Primary care networks: navigating new organisational forms

BackgroundNational Health Service England (NHSE) instigated Primary Care Networks (PCNs) as a collaboration of general practices working together at scale to improve population health in the local community.AimThe aim of the study was to capture general practitioner PCN leaders’ perceptions of the opportunities and pitfalls of PCNs, as well as points of learning, during their inception and development, in order to guide the future development of PCN form and function.Design & settingThe study, carried out in primary care, took a qualitative design.MethodNine PCN general practitioner leaders were interviewed in depth to gather their views and experiences of PCNs. We also collated 31 free-text survey responses pertaining to how participants perceived the purpose of PCNs.ResultsThe key themes were - defining purpose and managing ambiguity; bureaucracy vs. local autonomy; relational working; facilitative leadership. The need for purpose setting to remain adaptive was seen as crucial in avoiding the constraints of too rigid a structure in order to retain local ownership, whilst remaining focussed around meeting complex population needs and reducing variation. Participants reported navigating their way through striking a balance between the ‘top down’ mandate and recognising local need. Of importance to the success of PCNs was the necessity of effective relational working and facilitative leadershipConclusionWhilst the desire to be proactive and collaborative was emphasised by the PCN leaders, the importance of distributed leadership and time given to building trust and effective working relationships within new organisational forms cannot be underestimated.

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TARI TOPENG IRENG BANDUNGREJO, NGABLAK, MAGELANG

Gelar : Jurnal Seni Budaya ◽

10.33153/glr.v15i2.2224 ◽

2018 ◽

Vol 15 (2) ◽

Author(s):

Budi Setyastuti

Keyword(s):

Local Community ◽

Social Institutions ◽

Active Role ◽

Research Report ◽

Data Presentation ◽

Form And Function ◽

Qualitative Approaches ◽

Inhibiting Factors ◽

And Function ◽

Surrounding Village

Penelitian bertujuan menggali bentuk dan fungsi sosial seni dalam adat budaya Bandungrejo. Penelitian menggunakan pendekatan kualitatif yang bersifat deskriptif. Metode pengumpulan data yang digunakan meliputi observasi, wawancara, dokumentasi dan studi pustaka. Teknik analisis data menggunakan deskriptif interpretatif. Penarikan simpulan melalui verifikasi, yang aktifitas terdiri dari reduksi data, sajian data dan laporan hasil penelitian. Hasil yang dicapai Topeng Ireng memiliki makna penting bagi kehidupan masyarakat Bandungrejo. Banyak fungsi yang berperan aktif kesenian rakyat Topeng Ireng bagi masyarakat di antaranya fungsi estetis, hiburan, perlambang, pengesahan lembaga sosial dan ritus kehidupan, pengintegrasian masyarakat, ritual, dan pendidikan. Faktor-faktor pendukung dan penghambat baik secara intern dan ekstern meliputi kondisi dan situasi masyarakat setempat dan kehadiran masyarakat desa sekitar.Kata kunci: topeng ireng, upacara adat, fungsi, faktor pendukung dan penghambat. The research aims to explore the form and function of social arts in Bandungrejo cultural customs. The Research uses qualitative approaches that are descriptive. The method of collecting data used includes observations, interviews, documentation and literature review. The data analysis uses descriptive and interpretive. Conclusion withdrawal through verification, the activity consists of data reduction, data presentation and research report results. The results achieved by Topeng Ireng have an important meaning for the life of Bandungrejo. Many functions that play an active role in the folk art of Topeng Ireng are among others aesthetic functions, entertainment, symbolism, ratification of social institutions and rites of life, integration of society, rituals, and education. Supporting and inhibiting factors both internally and externally include the conditions and situation of the local community and the presence of the surrounding village community.Keywords: ireng mask, traditional ceremony, function, supporting and inhibiting factors.

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Primary Care Patient Records in the United Kingdom: Past, Present, and Future Research Priorities (Preprint)

10.2196/preprints.11293 ◽

2018 ◽

Author(s):

Brian McMillan ◽

Robert Eastham ◽

Benjamin Brown ◽

Richard Fitton ◽

David Dickinson

Keyword(s):

Primary Care ◽

United Kingdom ◽

Primary Care Patient ◽

Research Priorities ◽

Care Patient ◽

Patient Record ◽

Future Research ◽

Form And Function ◽

The United Kingdom ◽

And Function

UNSTRUCTURED This paper briefly outlines the history of the medical record and the factors contributing to the adoption of computerized records in primary care in the United Kingdom. It discusses how both paper-based and electronic health records have traditionally been used in the past and goes on to examine how enabling patients to access their own primary care record online is changing the form and function of the patient record. In addition, it looks at the evidence for the benefits of Web-based access and discusses some of the challenges faced in this transition. Finally, some suggestions are made regarding the future of the patient record and research questions that need to be addressed to help deepen our understanding of how they can be used more beneficially by both patients and clinicians.

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DAMPAK PERANG DUNIA II TERHADAP BUDAYA MASYARAKAT BIAK TIMUR (Impacts of World War II in East Biak Society)

Jurnal Penelitian Arkeologi Papua dan Papua Barat ◽

10.24832/papua.v11i2.246 ◽

2019 ◽

Vol 11 (2) ◽

pp. 81-90

Author(s):

Sonya M. Kawer

Keyword(s):

World War Ii ◽

Local Community ◽

Colonial Period ◽

Eastern Region ◽

World War ◽

Literature Study ◽

Form And Function ◽

History Of ◽

Study Techniques ◽

And Function

World War II was very influential to the eastern region of Indonesia and had left many remains in the areas that became the center or the liaison area of its power. Biak Numfor is one of the important areas in the historical process. There are many relics in the form of former hiding places of caves, houses, attributes of war, money, dizziness, places to eat and medical devices. The problem is how is the form and function and influence on the local community? Qualitative research with interview, observation, and literature study techniques, tried to formulate a strategy of World War II heritage tracks. The hope, this research can be used as an educational material for the history of Papua during the colonial period. Besides being a historical site that needs to be preserved and preserved and or developed as a cultural tourism object. ABSTRAK Perang Dunia II sangat berpengaruh ke wilayah timur Indonesia dan telahmeninggalkan bany a k tinggalan di daerah-daerah yang menjadi pusatatau daerah penghubung kekuasaannya. Biak Numfor menjadi salah satudaerah penting dalam proses sejarah. Disana banyak peninggalan berupabekas tempat pesembunyian gua-gua,rumah, atribut perang, uang, pening,tempat makan dan alat-alat kesehatan. Permasalahnya, bagaimana bentukdan fungsi serta pengaruh pada masyarakat setempat? Penelitian kualitatifdengan teknik waw a ncara, observasi, dan studi pustaka, berusahamerumuskan strategi jejak peninggalan Perang Dunia II terhadap budayamasyarakat setempat. Harapannya, penelitian ini dapat digunakan sebagaibahan pendidikan sejarah Papua di masa penjajahan. Selain juga sebagaisitus bersejarah yang perlu dijaga dan dilestarikan dan atau dikembangkansebagai objek wisata budaya.

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Student Interest in a Primary Care of Underserved Populations Course

Family Medicine ◽

10.22454/fammed.2020.486784 ◽

2020 ◽

Vol 52 (1) ◽

pp. 17-23

Author(s):

Jennifer Edwards-Johnson ◽

Julie P. Phillips ◽

Andrea Wendling

Keyword(s):

Primary Care ◽

Underserved Populations ◽

Clinical Care ◽

Free Text ◽

Student Interest ◽

Loan Repayment ◽

Care Experience ◽

Faculty Mentor ◽

Second Year ◽

Survey Responses

Background and Objectives: Medical students often lack curricular offerings specific to the care of underserved populations. We surveyed first- and second-year students to inform the development of a 4-week course on the skills necessary to care and advocate for underserved populations within a primary care context. This study assessed students’ interest in the potential course, interest in primary care (PC) and underserved care (UC), and factors that would make the course more or less interesting to students. Methods: The authors designed and offered a survey examining UC, PC, and course interest to all first- and second-year students at one institution. Open-ended free-text survey responses were qualitatively analyzed using content analysis. Results: Response rate was 72% (271/374). Most responding students (90%; 198/220) were very to somewhat interested in UC; 60% (132/220) were very to somewhat interested in PC; and 79% (173/220) were very to somewhat interested in the described course. Very interested students were more likely to endorse interest in learning about community advocacy, having a faculty mentor, clinical care experience, and loan repayment than those with low course interest (P<.001). Analysis of open-ended responses revealed an emphasis on advocacy and career feasibility, resulting in the inclusion of these topics in the final course curriculum. Conclusions: This manuscript outlines potential areas of engagement for students demonstrating low or high interest in a Caring for Underserved Patients course. Our study may inform educators seeking to develop similar curricular interventions, particularly those who aim to recruit students to PC or UC careers.

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Scanning tunneling microscopy (STM) of DNA and RNA

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s0424820100152148 ◽

1989 ◽

Vol 47 ◽

pp. 34-35

Author(s):

Patricia G. Arscott ◽

Gil Lee ◽

Victor A. Bloomfield ◽

D. Fennell Evans

Keyword(s):

Molecular Structures ◽

Inorganic Materials ◽

Resolving Power ◽

Scanning Tunneling ◽

Tunneling Microscopy ◽

Form And Function ◽

Dna And Rna ◽

Calf Thymus ◽

And Function ◽

The Relationship

STM is one of the most promising techniques available for visualizing the fine details of biomolecular structure. It has been used to map the surface topography of inorganic materials in atomic dimensions, and thus has the resolving power not only to determine the conformation of small molecules but to distinguish site-specific features within a molecule. That level of detail is of critical importance in understanding the relationship between form and function in biological systems. The size, shape, and accessibility of molecular structures can be determined much more accurately by STM than by electron microscopy since no staining, shadowing or labeling with heavy metals is required, and there is no exposure to damaging radiation by electrons. Crystallography and most other physical techniques do not give information about individual molecules.We have obtained striking images of DNA and RNA, using calf thymus DNA and two synthetic polynucleotides, poly(dG-me5dC)·poly(dG-me5dC) and poly(rA)·poly(rU).

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