Primary Health Care in the UK

2018 ◽  
pp. 67-87
Author(s):  
John Fry ◽  
Donald Light ◽  
Jonathan Rodnick ◽  
Peter Orton
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Primary Health ◽  
The Uk

PP97 Delineating Key Components Of Community Paramedicine Programs

2018 ◽  
Vol 34 (S1) ◽  
pp. 102-103
Author(s):  
Charles Yan ◽  
Bing Guo ◽  
Paula Corabian
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Target Population ◽  
The United States ◽  
Careful Consideration ◽  
Integration Model ◽  
Community Paramedicine ◽  
Primary Health ◽  
The Uk

Introduction:Population growth, epidemiological and demographic transition, and a shortage of healthcare workers are affecting health care systems in Australia, Canada, the United Kingdom (UK), and the United States (US). Community paramedicine (CP) programs provide a bridge between primary care and emergency care to address the needs of patients with low acuity but lack of access to primary care. However, how to capture the key characteristics of these programs and present them in a meaningful way is still a challenge. The objective of this presentation is to identify and describe the characteristics of currently existing CP programs in the four countries to inform policy-making on CP program development in Alberta.Methods:Information was obtained from systematic reviews, health technology assessments, general reviews, and government documents identified through a comprehensive literature search. The characteristics of the CP programs are described using a framework originally developed in Australia with three categories: (i) the primary health care model, (ii) the health integration model (in Australia, called the substitution model), and (iii) the community coordination model.Results:In general, Australia emphasizes rural/remote paramedics, whereas Canada, the UK, and the US implement expanded paramedic practice within different environments including rural, remote, regional, and metropolitan settings. Extended care provider programs have been intensively investigated and widely implemented in the UK. While the identified CP programs vary in terms of program components, designation of providers, skill mix, target population, and funding model, the majority of these CP programs fall under the primary health care category of the Australian framework.Conclusions:Transitioning from hospital-based to community-based health care requires careful consideration of all key factors that could contribute to future program success. Delineating key components of CP programs using the Australian framework will help Alberta decision-makers design, develop, and implement appropriate CP programs that adequately address local needs.

Beyond Balint: A Group-analytic Support Model for Traumatized Doctors

2005 ◽  
Vol 38 (2) ◽  
pp. 265-280 ◽  
Author(s):  
Gerhard Wilke
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Professional Identity ◽  
Traumatic Stress ◽  
Group Analysis ◽  
Health Care Reforms ◽  
Primary Health ◽  
Model Set ◽  
Uk National Health Service ◽  
The Uk

The UK Primary Health Care Reforms dating from 1990 have resulted in traumatic stress for General Practitioners (GPs) within the UK National Health Service (NHS). Previously, their first task had always been to provide care. Now the objectives are purely economic, focusing on cost-effectiveness and meeting Government targets. This article compares the Balint Model, set out by Michael and Edna Balint in the 1950s, to what is required in the current situation, and shows how group analysis can help GPs come to terms with their new professional identity and how they see their future.

scholarly journals Primary care research – influencing and implementing into policy

2021 ◽  
Vol 60 (3) ◽  
pp. 138-144
Author(s):  
Sally Kendall
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Policy Implementation ◽  
Previous Literature ◽  
Policy And Practice ◽  
Primary Care Research ◽  
Care Research ◽  
Primary Health ◽  
The Uk

Abstract This editorial describes how research in primary health care can be used to influence policy. It draws on previous literature to give an example from the UK of how research in one part of primary care, the health-visiting service, has endeavoured to use evidence to influence policy and practice. The editorial considers frameworks for policy implementation such as Bardach’s eight phase approach and concepts that can inform policy implementation such as Lipsky’s Street-Level Bureaucrat approach.

The Incidence of Pesticide Related Illness Presenting in Primary Health Care in the UK

Epidemiology ◽  
2006 ◽  
Vol 17 (Suppl) ◽  
pp. S373
Author(s):  
L Rushton ◽  
V Mann ◽  
N Fasey ◽  
E Bissoon ◽  
Y Grelet
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Primary Health ◽  
The Uk

Partnerships, primary health care and health inequalities: problems and possibilities

2004 ◽  
Vol 10 (3) ◽  
pp. 38 ◽  
Author(s):  
Jenny M Lewis
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Inequalities ◽  
Political Support ◽  
Network Characteristics ◽  
Traditional Health ◽  
Primary Health ◽  
The Social ◽  
The Uk ◽  
The Impact

Partnerships have become a widespread tool for coordinating the disconnected components of primary health care. They are based on network modes of governing which are seen as less susceptible to power disparities and as being more democratic than hierarchies, and more inclusive and egalitarian than markets. This paper examines whether government mandated partnerships, which mix network characteristics with aspects of hierarchies and markets, can contribute to ameliorating the effects of inequities and their impacts on health. Partnerships have benefits but are complicated and time consuming. They have theoretical appeal in addressing health problems which require solutions that reach beyond traditional health boundaries to be more interconnected and inclusive. Evaluations of partnerships in the UK indicate their substantial coordination benefits. But reducing the impact of inequities also requires shifting to a conception of health that emphasises the social and environmental context. This is the case even where partnerships have political support and health inequalities are on the agenda. Partnerships are not a quick fix, but they are a necessary component of tackling the impacts of inequities on health. They create possibilities for reducing the impacts of inequities on health by providing a platform on which additional measures can be built.

scholarly journals Psychogeriatricians and general practitioners: a national survey

1993 ◽  
Vol 17 (10) ◽  
pp. 592-594 ◽  
Author(s):  
Sube Banerjee ◽  
James Lindesay ◽  
Elaine Murphy
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Social Care ◽  
The Elderly ◽  
Health Care Teams ◽  
Primary Health ◽  
Regular Screening ◽  
Health And Social Care ◽  
The Uk ◽  
The Relationship

Recent changes in the provision of health and social care in the UK such as the institution of a purchaser/provider system and regular screening of the elderly by GPs are of importance to the relationship between primary health care teams (PHCT) and psychogeriatricians. These changes have clarified the necessity for sensitivity by psychogeriatric services to the needs of GPs and commissioning authorities.

scholarly journals Access to primary health care for asylum seekers and refugees: a qualitative study of service user experiences in the UK

2019 ◽  
Vol 69 (685) ◽  
pp. e537-e545 ◽  
Author(s):  
Cara Kang ◽  
Louise Tomkow ◽  
Rebecca Farrington
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Asylum Seekers ◽  
Healthcare Access ◽  
Negative Consequences ◽  
Complex Needs ◽  
Primary Health ◽  
The Uk ◽  
Asylum Seekers And Refugees

BackgroundAsylum seekers and refugees (ASR) face difficulty accessing health care in host countries. In 2017, NHS charges for overseas visitors were extended to include some community care for refused asylum seekers. There is growing concern that this will increase access difficulties, but no recent research has documented the lived experiences of ASR accessing UK primary health care.AimTo examine ASR experiences accessing primary health care in the UK in 2018.Design and settingThis was a qualitative community-based study. ASR were recruited by criterion-based sampling through voluntary community organisations.MethodA total of 18 ASR completed face-to-face semi-structured recorded interviews discussing primary care access. Transcripts underwent thematic analysis by three researchers using Penchansky and Thomas’s modified theory of access.ResultsThe qualitative data show that participants found primary care services difficult to navigate and negotiate. Dominant themes included language barriers and inadequate interpretation services; lack of awareness of the structure and function of the NHS; difficulty meeting the costs of dental care, prescription fees, and transport to appointments; and the perception of discrimination relating to race, religion, and immigration status.ConclusionBy centralising the voices of ASR and illustrating the negative consequences of poor healthcare access, this article urges consideration of how access to primary care in the UK can be enhanced for often marginalised individuals with complex needs.

The challenges of generalism

2013 ◽  
Vol 6 (11) ◽  
pp. 725-730
Author(s):  
John CM Gillies ◽  
George K Freeman
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
21St Century ◽  
Primary Health ◽  
Recent Developments ◽  
The Uk ◽  
Training Practice

This article summarises recent developments in thinking about generalism, setting out definitions and exploring its relevance to primary health care in the UK in the 21st century. We summarise important key documents of relevance to AiTs and suggest ways in which you can learn about relevant aspects of generalism through individual reflection, in your training practice and in educational release programmes.

Primary health care centres in the UK: putting policy into practice

2009 ◽  
Vol 27 (2) ◽  
pp. 109-118 ◽  
Author(s):  
Peter Jones ◽  
David Hillier ◽  
Daphne Comfort
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Primary Health ◽  
The Uk
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