scholarly journals Enhancing measurement of primary health care indicators using an equity lens: An ethnographic study

2011 ◽  
Vol 10 (1) ◽  
pp. 38 ◽  
Author(s):  
Sabrina T Wong ◽  
Annette J Browne ◽  
Colleen Varcoe ◽  
Josée Lavoie ◽  
Victoria Smye ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Ethnographic Study ◽  
Primary Health ◽  
Health Care Indicators

scholarly journals Communicating with migrants: children’s health literacy, digital technology, health promotion tools

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A Reis ◽  
L Saboga-Nunes ◽  
A Spínola ◽  
I Santos ◽  
C Santiago
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Literacy ◽  
Health Professionals ◽  
Common Ground ◽  
Care Setting ◽  
Ethnographic Study ◽  
Health Care Setting ◽  
Primary Health Care Setting ◽  
Primary Health

Abstract Background Being a migrant can enact road blocks in the process of integration, if language barriers persist in the communication between health professionals and migrants. Moreover, health literacy levels (HL) can differ, based on different cultural contexts or conceptions of health and illness. This research aims at exploring migrants (digital) HL and the mediating role of migrant’s children in primary health care setting. Health professionals’ resort to migrants’ children as interpreters and mediators has been highlighted with the younger generations’ digital literacy, as critical tools to overcome such barriers. Assessing and promoting migrant’s HL is a public health mandate in the promotion of individual and family health to establish a common ground base for communication. Methods A qualitative and ethnographic study based on narratives, participant observation, focus group and ethno biographic interviews with nurses, migrants, medical doctors and intercultural mediators, involved 52 participants in a primary health care setting in Santarém district, Portugal. Partnership with the Observatory for Migration, the High Commission for Migration (ACM) and with migrant associations, enabled the completion by migrants of an online questionnaire focusing on digital HL. Results Migrants’ children were identified as facilitators in the clinical setting at three levels: the communication, HL promotion and adherence to continuity of care. Conclusions Improve migrant’s HL and health decisions is feasible when considering several strategies to overcome cultural barriers. Migrants’ children are potential mediators in the process of communication between health professionals and adults. Awareness of their potential allows adjustments in the primary health care sector. The need to further investigate migrants’ HL and digital HL (e.g. telephone translation services, Internet-based tools for scheduling health appointments) are some tasks that need further research.

Learning and change in the redesign of a primary health care initiative

2016 ◽  
Vol 28 (7) ◽  
pp. 451-467 ◽  
Author(s):  
John Rule ◽  
Roger Dunston ◽  
Nicky Solomon
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Rapid Change ◽  
Ethnographic Study ◽  
Content Type ◽  
General Terms ◽  
Primary Health ◽  
Service Redesign ◽  
Learning And Change

Purpose This paper aims to provide an account of learning and change in the redesign of a primary health-care initiative in a large metropolitan city in Australia. Design/methodology/approach The paper is based on research exploring the place and role of learning in the re-making of health professional practices in a major New South Wales Government health reform called HealthOne. The analysis and findings presented here make reference to data drawn from a longitudinal ethnographic study (2011-2014) conducted by an inter-disciplinary team of researchers from the University of Technology Sydney. Socio-material and practice-based approaches for understanding learning are used in working with the data. Findings There were substantial changes in professional practice, especially in the role of the General Practice Liaison Nurse. Changes, and the learning connected to the changes, were dynamically influenced by the macro-context. HealthOne was a reform initiative with a strong focus on achieving health service redesign and a consistent focus on staff developing new ways of thinking and operating. Although learning was often discussed, it was, for the most part, expressed in general terms, and there was a lack of a formal and well-developed approach to learning collectively and individually. Originality/value This research paper will inform future attempts at service redesign in community and primary health contexts and provides a site-specific examination of workplace learning in a context of rapid change.

scholarly journals Impact of distance education on primary health care indicators in central Brazil: An ecological study with time trend analysis

PLoS ONE ◽  
2019 ◽  
Vol 14 (3) ◽  
pp. e0214485 ◽  
Author(s):  
Mara Lisiane Moraes dos Santos ◽  
Edilson José Zafalon ◽  
Rafael Aiello Bomfim ◽  
Vera Lucia Kodjaoglanian ◽  
Silvia Helena Mendonça de Moraes ◽  
...  
Keyword(s):  
Health Care ◽  
Distance Education ◽  
Primary Health Care ◽  
Trend Analysis ◽  
Time Trend ◽  
Ecological Study ◽  
Central Brazil ◽  
Primary Health ◽  
Health Care Indicators

scholarly journals Field-testing of primary health-care indicators, India

2020 ◽  
Vol 98 (11) ◽  
pp. 747-753 ◽  
Author(s):  
Devaki Nambiar ◽  
Hari Sankar ◽  
Jyotsna Negi ◽  
Arun Nair ◽  
Rajeev Sadanandan
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Field Testing ◽  
Primary Health ◽  
Health Care Indicators

Non-Fatal Deliberate Self-Harm in Three Remote Indigenous Communities in Far North Queensland, Australia

Crisis ◽  
2019 ◽  
Vol 40 (6) ◽  
pp. 422-428 ◽  
Author(s):  
Chris Rouen ◽  
Alan R. Clough ◽  
Caryn West
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Care Center ◽  
Indigenous Communities ◽  
Indigenous Australians ◽  
Deliberate Self Harm ◽  
Health Care Center ◽  
Far North ◽  
Primary Health ◽  
Self Harm

Abstract. Background: Indigenous Australians experience a suicide rate over twice that of the general population. With nonfatal deliberate self-harm (DSH) being the single most important risk factor for suicide, characterizing the incidence and repetition of DSH in this population is essential. Aims: To investigate the incidence and repetition of DSH in three remote Indigenous communities in Far North Queensland, Australia. Method: DSH presentation data at a primary health-care center in each community were analyzed over a 6-year period from January 1, 2006 to December 31, 2011. Results: A DSH presentation rate of 1,638 per 100,000 population was found within the communities. Rates were higher in age groups 15–24 and 25–34, varied between communities, and were not significantly different between genders; 60% of DSH repetitions occurred within 6 months of an earlier episode. Of the 227 DSH presentations, 32% involved hanging. Limitations: This study was based on a subset of a larger dataset not specifically designed for DSH data collection and assesses the subset of the communities that presented to the primary health-care centers. Conclusion: A dedicated DSH monitoring study is required to provide a better understanding of DSH in these communities and to inform early intervention strategies.

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