scholarly journals Oranges are not the only fruit:the role of emergency departments in providing care to primary care patients

2000 ◽  
Vol 23 (3) ◽  
pp. 132 ◽  
Author(s):  
Patrick Bolton ◽  
Michael Mira ◽  
Arn Sprogis
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Quality Care ◽  
Poor Quality ◽  
Specialist Care ◽  
High Quality ◽  
Quality Health Care ◽  
Full Spectrum ◽  
Care Services ◽  
Quality Health

Effective and integrated primary health care services are seen world wide as the lynch pin of an equitable,efficient and high quality health care. Health services dominated by specialist care suffer either fromuncontainable costs (USA with 14% of GDP) or poor quality care (Russia and other former members of theSoviet bloc). Ierachi et al. (2000) argue that Australia should take the retrograde step of endorsing a servicewhich aims to "provide rapid, high quality and continuously accessible unscheduled care, for conditions coveringthe full spectrum of acute illness and injury" (emphasis added). They aim to provide care "for conditions", notfor people. General practice provides care for people, not just diseases or injuries.

scholarly journals Quality health care in extreme adversity—an action framework

2019 ◽  
Author(s):  
Sheila Leatherman ◽  
Linda Tawfik ◽  
Dilshad Jaff ◽  
Grace Jaworski ◽  
Matthew Neilson ◽  
...  
Keyword(s):  
Health Care ◽  
Quality Care ◽  
Poor Quality ◽  
Lessons Learned ◽  
Initial Assessment ◽  
Quality And Safety ◽  
Quality Health Care ◽  
Quality Health ◽  
Care Costs ◽  
Poor Quality Care

Abstract Quality problem or issue There are record-setting numbers of people living in settings of extreme adversity and they continue to increase each year. Initial assessment There is a paucity of validated data on quality and safety across settings of extreme adversity. Choice of solution This paper argues for an action framework to address the unique challenges of providing quality in extreme adversity. Implementation We describe a preliminary Quality in Extreme Adversity framework which has been informed by—and will continue to be validated through—literature, data collection, WHO expert consultations and through working in settings of extreme adversity with national authorities and NGOs. Lessons learned Poor quality care costs lives, livelihoods and trust in health services. The recommended framework, based on evidence and experiential lessons, intends to address the WHO goal for 2019–2023 of ‘one billion people better protected from health emergencies’ (9).

Community-Centered Health Homes: Bridging Health Care Services and Community Prevention

2019 ◽  
pp. 291-300
Author(s):  
Leslie Mikkelsen ◽  
Rea Pañares ◽  
Larry Cohen
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Rental Housing ◽  
Active Role ◽  
Septic Systems ◽  
Quality Health Care ◽  
Care Services ◽  
Quality Health ◽  
Reducing Costs ◽  
Health Homes

This chapter looks at prevention and public health. Preventing illness and injury in the first place has the potential to be a powerful component of a country's strategy to improve population health while strengthening access to quality health care and reducing costs. The chapter looks at the Community-Centered Health Home (CCHH) term, which is used to describe health care organizations that take an active role, in partnership, to improve community conditions that impact patients' health (for example, supporting rental housing code enforcement, building septic systems, and improving community access to healthy food and places for physical activity). The chapter looks at ways to test the CCHH initiative. The chapter concludes by stating that CCHH contributes to the US's journey toward a system of health by highlighting the value of health care in partnering with its surrounding community and offering a systematic approach to partnering with community groups to improve community conditions, while continuing to meet the daily priority of delivering high-quality health care.

scholarly journals Regional Disparities and Determinants of Caesarean Deliveries in India

2021 ◽  
Vol 07 (04) ◽  
pp. 15-23
Author(s):  
Sherin Raj TP ◽  
Keyword(s):  
Health Care Services ◽  
Family Health ◽  
Regional Disparities ◽  
High Quality ◽  
Quality Health Care ◽  
Care Services ◽  
High Birth Order ◽  
Quality Health ◽  
The Right ◽  
Complicated Pregnancy

Background: The caesarean rate in India has been increased from 8.5% (NFHS-III) during 2005-06 to 17.2% (NFHS-IV) during 2015-16. Objective: The main objective of the study is to assess the regional disparities and determinants of caesarean deliveries in India. Material and Method: It is a descriptive study. The fourth round of National Family Health Survey, India (NFHS-4), conducted in 2015-16 has been analysed for the purpose of this study. Result: The study found that the C-section deliveries are significantly higher in southern region followed by western region in India. Social factors such as higher education of mother, residing in urban area, belong to richest wealth group, mothers belong to non-SC/ST category are more likely to opt for C-section delivery. Evidence also indicates that risk factors like high age of mother, high birth order, complicated pregnancy, multiple births, size of child at birth, weight of child at birth significantly influences the decision of C-section deliveries. Institutional and Individual Behavioural Factors such as number of ANC visit, place of delivery, access to mass media are also significant determinants of opting C-section delivery. Delivering high quality timely care and counselling measures throughout the gestation period as a measure to minimise C-section deliveries is the responsibility of every midwife healthcare provider, is an effective way. There is an urgent need to monitor the deliveries in clinics and hospitals to find out the right balance between demand and provisioning of high quality health care services.

Going Way Upstream: How One Foundation Redefined Its Work to Improve Population Health

2019 ◽  
pp. 301-314
Author(s):  
Peter Long ◽  
Brittany Imwalle
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Domestic Violence ◽  
Health Care Services ◽  
Safety Net ◽  
Quality Health Care ◽  
Care Services ◽  
Quality Health ◽  
Access And Quality

This chapter presents a case study from the Blue Shield of California Foundation (BSCF) which in 2016 achieved considerable success in its work to expand access to high-quality health care and to end domestic violence in California. The case of BSCF demonstrates how to integrate disparate health care services, such as primary care and specialty care, and behavioral health and primary care, to improve access and quality while potentially lowering costs. BSCF created networks of established leaders within the health care and domestic violence safety nets in California and influenced safety net systems in California to think and act differently. However, despite these notable successes, BSCF struggled to sustain, scale, and spread these innovations to other organizations and systems or to embed them into policy changes. The chapter analyses why.

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