scholarly journals Evaluation of health care services provided for older adults in primary health care centers and its internal environment. A step towards age-friendly health centers

2015 ◽  
Vol 36 (9) ◽  
pp. 1091-1096 ◽  
Author(s):  
Adel Alhamdan ◽  
Sulaiman Alshammari ◽  
Maysoon Al-Amoud ◽  
Tariq Hameed ◽  
May Al-Muammar ◽  
...  
2022 ◽  
Vol 63 (4) ◽  
pp. 138-144
Author(s):  
Lamia D. Bahaa Al Deen ◽  
Abeer Abdulkareem Fadhel

Background: Satisfied caregivers are more likely to return for further care and to recommend the primary health care center services to others. Satisfied caregivers usually are compliant with the medical provider advice and the recommended treatment plan. Compliance will eventually lead to better health outcomes. Method: A cross-sectional study with an analytic element was conducted during the period from the beginning of July to the end of September 2020. A convenient sample was collected from six primary health care centers in Al-Karkh side of Baghdad city where caregivers who attend those centers with their children for under-five health care services were interviewed using a structured questionnaire.Objective: To measure the caregivers’ satisfaction toward under-five health care services at primary health care centers in Baghdad Al-Karkh and their association with certain socio-demographic characteristics. Results: A total of 500 caregivers were interviewed during the study period, the overall satisfaction was (64%). Caregivers were satisfied with primary health care centers cleanliness (77.8%), while they were highly dissatisfied with the communication with the nurses (78.8%), with the waiting time for a routine visit (74.6%), with nurses’ antiseptic methods (59.2%), and with the availability and adequacy of their children’s vaccines (65.4%). Conclusions: The level of satisfaction of caregivers with under-five health care services provided at primary health care centers was relatively low. The study revealed that the less educated and older caregivers showed a significant higher level of satisfaction.


2020 ◽  
Vol 1 (3) ◽  
pp. 38-40
Author(s):  
Hasan Mahfuz Reza ◽  
Md. Abdul Mukit Sarkar

Good health of the common people is a basic requirement for national development. As Bangladesh is one of the fastest growing economics in South Asia, the health status of its Population is vital for the sustainable of their socio-economic development. Government and NGOs have been providing primary health care through a variety of outlets ranging from satellite clinics through primary health care centers, many new and innovative programs are in operation now. This study aimed to examine suggested opinion by the clients for improving standard of service on Urban Primary Health Care Services Delivery Project working in selected Municipality. This was a cross-sectional study carried out at three urban primary health care centers in Kushtia Municipality, Bangladesh. A sample of 576 patients was selected for this study by random sampling. The data were collected through questionnaires were processed using SPSS statistical software. Suggested opinion regarding improving standard were ensuring availability of doctor/nurse in due time (7.1%), behavior of the clinic staffs would be more friendly (13.0%), increasing lab test facilities (16.0%), improvement overall management (14.8%) and ensuring free treatment for the poor patient (11.6%). Though the overall health care services of the health centers were good, the clients gave some of their opinion to develop the standard of NGO clinic services.


2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Saeed Mohammadpour ◽  
Javad Javan-Noughabi ◽  
Ali Vafaee Najar ◽  
Moharram Zangeneh ◽  
Shaghayegh Yousefi ◽  
...  

Abstract Background Studying and monitoring the efficiency of primary health care centers has a special place in the health system. Although studies have been conducted in the field of efficiency in Iran, few have focused on rural primary health care centers. In addition, previous studies have not used the child mortality rate and Behvarzes as input and output. Objective The present study was conducted aimed to estimate the technical efficiency of rural primary health care centers and determinant factors in Hamadan using data envelopment analysis and Tobit regression. Methods This is a Longitudinal study of rural primary health care centers in Hamadan province (2002–2016). Data Envelopment Analysis was employed to estimate technical efficiency of sampled health facilities while Panel Tobit Analysis was applied to predict factors associated with efficiency levels. The outputs were child mortality rate under 1 year of age and child mortality rate 1 year to 5 years of age. The input was Behvarzes (rural health workers). Results The results of efficiency analysis showed that the average efficiency scores of the centers had a fluctuating trend during the period of the study, but the average performance scores generally decreased in 2016, as compared with 2002. The highest and lowest average performance scores were observed in 2003 (0.78) and 2013 (0.56), respectively. Number of physicians and rural primary healthcare centers per population had a positive statistically significant and the number of midwives and the total fertility per population had a negative statistically significant effect on efficiency. Conclusions The findings suggest some level of wastage of health resources in primary health centers. Findings indicate a level of waste of health resources in primary health centers. Behvarz functions in providing primary care services can be considered in the reallocation and optimal use of available resources at the level of rural health centers.


Author(s):  
Samya Ahmad Al-Abdulla ◽  
Robin O’Dwyer

Background: In response to the COVID-19 global pandemic the Primary Health Care Corporation (PHCC) in Qatar recognized the need to limit face-to-face consultations within health centers in order to prevent unnecessary spread of the virus by offering an alternative solution for patients to access primary health care. PHCC responded by establishing teleconsultation services (telephone and video) within health centers and establishing a community call center offering teleconsultations for family medicine, ophthalmology, and dentistry services, with a nursing tele-triage service operating 24 hours a day, 7 days a week. Methods: All previously booked appointments within health centers were converted to outbound telephone consultations. The community call center was widely advertised and received incoming patient inquiries. This led to an analysis of the teleconsultation service utilization on a daily, weekly, and monthly basis. Results: The 27 health centers successfully provided 703,845 teleconsultations (via video and telephone calls) between 1st April and 31st October 2020 compared to 964,285 in-person consultations. A significant percentage of patients continue to opt for a telephone consultation rather than a face-to-face visit. Between 29th March and 28th November 2020, the community call center received a total of 159,137 calls with 61% of calls managed and resolved by a nurse, without the need for a consultation by a physician. Conclusion: The rapid response by PHCC to find alternative means to offer primary health care services during a pandemic was activated early and the public responded positively. Teleconsultation services within Qatar have been widely accepted by patients who have more choices to access primary care services. Since April 2020, when teleconsultations were fully implemented in PHCC, to October 2020, 42% of all consultations have been via teleconsultation . Teleconsultation services both within health centers and the community call center, offer an alternative means of care delivery, empowering patients.


2020 ◽  
Vol 7 (4) ◽  
pp. 13-26
Author(s):  
Zhian Mueen Shekho ◽  
Kareem Aziz Fatah

Back ground and Objectives: Effective communication is important at all steps of human life, most especially in healthcare organizations because it enables good relationships between doctors and clients and helps them in challenging healthcare choices. This study aimed to identify level of satisfaction of clients with communication of doctors in primary health care centers and to find out the association between client’s satisfaction and their socio-demographics. Methods: Quantitative design, cross-sectional descriptive study was conducted to determine the level of client’s satisfaction toward communication skills of doctors in four primary health care centers. The data were collected at the period of 15th of April, 2019 to 1st of July, 2019. So, 300 clients were chosen randomly. Result: The mean age + SD was 35.0 + 10.8 years, ranging from 19 to 70 years. The median was 33 years. The majority (71%) of the clients aged less than 40 years. Around two thirds (64.3%) of the clients were females, and 80.3% of the clients were Muslims. Around one third (34.3%) of the clients attended the PHC centers for immunization, 32% for checkup, and 23% for medical treatment. 34.4% of the clients visit the PHC center more than four times per year, 26% visit the center four times per year, and 25% of the clients visit the center three times per year. There was no significant association between the communication skills of doctors with the following variables: age of the client (p = 0.096), gender (p = 0.315), religion (p = 0.653), educational level (p = 0.615), type of health care services (p = 0.469), and number of visits per year (p = 0.089). Conclusion: study revealed that 26% of clients who were very satisfied with physician’s communication skills, and 36.3% were satisfied, and 6.7 % dissatisfied. There were no significant association between the client satisfactions of doctors with their socio-demographical characteristics.


2014 ◽  
Vol 48 (6) ◽  
pp. 1020-1025 ◽  
Author(s):  
Regina Rigatto Witt ◽  
Maclaine de Oliveira Roos ◽  
Nilson Maestri Carvalho ◽  
Andria Machado da Silva ◽  
Carla Daiane Silva Rodrigues ◽  
...  

Objective To identify and analyze the necessary competencies in primary health care for attending to older adults. Method An exploratory, descriptive, and quali-quantitative study was developed. Three rounds of the Delphi Technique were conducted with participants from primary health care services and a multidisciplinary committee. The first questionnaire asked participants to indicate the competencies needed for attending to older adults in primary health care. They were compiled into a list and added to a Likert Scale (from 1 to 5) for the second and third questionnaires. A consensus criterion of 70% was adopted. Results Twenty eight competencies were reached by consensus and were classified into twelve domains. Conclusion The competencies reflect Brazilian health care policy and constitute a reference for professional health practice and education when caring for the older adult in primary health care.


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