scholarly journals The identification process in Early Communication Intervention (ECI) by Primary Health Care personnel in Ditsobotla sub-district

2009 ◽  
Vol 56 (1) ◽  
Author(s):  
Jeannie Van der Linde ◽  
Alta Kritzinger ◽  
Aniel Redelinghuys
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Primary Healthcare ◽  
Rating Scale ◽  
Communication Intervention ◽  
Healthcare Personnel ◽  
Identification Process ◽  
Early Communication ◽  
Primary Health ◽  
Intervention Services

Based on clinical observations, case finding for early communication intervention service delivery in rural  areas, such as Ditsobotla sub-district, is limited. The study described the identification process used for infants and young children at risk for communication delay and disorders as part of a proposed incremental implementation of early communication intervention services within the existing primary healthcare package. A descriptive survey design was followed. A rating scale was utilized and interviews were conducted with 20 randomly selected primary healthcare personnel and eight primary healthcare programme managers in Ditsobotla sub-district in North West province. The aims were to describe the early identification methods/processes, resources and limitations and provide guidelines to introduce early communication intervention services in a rural community. The results indicated that the identification process was limited. An incremental implementation of the different early communication intervention functions within the primary health care package appears feasible. Implications of the findings may be applied to initiate early communication intervention services, based on integrated teamwork, in a rural district in South Africa.

scholarly journals Perceptions of rural primary healthcare personnel about expansion of early communication intervention

2013 ◽  
Vol 5 (1) ◽  
Author(s):  
Jeannie Van der Linde ◽  
Alta Kritzinger
Keyword(s):  
Primary Healthcare ◽  
Communication Disorders ◽  
Team Work ◽  
Communication Intervention ◽  
Healthcare Personnel ◽  
North West ◽  
Feeding Difficulties ◽  
Early Communication ◽  
Intervention Services ◽  
Sustainable Services

Background: Early communication intervention services rendered by speech-language therapists and audiologists to families of infants and young children with feeding difficulties, hearing loss or emerging communication disorders should be implemented throughout South Africa. Early intervention can ameliorate risks, enhance development and may prevent further delays. Based on research initiated during a community-service year experience in a rural subdistrict,an incremental process of establishing accessible early communication intervention services was deemed feasible. Such a process cannot be successful if the collaboration of primary healthcare personnel and managers is not ensured.Objectives: The aim of the article was to describe the perceptions of primary healthcare personnel with regard to expansion of early communication intervention services to infants at risk of developmental delay.Method: A qualitative descriptive survey design was followed. Semi-structured interviews were conducted with 20 primary healthcare nurses and sisters and eight primary healthcare programme managers in Ditsobotla subdistrict in the North West province of South Africa.Results: The participants indicated that by improving team work, developing training programmes and evaluating identification methods and resources, the step-by-step rollout of early communication intervention functions on four organisational levels may be a realistic goal for sustainable services in the resource-limited district.Conclusion: The positive perceptions and contributions by participants promise a rich human-resource basis for transdisciplinary collaboration between speech-language therapists, audiologists and primary healthcare personnel in order to reduce the burden of early communication disorders in a rural district.

scholarly journals Primary care organizational model mix and avoidable hospitalization: an ecological study in Portugal

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A Pinto ◽  
J V Santos ◽  
M Lobo ◽  
J Viana ◽  
J Souza ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Primary Healthcare ◽  
Pay For Performance ◽  
Care Quality ◽  
Organizational Model ◽  
Avoidable Hospitalizations ◽  
Primary Health ◽  
Age And Sex

Abstract Background In Portugal, there are different organizational models in primary health care (PHC), mainly regarding the payment scheme. USF-B is the only type with financial incentives to the professional (pay-for-performance). Our goal was to assess the relationship between groups of primary healthcare centres (ACES) with higher proportion of patients within USF-B model and the rate of avoidable hospitalizations, as proxy of primary care quality. Methods We conducted a cross-sectional study considering the 55 ACES from mainland Portugal, in 2017. We used data from public hospitalizations to calculate the prevention quality indicator (avoidable hospitalizations) adjusted for age and sex, using direct standardization. The main independent variable was the proportion of patients in one ACES registered in the USF-B model. Unemployment rate, proportion of patients with family doctor and presence of Local Health Unit (different organization model) within ACES were also considered. The association was assessed by means of a linear regression model. Results Age-sex adjusted PQI value varied between 490 and 1715 hospitalizations per 100,000 inhabitants across ACES. We observed a significant effect of the proportion of patients within USF-B in the crude PQI rate (p = 0.001). However, using the age-sex adjusted PQI, there was not a statistical significant association (p = 0.504). This last model was also adjusted for confounding variables and the association remains non-significant (p = 0.865). Conclusions Our findings suggest that, when adjusting for age and sex, there is no evidence that ACES with more patients enrolled in a pay-for-performance model is associated with higher quality of PHC (using avoidable hospitalizations as proxy). Further studies addressing individual data should be performed. This work was financed by FEDER funds through the COMPETE 2020 - POCI, and by Portuguese funds through FCT in the framework of the project POCI-01-0145-FEDER-030766 “1st.IndiQare”. Key messages Adjusting PQI to sex and age seems to influence its value more than the type of organizational model of primary health care. Groups of primary healthcare centres with more units under the pay-for-performance scheme was not associated with different rate of avoidable hospitalizations.

scholarly journals Psychological trauma and access to primary healthcare for people from refugee and asylum-seeker backgrounds: a mixed methods systematic review

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Clemence Due ◽  
Erin Green ◽  
Anna Ziersch
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Primary Health Care ◽  
General Population ◽  
Primary Healthcare ◽  
Asylum Seeker ◽  
Psychological Trauma ◽  
Service Access ◽  
Primary Health ◽  
The Relationship

Abstract Background Several reviews have found that psychological trauma affects access to health care services, including mental health care, in the general population. People from refugee and asylum seeker backgrounds are more likely to have a mental illness than the general population, and experience a broad range of barriers and facilitators to service access. However, to date there has been no comprehensive consideration of the potential effect of psychological trauma on access to primary health care within this population. Methods This paper provides a mixed-methods systematic review of literature which included any consideration of the relationship between psychological trauma and access to primary health care. A systematic search of Medline, PsychInfo, Scopus, Web of Science, Embase, CINAHL and Cochrane Library was conducted. Study eligibility criteria were empirical, peer-reviewed studies that considered the relationship between psychological trauma and access to, or use of, primary healthcare in resettlement countries for refugees (including asylum seekers). Papers were required to be written in English and published between 1998 and August 2019. Quality was assessed using the Multi-Methods Appraisal Tool. The search identified a total of 14 eligible studies (11 quantitative and 3 qualitative) which had explored this relationship in refugee and asylum seeker populations. Results Overall, synthesis of findings indicated variable results with respect to the impact of psychological trauma on service access. Specifically, the review found that while rates of psychological trauma were high. Key themes were that while general health care access was comparable or greater than the general population, rates of mental healthcare specifically were low. In addition, included papers identified a range of barriers to service access—particularly somatisation, stigma and healthcare provide knowledge about psychological trauma. Conclusions While there is a critical need for more research in this area, the study points to several key recommendations including training of general practitioners in relation to psychological trauma, ensuring culturally responsive services, and the use of interpreters. Finally, due to the levels of somatisation found in some studies, ensuring general practitioners understand the somatic element of psychological trauma—particularly within some groups of people from refugee backgrounds—is important.

Surviving or thriving in the primary health care research workforce: the Australian experience

2017 ◽  
Vol 23 (2) ◽  
pp. 183
Author(s):  
Jodie Oliver-Baxter ◽  
Lynsey Brown ◽  
Ellen McIntyre
Keyword(s):  
Job Satisfaction ◽  
Health Care ◽  
Primary Health Care ◽  
Primary Healthcare ◽  
Health Care Research ◽  
Healthcare Research ◽  
Full Time ◽  
Policy And Practice ◽  
Primary Health ◽  
Research Workforce

Primary healthcare research strives for high-quality, priority-driven research to inform policy and practice. This relies on a robust and sustainable workforce to tackle complex problems faced in primary health care locally and globally. The current study investigated characteristics, experiences and career paths of the Australian primary healthcare research workforce. Thirty-seven former Research Higher Degree students from University Departments of General Practice and Rural Health completed a survey. Number of provisions for researchers and career path clarity were associated with job satisfaction. Motivators to stay in research included job satisfaction, research in role descriptions, and identification of problems requiring change. Barriers related to funding, time, and other work roles taking priority were identified. Comparisons were made between participants self-identifying as working in primary healthcare research (‘stayers’; n=22) and those no longer part of this workforce (‘leavers’; n=15). Leavers were more likely to be in permanent full-time work whereas stayers had experienced more career progression and mentoring. This study raises challenges faced by primary healthcare researchers and will inform strategies for supporting the sustainability of this workforce.

scholarly journals Primary Healthcare on Utilization of Insecticide Treated Nets among Pregnant Mothers and Carers of Children in South –South Nigeria

2020 ◽  
Vol 2 (6) ◽  
pp. 01-06
Author(s):  
Joseph Odoko
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Primary Healthcare ◽  
Insecticide Treated Nets ◽  
Children Under Five ◽  
Under Five ◽  
Attitudes And Practices ◽  
Care Givers ◽  
Primary Health ◽  
Pregnant Mothers

One of the strategies of Primary Health Care (PHC) is the use of insecticide treated nets (ITNs) against malaria among pregnant mothers and care givers of children under five years. The agency for PHC in Nigeria is the National Primary Health Care Development Agency (NPHCDA). The objective of this narrative review is to identify the role of PHC providers in promoting the use of ITNs among pregnant mothers and care givers of children under five years. Method was by review of 30 published literatures on PHC; as it relates to use of ITNs. Findings indicate that most pregnant mothers and care-givers of children under five years in Nigeria are aware that the best option to prevent malaria infection is by use of ITNs. Healthcare providers participate in mass distribution of ITNs. There is increase nets ownership in households. Supervisory guidance influences use of ITNs. However, there is evidence of slow uptake of ITNs due to resistance to behavioural change. Also, the knowledge of pregnant women concerning ITNs use was good, but the attitudes and practices were poor. The implication is that health promotion need to be enhanced among both PHC workers and community leaders on use of ITNs. Primary healthcare workers may need to be motivated to do their job in terms of promoting the use of ITNs among pregnant mothers and carers of children under five years.

scholarly journals Difficulties and Barriers of Primary Health Care Physicians in Rural Areas of Aseer Region, Saudi Arabia

2021 ◽  
Vol 19 (2) ◽  
Author(s):  
Mastor A.M. Alshahrani ◽  
Mohammed A. Alsaleem ◽  
Safar A. Alsaleem ◽  
Mohammed A. Alfaya ◽  
Muhammed A.Y. Alkhairi ◽  
...  
Keyword(s):  
Health Care ◽  
Saudi Arabia ◽  
Primary Health Care ◽  
Primary Healthcare ◽  
Rural Areas ◽  
Urban Areas ◽  
Social Life ◽  
Well Being ◽  
Primary Health ◽  
Primary Health Care Physicians

Aim of Study: To identify difficulties and barriers facing primary health care physicians in rural areas of Aseer Region, Saudi Arabia. Methods: This cross-sectional study was conducted at primary healthcare centers (PHCCs) belonging to the Saudi Ministry of Health, in rural areas of Aseer Region. A total of 134 physicians participated in the study. A validated study questionnaire was adapted and used for data collection. Results: Female physicians constituted 43.3% of respondents, age of 58.2% was 30-35 years, (Mean±SD: 32.8 ± 7.0 years), 54.5% were married, the salary of 76.1% was <10,000 SR, and the place of residence of 43.3% was in urban areas. Only 34.3% had opportunities for on-the-job continuing medical education, 33.6% were satisfied with medical equipment and resources, and 50% were dissatisfied with their salary. Internet service was present for 83.6% of participants. The social life of 83.6% was negatively affected, and 16.4% were exposed to violence at the workplace. Most participants had a favorable attitude toward working in rural areas, mainly in the form of professional satisfaction, pursuing postgraduate academic studies, building confidence as a clinician and provision of opportunities to upgrade knowledge and skills. Participants were less satisfied regarding several social factors, such as internet connectivity, isolation from family and relatives; received support from rural people, difficult schooling for children, but were not satisfied regarding PHCC infrastructure, their residential facilities, or earning more money. Conclusion: Serving within the rural healthcare system provides young physicians with an opportunity to build up their experience and to increase their confidence as physicians. However, important difficulties that they face are mainly social and financial. Hence, creating a health policy to safeguard the serving physicians’ career and providing facilities to promote personal and social well-being needs to be considered. Key words: Primary healthcare, rural health, difficulties, barriers, Saudi Arabia

The Extent and Nature of Depressive Phenomena in Primary Health Care

1987 ◽  
Vol 151 (4) ◽  
pp. 486-493 ◽  
Author(s):  
Biswajit Sen ◽  
Paul Williams
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Rating Scale ◽  
Interview Schedule ◽  
Second Stage ◽  
Health Care Clinics ◽  
Primary Health ◽  
Self Reporting Questionnaire ◽  
The City ◽  
Hamilton Rating Scale

The extent and factor structure of depressive phenomena were investigated in three primary health care clinics in the city of Calcutta. The Self-Reporting Questionnaire and the Screening for Depression Questionnaire were used as the first-stage instruments, and the Clinical Interview Schedule and the Hamilton Rating Scale for Depression as the second-stage instruments. The implications of the findings are discussed.

scholarly journals Provision and accessibility of primary healthcare services for people who are homeless: a qualitative study of patient perspectives in the UK

2019 ◽  
Vol 69 (685) ◽  
pp. e526-e536 ◽  
Author(s):  
Ellie Gunner ◽  
Sat Kartar Chandan ◽  
Sarah Marwick ◽  
Karen Saunders ◽  
Sarah Burwood ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Qualitative Study ◽  
Primary Healthcare ◽  
Primary Care Providers ◽  
Healthcare Services ◽  
Negative Experiences ◽  
Healthcare Centre ◽  
Primary Health ◽  
Primary Healthcare Centre

BackgroundAnecdotal reports of people who are homeless being denied access and facing negative experiences of primary health care have often emerged. However, there is a dearth of research exploring this population’s views and experiences of such services.AimTo explore the perspectives of individuals who are homeless on the provision and accessibility of primary healthcare services.Design and settingA qualitative study with individuals who are homeless recruited from three homeless shelters and a specialist primary healthcare centre for the homeless in the West Midlands, England.MethodSemi-structured interviews were audiorecorded, transcribed verbatim, and analysed using a thematic framework approach. The Theoretical Domains Framework (TDF) was used to map the identified barriers in framework analysis.ResultsA total of 22 people who were homeless were recruited. Although some participants described facing no barriers, accounts of being denied registration at general practices and being discharged from hospital onto the streets with no access or referral to primary care providers were described. Services offering support to those with substance misuse issues and mental health problems were deemed to be excluding those with the greatest need. A participant described committing crimes with the intention of going to prison to access health care. High satisfaction was expressed by participants about their experiences at the specialist primary healthcare centre for people who are homeless (SPHCPH).ConclusionParticipants perceived inequality in access, and mostly faced negative experiences, in their use of mainstream services. Changes are imperative to facilitate access to primary health care, improve patient experiences of mainstream services, and to share best practices identified by participants at the SPHCPH.

Knowledge and comfort related to palliative care among Indonesian primary health care providers

2020 ◽  
Vol 26 (6) ◽  
pp. 472
Author(s):  
Nuzul Sri Hertanti ◽  
Mei-Chih Huang ◽  
Chia-Ming Chang ◽  
Susan Jane Fetzer ◽  
Chi-Yin Kao
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Primary Health Care ◽  
Health Care Providers ◽  
Primary Healthcare ◽  
Terminally Ill ◽  
Care Providers ◽  
Terminally Ill Patients ◽  
Primary Health ◽  
Primary Health Care Providers

This study investigated Indonesian primary health care providers’ knowledge and comfort towards palliative care. A descriptive cross-sectional design was used. From August 2017 to February 2018, the research team approached 70 primary care centres in the Yogyakarta province of Indonesia and invited health care providers to complete the Palliative Care Quiz for Nursing – Indonesia and describe their comfort in caring for terminally ill patients. Data were obtained from 516 health care providers. The mean (±s.d.) score of palliative care knowledge was low (7.8±3.3 of a possible score of 20). Current comfort level in providing palliative care was also low (1.6±2.7 of a possible score of 10). Only 11.3% of palliative care knowledge was explained by respondents understanding of palliative care definition, their education levels and experience in providing palliative care in hospital. However, 82.9% of provider comfort was explained by their experiences for caring for terminally ill patients in primary healthcare centres, palliative care training and years of work experience in primary healthcare centres. Indonesian evidence-based palliative care standards and guidelines must be established with education offered to all providers.

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