scholarly journals Community based monitoring under national rural health mission in Maharashtra: Status at primary health centers

2014 ◽  
Vol 58 (1) ◽  
pp. 65 ◽  
Author(s):  
PrakashPrabhakarrao Doke ◽  
AshokPurshottamrao Kulkarni ◽  
PushpaOmprakash Lokare ◽  
Muralidhar Tambe ◽  
RatnendraR Shinde
Keyword(s):  
Rural Health ◽  
Health Centers ◽  
National Rural Health Mission ◽  
Community Based ◽  
Primary Health

KNOWLEDGE, ATTITUDE AND PREVENTIVE PRACTICE ON DEMENTIA CARE AMONG PRIMARY HEALTH PROFESSIONALS IN MACAO

2020 ◽  
pp. 1-4
Author(s):  
I.L. Lo ◽  
W. Zeng ◽  
C.I. Lei ◽  
C. Lam ◽  
H.L. Lou
Keyword(s):  
Health Professionals ◽  
Negative Relationship ◽  
Care Quality ◽  
Dementia Care ◽  
Health Centers ◽  
Community Based ◽  
Preventive Practice ◽  
Primary Health ◽  
Dementia Prevention ◽  
Dementia Education

The Macao Dementia Policy was recognized by Alzheimer Disease International as the 27th globally and one of the highest stage 5 to develop dementia friendly community and primary health professionals are in a pivotal position to enhance community-based dementia prevention and care quality. This study aimed to investigate the knowledge, attitude and preventive practice on dementia care among primary health professionals in Macao. A specially designed 30-item questionnaire was developed and validated for the study. The Content Validity Index (CVI) and Cronbach’s α of the questionnaire were 0.973 and 0.808. The questionnaires were distributed to all 375 primary health professionals from 8 Health Centers throughout Macao and 234 valid questionnaires (62.4%) were returned. The score for dementia care knowledge was 87.02+14.01; attitude was 69.52+5.83; preventive practice was 77.88+13.18, of which doctors (79.89+13.77) was significantly higher (t=2.29, p=0.023) than nurses (75.91+12.33). There were positive relationships between preventive practice and attitude (r=0.163, p=0.014), and age (r=0.212, p=0.002), and a negative relationship between knowledge and age (r=-0.139, p=0.040). These findings have significant implications that most primary health professionals in Macao had sufficient knowledge, a positive attitude and appropriate preventive practice on dementia care. However, enhanced dementia education to improve knowledge and preventive practice was a strong agenda for the training for senior staff and nurses.

scholarly journals Community-based rehabilitation service in Chengdu，southwest China: a cross-sectional general survey

2020 ◽  
Author(s):  
Siliang Chen ◽  
Yi Lei ◽  
Hua Dai ◽  
Jia Wu ◽  
Ziyu Yang ◽  
...  
Keyword(s):  
Chinese Medicine ◽  
Traditional Chinese Medicine ◽  
Southwest China ◽  
Health Centers ◽  
Rehabilitation Service ◽  
Rehabilitation Services ◽  
Community Based ◽  
Basic Health ◽  
Primary Health ◽  
Community Based Rehabilitation

Abstract Background: World Health Organization initiated community-based rehabilitation (CBR) in 1978, and by now, it has been an essential process of medical services worldwide. China had strengthened primary health care on building more than 35,000 community health centers (CHCs) in cities, and more than 34,000 township health centers (THCs) in the rural area. Nevertheless, it remains unclear that if these primary health centers could provide optional rehabilitation services for disabilities. And this study aims at evaluating the supply capacity of rehabilitation service in primary health centers of Chengdu, a regional center city of southwest China.Method : We conducted a general investigation of primary health centers in Chengdu, a city located in southwest China with more than 15 million population, our investigation covered all of Chengdu’s 390 primary health centers from October to November 2016. We researched these primary health centers on basic rehabilitation services, diseases, and rehabilitation equipment quantity and quality, and traditional Chinese medicine (TCM) physiotherapyResult: Rehabilitation therapy is available in 88.9% (337 of 379) of all primary health centers. Meanwhile, CHCs slightly surpass THCs with an available rate of 92.2% (106 of 115) and 87.5% (231 of 264), respectively. Traditional Chinese Medicine (TCM) physiotherapy is available in 97.1% (368 of 379) of all primary health centers, 97.3% (112 of 115) of CHCs and 97.0% (256 of 264) of THCs. Quantitative analysis showed that substantial factors which could make an impact on the number of patients per year contain: categories of rehabilitation disease (P<0.001, 95% confidence interval (CI) [-1.571, -0.702]),number of rehabilitation bed (P<0.001, 95%CI [-1.249, -0.290])Conclusion: CBR and TCM physiotherapy has become accessible for disabilities in most basic health centers of Chengdu City, whereas, available rate of CBR in THCs is lesser than in CHCs, which suggests an imbalance in primary health service development between rural and urban area. Categories of rehabilitation diseases, and the number of rehabilitation beds constitute co-factors that make an impact on the CBR capacity of basic health centers.

scholarly journals Dissonances and disconnects: the life and times of community-based accountability in the National Rural Health Mission in Tamil Nadu, India

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Rakhal Gaitonde ◽  
Miguel San Sebastian ◽  
Anna-Karin Hurtig
Keyword(s):  
Health System ◽  
Rural Health ◽  
Tamil Nadu ◽  
Community Action ◽  
Health System Strengthening ◽  
National Rural Health Mission ◽  
Sense Making ◽  
Community Based ◽  
Qualitative Approaches ◽  
Community Monitoring

Abstract Background There are increasing calls for developing robust processes of community-based accountability as key components of health system strengthening. However, implementation of these processes have shown mixed results over time and geography. The Community Action for Health (CAH) project was introduced as part of India’s National Rural Health Mission (now National Health Mission) to strengthen community-based accountability through community monitoring and planning. In this study we trace the implementation process of this project from its piloting, implementation and abrupt termination in the South Indian state of Tamil Nadu. Methods We framed CAH as an innovation introduced into the health system. We use the framework on integration of innovations in complex systems developed by Atun and others. We used qualitative approaches to study the implementation. We conducted interviews among a range of individuals who were directly involved in the implementation, focusing on the policy making organizational level. Results We uncover what we have termed “dissonances” and “disconnects” at the state level among individuals with key responsibility of implementation. By dissonances we refer to the diversity of perspective on the concept of community-based accountability and its perceived role. By disconnects we refer to the lack of spaces and processes for “sense-making” in a largely hierarchically functioning system. These constructs we believe contributes significantly to making sense of the initial uptake and the subsequent abrupt termination of the project. Conclusions This study contributes to the overall field of policy implementation, especially the phase between the emergence on the policy agenda and its incorporation into the day to day functioning of a system. It focuses on the implementation of contested interventions like community-based accountability, in Low- and Middle-income country settings undergoing transitions in governance. It highlights the importance of “problematization” a dimension not included in most currently popular frameworks to study the uptake and spread of innovations in the health system. It points not only to the importance of diverse perspectives present among individuals at different positions in the organization, but equally importantly the need for spaces and process of collective sense-making to ensure that a contested policy intervention is integrated into a complex system.

scholarly journals Community-based rehabilitation service in Chengdu: a cross-sectional general survey

2019 ◽  
Author(s):  
Siliang Chen ◽  
Yi Lei ◽  
Hua Dai ◽  
Jia Wu ◽  
Ziyu Yang ◽  
...  
Keyword(s):  
Community Health ◽  
Rural Community ◽  
Community Health Centers ◽  
Health Centers ◽  
Rehabilitation Service ◽  
Community Based ◽  
Basic Health ◽  
Primary Health ◽  
Community Based Rehabilitation ◽  
Number Of Patients

Abstract Background Community-based rehabilitation (CBR) was initiated by World Health Organization in 1984, and by then it has been an essential process of medical services in the worldwide. China had strengthened primary health care via constructing more than 35 thousand community health centers (CHCs) in cities, and more than 35 thousand township health centers (THCs) in rural area. Nevertheless, it remains unclear that if these basic health center could provide optional rehabilitation services for disabilities. And this study aims at evaluating supply capacity of rehabilitation service in basic health centers of Chengdu, a regional center city of southwest China.Method We conducted a general investigation of primary health centers in Chengdu, a city located in south west China with more than 15 million population. Totally, our investigation covered 115 CHCs and 264 THCs from October to November 2016. We investigated these primary health center on basic rehabilitation services, disease spectrum and rehabilitation equipment quantity and quality, and traditional Chinese medicine (TCM) physiotherapyResult Rehabilitation therapy is available in 88.9% (337 of 379) of all community health centers, meanwhile, urban community health centers slightly surpass rural community with available rate of 92.2% (106 of 115) and 87.5% (231 of 264), respectively. Traditional Chinese Medicine (TCM) physiotherapy is available in 97.1% (368 of 379) of all community health centers, 97.3% (112 of 115) of urban community health centers and 97.0% (256 of 264) of rural community health centers. Quantitively analysis indicated that substantial factors which could make impact on number of patients per year contain: species of rehabilitation disease (P<0.001, 95% confidence interval (CI) [-1.571, -0.702]), the service population (P=0.03, 95%CI [-1.198,-0.057]), number of rehabilitation bed (P<0.001, 95%CI [-1.249,-0.290])Conclusion Community-based rehabilitation and TCM physiotherapy have become accessible for disabilities in neighbor community health centers of Chengdu City. Whereas, available rate of CBR in rural CHCs is lesser than in urban CHCs, which indicates imbalance in basic health service development between rural and urban area. A bit of baseline of CHCs makes significant impact on number of patients per year, including species of rehabilitation diseases, service population and number of rehabilitation bed.

scholarly journals Community-based rehabilitation service in Chengdu, southwest China: a cross-sectional general survey

2020 ◽  
Author(s):  
Siliang Chen ◽  
Yi Lei ◽  
Hua Dai ◽  
Jia Wu ◽  
Ziyu Yang ◽  
...  
Keyword(s):  
Chinese Medicine ◽  
Traditional Chinese Medicine ◽  
Southwest China ◽  
Health Centers ◽  
Rehabilitation Service ◽  
Rehabilitation Services ◽  
Community Based ◽  
Basic Health ◽  
Primary Health ◽  
Community Based Rehabilitation

Abstract Background World Health Organization initiated community-based rehabilitation (CBR) in 1978, and by now, it has been an essential process of medical services worldwide. China had strengthened primary health care on building more than 35,000 community health centers (CHCs) in cities, and more than 34,000 township health centers (THCs) in the rural area. Nevertheless, it remains unclear that if these primary health centers could provide optional rehabilitation services for disabilities. And this study aims at evaluating the supply capacity of rehabilitation service in primary health centers of Chengdu, a regional center city of southwest China. Method We conducted a general investigation of primary health centers in Chengdu, a city located in southwest China with more than 15 million population, our investigation covered all of Chengdu’s 390 primary health centers from October to November 2016. We researched these primary health centers on basic rehabilitation services, diseases, and rehabilitation equipment quantity and quality, and traditional Chinese medicine (TCM) physiotherapy Result Rehabilitation therapy is available in 88.9% (337 of 379) of all primary health centers. Meanwhile, CHCs slightly surpass THCs with an available rate of 92.2% (106 of 115) and 87.5% (231 of 264), respectively. Traditional Chinese Medicine (TCM) physiotherapy is available in 97.1% (368 of 379) of all primary health centers, 97.3% (112 of 115) of CHCs and 97.0% (256 of 264) of THCs. Quantitative analysis showed that substantial factors which could make an impact on the number of patients per year contain: categories of rehabilitation disease (P<0.001, 95% confidence interval (CI) [-1.571, -0.702]),number of rehabilitation bed (P<0.001, 95%CI [-1.249, -0.290]) Conclusion CBR and TCM physiotherapy has become accessible for disabilities in most basic health centers of Chengdu City, whereas, available rate of CBR in THCs is lesser than in CHCs, which suggests an imbalance in primary health service development between rural and urban area. Categories of rehabilitation diseases, and the number of rehabilitation beds constitute co-factors that make an impact on the CBR capacity of basic health centers.

scholarly journals Community-based rehabilitation service in Chengdu, southwest China: a cross-sectional general survey

2020 ◽  
Author(s):  
Siliang Chen ◽  
Yi Lei ◽  
Hua Dai ◽  
Jia Wu ◽  
Ziyu Yang ◽  
...  
Keyword(s):  
Chinese Medicine ◽  
Traditional Chinese Medicine ◽  
Southwest China ◽  
Health Centers ◽  
Rehabilitation Service ◽  
Rehabilitation Services ◽  
Community Based ◽  
Basic Health ◽  
Primary Health ◽  
Community Based Rehabilitation

Abstract Background World Health Organization initiated community-based rehabilitation (CBR) in 1978, and by now, it has been an essential process of medical services worldwide. China had strengthened primary health care on building more than 35,000 community health centers (CHCs) in cities, and more than 34,000 township health centers (THCs) in the rural area. Nevertheless, it remains unclear that if these primary health centers could provide optional rehabilitation services for disabilities. And this study aims at evaluating the supply capacity of rehabilitation service in primary health centers of Chengdu, a regional center city of southwest China.Method We conducted a general investigation of primary health centers in Chengdu, a city located in southwest China with more than 15 million population. Our investigation covered all of Chengdu’s 390 primary health centers from October to November 2016. We researched these primary health centers on basic rehabilitation services, diseases, and rehabilitation equipment quantity and quality, and traditional Chinese medicine (TCM) physiotherapyResult Rehabilitation therapy is available in 88.9% (337 of 379) of all primary health centers. Meanwhile, CHCs slightly surpass THCs with an available rate of 92.2% (106 of 115) and 87.5% (231 of 264), respectively. Traditional Chinese Medicine (TCM) physiotherapy is available in 97.1% (368 of 379) of all primary health centers, 97.3% (112 of 115) of CHCs and 97.0% (256 of 264) of THCs. Quantitative analysis showed that substantial factors which could make an impact on the number of patients per year contain: categories of rehabilitation disease (P<0.001, 95% confidence interval (CI) [-1.571, -0.702]),number of rehabilitation bed (P<0.001, 95%CI [-1.249, -0.290])Conclusion CBR and TCM physiotherapy has become accessible for disabilities in most basic health centers of Chengdu City, whereas, available rate of CBR in THCs is lesser than in CHCs, which suggests an imbalance in primary health service development between rural and urban area. Categories of rehabilitation diseases, and the number of rehabilitation beds constitute co-factors that make an impact on the CBR capacity of basic health centers.

A study of current primary health care in rural district, Japan - Problmes of community-based school health.

1986 ◽  
Vol 35 (2) ◽  
pp. 165-171
Author(s):  
Kenji ABE ◽  
Tetsuhito FUKUSHIMA ◽  
Akio NAKAGAWA ◽  
Nobuo YOSHIDA ◽  
Tomoko TAGAWA ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
School Health ◽  
Rural District ◽  
Community Based ◽  
Primary Health

scholarly journals Do electronic reminders alter recorded diagnoses in primary care office-hours practices of health centers: A register-based study in a Finnish city

2021 ◽  
Vol 9 ◽  
pp. 205031212110361
Author(s):  
Mika Lehto ◽  
Kaisu Pitkälä ◽  
Ossi Rahkonen ◽  
Merja K Laine ◽  
Marko Raina ◽  
...  
Keyword(s):  
Primary Care ◽  
Primary Care Physicians ◽  
Health Centers ◽  
Health Record ◽  
Record System ◽  
Electronic Reminder ◽  
Primary Health ◽  
Primary Care Health ◽  
Before And After ◽  
Care Health

Objectives: One purpose of electronic reminders is improvement of the quality of documentation in office-hours primary care. The aim of this study was to evaluate how implementation of electronic reminders alters the rate and/or content of diagnostic data recorded by primary care physicians in office-hours practices in primary care health centers. Methods: The present work is a register-based longitudinal follow-up study with a before-and-after design. An electronic reminder was installed in the electronic health record system of the primary health care of a Finnish city to remind physicians to include the diagnosis code of the visit in the health record. The report generator of the electronic health record system provided monthly figures for the number of various recorded diagnoses by using the International Classification of Diseases, 10th edition, and the total number of visits to primary care physicians, thus allowing the calculation of the recording rate of diagnoses on a monthly basis. The distribution of diagnoses before and after implementing ERs was also compared. Results: After the introduction of the electronic reminder, the rate of diagnosis recording by primary care physicians increased clearly from 39.7% to 87.2% (p < 0.001). The intervention enhanced the recording rate of symptomatic diagnoses (group R) and some chronic diseases such as hypertension, type 2 diabetes and other soft tissue disorders. Recording rate of diagnoses related to diseases of the respiratory system (group J), injuries, poisoning and certain other consequences of external causes (group S), and diseases of single body region of the musculoskeletal system and connective tissue (group M) decreased after the implementation of electronic reminders. Conclusion: Electronic reminders may alter the contents and extent of recorded diagnosis data in office-hours practices of the primary care health centers. They were found to have an influence on the recording rates of diagnoses related to chronic diseases. Electronic reminders may be a useful tool in primary health care when attempting to change the behavior of primary care physicians.

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