Religious Character and Service Innovation toward the Improvement of Sustainable Quality of Primary Health Services in South Sulawesi

OBJECTIVE: To assess the quality of the health care provided to children aged under one year old performed by primary health services in the South and Northeast regions of Brazil. METHODS: This is a cross-sectional, population-based study carried out in 2010 with 7,915 children aged from one to four years, whose homes are located in the areas of health service coverage. We described the prevalence of procedures and guidelines, such as weight and height measurement, vaccination, newborn blood spot screening, evaluation of umbilical cord, instruction on breastfeeding and introduction of new food, and their respective 95% confidence intervals. The differences were analyzed using the chi-square test of heterogeneity and linear trend. We considered the main outcome of high-quality infant care if the child had received all recommended procedures and guidelines in the first year of life. For this analysis, we used the Poisson regression considering hierarchical model. RESULTS: There was low prevalence for the instruction on breastfeeding in the first week of life (58.8%, 95%CI 57.5–60.0) and on the introduction of new food in the fourth month care. The prevalence of high-quality in childcare was 42.0% (95%CI 40.5–43.5). The adjusted analysis according to hierarchical model indicated greater probability of this outcome in the Northeast region (PR = 1.17, 95%CI 1.09–1.26), in smaller municipalities (PR = 1.17, 95%CI 1.03–1.33), and in municipalities with 50,000 and 99,000 inhabitants (PR = 1.20, 95%CI 1.09–1.34). CONCLUSIONS: The Northeast region has higher-quality infant care services, which can be explained by the consolidation of the Family Health Strategy in that region.

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Public Health and Physicians: Can the current system adapt to the integration of public and private sector primary health services? An exploration

PsycEXTRA Dataset ◽

10.1037/e506832013-108 ◽

2001 ◽

Author(s):

Eileen Patterson ◽

Sharon Yanicki

Keyword(s):

Public Health ◽

Health Services ◽

Private Sector ◽

Current System ◽

Public And Private ◽

Primary Health ◽

Primary Health Services ◽

Public And Private Sector

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Driving digital transformation of comprehensive primary health services at scale in India: an enterprise architecture framework

BMJ Global Health ◽

10.1136/bmjgh-2021-005242 ◽

2021 ◽

Vol 6 (Suppl 5) ◽

pp. e005242

Author(s):

Sunita Nadhamuni ◽

Oommen John ◽

Mallari Kulkarni ◽

Eshan Nanda ◽

Sethuraman Venkatraman ◽

...

Keyword(s):

Primary Care ◽

Health Services ◽

Primary Healthcare ◽

Enterprise Architecture ◽

Digital Health ◽

Security And Privacy ◽

Primary Health ◽

Architecture Framework ◽

Primary Health Services ◽

Enterprise Architecture Framework

In its commitment towards Sustainable Development Goals, India envisages comprehensive primary health services as a key pillar in achieving universal health coverage. Embedded in siloed vertical programmes, their lack of interoperability and standardisation limits sustainability and hence their benefits have not been realised yet. We propose an enterprise architecture framework that overcomes these challenges and outline a robust futuristic digital health infrastructure for delivery of efficient and effective comprehensive primary healthcare. Core principles of an enterprise platform architecture covering four platform levers to facilitate seamless service delivery, monitor programmatic performance and facilitate research in the context of primary healthcare are listed. A federated architecture supports the custom needs of states and health programmes through standardisation and decentralisation techniques. Interoperability design principles enable integration between disparate information technology systems to ensure continuum of care across referral pathways. A responsive data architecture meets high volume and quality requirements of data accessibility in compliance with regulatory requirements. Security and privacy by design underscore the importance of building trust through role-based access, strong user authentication mechanisms, robust data management practices and consent. The proposed framework will empower programme managers with a ready reference toolkit for designing, implementing and evaluating primary care platforms for large-scale deployment. In the context of health and wellness centres, building a responsive, resilient and reliable enterprise architecture would be a fundamental path towards strengthening health systems leveraging digital health interventions. An enterprise architecture for primary care is the foundational building block for an efficient national digital health ecosystem. As citizens take ownership of their health, futuristic digital infrastructure at the primary care level will determine the health-seeking behaviour and utilisation trajectory of the nation.

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Quality of Primary Health Care in Brazil: patients'view

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2017-0656 ◽

2018 ◽

Vol 71 (suppl 6) ◽

pp. 2713-2719

Author(s):

Daniela Cristina Moreira Marculino de Figueiredo ◽

Helena Eri Shimizu ◽

Walter Massa Ramalho ◽

Alexandre Medeiros de Figueiredo ◽

Kerle Dayana Tavares de Lucena

Keyword(s):

Health Care ◽

Primary Health Care ◽

Health Services ◽

Clinical History ◽

Coordination Of Care ◽

Primary Health ◽

Comprehensive Health ◽

Access And Quality ◽

Transversal Study

ABSTRACT Objective: To describe the evaluation of patients that participated in the National Program for Improving the Access and Quality in Primary Health Care (Programa Nacional de Melhoria do Acesso e da Qualidade na Atenção Básica) for the comprehensive healthcare, the bond and the coordination of care in the country's macro-regions. Method: A descriptive, transversal study, from interviews with 65,391 patients of Primary Health Care, in 3,944 municipalities regarding the use of health services. Results: The professionals seek to solve the patients' problems in their unit (73.1%) but focused mainly on the scope of the appointment (65.6%) and offering care away from the population's reality (69.4%). Difficulties in the rescue of clinical history were referred (50.3%) and in the care performed in other health services (29.2%). Conclusion: The comprehensive health care, the bond and the coordination of care remain challenges to the Primary Health Care in the country, requiring reflections on the implementation of national policies, especially considering the regional diversities in Brazil.

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