scholarly journals Primary health care quality in Iran: a systematic review and meta-analysis

2019 ◽  
Vol 21 (1) ◽  
pp. 71-77
Author(s):  
Hasan Abolghasem Gorji ◽  
Sanaz Royani ◽  
Mohammad Mohseni ◽  
Saber Azami-Aghdash ◽  
Ahmad Moosavi ◽  
...  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Christian Gerdesköld ◽  
Eva Toth-Pal ◽  
Inger Wårdh ◽  
Gunnar H. Nilsson ◽  
Anna Nager

Abstract Background Evidence-based information available at the point of care improves patient care outcomes. Online knowledge bases can increase the application of evidence-based medicine and influence patient outcome data which may be captured in quality registries. The aim of this study was to explore the effect of use of an online knowledge base on patient experiences and health care quality. Methods The study was conducted as a retrospective, observational study of 24 primary health care centers in Sweden exploring their use of an online knowledge base. Frequency of use was compared to patient outcomes in two national quality registries. A socio-economic Care Need Index was applied to assess whether the burden of care influenced the results from those quality registries. Non-parametric statistical methods and linear regression were used. Results Frequency of knowledge base use showed two groups: frequent and non-frequent users, with a significant use difference between the groups (p < 0.001). Outcome data showed significant higher values for all seven National Primary Care Patient Survey dimensions in the frequent compared to the non-frequent knowledge base users (p < 0.001), whereas 10 out of 11 parameters in the National Diabetes Register showed no differences between the groups (p > 0.05). Adjusting for Care Need Index had almost no effect on the outcomes for the groups. Conclusions Frequent users of a national online knowledge base received higher ratings on patient experiences, but figures on health care quality in diabetes showed near to no correlation. The findings indicate that some effects may be attributed to the use of knowledge bases and requires a controlled evaluation.


2019 ◽  
Vol 110 (6) ◽  
pp. 756-767
Author(s):  
Anya Pimentel Gomes Fernandes Vieira-Meyer ◽  
Maria Socorro de Araújo Dias ◽  
Maristela Ines Osawa Vasconcelos ◽  
Emilia Soares Chaves Rouberte ◽  
Ana Mattos Brito de Almeida ◽  
...  

2017 ◽  
Vol 26 (2) ◽  
Author(s):  
Graziela Piovesan ◽  
Cristiane Cardoso de Paula ◽  
Luis Felipe Dias Lopes ◽  
Stela Maris de Mello Padoin ◽  
Raquel Einloft Kleinubing ◽  
...  

ABSTRACT Objective: evaluate, based on the professionals’ experience, the primary health care quality in home cities of children and adolescents with HIV, treated at a specialized service. Method: cross-sectional study involving 527 professionals in 25 interior cities in Rio Grande do Sul, Brazil, in the first semester of 2014. The Primary Care Assessment Tool was applied. Pearson’s chi-square Test, the Mann Whitney Test and the Poisson Regression were used. Results: the Estratégia Saúde da Família and the primary health care service presented a high score related to the essential attributes: longitudinality (7.17 and 6.74), coordination-integration of care (6.87 and 7.03) and coordination-information systems (8.24 and 8.19); and a low score for the attribute access (3.96 and 3.8). The variables: female gender (0.009), education as general practitioner (<0.001), statutory staff (0.029), coordinator position (0.087) and not having another job (0.027) were also associated with the high score. Conclusion: the coverage of the Estratégia Saúde da Família needs to be expanded and structural and organizational shortages in the access need to be overcome.


2020 ◽  
Author(s):  
Cácia Régia de Paula ◽  
Cristiane José Borges ◽  
Flavio Henrique Alves de Lima ◽  
Celmo Celeno Porto ◽  
Marcos André Matos ◽  
...  

Abstract Background: Scientific studies on human health are not remote and show that mortality in this population is increasing. Although male morbidity and mortality rates have a considerable weight in national and international epidemiological profiles, the presence of men in primary health care services is lower than that of women. Many injuries could be avoided if men regularly carried out the first preventive measures. Sensitive Conditions to Primary Care are consolidated as an important marker of access to health services and the resolution capacity of Primary Care. In this systematic review, the objective is to identify what is known about the prevalence and / or incidence of Sensitive Conditions to Primary Care in adult men.Methods: We will identify the studies through systematic research in PUBMED-MEDLINE, SCOPUS, Web of Science, Embase, Cochrane, BDTD and OpenGrey. The quality assessment of retrieved articles will be carried out using the critical assessment tools of the Joanna Briggs Institute (JBI). The quantitative synthesis of the data will be carried out if the studies are homogeneous and provide adequate result data for meta-analysis. Otherwise, the data will be synthesized, using the narrative synthesis approach.Discussion: This review will explore theprevalenceand / orincidenceofSensitiveConditionstoprimarycare (prevalenceofhospitalizations; incidenceofhospitalizationsand deaths from ACSC) in adultmenandwillact as a usefulsource for researchers, policymakersand stakeholders whendevelopingandimplementinginterventions for thatgroup. Systematic review registration: This systematic review protocol was submitted to International Prospective Register of Systematic Reviews (PROSPERO). Submission number: ID 169447. This protocol was prepared using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Protocols checklist (PRISMA-P).


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Ramin Rezapour ◽  
Jafar Sadegh Tabrizi ◽  
Mostafa Farahbakhsh ◽  
Mohammad Saadati ◽  
Hossein Mashhadi Abdolahi

Vestnik ◽  
2021 ◽  
pp. 302-308
Author(s):  
К.М. Толегенов ◽  
Д.А. Оспанова

Первичная медико-санитарная помощь - важная часть общей системы здравоохранения. Эффективная первичная медико-санитарная помощь обеспечивает улучшение общественного здоровья, удовлетворенность пациентов и снижение общих затрат на здравоохранение.Стратегическое планирование человеческих ресурсов при реализации политики в области качества медицинской помощи - одна из основных задач менеджмента по повышению качества лечебно-диагностического процесса и повышению клинической эффективности и экономической эффективности каждого медицинского учреждения. Primary health care is an important part of the overall health care system. Effective primary health care provides improved public health, patient satisfaction and lower overall health care costs Strategic human resource planning in implementing health care quality policy is one of the main management objectives to improve the quality of the diagnostic process and increase clinical efficiency and the economic efficiency of each medical institution.


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