Privacy and Confidentiality Issues in Primary Care: views of advanced practice nurses and their patients

2004 ◽  
Vol 11 (4) ◽  
pp. 378-393 ◽  
Author(s):  
Terry Deshefy-Longhi ◽  
Jane Karpe Dixon ◽  
Douglas Olsen ◽  
Margaret Grey
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Focus Groups ◽  
Advanced Practice ◽  
Health Care Information ◽  
Practice Nurses ◽  
The Usa ◽  
Care Information ◽  
Primary Care Practices ◽  
Privacy And Confidentiality

Various aspects of the concepts of privacy and confidentiality are discussed in relation to health care information in primary health care settings. In addition, findings are presented from patient and nurse practitioner focus groups held to elicit concerns that these two groups have in relation to privacy and confidentiality in their respective primary care settings. The focus groups were held prior to the implementation of the Health Insurance Portability and Accessibility Act in the USA. Implications for advanced practice registered nurses in primary care practices are provided.

Usefulness of a Regional Health Care Information System in primary care

2008 ◽  
Vol 91 (2) ◽  
pp. 175-181 ◽  
Author(s):  
Marianne C. Maass ◽  
Paula Asikainen ◽  
Tiina Mäenpää ◽  
Olli Wanne ◽  
Tarja Suominen
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Information System ◽  
Health Care Information ◽  
Regional Health ◽  
Regional Health Care ◽  
Care Information

scholarly journals Inter-clinician eConsults without programmatic incentives or requirements: a qualitative study of primary care provider perspectives

2020 ◽  
Vol 37 (4) ◽  
pp. 525-529 ◽  
Author(s):  
Leah Zallman ◽  
Carolyn F Fisher ◽  
Sofia Ladner ◽  
Kira Mengistu ◽  
Alison B Rapaport ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Focus Groups ◽  
Health Care Systems ◽  
Primary Care Providers ◽  
Safety Net ◽  
Care Providers ◽  
Provider Perspectives ◽  
Care Systems ◽  
The Usa

Abstract Background Inter-clinician electronic consultation (eConsult) programmes are becoming more widespread in the USA as health care systems seek innovative ways of improving specialty access. Existing studies examine models with programmatic incentives or requirements for primary care providers (PCPs) to participate. Objective We aimed to examine PCP perspectives on eConsults in a system with no programmatic incentive or requirement for PCPs to use eConsults. Methods We conducted seven focus groups with 41 PCPs at a safety-net community teaching health care system in Eastern Massachusetts, USA. Results Focus groups revealed that eConsults improved PCP experience by enabling patient-centred care and enhanced PCP education. However, increased workload and variations in communication patterns added challenges for PCPs. Patients were perceived as receiving timelier and more convenient care. Timelier care combined with direct documentation in the patient record was perceived as improving patient safety. Although cost implications were less clear, PCPs perceived costs as being lowered through fewer unnecessary visits and laboratories. Conclusions Our findings suggest that eConsult systems with no programmatic incentives or requirements for PCPs have the potential to improve care.

Sri Lankan-born women who have given birth in Victoria: a survey of their primary postpartum health-care needs

2016 ◽  
Vol 22 (2) ◽  
pp. 133 ◽  
Author(s):  
Irosha Nilaweera ◽  
Heather Rowe ◽  
Hau Nguyen ◽  
Joanna Burns ◽  
Frances Doran ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Unmet Needs ◽  
Sri Lankan ◽  
Health Care Information ◽  
Care Needs ◽  
Child Health Nurse ◽  
Born Child ◽  
Adaptive Challenges ◽  
Care Information

Women who migrate are vulnerable after giving birth. Normal postpartum adaptive challenges are heightened by separation from family and lack of familiarity with local services. The aim was to investigate primary care needs among Sri Lankan-born women with at least one Victorian-born child aged under 2 years. Health care, information and support needs and unmet needs were assessed in a structured Sinhala or English survey offered in print, online or by telephone. Fifty women provided data. Most (80%) had at least one relative from Sri Lanka to stay for postpartum support. Despite this, many had difficulties settling (62%), feeding (58%) and soothing (42%) their babies. They used significantly fewer health services on average (2.3) than mothers in the general community (2.8) (P < 0.004). Only 32% of primiparous women attended at least one First-Time Parents’ group session. Of women experiencing infant care difficulties, only two-thirds accessed care from a Maternal and Child Health Nurse and only one-third from a General Practitioner. Sri Lankan-born mothers have significant unmet needs for primary care, which are not reduced by informal support. A two-pronged approach is indicated in which women are informed about primary care availability, and the cultural competence and client friendliness of services is strengthened.

scholarly journals Speech, Language and Hearing services in Primary Health Care in Brazil: an analysis of provision and an estimate of shortage, 2005-2015

Revista CEFAC ◽  
2018 ◽  
Vol 20 (3) ◽  
pp. 353-362 ◽  
Author(s):  
Larissa Hellen Teixeira Viégas ◽  
Tatiane Costa Meira ◽  
Brenda Sousa Santos ◽  
Yukari Figueroa Mise ◽  
Vladimir Andrei Rodrigues Arce ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Ecological Study ◽  
Descriptive Analysis ◽  
National Registry ◽  
Health Care Information ◽  
System A ◽  
Primary Health ◽  
Care Information ◽  
Using Data

ABSTRACT Objective: to investigate the evolution and estimate the shortage of Speech, Language and Hearing professionals in Primary Health Care between 2005 and 2015. Methods: a mixed ecological study using data from the National Registry of Health Facilities and the Primary Health Care Information System. A descriptive analysis regarding the evolution of the number of professionals working in Primary Health Care over this period, in Brazilian states and regions, was conducted. The ratio of professionals per 100,000 inhabitants for the years 2005, 2010 and 2015, and the shortages in 2015, were estimated. Results: in 2005, there were 1,717 professionals working in Primary Health Care, that is, one per 100,000 inhabitants. In 2015, there were 4,124, increasing to 2.1/100,000. In 2015, the shortage in supply was 55.1%, varying widely across the states. Conclusion: the shortage in supply is equivalent to an absence of Speech, Language and Hearing service coverage within Primary Health Care for more than half of the Brazilian population. It is worth noting that a conservative parameter was adopted to conduct this estimate. The results suggest a process of consolidation for the inclusion of Speech, Language and Hearing professionals within Primary Health Care, however, still characterized by insufficient and unequal supply across the nation.

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