scholarly journals Advanced Practice Nursing in Primary Health Care in the Spanish National Health System

2020 ◽  
Vol 25 (1) ◽  
pp. 303-314 ◽  
Author(s):  
Kerstin Hämel ◽  
Beatriz Rosana Gonçalves de Oliveira Toso ◽  
Angela Casanova ◽  
Ligia Giovanella
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health System ◽  
National Health ◽  
National Health System ◽  
Shared Responsibility ◽  
Primary Health ◽  
Spanish National Health System ◽  
Health Centres ◽  
Doctors And Nurses

Abstract The primary health care in the Spanish National Health System is organised in health centres with multi-professional teams, composed of doctors and nurses specialised in family and community health, in addition to other professionals. This article analyses the role of primary health care nurses in the Spanish National Health System. In the last decade, new concepts of task sharing between doctors and nurses as well as advanced nursing roles have been evolved in the health centres that focus on improving care for chronically ill patients and access to primary care. With shared responsibility, nurses are responsible for chronic patients in stable conditions, health prevention and promotion. The scaling up of advanced nursing tasks is limited by uncertainties of roles, disparities between states, and legislations that do not cover the full extent of advanced nursing tasks. The case study of Spain indicates that a strong multi-professional model of primary health care teams is a crucial basis for the evolvement of advanced nursing practice and its acceptance in daily routines. However, advantageous education structures and legislations are needed to allow nurses to develop their contribution in the full potential.

Solidarity Clinics and social work in the era of crisis in Greece

2016 ◽  
Vol 61 (6) ◽  
pp. 794-808 ◽  
Author(s):  
Dimitra-Dora Teloni ◽  
Sofia Adam
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Social Work ◽  
Health System ◽  
Social Workers ◽  
National Health ◽  
National Health System ◽  
Research Project ◽  
Primary Health

After the eruption of the crisis and the imposition of strict austerity measures, a number of grassroots solidarity initiatives emerged in Greece. The growth of Solidarity Clinics (SCs) emerged as an answer to the lack of primary health care for around 2.5 million people who were excluded from the national health system. This article presents and discusses the findings of a research project conducted from May 2014 to September 2014 in Greece. The aim and profile of SCs as well as the involvement of social workers in the initiatives are presented and discussed within the framework of the role of social work.

scholarly journals Dental Procedures in Primary Health Care of the Brazilian National Health System

2017 ◽  
Vol 14 (12) ◽  
pp. 1480 ◽  
Author(s):  
Suellen Mendes ◽  
Renata Martins ◽  
Antônio Matta-Machado ◽  
Grazielle Mattos ◽  
Jennifer Gallagher ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health System ◽  
National Health ◽  
National Health System ◽  
Primary Health ◽  
Dental Procedures

scholarly journals The Trials and Tribulations of the National Health System (ESY) in Greece: A Chronicle of Unfulfilled Promises

2021 ◽  
Vol 17 ◽  
pp. 115
Author(s):  
Anastas Philalithis
Keyword(s):  
Health Care ◽  
World War Ii ◽  
Primary Health Care ◽  
Health System ◽  
National Health ◽  
National Health System ◽  
Public Hospitals ◽  
Primary Health ◽  
Vested Interests ◽  
The Creation

The creation of the National Health System (ESY) in the 1980s is a majorlandmark in the development of the welfare state in Greece during the metapolitefsi (regime change) period. An ambitious effort to reform the fragmented, ineffective health services of the post-World War II period, it achieved a major reorganisation of public hospitals and the establishment of rural health centres providing primary health care. Yet its promise of high-quality services for all was not fulfilled, since vested interests blocked its full implementation. While the fiscal crisis of the 2010s was the catalyst for theunification of the health insurance funds, the creation of integrated primary health care intowns failed once again. This article examines the achievements and failures of the reform in light of the political and social factors that shaped this era.

Trends in social class inequalities in the use of health care services within the Spanish National Health System, 1993–2006

2011 ◽  
Vol 14 (2) ◽  
pp. 211-219 ◽  
Author(s):  
Laia Palència ◽  
Albert Espelt ◽  
Maica Rodríguez-Sanz ◽  
Katia B. Rocha ◽  
M. Isabel Pasarín ◽  
...  
Keyword(s):  
Health Care ◽  
Social Class ◽  
Health System ◽  
National Health ◽  
Health Care Services ◽  
National Health System ◽  
Care Services ◽  
Spanish National Health System ◽  
Use Of Health Care

scholarly journals Multidisciplinary approach to psoriasis in the Spanish National Health System: A social return on investment study

2020 ◽  
Vol 7 (1) ◽  
pp. 50-56
Author(s):  
Gregorio Carretero ◽  
David Moreno ◽  
Almudena González Domínguez ◽  
David Trigos ◽  
Albert Ledesma ◽  
...  
Keyword(s):  
Health Care ◽  
Health System ◽  
National Health ◽  
Return On Investment ◽  
Multidisciplinary Approach ◽  
Unmet Needs ◽  
National Health System ◽  
New Approach ◽  
Social Return On Investment ◽  
Spanish National Health System

Introduction: Psoriasis is a chronic disease in which patients feel stigmatization, social rejection, and suffer from low self-esteem. There are still unmet needs that make it necessary to define a new multidisciplinary approach to provide benefits not only to patients and their families but also to the Spanish National Health System (SNHS) and society. The aim was to define a new approach to better address the unmet needs of patients with psoriasis within the SNHS and to measure its impact from a social perspective, that is, in clinical, health care, economic, and social terms. Methods: Multidisciplinary experts identified, agreed on, and selected several health care interventions that were feasible for implementation in the SNHS. This process was carried out in four different areas: diagnosis, mild psoriasis, moderate psoriasis, and severe psoriasis. To estimate investment and social return, the social return on investment (SROI) method was used. Results: The new approach to psoriasis management in the SNHS comprised 18 proposals. The investment needed for the implementation of this new approach would amount to €222.77 million and its return to €1,123.11 million. This would yield a SROI ratio of €5.04 for every euro invested.  Conclusion: The new approach to psoriasis management would yield a positive social return. The results will allow optimal strategic planning adapted to each assistance situation, to achieve a comprehensive and multidisciplinary approach.

The relative efficiency of South African municipalities in providing public health care

2016 ◽  
Vol 7 (3) ◽  
pp. 346-365
Author(s):  
Josue Mbonigaba ◽  
Saidou Baba Oumar
Keyword(s):  
South Africa ◽  
Health Care ◽  
Primary Health Care ◽  
Health System ◽  
South African ◽  
Relative Efficiency ◽  
National Health System ◽  
Public Health Care ◽  
Content Type ◽  
Primary Health

Purpose The purpose of this paper is to assess whether the relative efficiency of South African municipalities in primary health care and hospital care is different and whether South African municipalities can learn from each other to improve on their efficiency. Design/methodology/approach The paper employs efficiency scores, estimated with data envelopment analysis using data from the District Health Barometer of the Health Systems Trust to rank South African municipalities across primary health care and hospital health care. Findings The finding is that the ranking of municipalities is not the same across both types of health care when efficiency scores and efficiency score growth are contemplated. These results imply that municipalities in South Africa are generally inefficient, but with the possibility of learning from each other’s practice in order to increase their technical efficiency. Practical implications The health system authority should monitor service-specific best practices among municipalities so that they can use them as practice guidelines for other municipalities. Originality/value Previous studies in South Africa have not dis-aggregated efficiency analysis across municipalities which are health system components of the broader national health system.

Community Participation for Health Systems Strengthening” - A Decade of Experience in Sustaining Community Interventions in NHM, Odisha

GIS Business ◽  
2020 ◽  
Vol 15 (1) ◽  
pp. 149-157
Author(s):  
Susanta Kumar Nayak ◽  
Dr. Iswasr Chandra Naik
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health System ◽  
Community Participation ◽  
National Health ◽  
Health Systems Strengthening ◽  
Health System Strengthening ◽  
Community Interventions ◽  
Primary Health ◽  
Care Approach

This paper presents a framework to explore the decadal experience of community participation for health system strengthening using Primary Health Care Approach in National Health Mission (NHM), Odisha. It traces the concept of community participation, its various facets, dimensions and application in the context of health system strengthening using Primary Health Care Approach. The paper tries to ascertain the scope of the community participation in National Health Mission (NHM), identify and highlight measures adopted for improving community participation leading to improvement in health system and health outcomes. Further it tries to critically understand how the decadal experience community participation efforts have been sustained in NHM, its challenges and way forward.

scholarly journals Applying spatio-temporal models to assess variations across health care areas and regions: Lessons from the decentralized Spanish National Health System

PLoS ONE ◽  
2017 ◽  
Vol 12 (2) ◽  
pp. e0170480 ◽  
Author(s):  
Julián Librero ◽  
Berta Ibañez ◽  
Natalia Martínez-Lizaga ◽  
Salvador Peiró ◽  
Enrique Bernal-Delgado ◽  
...  
Keyword(s):  
Health Care ◽  
Health System ◽  
National Health ◽  
National Health System ◽  
Spanish National Health System ◽  
Temporal Models ◽  
Spatio Temporal
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