scholarly journals Implementing the Regulation of the Minister of Health by Polish Emergency Departments In 2020

2021 ◽  
Vol 8 (3) ◽  
pp. 144-149
Author(s):  
Jan Stachurski ◽  
Anna Kaczyńska ◽  
Zofia Czaplińska-Paszek
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Primary Health Care ◽  
Emergency Departments ◽  
Data Retrieval ◽  
Medical Centers ◽  
Primary Health ◽  
After Hours

Aim: The inadequate system of triage in Emergency Departments leads to the situation in which the personnel is not always able to provide care on time. A regulation determining the conditions of performing triage in Emergency Departments (paragraph 1, section 2) was issued on 27 June 2019. In order to present the level of the fulfilment of rules from the regulation and to determine the level of organization in the Polish health care, the percentage of Emergency Departments which provided the required information on their websites, was examined. Material and methods: The study was conducted in April 2020. 236 websites of hospitals with Emergency Departments were analyzed. The criteria of data retrieval were as follows: 1. The presence of the information concerning the rules of redirecting patients to Primary Health Care/After Hours Medical Centers. 2. The presence of information concerning the time an Emergency Department doctor has to inform the patient about the admission or about refusal to admit a patient. The collected data were statistically analyzed. Each Emergency Department was given the following statuses: “yes”, “no”, or “incomplete”. Results: Information concerning the 1st criterion were available in case of 59 hospitals (25%), while no such information was on the website in Opole and West Pomeranian Provinces. Information concerning the 2nd criterion was placed by 51 hospitals. In 28 cases the information was described as ”complete” and in 23 as “incomplete”. Conclusions: The majority of hospitals failed to observe the obligation to provide the information included in the Regulation.

scholarly journals Nutritional well-being of young children in Duncan Village, East London, South Africa: accessibility of primary health care clinics

2005 ◽  
Vol 8 (5) ◽  
pp. 520-532 ◽  
Author(s):  
Anniza de Villiers ◽  
Kholeka Koko-Mhlahlo ◽  
Marjanne Senekal
Keyword(s):  
South Africa ◽  
Health Care ◽  
Primary Health Care ◽  
Focus Group ◽  
Young Children ◽  
Service Delivery ◽  
Data Retrieval ◽  
Well Being ◽  
Primary Health ◽  
Heavy Workload

AbstractObjectiveThe aim was to contribute to the nutritional well-being of young children living in Duncan Village by investigating factors that influence clinic attendance of mothers and to formulate recommendations for optimisation of accessibility of primary health care (PHC) clinics in the area.DesignPHC clinic accessibility was evaluated by assessing the experiences of mothers who attended clinics in the area as well as the experiences of health care workers (HCWs) in these clinics of service delivery and its recipients (mothers/children), using the focus group technique. The ATLAS/ti program was used to analyse the data in the following steps: preparation and importing of the data, getting to know and coding the data, retrieval and examination of codes and quotations, creation of families and creation of networks.SettingDuncan Village, a low socio-economic urban settlement in East London, South Africa.SubjectsFocus group discussions (four to seven participants per group) were conducted with four groups of mothers who do not attend PHC clinics, six with mothers who do attend the clinics (including pregnant women) and four groups of HCWs.ResultsFour networks that provide a summary of all the major trends in the data were created. The results clearly indicate that mothers in Duncan Village perceive and/or experience serious problems that make it difficult for them to attend clinic and even prevent them from doing so. These problems include both the way they are treated at the clinics (especially the problem of verbal abuse) as well as the actual services delivered (no medicines, no help, disorganised, long waiting periods, being turned away). The main problem experienced by the HCWs with service delivery seems to be a heavy workload, as well as the fact that many mothers do not come for follow-up visits.ConclusionEfforts to increase the accessibility of PHC clinics in Duncan Village should focus on improving the relationship between mothers and HCWs and the heavy workload experienced by these workers.

scholarly journals Chronic substance use and self-harm in a primary health care setting

2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Elsie Breet ◽  
Jason Bantjes ◽  
Ian Lewis
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Substance Use ◽  
Primary Health Care ◽  
Emergency Departments ◽  
Service Utilisation ◽  
Health Care Settings ◽  
Primary Health ◽  
Self Harm ◽  
Primary Health Care Settings

Background: Chronic substance use (CSU) is associated with health problems, including selfharm, placing a significant burden on health care resources and emergency departments (EDs). This is problematic in low- and middle-income countries like South Africa (SA), where primary care facilitates and emergency departments (EDs) are often poorly resourced.Aim: To investigate the epidemiology of CSU and self-harm and to consider the implications for primary health care service delivery and suicide prevention in SA.Methods: Data were collected from 238 consecutive self-harm patients treated at the emergency department (ED) of an urban hospital in SA. The data were analysed using bivariate and multivariate analyses.Results: Approximately 37% of self-harm patients reported CSU. The patients in the CSU subgroup, compared to other self-harm patients, were more likely to be men (odds ratio[OR] = 8.33, 95% confidence interval [CI] = 3.19–20.9, p < 0.001), to have self-harmed by inflicting damage to their body tissue OR = 4.45, 95% CI = 1.77–11.2, p < 0.01) and to have a history of self-harm (OR = 3.71, 95% CI = 1.44–9.54, p = 0.007). A significantly smaller proportion of CSU patients, compared to other self-harm patients, were referred for psychiatric assessment (OR = 8.05, 95% CI = 4.16–15.7, p < 0.001).Conclusion: The findings of this study confirm that CSU is associated with greater service utilisation and repetition of self-harm among patients in primary health care settings. Treating self-harm as the presenting problem within primary care settings does not necessarily ensure that patients receive the care that they need. It might be helpful to include psychiatric assessments and screening for CSU as an integral component of care for self-harm patientswho present in primary health care settings.

scholarly journals Patient-related factors associated with an increased risk of being a reported case of preventable harm in first-line health care: a case-control study

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Rita Fernholm ◽  
Martin J. Holzmann ◽  
Caroline Wachtler ◽  
Robert Szulkin ◽  
Axel C. Carlsson ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Emergency Departments ◽  
Case Control Study ◽  
Related Factors ◽  
Safety Issues ◽  
Primary Health ◽  
Increased Risk ◽  
Preventable Harm ◽  
Control Study

Abstract Background Patient safety issues in primary health care and in emergency departments have not been as thoroughly explored as patient safety issues in the hospital setting. Knowledge is particularly sparse regarding which patients have a higher risk of harm in these settings. The objective was to evaluate which patient-related factors were associated with risk of harm in patients with reports of safety incidents. Methods A case–control study performed in primary health care and emergency departments in Sweden. In total, 4536 patients (cases) and 44,949 controls were included in this study. Cases included patients with reported preventable harm in primary health care and emergency departments from January 1st, 2011 until December 31st, 2016. Results Psychiatric disease, including all psychiatric diagnoses regardless of severity, nearly doubled the risk of being a reported case of preventable harm (odds ratio, 1.96; p < 0.001). Adjusted for income and education there was still an increased risk (odds ratio, 1.69; p < 0.001). The preventable harm in this group was to 46% diagnostic errors of somatic disease. Conclusion Patients with psychiatric illness are at higher risk of preventable harm in primary care and the emergency department. Therefore, this group needs extra attention to prevent harm.

Frequent attenders to an emergency department: A study of primary health care use, medical profile, and psychosocial characteristics

2003 ◽  
Vol 41 (3) ◽  
pp. 309-318 ◽  
Author(s):  
Molly Byrne ◽  
Andrew William Murphy ◽  
Patrick K. Plunkett ◽  
Hannah M. McGee ◽  
Alistair Murray ◽  
...  
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Primary Health Care ◽  
Health Care Use ◽  
Psychosocial Characteristics ◽  
Frequent Attenders ◽  
Primary Health

scholarly journals Distance effects on the accessibility to emergency departments in Portugal

2014 ◽  
Vol 23 (4) ◽  
pp. 1154-1161 ◽  
Author(s):  
Sofia Vaz ◽  
Pedro Ramos ◽  
Paula Santana
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Services ◽  
Emergency Care ◽  
Emergency Departments ◽  
Health Centers ◽  
Emergency Visits ◽  
High Severity ◽  
Primary Health ◽  
Distance Effects

Distance patients have to travel has shown to influence demand for several health services. Our work looks at this effect on the utilization of Emergency Departments (ED) in Portugal. We build upon previous works by taking into account both the severity of emergency visits and the type of ED and by including a set of other variables that have shown to influence ED utilization. Overall, we find distance-elasticity for emergency care that ranges from -1 to -2 (a 10% increase in distance to ED results in a 10-20% decrease in ED utilization), with low-severity demand having the highest distance-elasticity and high-severity demand the lowest. We also show that Primary Health Care, and particularly some new typology of health centers in Portugal, negatively affects ED utilization. Our results provide evidence that distance enters in the budget constraints patients face when seeking health care.

Sign in / Sign up

Export Citation Format

Share Document