Patient Reports of: Lifestyle Advice in Primary Care

2012 ◽  
Vol 73 (3) ◽  
pp. 122-127 ◽  
Author(s):  
Paula M. Brauer ◽  
Lee Anne Sergeant ◽  
Bridget Davidson ◽  
Rick Goy ◽  
Linda Dietrich
Keyword(s):  
Primary Care ◽  
Family Health ◽  
Care Practice ◽  
Health Networks ◽  
Patient Reports ◽  
Care Services ◽  
Primary Care Services ◽  
Mailing Lists ◽  
Care Assessment ◽  
Diet And Exercise

Purpose: Patients’ perceptions of preventive lifestyle in primary care practice were examined. Methods: Practice was assessed with a modified version of the Primary Care Assessment Survey (PCAS). This was mailed to random samples of patients twice, using practice mailing lists from three Ontario Family Health Networks (FHNs). Family Health Networks are physician-based group practices, with additional nurse-led telephone advisory services to provide care 24 hours a day, seven days a week. The PCAS questionnaire consisted of nine scales (ranging from 0 to 100). For preventive counselling, additional questions on diet and exercise counselling were included to determine how the physician delivered the intervention. Results: Of the 2184 survey questionnaires mailed to patients, 22% were undeliverable. The response rate was 62% at valid addresses (49% of all mailed questionnaires). Of the nine scales, scores (± standard deviation) for preventive counselling were lowest at 33 ± 25. In particular, rates of diet (37%) and exercise (24%) counselling were low in the FHNs. For most other aspects of primary care services, patients generally rated FHNs highly. The majority of patients advised about diet and exercise were given verbal advice or pamphlets. Conclusions: In these primary health care organizations, considerable room exists for increased preventive counselling, especially about diet and exercise.

scholarly journals Health-Care Waste: Knowledge of Primary Care nurses

2018 ◽  
Vol 71 (5) ◽  
pp. 2367-2375 ◽  
Author(s):  
Ana Paula Mhirdaui Sanches ◽  
Karen Sayuri Mekaro ◽  
Rosely Moralez de Figueiredo ◽  
Silvia Carla da Silva André
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Family Health ◽  
Chemical Waste ◽  
Know How ◽  
Paulo State ◽  
Care Services ◽  
Primary Care Services ◽  
Primary Care Nurses ◽  
Health Care Waste

ABSTRACT Objective: to describe the knowledge of nurses on Health-Care Waste Management (HCW) in Family Health Units (FHU) of São Carlos city, São Paulo State. Method: exploratory, descriptive and quantitative approach. The research was carried out with nurses of 16 FHU of the municipality of São Carlos-SP. Data were collected through an interview using a tool validated and analyzed using descriptive statistics. Results: it is noteworthy that 68.7% (11) of the nurses did not know how to describe how chemical waste was sorted. In addition, regarding the treatment of HCW, 50.0% (8) of the nurses did not know if the general waste were subjected to some type of treatment. Conclusion: the HCW management can be considered a challenge in the nurses' agenda inserted in the Primary Care services, which refers to the need to implement periodic training on the management of this waste.

THE IMPLEMENTATION OF PRINCIPLES OF PRIMARY CARE IN PRACTICE AT COMMUNE HEALTH CENTERS OF THUA THIEN HUE PROVINCE

2016 ◽  
pp. 103-109
Author(s):  
Minh Tam Nguyen ◽  
Thi Hoa Nguyen ◽  
Derese Anselme ◽  
Markuns Jeffrey
Keyword(s):  
Primary Care ◽  
Health Center ◽  
Assessment Tools ◽  
Health Centers ◽  
Coordination Of Care ◽  
Care Services ◽  
Primary Care Services ◽  
Quality Of Primary Care ◽  
Care Assessment ◽  
Total Average

Background: Evidences around the world in the recent time have affirmed the key role in Disease prevention and mortality rate decreasing.WHO in 2008 recommended contries should improve the primary care system and use primary care as a model to achieve the effectiveness and equity in Health. Evaluation of the quality of primary care services at commune health centers has been very crucial. Objectives: To assess the practice of the principles of primary care at commune health centers of Thua Thien Hue province.Subjects and Methods:Cross-sectional descriptive study of 860 adult people used the healh care services at commune health center at 4 districts in Thua Thien Hue province: Phu Loc, Nam Dong, Huong Thuy and Hue. The study used the Primary Care Assessment tools PCAT from John Hopkins University. Results:First Contact - Utilization was the highest score (3.25 ± 0.93), Affiliation (3.17 ± 0.90), Ongoing care (2.87 ± 0.50), Comprehensiveness – services available (2.75 ± 0.52);The low scores included Coordination of care (2.47 ± 0.97), Culture - based access (2.37 ± 1.17), Community - based orientation (2.35 ± 0.82), Comprehensiveness – services provided (2.22 ± 0.84), Coordination of care - Information system (2.03 ± 0.79 );Total average of primary care was 19.00 ± 3.46, and the total average of expanded primary care was 25.75 ± 5.42. Key words: primary care, principles of primary care, commune health center

scholarly journals Assessment of public oral healthcare services in Curitiba, Brazil: a cross-sectional study using the Primary Care Assessment Tool (PCATool)

BMJ Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. e023283 ◽  
Author(s):  
Antonio Carlos Nascimento ◽  
Simone Tetü Moysés ◽  
Renata Iani Werneck ◽  
Marilisa Carneiro Leão Gabardo ◽  
Samuel Jorge Moysés
Keyword(s):  
Primary Care ◽  
Oral Health ◽  
Assessment Tool ◽  
Healthcare Services ◽  
Secondary Outcome ◽  
Cross Sectional ◽  
Care Services ◽  
Primary Care Services ◽  
Care Assessment ◽  
Primary Care Assessment Tool

ObjectivesTo compare two different models of public oral health in primary care services, a so-called family health strategy (FHS), as opposed to non-FHS services designated as ‘conventional’ healthcare (CHC), regarding the presence and extent of the attributes of ‘good’ primary healthcare (PHC). The null hypothesis of this study is that the attributes do not differ between the FHS and CHC.DesignCross-sectional.SettingPublic PHC services in Curitiba, the state capital of Paraná.ParticipantsPHC users of the public oral health network (n=900) and dentists active in this municipal network (n=203).Primary and secondary outcome measuresThe Primary Care Assessment Tool (PCATool)-Dentists and PCATool-Users were used to analyse the primary outcomes (‘essential’ attributes) and secondary outcomes (‘derived’ attributes) in the PHC.ResultsOverall, the primary care services in oral health were well evaluated, both by users and by dentists, with mean scores ascribed to PHC attributes mostly above the cut-off point (6.6). The exception for users were affiliation (6.36; 95% CI 6.11 to 6.60) and accessibility (5.83; 95% CI 5.78 to 5.89); and for dentists the accessibility (5.80; 95% CI 5.63 to 5.96). When comparing FHS and CHC, there was a superiority of the FHS model, which reached a general mean score of 7.53 (95% CI 7.48 to 7.58) among users and 7.56 (95% CI 7.45 to 7.67) among dentists; on the other hand, the CHC general mean score was of 6.61 (95% CI 6.49 to 6.73) and 6.68 (95% CI 6.56 to 6.80) respectively for users and dentists.ConclusionsThe results reveal a reasonable level of attainment of PHC attributes in the services investigated. Nevertheless, public health managers should make efforts to reduce the difficulties faced by users in accessing dental care. The more positive results achieved by FHS services indicate that the provision of oral healthcare under this strategy should be expanded.

scholarly journals Innovations in the national household random sampling in Brazilian National Health Survey: results from Starfield and Shi’s adult primary care assessment tool (PCAT)

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Luiz Felipe Pinto ◽  
Otavio Pereira D’Avila ◽  
Lisiane Hauser ◽  
Erno Harzheim
Keyword(s):  
Primary Care ◽  
Health Services ◽  
National Health ◽  
Assessment Tool ◽  
National Health Survey ◽  
Care Services ◽  
Primary Care Services ◽  
Care Assessment ◽  
Primary Care Assessment Tool

Abstract Background Several middle and upper income countries carry out household surveys that seek to trace the profile of access and use of health services. Probably one of the most ambitious examples is Brazil, with its National Health Survey (PNS-2019). We evaluated PNS-2019, presenting in an unprecedented way, one of its innovations, which refer to Starfield and Shi’s adult Primary Care Assessment Tool (PCAT). Methods Based on a cross-sectional study, we evaluated Module H of the PNS-2019, which interviewed a probabilistic sample of about 10,000 adults in 2019 in all 27 Brazilian states. According to the PCAT methodology, an average score equal to or above 6.6 indicates a greater orientation and quality of the evaluated primary care services. Results Brazilian overall PCAT score [5, 9] reveals the need to improve primary health care services across the country. There were no statistically significant differences in the scores by sex (men and women, 5.9), and race (whites 5.9 [5.7; 6.0] and brown / black 5.9 [5.8; 6.0]). On the other hand, there was a difference in terms of age. The elderly evaluated the services in a more positive way (score = 6.1 [6.0; 6.2]), when compared to those aged 40–59 years (5.9 [5.7; 6.0]) and 18 to 39 years (5.6 [5.5; 5.8]). First results of PNS-2019 show that the population that most needs primary care services in SUS is the one with the best perception and the most positive evaluation of the actions and procedures offered in health facilities. Discussion During 2019, Brazil undertook important structural reforms in PHC based on a new financing model with the aim of inducing an improvement in efficiency and strengthening its attributes. It is essential that countries with universal health coverage (UHC) guarantee access to their population and, especially, the most vulnerable, seek better efficiency of these services and regularly assess PHC based on the population’s perception, through an independent methodology that monitor the quality of services and the strength of PHC, generating value for public resources applied to health services.

Unified Health Services and Family-Focused Primary Care

1975 ◽  
Vol 6 (4) ◽  
pp. 501-515 ◽  
Author(s):  
Stephen Fleck
Keyword(s):  
Primary Care ◽  
Family Health ◽  
Ecological Systems ◽  
Functional Evaluation ◽  
Family Coping ◽  
Care Services ◽  
Primary Care Services ◽  
Dying Patients ◽  
The Family ◽  
The Many

Unified health and primary care services must focus on family health and the family as the clinical unit. Understanding the family as the basic social system and assessing its functioning from the standpoints of evolutionary family tasks, family health behavior and family coping capacities are as important as is knowledge of body systems and their functional evaluation, and of social and ecological systems which also can be pathogenic for individuals or families. The concept of psychosomatic medicine must include familio-somatic and somato-familial medicine. Families are involved in the pathogenicity of some diseases and psychiatric disorders, and in the treatment and management of all chronic disease. Coping with dying patients and mourning are also basic family tasks. Only unified clinical services, whether hospitals or health stations, can render realistic care and relate to the many relevant systems in the community, beginning with the patient's family. Clinicians must evaluate these systems as to their wholesome or unwholesome impact on a particular health issue or problem, seeking corrective as well as preventive measures.

Measuring Consumer Experiences With Primary Care

PEDIATRICS ◽  
2000 ◽  
Vol 105 (Supplement_3) ◽  
pp. 998-1003 ◽  
Author(s):  
Charlyn E. Cassady ◽  
Barbara Starfield ◽  
Margarita P. Hurtado ◽  
Ronald A. Berk ◽  
Joy P. Nanda ◽  
...  
Keyword(s):  
Primary Care ◽  
Assessment Tool ◽  
Principal Component ◽  
Children And Youth ◽  
Care Services ◽  
Primary Care Services ◽  
Patterns Of Use ◽  
Care Assessment ◽  
Key Aspects ◽  
First Contact

Objective. To assess the adequacy of the Primary Care Assessment Tool-Child Edition (PCAT-CE) for evaluating the attainment of the key characteristics of primary care services for children and youth. Design. Community-based telephone survey. Setting. Specific political subdivision in Washington, DC. Participants. Four hundred fifty parents/guardians of offspring 18 years of age or less. Measures. Reliability, validity and principal component analysis of 5 scales representing key aspects of the 4 cardinal domains of primary care included in the PCAT-CE. In addition, 2 subdomains (first contact use and extent of affiliation with a primary care source) were included as indices to describe overall patterns of use and affiliation with the particular source of care. Results. Most scales had adequate internal consistency, test-retest reliability, and construct validity. The principal components factor analysis yielded 5 separate factors. These corresponded to the subdomains of first contact accessibility; coordination of care; characteristics of the professional-patient relationship over-time; and comprehensiveness (both services available and indicated services received). Conclusions. Psychometric assessment supported the integrity and general adequacy of the PCAT-CE for assessing the characteristics and quality of primary care for children and youth. Testing of revised versions in a variety of different settings is underway. A major component of this testing is to explore the possibility of reducing the number of items while retaining sufficient detail about each component of primary care to make judgements about people's experiences with that care.

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