scholarly journals Analysis of General Practitioners’ Attitudes and Beliefs about Psychological Intervention and the Medicine–Psychology Relationship in Primary Care: Toward a New Comprehensive Approach to Primary Health Care

Healthcare ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 613
Author(s):  
Attà Negri ◽  
Claudia Zamin ◽  
Giulia Parisi ◽  
Anna Paladino ◽  
Giovanbattista Andreoli
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
General Practitioners ◽  
Psychological Intervention ◽  
World Health ◽  
Attitudes And Beliefs ◽  
Primary Health ◽  
Comprehensive Primary Health Care

The biopsychosocial paradigm is a model of care that has been proposed in order to improve the effectiveness of health care by promoting collaboration between different professions and disciplines. However, its application still faces several issues. A quantitative–qualitative survey was conducted on a sample of general practitioners (GPs) from Milan, Italy, to investigate their attitudes and beliefs regarding the role of the psychologist, the approach adopted to manage psychological diseases, and their experiences of collaboration with psychologists. The results show a partial view of the psychologist’s profession that limits the potential of integration between medicine and psychology in primary care. GPs recognized that many patients (66%) would often benefit from psychological intervention, but only in a few cases (9%) were these patients regularly referred to a psychologist. Furthermore, the referral represents an almost exclusive form of collaboration present in the opinions of GPs. Only 8% of GPs would consider the joint and integrated work of the psychologist and doctor useful within the primary health care setting. This vision of the role of psychologists among GPs represents a constraint in implementing a comprehensive primary health care approach, as advocated by the World Health Organization.

scholarly journals Partnership in Practice: a multidisciplinary approach to quality improvement in primary health care

1995 ◽  
Vol 19 (6) ◽  
pp. 371-371
Author(s):  
Michael Phelan
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Quality Improvement ◽  
Primary Health Care ◽  
General Practitioners ◽  
Multidisciplinary Approach ◽  
Professional Groups ◽  
Primary Health ◽  
Audit Team

This one day seminar was arranged by the King's Fund Organisational Audit team (KFOA), to take a multidisciplinary view of quality improvement in primary care. Despite the title of the day all the speakers were general practitioners and managers, and input from other professional groups was limited to questions and comments from the audience of nearly 200.

scholarly journals ASSESSMENT OF AWARENESS OF FAMILY PHYSICIANSABOUT THE OSTEOPOROSIS AS A PROBLEM OF ELDERLY

2017 ◽  
Vol 9 (1) ◽  
pp. 79-82
Author(s):  
O Yu Kuznetsova ◽  
I E Moiseeva
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Primary Care Physicians ◽  
Age Group ◽  
Treatment Of Osteoporosis ◽  
Family Doctors ◽  
Primary Health ◽  
Prevalence Of Osteoporosis

The prevalence of osteoporosis in Russia is about 10%, and in the age group over 50 years - up to 25-35%. The role of primary care physicians in the prevention, diagnosis and treatment of this disease is high, because 80% of patients seeking medical help in primary health care. The article presents the results of the assessment of the awareness of the general practitioners (family doctors) on the preven- tion, diagnostics and treatment of osteoporosis

The Political Economy of Primary Care and “Health by the People”: An Historical Explanation

1979 ◽  
Vol 9 (3) ◽  
pp. 6-13
Author(s):  
Oscar Gish
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
National Health System ◽  
World Health ◽  
The Political ◽  
Life Patterns ◽  
Primary Health ◽  
The People ◽  
Health Organization

During the last several years “primary care” has come to the fore as the “new” priority in health care. In September, 1978 the World Health Organization and UNICEF jointly sponsored the first International Conference on Primary Health Care. The following general principles were put forward in 1975 by the 28th World Health Assembly as the basis of successful primary care efforts.1.Primary health care should be shaped around the life patterns of the population it should serve and should meet the needs of the community.2.Primary health care should be an integral part of the national health system and other echelons of services should be designed in support of the needs of the peripheral level, especially as this pertains to technical supply, supervisory, and referral support.

scholarly journals Strategies for improving primary care for adolescents and young adults transitioning from pediatric services: perspectives of Canadian primary health care professionals

2020 ◽  
Author(s):  
Kyleigh Schraeder ◽  
Gina Dimitropoulos ◽  
Brooke Allemang ◽  
Kerry McBrien ◽  
Susan Samuel
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Young Adults ◽  
Primary Health Care ◽  
Chronic Conditions ◽  
Critical Role ◽  
Transition Care ◽  
Primary Health ◽  
Pediatric Services

Abstract Background Family physicians and other members of the primary health care (PHC) team may be ideally positioned to provide transition care to adolescents and young adults (AYAs; aged 12–25 years) exiting pediatric specialty services. Potential solutions to well-known challenges associated with integrating PHC and specialty care need to be explored. Objective To identify strategies to transition care by PHC professionals for AYAs with chronic conditions transitioning from pediatric to adult-oriented care. Methods Participants were recruited from six Primary Care Networks in Calgary, Alberta. A total of 18 semi-structured individual interviews were completed, and transcribed verbatim. Data were analyzed using a qualitative description approach, involving thematic analysis. Results Participants offered a range of strategies for supporting AYAs with chronic conditions. Our analysis resulted in three overarching themes: (i) educating AYAs, families, and providers about the critical role of primary care; (ii) adapting existing primary care supports for AYAs and (iii) designing new tools or primary care practices for transition care. Conclusions Ongoing and continuous primary care is important for AYAs involved with specialty pediatric services. Participants highlighted a need to educate AYAs, families and providers about the critical role of PHC. Solutions to improve collaboration between PHC and pediatric specialist providers would benefit from additional perspectives from providers, AYAs and families. These findings will inform the development of a primary care-based intervention to improve transitional care.

scholarly journals Editorial

1995 ◽  
Vol 1 (1) ◽  
pp. 2
Author(s):  
Heather Gardner
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Continuity Of Care ◽  
Health Sector ◽  
Community Health Services ◽  
Continuing Care ◽  
Australian Health ◽  
Primary Health

The advent of the Australian Journal of Primary Health - Interchange reflects the changes which are taking place in the Australian health sector and the increased and increasing importance of primary health care and community health services. The significant role of primary care in maintaining health and enhancing wellbeing is at last being recognised, and the relationships between primary care, continuing care, and acute care are being redefined and the connections made, so that improvement in continuity of care can be achieved.

Why Primary Health Care Offers a more Comprehensive Approach to Tackling Health Inequities than Primary Care

2001 ◽  
Vol 7 (2) ◽  
pp. 57 ◽  
Author(s):  
Helen Keleher
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Health Inequities ◽  
Collaborative Partnerships ◽  
Primary Health ◽  
Comprehensive Primary Health Care ◽  
Improve Health Status ◽  
Primary Care Sector ◽  
Improve Health

As governments attempt to focus more intently on how to deal with alarming measures of health disadvantage and inequities, a reformist gaze seems to have settled on the primary care sector. Simultaneously, in literature about this area, whether intended or not, primary health care and primary care are terms that are increasingly interchanged. This article argues that the slippage in language is counter-productive, first because it disguises the transformative potential of strategies and approaches that can make the fundamental changes necessary to improve health status, and second because the structures and practices of the primary care sector are not necessarily compatible with notions of comprehensive primary health care. There is much to be lost if primary health care and health promotion are disguised as primary care, and not understood for their capacity to make a difference to health inequities although of course in some circumstances, comprehensive primary health care is interdependent with services provided by primary care. In this article, characteristics of primary care and primary health care are juxtaposed to show that if the strengths and limitations of each model are understood, they can be mobilised in collaborative partnerships to deal more effectively with health inequities, than our system has so far been able to do.

On the World Health Organization’s Neglect of the Role of Medical Doctors in Its Conception and Practice of Primary Health Care

2019 ◽  
Vol 49 (3) ◽  
pp. 642-657
Author(s):  
Socrates Litsios
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Soviet Union ◽  
World Health ◽  
Director General ◽  
Medical Doctors ◽  
Primary Health ◽  
The Soviet Union ◽  
Year 2000

Primary health care (PHC) emerged in the early 1970s as WHO’s response to the failure of its basic health services approach. The Soviet Union succeeded in getting WHO’s governing bodies to agree to hold an international conference on PHC, a conference that was held in Alma-Ata, the capital of the Soviet Republic of Kazakhstan, in September 1978. In 1975, Dr. Halfdan Mahler, WHO’s charismatic director-general, introduced the goal of “health for all” (HFA) by the year 2000. Alma-Ata declared PHC as the key for achieving HFA. Although WHO had promoted the involvement of medical schools in community health, Mahler’s antimedical establishment rhetoric contributed to WHO ignoring the potential role that medical doctors could play in PHC and HFA.

An Overview of Primary Health Care

1976 ◽  
Vol 6 (2) ◽  
pp. 309-314 ◽  
Author(s):  
John Fry
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
World Health Organization ◽  
Critical Analysis ◽  
World Health ◽  
Training And Education ◽  
Primary Health ◽  
The World ◽  
Health Organization

Primary health care has become a focus of interest from the World Health Organization down. The hopes that more emphasis on primary care will lead to less expensive and better care will not be realized unless a more critical analysis of its problems is undertaken and some of its defects and deficiencies put right. Its roles must be better defined and the work shared within a team; training and education must be more related to its needs; and much sharper research is required to decide what is useful and what is useless.

scholarly journals Advanced Practice Nursing and the Expansion of the Role of Nurses in Primary Health Care in the Americas

2021 ◽  
Vol 7 ◽  
pp. 237796082110194
Author(s):  
Luís Carlos Lopes-Júnior
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Educational Background ◽  
Advanced Practice Nursing ◽  
World Health ◽  
Noncommunicable Diseases ◽  
Advanced Practice ◽  
Primary Health ◽  
Health Organization

Nurses have an educational background particularly suited to the growing challenges of the 21st century, characterized by an accelerated demographic transition, accompanied by a scenario of triple disease burden: 1) the unsurpassed agenda for infectious diseases; 2) the increase in deaths attributable to external causes; and 3) the predominance of chronic noncommunicable diseases. Advanced Practice Nurses (APN) already have regulations well-established in many countries such as Australia, Belgium, Canada, the USA, Finland, France, Ireland, Japan, Poland, the United Kingdom, and the Czech Republic, among others. This paper aimed to point out and to reflect on Advanced Practice Nursing and the expansion of the role of nurses in Primary Health Care (PHC) in the Americas. In the same year the Nursing Now Campaign was launched, Pan American Health Organization (PAHO) and World Health Organization (WHO) prepared the document Expanding the Role of Nurses in PHC which calls on governments and nurses from countries in the Americas to implement APN training for PHC and Nurses from Central and South America who already have specialization programs, residency, academic master's and doctoral degrees. Expansion is intended to provide greater coverage and assistance to users of the health system, take advantage of nurses' intellectual capacity, and retain good professionals in the profession. This is a crucial moment for nursing worldwide. However, it is imperative to ensure the voice and impact of nursing continues to reverberate long after the end of 2021. In this paper, a debate on the strengths and challenges for the expansion of the APN role in PHC in the Americas is discribed.

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