scholarly journals Bringing Health Care Home: A Pilot Project to Improve Access to Primary Health Care Using Mobile Nurse Practitioner Services

2019 ◽  
Vol 6 (1) ◽  
pp. 19-34
Author(s):  
Donna Clare
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Nurse Practitioner ◽  
Care Home ◽  
Pilot Project ◽  
Primary Health ◽  
Health Care Home ◽  
Improve Access

The health care home in New Zealand: rolling out a new model of primary health care

2018 ◽  
Vol 26 (3) ◽  
pp. 242-252
Author(s):  
Jacqueline Cumming ◽  
Phoebe Dunn ◽  
Lesley Middleton ◽  
Claire O’Loughlin
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
New Zealand ◽  
Care Home ◽  
Models Of Care ◽  
Model Of Care ◽  
Content Type ◽  
Primary Health ◽  
Business Efficiency ◽  
Health Care Home

Purpose The purpose of this paper is to report on the origins, development and early impacts of a Health Care Home (HCH) model of care being rolled out around New Zealand (NZ). Design/methodology/approach This paper draws on a literature review on HCHs and related developments in primary health care, background discussions with key players, and a review of significant HCH implementation documents. Findings The HCH model of care is emerging from the sector itself and is being tailored to local needs and to meet the needs of local practices. A key focus in NZ seems to be on business efficiency and ensuring sustainability of general practice – with the assumption that freeing up general practitioner time for complex patients will mean better care for those populations. HCH models of care differ around the world and NZ needs its own evidence to show the model’s effectiveness in achieving its goals. Research limitations/implications It is still early days for the HCH model of care in NZ and the findings in this paper are based on limited evidence. Further evidence is needed to identify the model’s full impact over the next few years. Originality/value This paper is one of the first to explore the HCH model of care in NZ.

A Well Woman Clinic in Bangalore: one strategy to attempt to decrease the transmission of HIV infection

1998 ◽  
Vol 9 (7) ◽  
pp. 418-423 ◽  
Author(s):  
C M Baksi ◽  
I Harper ◽  
Margaret Raj
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Hiv Infection ◽  
Sex Workers ◽  
Pilot Project ◽  
Care Staff ◽  
Vulnerable Groups ◽  
Health Care Staff ◽  
Governmental Organization ◽  
Primary Health

Samraksha, a non governmental organization NGO in Bangalore, South India, was established in 1993 to take steps to control the spread of HIV infection. As a result of their interactions the Samraksha team recognized the urgent need for management of sexually transmitted diseases STDs as a crucial component of their work. Samraksha approached Action Health, a UK based charity, for assistance. This paper outlines the needs assessment and the process of setting up a Well Woman Clinic for commercial sex workers CSWs and other vulnerable groups in Bangalore. The pilot project has been running for over a year and has gained credibility both with vulnerable women and with professionals. Furthermore it has officially become a government resource centre for the training of doctors and health care staff in the management of STDs, and provides formal training sessions for the staff at each of the primary health care centres in Bangalore. Thus STD management is being integrated with the current primary health care provision for women throughout Bangalore. Factors influencing the successful development of such a service are considered.

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.

Sign in / Sign up

Export Citation Format

Share Document