scholarly journals A qualitative study on the implementation of Family Health Team: the perspectives of providers and patients

2020 ◽  
Author(s):  
Ainul Nadziha Mohd Hanafiah ◽  
Mohammad Zabri Johari ◽  
Syafinas Azam
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Providers ◽  
Family Doctor ◽  
Family Health ◽  
Care Providers ◽  
Health Team ◽  
Primary Health ◽  
The Family ◽  
Family Health Team

Abstract Background: Malaysia has committed to the global call to achieve universal health coverage, and with the adoption of Sustainable Development Goals, is further strengthening the health system through the primary health care services, particularly the family doctor concept (FDC). The Enhanced Primary Health Care (EnPHC) initiative was implemented to address the worrying upward trend of NCD prevalence, and incorporates the Family Health Team (FHT) concept. The aim of this paper is to describe the implementation of the FHT as part of the EnPHC intervention. Methods: In-depth interviews and focus group discussions were conducted with the intervention design team, healthcare providers and patients in two rounds during the implementation period. We explored their views on the design and plans for the intervention, the process, acceptance, adoption, feasibility and sustainability of the intervention, as well as patients’ awareness and understanding of the FHT implementation. Results: Themes that emerged from the data were around the process of FHT implementation and the advantages of the FHT, which included continuity of health care and improved quality of care. Patients and health care providers were receptive to the FHT concept, and took the effort to adapt the concept in the local settings. Conclusions: The FHT concept implemented at 20 public primary health clinics has benefits appreciated by HCPs and patients. Addressing the viable shortcomings would better prepare the current primary healthcare system to scale up the FHT concept nationwide and enhance its feasibility and sustainability. Trial registration: The study is registered with the National Medical Research Register, Ministry of Health Malaysia (NMRR-17-295-34771).

scholarly journals A qualitative study on the implementation of Family Health Team: the perspectives of providers and patients

2020 ◽  
Author(s):  
Ainul Nadziha Mohd Hanafiah ◽  
Mohammad Zabri Johari ◽  
Syafinas Azam
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Providers ◽  
Family Doctor ◽  
Family Health ◽  
Care Providers ◽  
Health Team ◽  
Primary Health ◽  
The Family ◽  
Family Health Team

Abstract Background: Malaysia has committed to the global call to achieve universal health coverage, and with the adoption of Sustainable Development Goals, is further strengthening the health system through the primary health care services, particularly the family doctor concept. The Enhanced Primary Health Care (EnPHC) initiative was implemented to address the worrying upward trend of non-communicable disease[I1] prevalence, and incorporates the Family Health Team (FHT) concept. The aim of this paper is to describe the implementation of the FHT as part of the EnPHC intervention.Methods: In-depth interviews and focus group discussions were conducted with the intervention design team, healthcare providers and patients in two rounds during the implementation period. A total of 121 individuals in the two rounds, split into different groups, where some of the participants of the FGD were also interviewed individually[I2] . Data were analysed using a thematic analysis, with codes being organised into larger themes.Results: Themes that emerged from the data were around the process of FHT implementation and the advantages of the FHT, which included continuity of health care and improved quality of care. Patients and health care providers were receptive to the FHT concept, and took the effort to adapt the concept in the local settings. Conclusions: The FHT concept implemented at 20 public primary health clinics has benefits appreciated by health care providers and patients. Addressing the viable shortcomings would better prepare the current primary healthcare system to scale up the FHT concept nationwide and enhance its feasibility and sustainability.Trial registration: The study is registered with the National Medical Research Register, Ministry of Health Malaysia (NMRR-17-295-34771).

Mothers’ perceptions of primary health-care providers: thematic analysis of responses to open-ended survey questions

2015 ◽  
Vol 21 (1) ◽  
pp. 58 ◽  
Author(s):  
L. Corr ◽  
H. Rowe ◽  
J. Fisher
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Primary Health Care ◽  
Health Care Providers ◽  
Family Health ◽  
Care Providers ◽  
Psychiatric Interview ◽  
Early Parenting ◽  
Primary Health ◽  
Maternal Child

General practitioners and maternal, child and family health nurses have a central role in postpartum primary health care for women and their infants. Positive client-provider relationships are particularly important for women experiencing mental health problems or unsettled infant behaviour. However, little is known about their experiences of postnatal primary health care. The study aimed to describe views of postnatal primary health care among women completing a residential early parenting programme and to identify potential strategies to enhance provider-patient interactions. Participants (n = 138) were women admitted with their infants to a private or a public early parenting service in Melbourne, Australia. Women completed a detailed self-report survey, including open-ended questions about experiences of primary health-care services, and a structured psychiatric interview to diagnose anxiety and depression. Survey responses were analysed thematically. Womens’ experiences of primary health care were influenced by their perceptions of provider competence and the quality of interactions. While similar positive characteristics of doctor and nurse care were valued, medical and nursing practices were judged in different ways. Women described GPs who listened, understood and were thorough as providing good care, and maternal, child and family health nurses were valued for providing support, advice and encouragement. Threats to therapeutic relationships with doctors included feeling rushed during consultations, believing that GPs were not mental health-care providers and the clinician not being ‘good’ with the infant; with nurses, problems included feeling judged or given advice that was inconsistent or lacked an evidence-base. Postpartum primary health care will be improved by unhurried consultations, empathic recognition, encouragement, evidence-informed guidance and absence of criticism.

scholarly journals Patients’ Shift from Public to Private Primary Health Care Providers in Lithuania: Analysis of the Main Reasons

2021 ◽  
Vol 58 ◽  
pp. 004695802110603
Author(s):  
Paulius Žvinakis ◽  
Roberta Kalibataitė ◽  
Vytenis Kalibatas
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Providers ◽  
Family Physician ◽  
Demographic Characteristics ◽  
Categorical Variables ◽  
Care Providers ◽  
Phone Calls ◽  
Primary Health ◽  
The Family

Aims Lithuania is one of the countries where public and private primary health care (PHC) providers compete for patients. Patients continuously shift from public to PHC providers, but an analysis of the main reasons was never performed. This study aimed to analyze the reasons why patients shift from public to private PHC providers and identify the associations between the reasons and demographic characteristics of the patients. Methods A cross-sectional study based on a phone questionnaire was conducted among patients who shifted from public to private primary health care (PHC) providers. A total of 810 phone calls were made, and 572 telephone surveys were completed. The response rate was 70.49%. The difference between the proportions was assessed using the Z-test. The association between categorical variables was assessed using the chi-square test. Results The study identified the following main reasons: long queues to obtain family physician appointments (23.6%), inconvenient location of public’s institution department (20.1%), patients relocating (19.2%), enrolment at a former family physician who transitioned from a public to private PHC institution (10.5%), and long waiting time at the family physician’s office for the appointment (9.4%). Some statistically significant correlations were found between the specific reasons for shifting from public to private PHC organizations and patients' demographic characteristics. Conclusions Personal reasons are the most common reasons for shifting from public to private PHC providers (43.36% of the respondents), following the reasons related exclusively to the family physician (25.17%) and related PHC institutions only (24.9%).

scholarly journals EDUCAÇÃO PERMANENTE, INTERPROFISSIONALIDADE E PRÁTICAS COLABORATIVAS NA ATENÇÃO À SAÚDE

2021 ◽  
Vol 20 (2) ◽  
pp. 71-81
Author(s):  
Suelem Dias ◽  
Bruna Dourado ◽  
Clarissa Freire ◽  
Lara Ximenes ◽  
Lielma Da Silva ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Center ◽  
Interprofessional Education ◽  
Family Health ◽  
Health Practice ◽  
Health Team ◽  
Health Care Networks ◽  
Primary Health ◽  
The Family

RESUMO O trabalho interprofissional e a prática colaborativa em saúde são estratégias para melhorar o funcionamento e organização do sistema de saúde na Atenção Primária à Saúde. Este trabalho tem como objetivo relatar a experiência das vivências de um grupo do PET-Saúde/Interprofissionalidade em um Centro de Saúde da Família, diante das ações interprofissionais. A princípio houve um momento de observação do serviço, a fim de conhecer sua dinâmica. Posteriormente, em momentos de conversas e  Educação Permanente com a equipe de saúde e, foram discutidos os conceitos de inter, multi e uniprofissionalidade, destacando os pontos positivos e negativos, além de sugerir os possíveis locais onde a interprofissionalidade poderia se inserir. Deste modo, construímos e pactuamos junto com a equipe de saúde um quadro de serviços interprofissionais a serem desenvolvidos no Centro de Saúde da Família. Todavia, há uma necessidade de maior adesão de gestores, profissionais e população para apoiar as estratégias da Educação Interprofissional, ferramenta potente para a transformação das redes de Atenção Primária à Saúde. Palavras-chave: Interprofissionalidade. Educação Interprofissional. Prática Colaborativa. Educação Permanente. ABSTRACT Interprofessional work and collaborative health practice are strategies to improve the operation and organization of the health system in Primary Health Care (PHC). This work aims to relate the experience of a group from PET-Saúde / Interprofissionalidade at the Family Health Center, in face of interprofessional actions. First, there was a moment of observation of the service, to learn about its operation. Subsequently, in moments of conversations and Permanent Educacion with the health team, the concepts of inter, multi and uniprofessionality were discussed, highlighting the positive and negative points, in addition to suggesting the possible places where interprofessionality could be used. This way, we built and agreed with the health team a framework of interprofessional services to be developed at the Family Health Center. However, there is a need for greater accession by managers, professionals and the population to support as strategies of Interprofessional Education, a potent tool for the transformation of Primary Health Care networks. Keywords: Interprofessionality. Interprofessional Education. Collaborative Practice. Permanent Education.

scholarly journals The knowledge and practices of family doctors in counselling obese patients

2021 ◽  
Vol 64 (3) ◽  
pp. 25-27
Author(s):  
Angela Tomacinschii ◽  
◽  
Oleg Lozan ◽  
Ana Ciobanu ◽  
◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Weight Control ◽  
Family Doctor ◽  
Obese Patients ◽  
Care Providers ◽  
Clinical Practices ◽  
Family Doctors ◽  
Primary Health ◽  
The Family

Background: Promoting a healthy lifestyle is one of the basic pieces in the family medicine activity. In order to formulate and / or adjust some approaches in clinical practice of the family doctor in the Republic of Moldova, it was necessary to analyse the knowledge and practices of the family doctor regarding the obese patients counselling. Material and methods: Cross-sectional study was based on primary data collection. The study sample included 316 family doctors. The descriptive analysis was expressed in absolute values, percentages and standard errors, means and standard deviation of the mean. Statistical significance was considered to be p <0.05. Results: Family doctors feel best prepared in counselling patients on stress management (75.9 ± 2.40%), prescribing healthy diets (71.2 ± 2.55%), prescribing physical activity (71.0 ± 2.55%), cerebrovascular accident (CVA) prevention (68.9 ± 2.60%). They feel less prepared in counselling patients with regard to weight control (67.5 ± 2.63%). Conclusions: Managing obesity in primary health care remains indispensably linked with the clinical practices of family doctors. Research has shown that family doctors are less prepared in counselling patients regarding weight control than regarding other important components of obesity management. According to the study, it was found that male family doctors, family doctors over the age of 45, those who work in the primary health care providers located in the rural area, those who have a working experience of over 21 years, and those who serve sectors with a population of up to 1500 people feel more prepared in counselling obese patients.

Client characteristics and satisfaction with the quality of primary health-care services in Calabar, Nigeria

2020 ◽  
Vol 3 ◽  
pp. 1-8
Author(s):  
H. C. Okeke ◽  
P. Bassey ◽  
O. A. Oduwole ◽  
A. Adindu
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Providers ◽  
Client Satisfaction ◽  
Demographic Characteristics ◽  
Care Providers ◽  
Client Characteristics ◽  
Study Objective ◽  
Primary Health

Different mix of clients visit primary health care (PHC) facilities, and the quality of services is critical even in rural communities. The study objective was to determine the relationship between socio-demographic characteristics and client satisfaction with the quality of PHC services in Calabar Municipality, Cross River State, Nigeria. Specifically to describe aspects of the health facilities that affect client satisfaction; determine the health-care providers’ attitude that influences client satisfaction; and determine the socio-demographic characteristics that influence client satisfaction with PHC services. A cross-sectional survey was adopted. Ten PHCs and 500 clients utilizing services in PHC centers in Calabar Municipality were randomly selected. Clients overall satisfaction with PHC services was high (80.8%). Divorced clients were less (75.0%) satisfied than the singles and the married counterparts (81%), respectively. Clients that were more literate as well as those with higher income were less satisfied, 68.0% and 50.0%, respectively, compared to the less educated and lower-income clients, 92.0% and 85.0% respectively. These differences in satisfaction were statistically significant (P = 0.001). Hence, it was shown that client characteristics such as income and literacy level show a significant negative relationship with the clients satisfaction with the quality of PHC services in Calabar Municipality.

The Use of and Attitude Towards Telehealth in Rural Communities

2007 ◽  
Vol 13 (3) ◽  
pp. 29 ◽  
Author(s):  
Emily Mauldon
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Routine Practice ◽  
Care Providers ◽  
Urban Hospital ◽  
Primary Health ◽  
The Impact ◽  
Rural Patients

This paper reports on the attitudes of a sample of health care providers towards the use of telehealth to support rural patients and integrate rural primary health and urban hospital care. Telehealth and other information technologies hold the promise of improving the quality of care for people in rural and remote areas and for supporting rural primary health care providers. While seemingly beneficial for rural patients, study participants believed that telehealth remains underused and poorly integrated into their practice. In general, participants thought that telehealth is potentially beneficial but places constraints on their activities, and few actually used it. Published literature usually reports either on the success of telehealth pilot projects or initiatives that are well resourced and do not reflect the constraints of routine practice, or has an international focus limiting its relevance to the Australian context. Because of the paucity of systematic and generalisable research into the effects of the routine use of telehealth to support rural patients, it is unclear why health care professionals choose to provide such services or the costs and benefits they incur in doing so. Research and policy initiatives continue to be needed to identify the impact of telehealth within the context of Australian primary health care and to develop strategies to support its use.

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