scholarly journals Differences in patient throughput between community health centre and private general practitioners

1996 ◽  
Vol 19 (3) ◽  
pp. 56 ◽  
Author(s):  
Michael Montalto ◽  
David Dunt ◽  
Jeff Richardson
Keyword(s):  
General Practice ◽  
Community Health ◽  
General Practitioners ◽  
Private Practice ◽  
Health Centre ◽  
Community Health Centre ◽  
Control Group ◽  
Patient Throughput ◽  
Australian General Practice ◽  
The Impact

This study sought to compare the rate of patient throughput by community healthcentre general practitioners (GPs) and their private practice fee-for-servicecounterparts.The study group comprised 44 community health centre GPs (out of an identified51) in 16 community health centres; the control group comprised 268 GPs.Community health centre GPs were found to have significantly fewer consultationsand significantly smaller rebates than their private practice counterparts. Thedifference of means for consultation numbers and rebates was 30.3- per cent. Thepattern was reversed in the case of rural community health centre GPs (who retainfee-for-service arrangements).Figures are uncorrected for patient status, and data relate to Medicare billing practicesrather than observed activity or outcome. However, at face value they would indicatethat if Australian general practice moved to a community health centre model, withpredominantly salaried GPs, then patient throughput in general practice could beexpected to drop. Whether these results reflect the impact of incentives on throughputand, if so, whether this indicates a difference in the quality or accessibility of theservice provided to patients is not certain.

scholarly journals The Impact of Training on the Storage of High Alert Drugs: A Quasi Experimental Study

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 1564-1572
Author(s):  
Satibi Satibi ◽  
Achmad Fudholi ◽  
Hafizh Amrullah ◽  
Aya Shaufia Itsnayain
Keyword(s):  
Medication Error ◽  
Community Health ◽  
Health Centre ◽  
Community Health Center ◽  
Intervention Group ◽  
Community Health Centre ◽  
Control Group ◽  
Percentage Difference ◽  
Quasi Experimental ◽  
The Impact

A medication error can cause severe injury for the patient, even mortality, and that can be prevented. Preventing medication error is done by upgrading the drugs administrators knowledge at the Community Health Center in handling the high alert drugs. One of the possibility is by training. This research is conducted to understand the influence of training toward the suitability of high alert drugs storage. This research constitutes quasi-experimental design with pre and post-analysis approach along with by using a control group as a comparison. The  population of research consists of all of community health centre drugs administrators in Ogan Komering Ilir Regency and Mataram City. The sample of research are the drugs administrators, Human Resources, who work at the Community health centre of Ogan Komering Ilir and Mataram city were chosen to use non-probability sample.  The intervention was conducted toward the drugs administrators with the material that has been standardized by the Ministry of Health of the Republic of Indonesia.  The instrument is in the form of List of Visit that has been validated to assess the suitability of high alert drugs storage at Community health centre by using SPSS-23 with Wilcoxon Signed Rank and Mann-Whitney U tests. The result of the research shows that the majority of the Intervention group of Community health centre (83,33%) the storage of high alert drugs is appropriate with the standard after training.  The percentage difference of the appropriate high alert drugs storage test between intervention group and control group after the training (p<0,05). This study concludes that the training that was conducted toward the drugs administrators can increase the percentage of high alert drugs suitable storage that lead to the decreasing of medication error incidents at Community health centre.

Disease Prevention and Health Promotion Activity During Consultations by Private and Community Health Centre General Practitioners

1996 ◽  
Vol 2 (1) ◽  
pp. 41 ◽  
Author(s):  
Michael Montalto ◽  
David Dunt ◽  
Robyn Vafiadis ◽  
Doris Young
Keyword(s):  
Health Promotion ◽  
Medical Students ◽  
Disease Prevention ◽  
Community Health ◽  
General Practitioners ◽  
Pap Smear ◽  
Health Centre ◽  
Community Health Centre ◽  
Observation Study ◽  
Preventive Activity

The aims of this study are to compare the rates of health promotion and disease prevention activity within Community Health Centre (CHC) and private general practice (GP) consultations. A prospective field�based observation study was designed using medical students as observers. Private and CHC general practitioners involved in the teaching of the medical students in metropolitan Melbourne were observed for one week of consecutive consultations. Primary preventive interventions or behaviours during GP consultations were recorded, based on best practice guidelines. Twenty two students acted as observers. Fifty-one general practitioners were observed, 20 from CHCs and 31 from private general practices. Inter-observer reliability was satisfactory. CHC general practitioners had higher rates of overall preventive activity. Of the four broad categories of activities coded, CHC general practitioners were significantly more likely to detect patients' risk status but no more likely to conduct casefinding examinations, make test recommendations and provide advice. Among the 46 specific activities coded, CHC general practitioners were more likely to detect their patients' exercise levels and dietary details, perform a pap smear, and give advice on smoking, alcohol and diet. It was not possible to determine to what extent doctor and patient characteristics, as distinct from practice setting, were responsible for these results. While CHC general practitioners had higher levels of preventive activity, the differences were not great. Patient-initiated disease prevention is an under-reported phenomenon which deserves further attention.

scholarly journals Experiences of telehealth in general practice in Australia: research protocol for a mixed methods study

BJGP Open ◽  
2021 ◽  
pp. BJGPO.2021.0187
Author(s):  
Sarah J White ◽  
Amy Nguyen ◽  
Peter Roger ◽  
Tim Tse ◽  
John A Cartmill ◽  
...  
Keyword(s):  
General Practice ◽  
Conversation Analysis ◽  
General Practitioners ◽  
Direct Evidence ◽  
Mixed Methods Study ◽  
Evidence Based ◽  
Practice Setting ◽  
Australian General Practice ◽  
Evidence Based Guidelines ◽  
The Impact

BackgroundDue to the COVID-19 pandemic, use of telehealth has expanded rapidly. However, little is known about the impact of delivering care through telehealth on communication between clinicians and patients. At an interactional level, the ways in which clinicians establish rapport and connection with their patients in telehealth consultations is not well understood.AimThis study will explore interactional practices of general practitioners (GPs) and patients in telehealth consultations to develop evidence-based resources to improve communication.Design & settingThe study will be conducted within the Australian general practice setting.MethodConversation analysis and sociolinguistic discourse analysis of recorded telehealth consultations will provide direct evidence of specific elements contributing to successful and less successful instances of telehealth communication. This analysis will be complemented by co-design techniques such as qualitative and reflective interviews and collaborative workshops with telehealth users, including both general practitioners and patients.ConclusionEffective communication is critical for telehealth consultations and is central to achieving optimal clinical outcomes and patient satisfaction. This study will co-develop with end-users, evidence-based guidelines encompassing effective telehealth communication strategies.

scholarly journals Community Health Workers as a Strategy to Tackle Psychosocial Suffering Due to Physical Distancing: A Randomized Controlled Trial

2021 ◽  
Vol 18 (6) ◽  
pp. 3097
Author(s):  
Dorien Vanden Bossche ◽  
Susan Lagaert ◽  
Sara Willems ◽  
Peter Decat
Keyword(s):  
Randomized Controlled Trial ◽  
Community Health ◽  
Health Workers ◽  
Psychosocial Support ◽  
Controlled Trial ◽  
Intervention Group ◽  
Psychosocial Health ◽  
Control Group ◽  
Randomized Controlled ◽  
The Impact

Background: During the COVID-19 pandemic, many primary care professionals were overburdened and experienced difficulties reaching vulnerable patients and meeting the increased need for psychosocial support. This randomized controlled trial (RCT) tested whether a primary healthcare (PHC) based community health worker (CHW) intervention could tackle psychosocial suffering due to physical distancing measures in patients with limited social networks. Methods: CHWs provided 8 weeks of tailored psychosocial support to the intervention group. Control group patients received ‘care as usual’. The impact on feelings of emotional support, social isolation, social participation, anxiety and fear of COVID-19 were measured longitudinally using a face-to-face survey to determine their mean change from baseline. Self-rated change in psychosocial health at 8 weeks was determined. Results: We failed to find a significant effect of the intervention on the prespecified psychosocial health measures. However, the intervention did lead to significant improvement in self-rated change in psychosocial health. Conclusions: This study confirms partially the existing evidence on the effectiveness of CHW interventions as a strategy to address mental health in PHC in a COVID context. Further research is needed to elaborate the implementation of CHWs in PHC to reach vulnerable populations during and after health crises.

scholarly journals Planning prompts to promote uptake of HIV services among men: a randomised trial in rural Uganda

2020 ◽  
Vol 5 (11) ◽  
pp. e003390
Author(s):  
Nolan M Kavanagh ◽  
Elisabeth M Schaffer ◽  
Alex Ndyabakira ◽  
Kara Marson ◽  
Diane V Havlir ◽  
...  
Keyword(s):  
Hiv Testing ◽  
Community Health ◽  
Control Group ◽  
Health Campaign ◽  
Percentage Point Increase ◽  
Percentage Points ◽  
Point Increase ◽  
Cost Planning ◽  
Testing Uptake ◽  
The Impact

IntroductionInterventions informed by behavioural economics, such as planning prompts, have the potential to increase HIV testing at minimal or no cost. Planning prompts have not been previously evaluated for HIV testing uptake. We conducted a randomised clinical trial to evaluate the effectiveness of low-cost planning prompts to promote HIV testing among men.MethodsWe randomised adult men in rural Ugandan parishes to receive a calendar planning prompt that gave them the opportunity to make a plan to get tested for HIV at health campaigns held in their communities. Participants received either a calendar showing the dates when the community health campaign would be held (control group) or a calendar showing the dates and prompting them to select a date and time when they planned to attend (planning prompt group). Participants were not required to select a date and time or to share their selection with study staff. The primary outcome was HIV testing uptake at the community health campaign.ResultsAmong 2362 participants, 1796 (76%) participants tested for HIV. Men who received a planning prompt were 2.2 percentage points more likely to test than the control group, although the difference was not statistically significant (77.1% vs 74.9%; 95% CI –1.2 to 5.7 percentage points, p=0.20). The planning prompt was more effective among men enrolled ≤40 days before the campaigns (3.6 percentage-point increase in testing; 95% CI –2.9 to 10.1, p=0.27) than among men enrolled >40 days before the campaigns (1.8 percentage-point increase; 95% CI –2.3 to 5.8, p=0.39), although the effects within the subgroups were not significant.ConclusionThese findings suggest that planning prompts may be an effective behavioural intervention to promote HIV testing at minimal or no cost. Large-scale studies should further assess the impact and cost-effectiveness of such interventions.

scholarly journals Community Health Workers as a Strategy to Tackle Psychosocial Suffering due to Physical Distancing: A Randomized Controlled Trial

2021 ◽  
Author(s):  
Dorien Vanden Bossche ◽  
Susan Lagaert ◽  
Sara Willems ◽  
Peter Decat
Keyword(s):  
Randomized Controlled Trial ◽  
Community Health ◽  
Health Workers ◽  
Psychosocial Support ◽  
Controlled Trial ◽  
Intervention Group ◽  
Psychosocial Health ◽  
Control Group ◽  
Randomized Controlled ◽  
The Impact

Background: During the COVID-19 pandemic some family physicians were overburdened and experienced difficulties reaching vulnerable patients and meeting the increased need for psycho-social support. This randomized controlled trial (RCT) tested whether a primary healthcare (PHC) based community health worker (CHW) intervention could tackle psychosocial suffering due to physical distancing measures in patients with limited social networks. Methods: CHWs provided 8 weeks of tailored psychosocial support to the intervention group. Control group patients received &lsquo;care as usual&rsquo;. The impact on feelings of emotional support, social isolation, social participation, anxiety and fear of COVID-19 were measured longitudinally using a face-to-face survey to determine their mean change from baseline. Self-rated change in psychosocial health at 8 weeks was determined. Results: We failed to find a significant effect of the intervention on the prespecified psychosocial health measures. However, the intervention did lead to significant improvement in self-rated change in psychosocial health. Conclusions: This study confirms partially the existing evidence on the effectiveness of CHW in-terventions as a strategy to address mental health in PHC in a COVID context. Further research is needed to elaborate the implementation of CHWs in PHC to reach vulnerable populations during and after health crises.

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