<p>Structured follow-up of frail home-dwelling older people in primary health care: is there a special need, and could a checklist be of any benefit? A qualitative study of experiences from registered nurses and their leaders</p>

Abstract Background The Bagé Cohort Study of Ageing is a population-based cohort study that has recently completed the first follow-up of a representative sample of older adults from Bagé, a city with more than 100,000 inhabitants located in the state of Rio Grande do Sul, Brazil. This is one of the first longitudinal studies to assess the impact of primary health care coverage on health conditions and inequalities. Our aim is to investigate the prevalence, incidence and trends of risk factors, health behaviours, social relationships, non-communicable diseases, geriatric diseases and disorders, hospitalisation, self-perceived health, and all-cause and specific-cause mortality. In addition, we aim to evaluate socioeconomic and health inequalities and the impact of primary health care on the outcomes under study. Methods/design The study covers participants aged 60 or over, selected by probabilistic (representative) sampling of the urban area of the city of Bagé, which is covered by Primary Health Care Services. The baseline examination included 1593 older adults and was conducted from July 2008 to November 2008. After eight to nine years (2016/2017), the first follow-up was conducted from September 2016 to August 2017. All participants underwent an extensive core assessment programme including structured interviews, questionnaires, cognitive testing (baseline and follow-up), physical examinations and anthropometric measurements (follow-up). Results Of the original participants, 1395 (87.6%) were located for follow-up: 757 elderly individuals (47.5%) were re-interviewed, but losses in data transfer occurred for 22. The remaining 638 (40.1%) had died. In addition, we had 81 (5.1%) refusals and 117 (7.3%) losses. Among the 1373 older adults who were followed down, there was a higher proportion of female interviewees (p=0.042) and a higher proportion of male deaths (p=0.001) in 2016/2017. There were no differences in losses and refusals according to gender (p=0.102). There was a difference in average age between the interviewees (68.8 years; SD ±6.5) and non-interviewees (73.2 years; SD ±9.0) (p<0.001). Data are available at the Department of Social Medicine in Federal University of Pelotas, Rio Grande do Sul, Brazil, for any collaboration.

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Independence, institutionalization, death and treatment costs 18 months after rehabilitation of older people in two different primary health care settings

BMC Health Services Research ◽

10.1186/1472-6963-12-400 ◽

2012 ◽

Vol 12 (1) ◽

Cited By ~ 8

Author(s):

Inger Johansen ◽

Morten Lindbak ◽

Johan K Stanghelle ◽

Mette Brekke

Keyword(s):

Health Care ◽

Primary Health Care ◽

Older People ◽

Treatment Costs ◽

Health Care Settings ◽

Primary Health ◽

Primary Health Care Settings

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Difficulties in nutritional counseling and child growth follow-up: from a professional perspective

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2016-0527 ◽

2017 ◽

Vol 70 (5) ◽

pp. 949-957 ◽

Cited By ~ 2

Author(s):

Claudia Nery Teixeira Palombo ◽

Elizabeth Fujimori ◽

Áurea Tamami Minagawa Toriyama ◽

Luciane Simões Duarte ◽

Ana Luiza Vilela Borges

Keyword(s):

Health Care ◽

Primary Health Care ◽

Medical Model ◽

Child Growth ◽

Nutritional Counseling ◽

Child Feeding ◽

Professional Experiences ◽

Primary Health ◽

Professional Perspective

ABSTRACT Introduction: Nutritional counseling and growth follow-up are priorities when providing care to children; however, these have not been completely incorporated into primary health care. Objective: To know the difficulties for providing nutritional counseling and child growth follow-up, from a professional healthcare perspective. Method: Qualitative study, using Donabedian as theoretical framework, developed by 53 professionals in the field of primary health care. Data was obtained from focal groups and submitted to content analysis. Results: The main difficulties for nutritional counseling were clustered in the category of ‘perceptions and beliefs related to child feeding’. The ‘problems of infrastructure and healthcare’ and ‘maintenance of the hegemonic medical model’ are the main difficulties for following-up growth. Final considerations: Besides investments in infrastructure, healthcare training is indispensable considering beliefs and professional experiences, so in fact, nutritional counseling and child growth follow-up are incorporated in primary health care.

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FACTORS THAT INFLUENCE THE SELECTION OF LEARNING OPPORTUNITIES FOR STUDENT NURSES IN PRIMARY HEALTH CARE

Health SA Gesondheid ◽

10.4102/hsag.v7i2.641 ◽

2002 ◽

Vol 7 (2) ◽

pp. 11 ◽

Cited By ~ 1

Author(s):

H. Lita ◽

U. Alberts ◽

A. Van Dyk ◽

L F Small

Keyword(s):

Health Care ◽

Primary Health Care ◽

Focus Group ◽

Registered Nurses ◽

Student Nurses ◽

Learning Opportunities ◽

Theory And Practice ◽

Research Report ◽

Primary Health ◽

Selection Of

T he researcher, being a nursing lecturer, questioned the method of selection of learning opportunities for student nurses in two training hospitals in the Northern part of Namibia.The study therefore focused on the following objective: To identify the factors that influence the selection of learning opportunities for primary health care in hospital units. A qualitative research design utilising focus group discussions were used. The population consisted of conveniently selected lecturers, student nurses and registered nurses. The same initial question was asked in each focus group to initiate the discussions. The data were analysed according to Tesch's method.The results indicated that there is positive commitment from the lecturers and registered nurses to be involved in selecting appropriate learning opportunities. The student nurses also demonstrated a willingness to learn and to be exposed to learning opportunities in primary health care. There were however certain constraints that emerged as themes, namely: • Managerial constraints • Educational constraints Under the theme "managerial constraints" categories such as workload, nursing staff shortages and communication problems were identified. Under the theme "educational constraints" categories such as a lack of guidance, and the correlation of theory and practice emerged.Recommendations based on this research report include improvement of in-service education on managerial and educational aspects to facilitate the primary health care approach in hospitals.

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