scholarly journals Editorial: Models of Care

2008 ◽  
Vol 32 (4) ◽  
pp. 593 ◽  
Author(s):  
Deborah Yarmo-Roberts

TWO ARTICLES ARE FEATURED in this AHR issue?s Models of Care section. The first article by May and colleagues entitled ?Integrated models or mayhem? Lessons learnt from three integrated primary health care entities in regional New South Wales? reviews integrated general practices and conceptualises a model to explain how integrated service might best function. (page 595) The second article by Coombe and colleagues is ?Community-governed health services in Cape York: does the evidence point to a model of service delivery?? (page 605) The article reviews the literature on community governance models and community- controlled health service delivery models and their application to service delivery in Cape York.

2008 ◽  
Vol 32 (4) ◽  
pp. 605 ◽  
Author(s):  
Leanne L Coombe ◽  
Melissa R Haswell-Elkins ◽  
Peter S Hill

Health service delivery model reforms are currently underway in Cape York in an effort to improve health outcomes for the Aboriginal and Torres Strait Islander communities. These reforms include the transition of the Apunipima Cape York Health Council from an advocacy agency to a community-controlled health service provider. This paper investigates the literature on existing community governance models and communitycontrolled health service delivery models, to guide the choice of the most appropriate model for the Cape York health reforms. The evidence collected suggests a new innovative health service delivery model is emerging that will not only improve Indigenous health status, but may also present a more appropriate model for the health care sector than the existing mainstream health service delivery model provided for other sections of the collective Australian population.


Author(s):  
Robyn Ramsden ◽  
Sarah Davies ◽  
Richard Colbran ◽  
Amelia Haigh ◽  
Meegan Connors ◽  
...  

2020 ◽  
Author(s):  
David Roder ◽  
George W Zhao ◽  
Sheetal Challam ◽  
Alana Little ◽  
Elisabeth Elder ◽  
...  

Abstract The authors have requested that this preprint be removed from Research Square.


2007 ◽  
Vol 15 (1) ◽  
pp. 67-70 ◽  
Author(s):  
Joanne Cooper ◽  
Stephen Moore ◽  
Lyndall Palmer ◽  
Judith Reinhardt ◽  
Michael Roberts ◽  
...  

2021 ◽  
Author(s):  
◽  
Katrina Fyers

<p>This study makes visible and gives value to the day-to-day experience of practice nurses who work in New Zealand general practices. Nursing leaders internationally and locally have highlighted the importance of the Primary Health Care nurse to improving health outcomes, addressing inequalities and implementing new models of care. As one of the largest groups of Primary Health Care nurses, practice nurses have a significant part to play. There is however, no consensus and limited research related to the day-to-day experience of practice nurses. Therefore, the nature, extent, and contribution of nursing in general practice may be overlooked or misunderstood. Furthermore as an autonomous self-regulating profession, nursing has a responsibility to the public to provide understanding of nursing in the present and in the future, particularly when this relates to the care of families and the structure of health systems. Located within the qualitative research paradigm and utilising a narrative inquiry methodology, this study applies a 'supportive voice' to highlight the experience of five practice nurses, and in the process makes visible the dimensions of nursing work in New Zealand general practices. The five constructed narratives particularly draw attention to the complex nature of nursing work that practice nurses engage in daily, the importance of nurse-patient relationships and continuity of care and the significance of autonomous and specialty aspects of nursing practice. Ultimately, the value of the practice nurse in the day-to-day operation of general practice is brought to the fore.</p>


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Usaini Bala ◽  
Olufemi Ajumobi ◽  
Amina Umar ◽  
Adefisoye Adewole ◽  
Ndadilnasiya Waziri ◽  
...  

Abstract Background In 2013, the Nigeria Federal Ministry of Health established a Master Health Facility List (MHFL) as recommended by WHO. Since then, some health facilities (HFs) have ceased functioning and new facilities were established. We updated the MHFL and assessed service delivery parameters in the Malaria Frontline Project implementing areas in Kano and Zamfara States. Methods We assessed all HFs in each of the 34 project local government areas (LGAs) between July and September 2017. Project staff administered a semi-structured questionnaire developed for this assessment to heads of HFs about the type of facility, category and number of staff working at the facility and to record geo-coordinates of facility. Results In the Kano State project area, 726 HFs were identified and geo-located: 31 were new facilities, 608 (84%), 116 (16%) and two (0.3%) were Primary Health Care (PHC), secondary and tertiary facilities respectively. Using the national definition, there were 710 (98%) functional facilities and 644 (91%) of these reported to the national health information platform, District Health Information System, version 2 (DHIS2). The Zamfara project area had 739 HFs: eight were new, 715 (97%), 22 (3.0%) and two (0.2%) PHCs, secondary and tertiary facilities respectively. There were 695 (94%) functional facilities with 656 (94%) of these reporting to DHIS2. Using national criteria for primary health care designation, only 95 (9%) of all PHCs in the two States met the minimum human resource requirements. Conclusion Most HFs were functional and reported to DHIS2. A comprehensive MHFL having all the important parameters that should be established and updated regularly by authorities to make it more useful for health services administration and management. Most functional facilities are understaffed.


1997 ◽  
Vol 3 (1) ◽  
pp. 92
Author(s):  
Debra Smith

The importance of outcomes in evaluating and judging health care programs is increasing, particularly in New South Wales. A review of the literature suggests the relevance of outcomes to primary health care might be limited. A small survey of primary care staff working out of Community Health Centres in rural New South Wales (NSW) revealed that staff believe they are often involved in population focus work, while health education and promotion are carried out by staff working with individuals. The identification of the use of primary care strategies is not high unless staff have had experience in a particular area, and the NSW Health Improvement Program is not particularly well understood.


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