scholarly journals Accessibility to primary health care in low-density regions. A case study: NUTS III - Baixo Alentejo - Portugal

2021 ◽  
Vol 26 (suppl 1) ◽  
pp. 2497-2506
Author(s):  
Carlos Freitas ◽  
Nuno Marques da Costa
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Low Density ◽  
The Road ◽  
Primary Health ◽  
Primary Health Facilities ◽  
Health Care Equipment ◽  
Physical Accessibility ◽  
The Eu

Abstract This study diagnosed the situation regarding the physical accessibility of the resident population to primary health care, based on the characteristics of the population served, their spatial distribution in the territory, based on space-time analysis. Thus, bearing the different means of transport available and the specific features of a low-density territory, we considered several mobility profiles under analysis, and selected the Baixo Alentejo as the study area. In methodological terms, besides using the location of primary health facilities and their areas of influence, the use of the road network and its restrictions, we selected the use the new 1x1 km grid, recently implemented throughout the EU (European Union), instead of using the statistical units or administrative boundaries. Its advantages allow overcoming some of the issues of the usual base cartography. The final results can be divided into two groups: conclusions related to the methodologies used and conclusions related to the accessibility of primary health care equipment in the study area.

scholarly journals Impact of Medical Homes as a new model of Primary Health Care: a systematic review in the EU and EEA

2016 ◽  
Vol 26 (suppl_1) ◽  
Author(s):  
C Signorelli ◽  
C Bombardini ◽  
P Cella ◽  
V Chiesa ◽  
A Miduri ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Primary Health Care ◽  
New Model ◽  
Medical Homes ◽  
Primary Health ◽  
The Eu

Primary Health Care Under Pressure: A Case Study of Amalgamation in Victoria

1996 ◽  
Vol 2 (3) ◽  
pp. 38 ◽  
Author(s):  
Brigid McCoppin ◽  
Christine Birrell
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Policy ◽  
Care Policy ◽  
Community Health Centres ◽  
Primary Health ◽  
Health Centres ◽  
Common Response ◽  
Future Demands

Amalgamation of community health centres has become a fairly common response to Victorian government changes in primary health care policy (both Labor and Coalition). This is a study of one such amalgamation and of its effects. The amalgamation brought staff and management many difficulties of adjustment, but it has produced a larger organisation which, while it has some residual problems, appears well fitted to withstand the pressure of today's policy directions and to meet future demands.

scholarly journals Partnership approach to Indigenous primary health care and diabetes: a case study from regional New South Wales

2007 ◽  
Vol 15 (1) ◽  
pp. 67-70 ◽  
Author(s):  
Joanne Cooper ◽  
Stephen Moore ◽  
Lyndall Palmer ◽  
Judith Reinhardt ◽  
Michael Roberts ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
New South ◽  
New South Wales ◽  
Primary Health ◽  
South Wales ◽  
Partnership Approach

scholarly journals Nurse practitioner consultations in primary health care: a case study-based survey of patients’ pre-consultation expectations, and post-consultation satisfaction and enablement

2018 ◽  
Vol 20 ◽  
Author(s):  
Julian Barratt ◽  
Nicola Thomas
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Primary Health Care ◽  
Nurse Practitioners ◽  
Nurse Practitioner ◽  
Convenience Sample ◽  
Primary Health ◽  
Communication Processes ◽  
Consultation Time

AbstractBackgroundResearch has not yet fully investigated links to consultation duration, patient expectations, satisfaction, and enablement in nurse practitioner consultations. This study was developed to address some of these research gaps in nurse practitioner consultations, particularly with a focus on expectations, satisfaction, and enablement.AimTo explore the influence of pre-consultation expectations, and consultation time length durations on patient satisfaction and enablement in nurse practitioner consultations in primary health care.DesignSurvey component of a larger convergent parallel mixed methods case study designed to conjointly investigate the communication processes, social interactions, and measured outcomes of nurse practitioner consultations. The survey element of the case study focusses on investigating patients’ pre-consultation expectations and post-consultation patient satisfaction and enablement.MethodsA questionnaire measuring pre-consultation expectations, and post-consultation satisfaction and enablement, completed by a convenience sample of 71 adults consulting with nurse practitioners at a general practice clinic. Initial fieldwork took place in September 2011 to November 2012, with subsequent follow-up fieldwork in October 2016.ResultsRespondents were highly satisfied with their consultations and expressed significantly higher levels of enablement than have been seen in previous studies of enablement with other types of clinicians (P=0.003). A significant, small to moderate, positive correlation of 0.427 (P=0.005) between general satisfaction and enablement was noted. No significant correlation was seen between consultation time lengths and satisfaction or enablement.ConclusionHigher levels of patient enablement and satisfaction are not necessarily determined by the time lengths of consultations, and how consultations are conducted may be more important than their time lengths for optimising patient satisfaction and enablement.

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