Domestic violence screening rates in a community health center urgent care clinic

2007 ◽  
Vol 30 (6) ◽  
pp. 611-619 ◽  
Author(s):  
Wilfreda E. Thurston ◽  
Leslie M. Tutty ◽  
Amanda E. Eisener ◽  
Lise Lalonde ◽  
Cathie Belenky ◽  
...  
Keyword(s):  
Domestic Violence ◽  
Community Health ◽  
Health Center ◽  
Community Health Center ◽  
Urgent Care ◽  
Care Clinic ◽  
Domestic Violence Screening ◽  
Urgent Care Clinic

Implementation of Universal Screening for Domestic Violence in an Urgent Care Community Health Center

2008 ◽  
Vol 10 (4) ◽  
pp. 517-526 ◽  
Author(s):  
Wilfreda E. Thurston ◽  
Leslie M. Tutty ◽  
Amanda C. Eisener ◽  
Lise Lalonde ◽  
Cathie Belenky ◽  
...  
Keyword(s):  
Domestic Violence ◽  
Community Health ◽  
Health Center ◽  
Universal Screening ◽  
Community Health Center ◽  
Urgent Care ◽  
Care Community

scholarly journals 1269. HIV Testing in a Large Community Health Center Serving a Multi-cultural Population: A Qualitative Study of Providers

2018 ◽  
Vol 5 (suppl_1) ◽  
pp. S387-S387
Author(s):  
Anthony James ◽  
Danelle Marable ◽  
Caroline Cubbison ◽  
Andrew Tarbox ◽  
Sarah Oo ◽  
...  
Keyword(s):  
United States ◽  
Primary Care ◽  
Hiv Testing ◽  
Community Health ◽  
Health Center ◽  
Ethnic Minorities ◽  
Community Health Center ◽  
The United States ◽  
Urgent Care ◽  
Racial Ethnic

Abstract Background In the United States, 15% of people with HIV (PWH) do not know their serostatus, leading to both individual morbidity and HIV transmission to others. While CDC guidelines recommend HIV screening for all individuals aged 13–64 years, racial and ethnic minorities in the United States continue to present to care with advanced HIV infection. Methods Our objective was to assess providers’ perspectives on barriers to and facilitators of HIV testing at an urban community health center serving a predominantly racial/ethnic minority population of low socio-economic status. Study staff conducted five focus groups from January 2017 to November 2017 with 74 health center staff: 20 adult medicine/primary care providers, 28 community health workers (CHWs), six urgent care physicians, six community health administrators, and 14 behavioral health providers. Each focus group ranged from six to 20 participants. In addition to exploring participants’ views on HIV testing in this setting, we also explored potential interventions to improve HIV testing. Interviews were digitally recorded. Data were analyzed using a grounded theory approach. We used open coding to develop themes and compared themes among provider groups. Results The main facilitators of routine HIV testing were clinical training in HIV/hepatitis care and CHWs engaging patients in topics that intersect with HIV risk factors. Providers’ perceptions of key barriers were patients’ cultural perceptions of HIV (e.g. HIV-related stigma), patients’ concerns about test confidentiality, competing medical and social issues, and provider lack of HIV knowledge. All groups agreed that HIV testing should occur through the primary care provider though acknowledged that patients may be seeking healthcare more frequently through mental health, urgent care, or social services than primary care. Primary care physicians wanted easier mechanisms to identify patients in need of HIV testing and assistance with offering the test to non-English language speaking patients. Conclusion Specific, focused efforts can lead to improved HIV testing in racial ethnic minorities in community health centers. Training to improve provider comfort, increasing CHW engagement, and a focus on patients’ cultural beliefs may all have an impact. Disclosures All authors: No reported disclosures.

scholarly journals Gambaran Karakteristik dan Kepuasan Peserta BPJS Kesehatan dalam Pemanfaatan Pelayanan Kesehatan di FKTP Kota Malang

2020 ◽  
Vol 1 (3) ◽  
pp. 262-268
Author(s):  
Febri Endra Budi Setyawan
Keyword(s):  
Primary Care ◽  
Health Services ◽  
Community Health ◽  
Health Center ◽  
Social Insurance ◽  
Community Health Center ◽  
Primary Care Clinic ◽  
Care Clinic ◽  
Level Of Satisfaction ◽  
Biological Aspects

The rules regarding the increase in Social Insurance Administration Organization (BPJS) Health fees recently affected the occurrence of 800 thousand BPJS Health participants who dropped out of class. The level of satisfaction of BPJS Health participants utilizing health services at the First Level Health Facilities (FKTP) was still below the target. The satisfaction of the participants of the BPJS of Health when getting health services in FKTP will have a strong influence on their loyalty and the quality of health services in general. This study conducted to describe the characteristics and satisfaction of BPJS Health participants in the utilization of health services in FKTP Malang. This study wass a descriptive study an observational survey approach to describe the characteristics and satisfaction of BPJS Health participants. This study involved 49 BPJS participants in FKTP Malang at the Primary Care Clinic and Community Health Center by using systematic random sampling. Results: The results showed that in both types of FKTP groups, 100% of participants stated that they preserved their chosen health services. All participants of the Subsidy Aid Recipient (PBI) checked their health at the Community Health Center, while at the primary care clinic, the majority of participants (75%) were Wage Recipient Workers (PPU). The level of satisfaction of BPJS participants in primary care clinic was more dominated by biological aspects (84.85%), while psychological aspects were more felt by participants in Community Health Center. In conclusion, The conclusion of this study shows that PBI participants checks their health more at Community Health Center and they felt more satisfy on biological aspects at Primary Care Clinic. BPJS Health participants' satisfaction in both FKTP groups needs to be improved through a comprehensive holistic approach with promotive, preventive, curative and rehabilitative efforts.

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