scholarly journals Iwi (tribal) data collection at a primary health care organisation in Aotearoa

2021 ◽  
Author(s):  
James (Hemi) Enright ◽  
Anneka Anderson ◽  
Rawiri McKree Jansen ◽  
Jonathan Murray ◽  
Karen Brewer ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Data Collection ◽  
Health Care Organisation ◽  
Care Organisation ◽  
Primary Health

scholarly journals Experiencing "change" from within: situating the transition to primary health care in a remote Australian context

2002 ◽  
Vol 25 (4) ◽  
pp. 31
Author(s):  
Chris Lockhart
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Service ◽  
Western Australia ◽  
One Health ◽  
Local Level ◽  
Health Care Organisation ◽  
Anthropological Perspective ◽  
Care Organisation ◽  
Primary Health

The transition to primary health care (PHC) is often described in an idealised manner, which either ignores or obscures the experiences associated with its implementation at the local level. By adopting an anthropological perspective, this article highlights some of these experiences and the context within which they occur for one health care organisation in remote Western Australia. It Specifically focuses on problems associated with economic rationalism, managerialism, and the inherently fragmented character of health service organisations. Such issues must be allowed to inform idealised PHC models in order to make them more applicable and attuned to local needs and realities.

Management for Primary Health Care

1996 ◽  
Vol 2 (1) ◽  
pp. 98 ◽  
Author(s):  
Sally Johnson
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Strategic Alliances ◽  
Best Practice ◽  
Health Care Systems ◽  
Health Care Organisation ◽  
Care Organisation ◽  
Primary Health ◽  
Care Systems

This paper is about the implementation of primary health care and particularly about the role of management in this approach to health care. Just as the organisation for primary health care has a very different 'look' from that of conventional health care systems so does its management. One of the reasons for this is the strong commitment in primary health care to community participation which grounds it solidly in the people whose health is at stake. Best practice in management for primary health care is about shared management, strong organisation with shared meanings, and the making of strategic alliances. The discussion focuses on some of the skills needed by a primary health care manager, and the effective use of these skills for the primary health care organisation. There is no doubt that the role of the manager in the implementation and maintenance of primary health care is critical to achieving best practice in this approach to health care.

Brazilian National Household Health Survey and PCAT: the case of Mato Grosso do Sul, Brazil

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L F Pinto ◽  
D Soranz ◽  
L J Santos ◽  
M S Paranhos ◽  
L S Malta ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Data Collection ◽  
Health Survey ◽  
Household Surveys ◽  
Mato Grosso ◽  
Primary Health ◽  
The World ◽  
Mato Grosso Do Sul

Abstract Brazil is divided into five administrative regions, 27 federation units and 5,570 municipalities. Mato Grosso do Sul is one of the states located in the Midwest region and has 1.6 million km2 and a resident population of 2.8 million inhabitants, that is, it has an even lower demographic density than its region - only 7.8 inhabitants/km2. Mato Grosso do Sul has part of the Pantanal, a biome considered the largest continuous floodplain in the world, rich in biodiversity. For this reason, displacements for data collection in household surveys combine roads and rivers. In 2019, the Brazilian National Institute of Geography and Statistics (Istituto Nazionale di Statistica del Brasile) in partnership with the Ministry of Health launched the world's largest household sample survey, the National Health Survey (PNS-2019), in which part of its questions included the use of Primary Care Assessment Tool (PCAT, adult version), created by professors Barbara Starfield and Leiyu Shi in the 2000s. IBGE interviewers visited more than 100,000 households across the country. In Mato Grosso do Sul, more than 3,000 households were surveyed. In this work, we present the data collection instrument used by IBGE and its multiple analysis possibilities in the scope of primary health care, crossing the variables from other questionnaire modules in order to compare the results from Brazil with the state of Mato Grosso do Sul and its capital, Campo Grande. Developing a baseline and measuring the attributes of primary health care in each of the Brazilian states is another step towards giving health policy accountability, towards strong primary care. IBGE's experience in household surveys and innovation in data collection in primary care is an example for the world that yes, it is possible to develop statistically representative national sample surveys and make them perennial in their regular household surveys, by the time World Health Organization (WHO) discusses universal health coverage. Key messages Evaluation of primary care using an internationally validated instrument is possible on national bases with random household sample surveys. A questionnaire elaborated academically can be used as an instrument of public policy to evaluate nationwide health services.

scholarly journals Validation of the comprehensiveness of an instrument on ethical problems in primary care

2014 ◽  
Vol 35 (1) ◽  
pp. 148-156 ◽  
Author(s):  
José Roque JUNGES ◽  
Elma Lourdes Campos Pavone Zóboli ◽  
Rafaela SCHAEFER ◽  
Carlise Rigon Dalla NORA ◽  
Mikaela BASSO
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Data Collection ◽  
Ethical Problem ◽  
Ethical Problems ◽  
Methodological Research ◽  
Primary Health ◽  
Initial Stage

The study aimed to validate the comprehensiveness of an instrument on the occurrence of ethical problems in primary health care and discuss their results. This is a methodological research. The technique used was Delphi, which seeks to obtain a consensus on a subject by experts, using structured questionnaires that are modified to obtain consensus on the comprehensibility of content. The sample was composed by nine professionals with expertise in primary health care in São Leopoldo. Data collection was in March and April 2011. In the first round, the professional was asked to respond whether the described situation has represented an ethical problem, whether the statement was clear and whether there was any suggestion to rewriting the problem. Were presented thirty-six statements, and to twenty was suggested new rewrite. After the review and systematization the proposed amendments, has begun the second round to seek consensus among all the statements that its writing had changed. In the second round, the consensus required by the method was obtained. Using the method supported significantly to build the instrument in its initial stage, what makes it appropriated and comprehensive for the subsequent steps of the validation.

Mobile health data collection at primary health care in Ethiopia: a feasible challenge

2015 ◽  
Vol 68 (1) ◽  
pp. 80-86 ◽  
Author(s):  
Araya Abrha Medhanyie ◽  
Albine Moser ◽  
Mark Spigt ◽  
Henock Yebyo ◽  
Alex Little ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Data Collection ◽  
Mobile Health ◽  
Health Data ◽  
Primary Health

scholarly journals Gambaran Ketersediaan Sumber Daya Manusia dan Prasarana Puskesmas dalam Pelaksanaan Program Indonesia Sehat dengan Pendekatan Keluarga (PIS-PK): Analisis Data Risnakes 2017

2019 ◽  
pp. 31-39
Author(s):  
Sugiharti Sugiharti ◽  
Mujiati Mujiati ◽  
Siti Masitoh ◽  
Eva Laelasari
Keyword(s):  
Blood Pressure ◽  
Health Care ◽  
Primary Health Care ◽  
Data Collection ◽  
Human Resources ◽  
Development Program ◽  
Family Approach ◽  
Measuring Devices ◽  
Primary Health ◽  
Almost All

Abstrak Program Indonesia Sehat merupakan program utama Pembangunan Kesehatan yang direncanakan pencapaiannya melalui Rencana Strategis Kementerian Kesehatan Tahun 2015-2019. Program Indonesia Sehat dengan Pendekatan Keluarga (PIS-PK) menjadi salah satu cara puskesmas untuk meningkatkan jangkauan sasaran dan mendekatkan/meningkatkan akses pelayanan kesehatan di wilayah kerjanya dengan mendatangi keluarga. Untuk mendukung pelaksanaan pendekatan keluarga tersebut perlu adanya penguatan puskesmas sebagai salah satu ujung tombaknya. Penguatan tersebut antara lain dilakukan melalui pemenuhan sumber daya puskesmas, yakni sumber daya manusia (SDM), prasarana dan sarana/alat. Tujuan dari analisis ini adalah mengetahui ketersediaan SDM dan prasarana-sarana puskesmas dalam menjalankan PIS-PK. Hasil analisis ini menunjukkan bahwa tenaga pendukung kegiatan pengumpulan data PIS-PK di puskesmas seluruh Indonesia yang mengikuti pelatihan PIS-PK paling banyak adalah tenaga bidan (29,8%), sedangkan petugas yang paling banyak melakukan pengumpulan data keluarga sehat adalah petugas puskesmas (94,5%). Prasarana yang mendukung kegiatan PIS-PK di puskesmas menunjukkan bahwa hampir semua puskesmas dalam melakukan pendataan menggunakan formulir Prokesga sebanyak 97,8 persen. Keberadaan sinyal telepon selular di puskesmas sebanyak 85,5 persen dan keberadaan sinyal internet sebanyak 73,2 persen. Baru separuh puskesmas memiliki Pinkesga sebanyak 58,5 persen, stetoskop dan alat ukur tekanan darah air raksa, hampir semua puskesmas memiliki alat tersebut. Alat ukur tekanan darah digital hanya 71,4 persen. Kata kunci: PIS-PK, Keluarga Sehat, Puskesmas Abstract The Healthy Indonesia Program (Program Indonesia Sehat) is the main health development program planned to achieve through the Ministry of Health's Strategic Plan for 2015-2019. Program Indonesia Sehat dengan Pendekatan Keluarga (PIS-PK) is one of the ways the primary health care (PHC) can increase the reach of targets and bring closer / increase access to health services in their working areas by visiting families. To support the implementation of the family approach it is necessary to strengthen the PHC’s as one of the spearheads. Such reinforcement, among others, is done through the fulfillment of PHC’s resources, including human resources, infrastructure and tools. The purpose of this study is to find out about the readiness of Human Resources and Infrastructure Facilities of PHC in running PIS-PK. The results of this study indicate that for workers who support the PIS-PK data collection activities in health centers throughout Indonesia, the highest number of midwives is 29.8 percent who attend the PIS-PK training and the most 94.5 percent. Whereas for infrastructure that supports PIS-PK activities at the PHC, it shows that almost all PHC in carrying out the data collection used the Prokesga form as much as 97.8 percent. The presence of mobile cellular signals in PHC is 85.5 percent and the presence of internet signals is 73.2 percent. Whereas for the availability of Pinkesga, only half of the PHC have Pinkesga as much as 58.5 percent, while for stethoscopes and mercury blood pressure measuring devices, almost all PHC have these devices, for digital blood pressure measuring devices only 71.4 percent Keywords: PIS-PK, Health Family, primary health care (PHC)

scholarly journals Are ambulatory care sensitive conditions a valid indicator for quality of primary health care?

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
I Keskimäki ◽  
M Satokangas ◽  
S Lumme ◽  
V-M Partanen ◽  
M Arffman ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Ambulatory Care ◽  
Hospital Care ◽  
Ambulatory Care Sensitive Conditions ◽  
Care Organisation ◽  
Primary Health ◽  
Ambulatory Care Sensitive ◽  
Sensitive Conditions

Abstract Background Hospitalisations due to ambulatory care sensitive conditions (ACSCs) have been used for assessing access to and quality of primary health care (PHC) in many countries. To assess the validity of ACSCs for assessing PHC performance we carried out a series of studies on regional and sociodemographic variations and time trends in ACSC hospitalisations and related mortality. Methods Hospitalisations due to ACSCs in Finland in 1992-2013 came from the national Hospital Discharge Register. The data were linked to population at risk data and individual sociodemographic indicators from Statistics Finland, and subsequently to area indicators of population health and socioeconomics, and health care organisation. Depending on study questions, we analysed ACSCs divided into acute, chronic and vaccine-preventable causes using appropriate statistical methods, such as multilevel Poisson models and trajectory modelling. Results We found ACSC hospitalisations to be highly associated to subsequent mortality with 4-10-fold excess 1-year mortality compared to the general population. ACSC hospitalisations showed substantial regional variations which declined over the study period due to decreasing variations in hospitalisations related to chronic ACSCs. The variations were mainly attributed to the hospital district level. In detailed analyses, about a quarter of the variance in ACSC hospitalisations was explained by individual level socioeconomic and health factors. In addition, population health indicators and factors related to hospital care organisation explained up to one third of the variance. Conclusions At patient level a hospitalisation due to ACSC is a sentinel event and associated to a high risk of poor health outcomes. However, using ACSC for benchmarking PHC providers should be addressed with caution and differences in sociodemographic factors and (co)morbidity of populations at risk, and regional heath and hospital care arrangements should be taken into account. Key messages Variations in hospitalisations due to ambulatory care sensitive conditions may mainly be linked to other factors than access to and quality of primary health care. More research is needed to validate ambulatory care sensitive conditions for use in assessing primary health care.

scholarly journals Men’s health care: construction and validation of a tool for nursing consultation

2020 ◽  
Vol 73 (3) ◽  
Author(s):  
Kelly Caroline dos Santos ◽  
Deborah Franscielle da Fonseca ◽  
Patrícia Peres de Oliveira ◽  
Anna Gabryela Sousa Duarte ◽  
João Marcos Alves Melo ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Data Collection ◽  
Concordance Index ◽  
Content Validation ◽  
Data Collection Tool ◽  
Methodological Study ◽  
Validation Process ◽  
Primary Health ◽  
Index Calculation

ABSTRACT Objectives: to elaborate and validate a data collection tool for nursing consultation with men in the context of Primary Health Care. Method: a methodological study developed in four stages. The first one consisted in tool elaboration, using databases and the Dorothea Orem’s theoretical model. In the second and third stages, content validation and tool appearance by 23 nurse judges took place. The Concordance Index was used for assessment. In the fourth stage, a pilot test was carried out with 20 men using Primary Health Care. Results: of the 145 indicators prepared, organized and submitted to validation process, items with the Concordance Index <0.80 were excluded. The final tool consisted of 156 items. An overall 0.88 Concordance Index calculation was obtained. Conclusions: the final tool presented content validity for data collection with men in Primary Health Care.

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