scholarly journals Persons with physical disabilities’ experiences of rehabilitation services at Community Health Centres in Cape Town.

2010 ◽  
Vol 66 (3) ◽  
Author(s):  
C.K. Kahonde ◽  
N. Mlenzana ◽  
A. Rhoda
Keyword(s):  
Community Health ◽  
Family Involvement ◽  
Service Providers ◽  
Physical Disabilities ◽  
Qualitative Interviews ◽  
Functional Independence ◽  
Rehabilitation Services ◽  
Community Health Centres ◽  
Health Centres

Background: Rehabilitation is of fundamental importance for the persons with disability to achieve functional independence and have an improved quality of life. To enhance the effectiveness of rehabilitation, it  is  important  to  seek  clients’  perspectives  of  the  rehabilitation  services and  to  incorporate  these  perspectives  into  the  planning  and  delivery  of rehabilitation  services.  The  aim  of  this  study  was  to  explore  the  persons with  physical  disabilities’  experiences  of  the  rehabilitation  services  they received at Community Health Centres (CHCs). Methods: In-depth  qualitative  interviews  were  used  to  collect  data.  Ten  persons  with  physical  disabilities,  who  had  received  rehabilitation  services at CHCs participated in the in-depth interviews. The interviews were tape-recorded and transcribed verbatim.  Thematic analysis was used to analyse the data.  Results: The  clients  experienced  problems  with  accessing  transport  and  obtaining  information  from  the  service providers. Experiences regarding clients’ involvement in the rehabilitation were varied. All the clients reported positive experiences regarding their interaction with service providers and family involvement. Conclusion: The experiences of the participants who accessed CHCs for rehabilitation were positive and negative. The service providers should therefore address the aspects of rehabilitation that were negatively experienced.

scholarly journals Stroke survivors’ levels of community reintegration, quality of life, satisfaction with the physiotherapy services and the level of caregiver strain at community health centres within the Johannesburg area

2017 ◽  
Vol 6 ◽  
Author(s):  
Adrian Kusambiza-Kiingi ◽  
Douglas Maleka ◽  
Veronica Ntsiea
Keyword(s):  
Quality Of Life ◽  
Community Health ◽  
Caregiver Strain ◽  
Stroke Survivors ◽  
Community Reintegration ◽  
Cross Sectional ◽  
Community Health Centres ◽  
Quality Of Life Scale ◽  
Health Centres

Background: Stroke survivors are discharged home before they are functionally independent and return home with activity limitations that would not be manageable without a caregiver. Aim: To determine stroke survivors’ levels of community reintegration, quality of life (QOL), satisfaction with the physiotherapy services and the level of caregiver strain at community health centres within the Johannesburg area. Method: This was a cross-sectional study using the following outcome measures: Maleka Stroke Community Reintegration Measure, Stroke-specific quality of life scale, Caregiver strain index and Physical therapy patient satisfaction questionnaire. Results: A total of 108 stroke survivors and 45 caregivers participated in this study. The average age of the stroke survivors was 54 years (standard deviation = 12.73) and 58% (n = 62) had moderate to full community reintegration. They were happy with physiotherapy services but not with parking availability and cost of services. The QOL was poor with the lowest scores for energy and highest scores for vision and language domains. Twenty five (55%) caregivers were strained. A positive correlation was found between community reintegration and satisfaction with services (r = 0.27, p 0.0001) and QOL (r = 0.51, p 0.0001). A negative correlation was found between community reintegration and caregiver strain (r = -0.37, p 0.0001). Conclusion: Most stroke survivors are reintegrated into their communities except in the areas of work and education and have poor QOL and most of their caregivers are strained; however, they are satisfied with physiotherapy services.

scholarly journals Variation in quality of preventive care for well adults in Indigenous community health centres in Australia

2011 ◽  
Vol 11 (1) ◽  
Author(s):  
Ross S Bailie ◽  
Damin Si ◽  
Christine M Connors ◽  
Ru Kwedza ◽  
Lynette O'Donoghue ◽  
...  
Keyword(s):  
Community Health ◽  
Preventive Care ◽  
Indigenous Community ◽  
Community Health Centres ◽  
Health Centres

scholarly journals The Association Between Institutional Primary Healthcare Service Quality and Patients’ Experiences with Community Health Centres: Results from the Greater Bay Area Study, China

2021 ◽  
Author(s):  
RuQing Liu ◽  
YiFan Meng ◽  
Ning He ◽  
JingLan Wu ◽  
XinWen Yan ◽  
...  
Keyword(s):  
Health Services ◽  
Service Quality ◽  
Community Health ◽  
Primary Healthcare ◽  
Healthcare Service ◽  
Dose Effect ◽  
Community Health Centres ◽  
Bay Area ◽  
Health Centres

Abstract Background: To explore the association between the service quality of community health centres (CHCs) as the supplier evaluation and patients’ experiences of health services as the demand-side evaluation.Methods: This study was conducted at six CHCs in the Greater Bay area of China. During August–October 2019, 1568 patients were recruited (55.8% women and 44.2% men). We evaluated the service quality of CHCs using the National Committee for Quality Assurance Patient-Centered Medical Home (NCQA-PCMH) recognition questionnaire. We assessed patients’ experiences with medical and health services using the Primary Care Assessment Tools (PCAT). Results: The global PCAT score was higher at the CHCs with higher NCQA-PCMH levels, showing positive dose-effect trends. This was similar for the PCAT sub-dimensions. For example, the scores of each PCAT sub-dimension of NCQA-PCMH Level 3 were significantly higher than those of Levels 2 and 1. Except for D and F dimensions, the scores of other sub-dimensions of Level 2 were significantly higher than those of Level 1.Conclusions: Our results indicated that better institutional service quality evaluation determined by the NCQA-PCMH led to better patients’ experiences as determined by the PCAT. Our findings added new evidence in support of better institutional primary healthcare service quality leading to better experiences among patients, and would help further improve the patient-centred primary healthcare service policy and management.

scholarly journals The Association Between NCQA-PCMH Evaluation and Patients’ Experiences with Community Health Centres: Results from the Greater Bay Area Study, China

2020 ◽  
Author(s):  
RuQing Liu ◽  
YiFan Meng ◽  
Ning He ◽  
JingLan Wu ◽  
XinWen Yan ◽  
...  
Keyword(s):  
Health Services ◽  
Service Quality ◽  
Community Health ◽  
Primary Healthcare ◽  
Healthcare Service ◽  
Dose Effect ◽  
Community Health Centres ◽  
Bay Area ◽  
Health Centres

Abstract Background To explore the association between the service quality of community health centres (CHCs) as the supplier evaluation and patients’ experiences of health services as the demand-side evaluation. Methods This study was conducted at six CHCs in the Greater Bay area of China. During August–October 2019, 1568 patients were recruited (55.8% women and 44.2% men). We evaluated the service quality of CHCs using the National Committee for Quality Assurance Patient-Centered Medical Home (NCQA-PCMH) recognition questionnaire. We assessed patients’ experiences with medical and health services using the Primary Care Assessment Tools (PCAT). Results The global PCAT score was higher at the CHCs with higher NCQA-PCMH levels, showing positive dose-effect trends. This was similar for the PCAT sub-dimensions. For example, the scores of each PCAT sub-dimension of NCQA-PCMH Level 3 were significantly higher than those of Levels 2 and 1. Except for D and F dimensions, the scores of other sub-dimensions of Level 2 were significantly higher than those of Level 1. Conclusions Our results indicated that better institutional service quality evaluation determined by the NCQA-PCMH led to better patients’ experiences as determined by the PCAT. Our findings added new evidence in support of better institutional primary healthcare service quality leading to better experiences among patients, and would help further improve the patient-centred primary healthcare service policy and management.

scholarly journals Developing a Tool to Assess the Quality of Socio-Demographic Data in Community Health Centres

2013 ◽  
Vol 04 (01) ◽  
pp. 1-11 ◽  
Author(s):  
A. Shachak ◽  
M. Laberge
Keyword(s):  
Data Quality ◽  
Quality Assessment ◽  
Community Health ◽  
Rating Scale ◽  
Demographic Data ◽  
Community Health Centres ◽  
Staff Members ◽  
Health Centres ◽  
Quality Framework

SummaryObjective: The objectives of this study are to 1) create a quality assessment tool for socio-demographic data aligned with the needs of Community Health Centres (CHCs) and based on the data quality framework of the Canadian Institute for Health Information (CIHI), and 2) test the feasibility of the tool in CHCs.Methods: The tool was developed based on both theoretical and practical knowledge. A review of the literature was performed to identify data quality frameworks and dimensions that could be employed. In addition, informal discussions with Community Health Centres staff members holding various positions were conducted and a team of subject matter experts was established. This approach supported the alignment between the tool (i.e., the indicators developed, the rating scale, and weighting system) and the setting for which it has been designed. The tool was pilot tested in five CHCs across Ontario.Results: The decision to focus on socio-demographic data was based on findings from the discussions with staff members. The team established nine principles for the development of the tool, including the use of computer software, whenever possible, to query the data and ensure consistency of the measurement. Data quality scores ranged from 45 to 74 on a scale of 0 (lowest quality) to 100 (highest data quality), with one CHC that was not able to run all of the queries. The feedback from staff was positive and supports the feasibility of the tool as an application of the CIHI data quality framework in a local setting.Conclusion: Pilot test results demonstrate the feasibility of the tool and an applicability of the CIHI framework as a basis for developing tools for data quality assessment in health care organizations.Citation: Laberge M, Shachak A. Developing a tool to assess the quality of socio-demographic data in community health centres. Appl Clin Inf 2012; 4:1–11http://dx.doi.org/10.4338/ACI-2012-10-CR-0041

Assessing quality of diabetes care and its variation in Aboriginal community health centres in Australia

2010 ◽  
Vol 26 (6) ◽  
pp. 464-473 ◽  
Author(s):  
Damin Si ◽  
Ross Bailie ◽  
Michelle Dowden ◽  
Catherine Kennedy ◽  
Rhonda Cox ◽  
...  
Keyword(s):  
Community Health ◽  
Diabetes Care ◽  
Aboriginal Community ◽  
Community Health Centres ◽  
Health Centres ◽  
Quality Of Diabetes Care

Quality of blood pressure measurement in community health centres

2017 ◽  
Vol 27 (5) ◽  
pp. 294-302
Author(s):  
Edgardo Sandoya-Olivera ◽  
Augusto Ferreira-Umpiérrez ◽  
Federico Machado-González
Keyword(s):  
Blood Pressure ◽  
Community Health ◽  
Pressure Measurement ◽  
Blood Pressure Measurement ◽  
Community Health Centres ◽  
Health Centres

scholarly journals Experiences of patients and service providers with out-patient rehabilitation services in a rehabilitation centre in the Western Cape Province

2015 ◽  
Vol 4 (1) ◽  
Author(s):  
Anne Kumurenzi ◽  
Charlyn Goliath ◽  
Gubela Mji ◽  
Nondwe Mlenzana ◽  
Conran Joseph ◽  
...  
Keyword(s):  
Service Providers ◽  
Physical Disabilities ◽  
Rehabilitation Services ◽  
Western Cape ◽  
Rehabilitation Centre ◽  
Persons With Disabilities ◽  
Transport Services ◽  
Self Worth ◽  
Depth Interviews

Background: Rehabilitation is important for persons with disabilities as it contributes to their sense of autonomy, self-worth and social participation, and improves their quality of life. Improving the quality of rehabilitation services requires the dialogue of patients’ perceptions with those of service providers, in order to recommend informed reform. Objective: The objective was to explore the experiences of persons with physical disabilities and service providers, regarding the multi-disciplinary rehabilitation services provided at a community-based out-patient rehabilitation centre. Methods: A qualitative, exploratory study design was used to collect the data. A focus group was conducted with conveniently selected persons with physical disabilities. Three in-depth interviews were conducted with purposively selected key informants. All ethical considerations were adhered to during the implementation of the study.Results: Patients and service providers had different experiences regarding accessibility to rehabilitation services, and similar experiences with patient education and intensity of rehabilitation. Although the patients experienced that the service providers had sufficient knowledge and skills to manage them, services providers expressed that they lacked certain skills.Conclusions: The experiences expressed highlighted the need to improve rehabilitation services in terms of increasing the capacity of service providers and providing transport services for persons with disabilities.

scholarly journals The institutional primary healthcare service quality and patients’ experiences in Chinese community health centres: results from the Greater Bay Area study, China

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
RuQing Liu ◽  
Leiyu Shi ◽  
YiFan Meng ◽  
Ning He ◽  
JingLan Wu ◽  
...  
Keyword(s):  
Service Quality ◽  
Community Health ◽  
Primary Healthcare ◽  
Healthcare Service ◽  
Patient Experiences ◽  
Community Health Centres ◽  
Bay Area ◽  
Health Centres ◽  
Domain Scores

Abstract Background The goal of this paper was to assess the quality of primary healthcare services at community health centres (CHCs) from the demand (patient) and supplier (healthcare service institution) angles. Methods This study was conducted at six CHCs in the Greater Bay Area of China. Between August and October 2019, 1,568 patients were recruited (55.8% women and 44.2% men). We evaluated the service quality of CHCs using the National Committee for Quality Assurance Patient-Centred Medical Home (NCQA-PCMH) recognition questionnaire. We assessed patients’ experiences with medical and health services using the Primary Care Assessment Tools (PCAT). Results PCAT total and sub-domains scores were significantly difference at the six CHCs (P < 0.001). Among the six CHCs, Shayuan CHC had the highest PCAT total and sub-domain scores and the highest NCQA-PCMH total and sub-domain scores, as well. Older (> 60 years), female, lower education, and employee medical-insured individuals had better patient experiences. Conclusions Our results indicate that CHCs could improve their service quality by improving both institutional health service quality based on NCQA-PCMH assessment and patient experiences based on PCAT scales. These findings can help inform patient-centred primary healthcare policy and management.

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