scholarly journals Involving deprived communities in improving the quality of primary care services: does participatory action research work?

2007 ◽  
Vol 7 (1) ◽  
Author(s):  
Peter G Cawston ◽  
Stewart W Mercer ◽  
Rosaline S Barbour
2008 ◽  
Vol 20 (6) ◽  
pp. 384-391 ◽  
Author(s):  
P. M. Hansen ◽  
D. H. Peters ◽  
K. Viswanathan ◽  
K. D. Rao ◽  
A. Mashkoor ◽  
...  

2016 ◽  
Vol 157 (9) ◽  
pp. 328-335 ◽  
Author(s):  
László Róbert Kolozsvári ◽  
Imre Rurik

The Hungarian primary care quality indicator system has been introduced in 2009, and has been continuously developed since then. The system offers extra financing for family physicians who are achieving the expected levels of indicators. There are currently 16 indicators for adult and mixed practices and 8 indicators are used in paediatric care. Authors analysed the influencing factors of the indicators other than those related to the performance of family physicians. Expectations and compliance of patients, quality of outpatient (ambulatory) care services, insufficient flow of information, inadequate primary care softwares which need to be updated could be considered as the most important factors. The level of financial motivations should also be significantly increased besides changes in the reporting system. It is recommended, that decision makers in health policy and financing have to declare clearly their expectations, and professional bodies should find the proper solution. These indicators could contribute properly to the improvement of the quality of primary care services in Hungary. Orv. Hetil., 2016, 157(9), 328–335.


1992 ◽  
Vol 7 (3) ◽  
pp. 290-295 ◽  
Author(s):  
MARTIN BJÖRCK ◽  
ROLF JOHANSSON ◽  
NAJMI KANJI

2019 ◽  
Vol 83 (7) ◽  
pp. 458-468
Author(s):  
Valérie Locas ◽  
Cassandra Préfontaine ◽  
Nathalie Veillette ◽  
Brigitte Vachon

Introduction Occupational therapists remain poorly integrated into family medicine groups in Canada. Physicians are key partners because they can advocate for resources and formulate recommendations to improve the quality of services delivered in their clinics. It is important to explore their perception of the occupational therapist’s role in family medicine groups and the factors influencing their integration. Method A descriptive qualitative study was conducted. Six family physicians participated in an individual interview. Results were analysed using thematic analysis. Results Physicians consider that occupational therapists can meet the needs of diverse primary care clients. Benefits of this integration include improved clients’ functional status, early screening for developmental and age-related problems, and timely access to required care. The main barriers to integration are lack of funding, space and knowledge of the occupational therapist’s role. The strategies identified to facilitate integration are promoting and clarifying the role of occupational therapists in family medicine groups and developing effective integration models. Conclusion According to physicians, the inclusion of occupational therapists in family medicine groups could help primary care teams address many of their clients’ needs and improve the overall quality of primary care services. Targeted strategies are needed to promote the integration of occupational therapists into this practice context.


This chapter focuses on urgent care centers as a unique innovation that has been in the making for the last 30 years. Urgent care centers provide unscheduled or walk-in care, are open for extended hours on weeknights and weekends, and provide services that go beyond what primary care physicians provide, such as occupational medicine, laboratory tests, and fracture care such as splinting and casting, with some providing intravenous fluids, routine immunizations, and primary care services. This chapter describes in-depth the history and growth, operations, and stakeholders of urgent care centers, and overviews the research that relates to quality of care, costs, and patient satisfaction in these centers. Given the expanding industry, strong growth in company numbers, greater employment opportunities, and rising per-capita usage of urgent care centers, the author argues that the urgent care industry is in the growth phase of its life cycle.


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