scholarly journals The trend in primary health care preference in China: a cohort study of 12,508 residents from 2012 to 2018

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Guangsheng Wan ◽  
Xiaolin Wei ◽  
Hui Yin ◽  
Zhiwang Qian ◽  
Tingting Wang ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Status ◽  
Analysis Framework ◽  
Andersen Model ◽  
Primary Health ◽  
Logistic Regressions ◽  
Nationally Representative ◽  
Primary Service ◽  
Over Time

Abstract Background Residents’ preference for primary health care (PHC) determined their utilization of PHC. This study aimed to assess the determinants of PHC service preference among the residents and the trend in PHC service preference over time in China. Methods We employed the nationally representative longitudinal data from 2012 to 2018 based on the China Family Panel Studies. The analysis framework was guided by the Andersen model of health service utilization. We included a total of 12,508 individuals who have been successfully followed up in the surveys of 2012, 2014, 2016, and 2018 without any missing data. Logistic regressions were performed to analyze potential predictors of PHC preference behavior. Results The results indicated that individuals’ socio-economic circumstances and their health status factors were statistically significant determinants of PHC preference. Notably, over time, the residents’ likelihood of choosing PHC service represented a decreasing trend. Compare to 2012, the likelihood of PHC service preference decreased by 18.6% (OR, 0.814; 95% CI, 0.764–0.867) in 2014, 30.0% (OR, 0.700; 95% CI, 0.657–0.745) in 2016, and 34.9% (OR, 0.651; 95% CI, 0.611–0.694) in 2018. The decrease was significantly associated with the changes in residents’ health status. Conclusions The residents’ likelihood of choosing PHC service represented a decreasing trend, which was contrary to the objective of China’s National Health Reform in 2009. We recommend that policymakers adjust the primary service items in PHC facilities and strengthen the coordination of service between PHC institutions and higher-level hospitals.

scholarly journals Self-Reported Health Status in Primary Health Care: The Influence of Immigration and Other Associated Factors

PLoS ONE ◽  
2012 ◽  
Vol 7 (6) ◽  
pp. e38462 ◽  
Author(s):  
Miguel Á. Salinero-Fort ◽  
Rodrigo Jiménez-García ◽  
Laura del Otero-Sanz ◽  
Carmen de Burgos-Lunar ◽  
Rosa M. Chico-Moraleja ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Status ◽  
Associated Factors ◽  
Primary Health ◽  
Reported Health ◽  
Self Reported Health Status

scholarly journals Stress and perceived health among primary care visitors in two corners of Europe: Scandinavia and Greece

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Jenny Koppner ◽  
Marios Chatziarzenis ◽  
Tomas Faresjö ◽  
Elvar Theodorsson ◽  
Annika Thorsell ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Primary Health Care ◽  
Perceived Stress ◽  
Perceived Health ◽  
Long Term Effects ◽  
Primary Health ◽  
The Future ◽  
Logistic Regressions

Abstract Background The global financial crisis emerging in 2008 struck Greece especially hard, whereas Scandinavian countries were less affected. This has created a unique opportunity to study the long-term effect of community stress on populations. Increasing frequencies of mental health issues and poorer perceived health among the Greek population have been reported. The physiological marker of long-term stress, cortisol in hair, is applied in this study together with measures of perceived health and stress, depression and anxiety. Our aim was to study self-reported and physiological stress, perceived health, including mental health, in the general population of Greece compared to Scandinavia, in order to assess long-term effects of the economic crisis on these parameters. Methods A cross-sectional comparative study of adult (18–65 years) Primary Health Care visitors from semi-rural areas in Greece (n = 84) and Scandinavia (n = 140). Data collection was performed in 2012, and encompassed a questionnaire with a variety of health and stress indicators as well as hair samples for analyzes of cortisol levels. Results The Greek sample reported significantly poorer overall health (p < 0.0001) than the Scandinavians and a significantly higher perceived stress (p < 0.0001). The Greeks were also less hopeful of the future (p < 0.0001), and to a larger extent fulfilled the HAD criteria for depression (p < 0.0001) and anxiety (p = 0.002). The strongest predictors explaining ill health in logistic regressions were being Greek (p = 0.001) and feeling hopeless about the future p = 0.001, OR = 6.00 (CI 2.10–14.88). Strong predictors in logistic regressions for high perceived stress were anxiety: high (p < 0.0001) and medium (p = 0.0001), as well as medium depression (p = 0.02). Conclusions Greek adult Primary Health Care visitors perceived their health more negatively than the Scandinavians, including a higher presence of depression, anxiety, and a lower hope for the future. The Greeks also reported higher perceived stress, but this was not reflected in higher cortisol levels. The findings presented here, identify possible adverse long-term effects of the economic crisis in the examined Greek population that are not seen in the Scandinavian cohort. These differences may also be interpreted against the background of socio-cultural differences in the northern and south-eastern corners of Europe.

A Health Education Approach to Training Village Health Workers in Nigeria

1982 ◽  
Vol 3 (2) ◽  
pp. 145-152 ◽  
Author(s):  
William R. Brieger ◽  
Samuel U. Akpovi
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Status ◽  
Health Education ◽  
Health Workers ◽  
Care Process ◽  
Skill Transfer ◽  
Primary Health ◽  
Village Health Workers ◽  
Village Health

Health education plays an important role in the primary health care process, particularly in the training of village health workers. Three educational concepts, training based on community felt needs, trainee involvement and social and cultural realism, are essential in designing these programs. These concepts were applied over a three year period in the training of village health caretakers in Idere town of Oyo State, Nigeria. Volunteer village health workers from ten villages were able to bring about changes in knowledge, behaviour and health status of their fellow villagers indicating that the health education approach fostered skill transfer to the communities.

scholarly journals Burnout and health status differences among primary healthcare professionals in Portugal

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Pedro L. Ferreira ◽  
Vitor Raposo ◽  
Aida Isabel Tavares ◽  
Ana Pinto
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Status ◽  
Primary Healthcare ◽  
Healthcare Setting ◽  
Well Being ◽  
Good Health ◽  
Online Questionnaire ◽  
Primary Health ◽  
Self Assessed Health

Abstract Background This paper is focused on two indicators which may be considered as proxies of individuals’ well-being: self-assessed health and burnout intensity. There is little research relating these concepts with the type of the primary healthcare setting, its urbanization density and the region. The aims of this work are threefold: (i) to find determinant factors of individual health status and burnout, (ii) to find possible differences across different types of health care units, differently urbanized areas, and different administrative regions, and (iii) to verify if there are differences in between GPs and nurses. Methods Data was gathered from an online questionnaire implemented on primary health care. A sample of 9,094 professionals from all 1,212 primary health care settings in Portugal mainland was obtained from an online questionnaire filled from January and April 2018. Statistical analyses include the estimation of two ordered probits, one explaining self-assessed health and the other the burnout. Results The individual drivers for good health and lower levels of burnout, that is, better well-being, are estimated for GPs and nurses. Main findings support that, first, nurses report worst health than GPs, but the latter tend to suffer higher levels of burnout, and also that, 'place' effects arising from the health unit settings and regional location are more significant in GPs than in nurses. However, urbanization density is not significantly associated with health or burnout. Conclusions A set of policy recommendations are suggested to improve the healthcare workforce well-being, such as improving job satisfaction and income. These policies should be taken at the health care unit level and at the regional administrative level.

scholarly journals Leaving no one behind: lessons from implementation of policies for universal HIV treatment to universal health coverage

2020 ◽  
Author(s):  
Yibeltal Assefa ◽  
Peter S Hill ◽  
Wim Van Damme ◽  
Judith Dean ◽  
Charles F Gilks
Keyword(s):  
Public Health ◽  
Health Care ◽  
Primary Health Care ◽  
Universal Health Coverage ◽  
Hiv Treatment ◽  
Public Health Approach ◽  
Health Coverage ◽  
Primary Health ◽  
Universal Health ◽  
Over Time

Abstract Background: The third Sustainable Development Goal (SDG-3) aims to ensure healthy lives and promote well-being for all at all ages. SDG-3 has a specific target on universal health coverage (UHC), which emphasizes the importance of all people and communities having access to quality health services without risking financial hardship. The objective of this study is to review progress towards UHC using antiretroviral treatment (ART) as a case study. Methods: We used a mixed-methods design including qualitative and quantitative approaches. We reviewed and synthesised the evidence on the evolution of the WHO HIV treatment guidelines between 2002 and 2019. We calculated ART coverage over time by gender, age group, and location. We also estimated ART coverage differences and ratios. Findings: ART guidelines have evolved from “treating the sickest” to “treating all”. ART coverage increased globally from under 7% in 2005 to 62% in 2018. There have been successes in increasing ART coverage in all populations and locations. However, progress varies by population and location in many regions. There is inequity in ART coverage: women (68%) versus men (55%), and adults (62%) versus children (54%). This inequity has widened over time, and with expanded ART eligibility criteria. On the other hand, data from at least one high-burden country (Ethiopia) shows that inequity among regions has narrowed over time due to the improvements in the primary health care systems and implementation of the public health approach in the country. Conclusion: ART coverage has increased at global, regional and national levels to all population groups. However, the gains have not been equitable among locations and populations. Policies towards universality may widen the inequity in resource-limited settings unless countries take precautions and “put the last first”. We argue that primary health care and public health approaches, with multi-sectoral actions and community engagement, are vital to minimize inequity, achieve UHC and leave no one behind.

scholarly journals The self-perceived health status and access to health care services among Korean immigrants in Ottawa, Ontario

2021 ◽  
Author(s):  
Sang-Mi Suh
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Status ◽  
Acculturative Stress ◽  
Health Care Services ◽  
Korean Immigrants ◽  
Primary Health Care System ◽  
Perceived Health Status ◽  
Care Services ◽  
Primary Health

The objectives of thesis paper were to examine the current self-perceived health status of Korean immigrants and identify their health determining factors, particularly the impact of acculturative stress. Also, the use of primary health care services in Canada and the choice of participants' alternative use of health coping strategies were also under careful scrutiny. A qualitative approach was used based on focus groups and analysis was set within the population health perspective. The results indicated that acculturative stress was a major health-determining factor among participants. High acculturative stress and barriers to using Canada's primary health care system increased patterns of demands for outside of primary health care system, such as access to emergency department services. Also, continuously experiences difficulties in using the regular health care services, the Korean participants chose to utilize their high transnational activities and accessed medical services in their homeland.

scholarly journals Integrated Services Post (Posyandu) as Sociocultural Approach for Primary Health Care Issue

2012 ◽  
Vol 7 (5) ◽  
pp. 195
Author(s):  
Oedojo Soedirham
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Status ◽  
Community Participation ◽  
Health Worker ◽  
Integrated Services ◽  
Village Health Worker ◽  
Primary Health ◽  
Sociocultural Approach ◽  
Village Health

The birth of Integrated services post (Posyandu) in 1980s is no doubt based on the effort of the Goverment of Indonesia to improve the health status of the population following the International call the Declaration of Alma-Ata (Kazakhstan) about Primary Health Care in 1978. The key concept of thedeclaration is community participation. In Indonesia specifically the community participation is called “gotong royong”. Community plays an important role in the improvement of their own health. To involve community in the health care, the volunteer has to be recruited and trained to recognize basic health care issues. The idea is that the volunteers that called village health worker (kader) as part of the community would be much easier to deliver health programs because they are closer to them compare to the public health officials.This paper is intended to discuss Posyandu which is basically a sociocultural approach for primary health care as a strategy to improve the health status of Indonesian people.Keywords: Posyandu, primary health care, sociocultural approachAbstrakKelahiran posyandu pada tahun 1980-an merupakan usaha pemerintah Indonesia untuk meningkatkan status kesehatan masyarakat, mengikuti panggilan internasional, Deklarasi Alma Ata (Kazakhstan) tentang kesehatan masyarakat tahun 1978. Konsep kunci deklarasi tersebut adalah partisipasi masyarakat. Di Indonesia, partisipasi masyarakat disebut “gotong royong”. Masyarakat memainkan peran penting dalam meningkatkankesehatan masing-masing. Untuk melibatkan masyarakat dalam kesehatan masyarakat, relawan harus direkrut dan dilatih untuk mengenal isu-isu kesehatan masyarakat dasar. Gagasan mengenai relawan yang disebut kader (village health worker) tersebut diajukan agar relawan sebagai bagian darimasyarakat dapat lebih mudah menyampaikan program-program kesehatan karena lebih dekat dibandingkan pejabat kesehatan masyarakat. Di dalam artikel ini dibahas tentang Posyandu yang pada dasarnya merupakan pendekatan sosiokultural dalam pelayanan kesehatan masyarakat sebagai strategi untuk meningkatkan status kesehatan masyarakat Indonesia.Kata kunci: Posyandu, pelayanan kesehatan dasar, pendekatan sosiokultural

scholarly journals The self-perceived health status and access to health care services among Korean immigrants in Ottawa, Ontario

2021 ◽  
Author(s):  
Sang-Mi Suh
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Status ◽  
Acculturative Stress ◽  
Health Care Services ◽  
Korean Immigrants ◽  
Primary Health Care System ◽  
Perceived Health Status ◽  
Care Services ◽  
Primary Health

The objectives of thesis paper were to examine the current self-perceived health status of Korean immigrants and identify their health determining factors, particularly the impact of acculturative stress. Also, the use of primary health care services in Canada and the choice of participants' alternative use of health coping strategies were also under careful scrutiny. A qualitative approach was used based on focus groups and analysis was set within the population health perspective. The results indicated that acculturative stress was a major health-determining factor among participants. High acculturative stress and barriers to using Canada's primary health care system increased patterns of demands for outside of primary health care system, such as access to emergency department services. Also, continuously experiences difficulties in using the regular health care services, the Korean participants chose to utilize their high transnational activities and accessed medical services in their homeland.

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