arbesu Prieto ◽

Markus Beier ◽

Didier Duhot ◽

Alessandro Rossi ◽

...

Keyword(s):

Health Care ◽

European Union ◽

Primary Health Care ◽

Primary Health ◽

Health Care Practices ◽

European Union Countries ◽

Care Practices

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Brazilian National Household Health Survey and PCAT: the case of Mato Grosso do Sul, Brazil

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.511 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

L F Pinto ◽

D Soranz ◽

L J Santos ◽

M S Paranhos ◽

L S Malta ◽

...

Keyword(s):

Primary Care ◽

Health Care ◽

Primary Health Care ◽

Data Collection ◽

Health Survey ◽

Household Surveys ◽

Mato Grosso ◽

Primary Health ◽

The World ◽

Mato Grosso Do Sul

Abstract Brazil is divided into five administrative regions, 27 federation units and 5,570 municipalities. Mato Grosso do Sul is one of the states located in the Midwest region and has 1.6 million km2 and a resident population of 2.8 million inhabitants, that is, it has an even lower demographic density than its region - only 7.8 inhabitants/km2. Mato Grosso do Sul has part of the Pantanal, a biome considered the largest continuous floodplain in the world, rich in biodiversity. For this reason, displacements for data collection in household surveys combine roads and rivers. In 2019, the Brazilian National Institute of Geography and Statistics (Istituto Nazionale di Statistica del Brasile) in partnership with the Ministry of Health launched the world's largest household sample survey, the National Health Survey (PNS-2019), in which part of its questions included the use of Primary Care Assessment Tool (PCAT, adult version), created by professors Barbara Starfield and Leiyu Shi in the 2000s. IBGE interviewers visited more than 100,000 households across the country. In Mato Grosso do Sul, more than 3,000 households were surveyed. In this work, we present the data collection instrument used by IBGE and its multiple analysis possibilities in the scope of primary health care, crossing the variables from other questionnaire modules in order to compare the results from Brazil with the state of Mato Grosso do Sul and its capital, Campo Grande. Developing a baseline and measuring the attributes of primary health care in each of the Brazilian states is another step towards giving health policy accountability, towards strong primary care. IBGE's experience in household surveys and innovation in data collection in primary care is an example for the world that yes, it is possible to develop statistically representative national sample surveys and make them perennial in their regular household surveys, by the time World Health Organization (WHO) discusses universal health coverage. Key messages Evaluation of primary care using an internationally validated instrument is possible on national bases with random household sample surveys. A questionnaire elaborated academically can be used as an instrument of public policy to evaluate nationwide health services.

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Primary care organizational model mix and avoidable hospitalization: an ecological study in Portugal

European Journal of Public Health ◽

10.1093/eurpub/ckaa165.460 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

A Pinto ◽

J V Santos ◽

M Lobo ◽

J Viana ◽

J Souza ◽

...

Keyword(s):

Primary Care ◽

Health Care ◽

Primary Health Care ◽

Primary Healthcare ◽

Pay For Performance ◽

Care Quality ◽

Organizational Model ◽

Avoidable Hospitalizations ◽

Primary Health ◽

Age And Sex

Abstract Background In Portugal, there are different organizational models in primary health care (PHC), mainly regarding the payment scheme. USF-B is the only type with financial incentives to the professional (pay-for-performance). Our goal was to assess the relationship between groups of primary healthcare centres (ACES) with higher proportion of patients within USF-B model and the rate of avoidable hospitalizations, as proxy of primary care quality. Methods We conducted a cross-sectional study considering the 55 ACES from mainland Portugal, in 2017. We used data from public hospitalizations to calculate the prevention quality indicator (avoidable hospitalizations) adjusted for age and sex, using direct standardization. The main independent variable was the proportion of patients in one ACES registered in the USF-B model. Unemployment rate, proportion of patients with family doctor and presence of Local Health Unit (different organization model) within ACES were also considered. The association was assessed by means of a linear regression model. Results Age-sex adjusted PQI value varied between 490 and 1715 hospitalizations per 100,000 inhabitants across ACES. We observed a significant effect of the proportion of patients within USF-B in the crude PQI rate (p = 0.001). However, using the age-sex adjusted PQI, there was not a statistical significant association (p = 0.504). This last model was also adjusted for confounding variables and the association remains non-significant (p = 0.865). Conclusions Our findings suggest that, when adjusting for age and sex, there is no evidence that ACES with more patients enrolled in a pay-for-performance model is associated with higher quality of PHC (using avoidable hospitalizations as proxy). Further studies addressing individual data should be performed. This work was financed by FEDER funds through the COMPETE 2020 - POCI, and by Portuguese funds through FCT in the framework of the project POCI-01-0145-FEDER-030766 “1st.IndiQare”. Key messages Adjusting PQI to sex and age seems to influence its value more than the type of organizational model of primary health care. Groups of primary healthcare centres with more units under the pay-for-performance scheme was not associated with different rate of avoidable hospitalizations.

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Correction to: Mental health training for primary health care workers and implication for success of integration of mental health into primary care: evaluation of effect on knowledge, attitude and practices (KAP)

International Journal of Mental Health Systems ◽

10.1186/s13033-017-0175-x ◽

2017 ◽

Vol 11 (1) ◽

Author(s):

Getinet Ayano ◽

Dawit Assefa ◽

Kibrom Haile ◽

Asrat Chaka ◽

Kelemua Haile ◽

...

Keyword(s):

Mental Health ◽

Primary Care ◽

Health Care ◽

Primary Health Care ◽

Health Care Workers ◽

Mental Health Training ◽

Health Training ◽

Primary Health ◽

Care Workers ◽

Care Evaluation

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Cross-cultural adaptation of the primary health care satisfaction questionnaire

Acta Paulista de Enfermagem ◽

10.1590/1982-0194201400070 ◽

2014 ◽

Vol 27 (5) ◽

pp. 419-426 ◽

Cited By ~ 1

Author(s):

Elisabete Pimenta Araujo Paz ◽

Pedro Miguel Santos Dinis Parreira ◽

Alexandrina de Jesus Serra Lobo ◽

Rosilene Rocha Palasson ◽

Sheila Nascimento Pereira de Farias

Keyword(s):

Primary Care ◽

Health Care ◽

Primary Health Care ◽

Psychometric Properties ◽

Internal Consistency ◽

Cultural Adaptation ◽

Care Service ◽

Cross Cultural ◽

Care Services ◽

Primary Health

Objective To develop the cross-cultural validation and assessment of the psychometric properties of the Questionnaire about the quality and satisfaction dimensions of patients with primary health care. Methods Methodological cultural adaptation and assessment study of the psychometric properties, involving 398 users from a primary care service. The construct validity was verified through principal components factor analysis and internal consistency assessment as determined by Cronbach’s alpha, using SPSS. Results A factorial structure was identified that is equivalent to the original instrument, showing six factors that explain 70.81% of the total variance. All internal consistency coefficients were higher than 0.84, indicating appropriate psychometric properties. Conclusion The results show that the Brazilian Portuguese version of the instrument is culturally and linguistically appropriate to assess the satisfaction of users attended in primary care services.

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Promoting cross-jurisdictional primary health care research: developing a set of common indicators across 12 community-based primary health care teams in Canada

Primary Health Care Research & Development ◽

10.1017/s1463423618000518 ◽

2018 ◽

Vol 20 ◽

Cited By ~ 5

Author(s):

Sabrina T. Wong ◽

Julia M. Langton ◽

Alan Katz ◽

Martin Fortin ◽

Marshall Godwin ◽

...

Keyword(s):

Primary Care ◽

Health Care ◽

Primary Health Care ◽

Working Group ◽

Scale Up ◽

Data Sources ◽

Knowledge Generation ◽

Community Based ◽

Primary Health ◽

The Impact

AbstractAimTo describe the process by which the 12 community-based primary health care (CBPHC) research teams worked together and fostered cross-jurisdictional collaboration, including collection of common indicators with the goal of using the same measures and data sources.BackgroundA pan-Canadian mechanism for common measurement of the impact of primary care innovations across Canada is lacking. The Canadian Institutes for Health Research and its partners funded 12 teams to conduct research and collaborate on development of a set of commonly collected indicators.MethodsA working group representing the 12 teams was established. They undertook an iterative process to consider existing primary care indicators identified from the literature and by stakeholders. Indicators were agreed upon with the intention of addressing three objectives across the 12 teams: (1) describing the impact of improving access to CBPHC; (2) examining the impact of alternative models of chronic disease prevention and management in CBPHC; and (3) describing the structures and context that influence the implementation, delivery, cost, and potential for scale-up of CBPHC innovations.FindingsNineteen common indicators within the core dimensions of primary care were identified: access, comprehensiveness, coordination, effectiveness, and equity. We also agreed to collect data on health care costs and utilization within each team. Data sources include surveys, health administrative data, interviews, focus groups, and case studies. Collaboration across these teams sets the foundation for a unique opportunity for new knowledge generation, over and above any knowledge developed by any one team. Keys to success are each team’s willingness to engage and commitment to working across teams, funding to support this collaboration, and distributed leadership across the working group. Reaching consensus on collection of common indicators is challenging but achievable.

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Partnership in Practice: a multidisciplinary approach to quality improvement in primary health care

Psychiatric Bulletin ◽

10.1192/pb.19.6.371 ◽

1995 ◽

Vol 19 (6) ◽

pp. 371-371

Author(s):

Michael Phelan

Keyword(s):

Primary Care ◽

Health Care ◽

Quality Improvement ◽

Primary Health Care ◽

General Practitioners ◽

Multidisciplinary Approach ◽

Professional Groups ◽

Primary Health ◽

Audit Team

This one day seminar was arranged by the King's Fund Organisational Audit team (KFOA), to take a multidisciplinary view of quality improvement in primary care. Despite the title of the day all the speakers were general practitioners and managers, and input from other professional groups was limited to questions and comments from the audience of nearly 200.

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