scholarly journals Health policy in South Australia 2003-10: primary health care workforce perceptions of the impact of policy change on health promotion

2014 ◽  
Vol 25 (2) ◽  
pp. 116-124 ◽  
Author(s):  
Gwyn Jolley ◽  
Toby Freeman ◽  
Fran Baum ◽  
Catherine Hurley ◽  
Angela Lawless ◽  
...  
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Health Policy ◽  
Primary Health Care ◽  
Policy Change ◽  
South Australia ◽  
Health Care Workforce ◽  
Primary Health ◽  
The Impact

scholarly journals PANDEMIA DE COVID-19 E PROMOÇÃO DA SAÚDE DO IDOSO NA PERSPECTIVA DE TRABALHADORES DA SAÚDE

2021 ◽  
Vol 25 (1) ◽  
pp. 199
Author(s):  
Xavéle Braatz Petermann ◽  
Sheila Kocourek
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Primary Health Care ◽  
Emotional Health ◽  
Rio Grande ◽  
The Elderly ◽  
Support Network ◽  
Rio Grande Do Sul ◽  
Primary Health ◽  
The Impact

Este estudo teve como objetivo analisar a influência da pandemia de COVID-19 na promoção da saúde do idoso na perspectiva de trabalhadores da saúde da atenção primária. Trata de um estudo de caso, transversal e qualitativo desenvolvido em um município de pequeno porte do interior do Estado do Rio Grande do Sul. Participaram sete trabalhadores, sendo a amostra intencional, por conveniência e saturação. Os dados foram coletados mediante grupo focal e entrevistais individuais e analisados por meio da análise temática. As categorias que denotaram a influência da pandemia de COVID-19 na promoção da saúde do idoso compreenderam o distanciamento da rede de suporte social e a rede de apoio familiar. Os resultados encontrados retrataram o impacto da pandemia na vida dos idosos, em especial na saúde mental e emocional, sendo necessárias diretrizes de continuidade das ações de promoção da saúde.PANDEMIC OF COVID-19 AND HEALTH PROMOTION OF THE ELDERLY FROM THE HEALTH WORKERS PERSPECTIVEAbstractThis study aimed to analyze the influence of the COVID-19 pandemic on the promotion of elderly health from the perspective of primary health care workers. This is a case study, cross-sectional and qualitative developed in a small city in the interior of the state of Rio Grande do Sul. Seven workers participated, the sample being intentional, for convenience and saturation. Data were collected through a focus group and individual interviews and analyzed through thematic analysis. The categories that denoted the influence of the COVID-19 pandemic in promoting the health of the elderly included the distance from the social support network and the family support network. The results found portrayed the impact of the pandemic on the lives of the elderly, especially on mental and emotional health, requiring guidelines for the continuity of health promotion actions.Keywords: Health Promotion. Elderly. COVID-19. Health worker. Primary Health Care.

scholarly journals The Pacific primary health care workforce in New Zealand: What are the needs?

2009 ◽  
Vol 1 (2) ◽  
pp. 126 ◽  
Author(s):  
Luisa Ape-Esera ◽  
Vili Nosa ◽  
Felicity Goodyear-Smith
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
New Zealand ◽  
Health Care Workforce ◽  
Pacific People ◽  
Advantages And Disadvantages ◽  
Pacific Population ◽  
Primary Health ◽  
The Impact

AIM: To scope future needs of the NZ Pacific primary care workforce. METHOD: Semi-structured interviews with key informants including Pacific primary care workers in both Pacific and mainstream primary health care organisations and managers at funding, policy and strategy levels. Qualitative thematic analysis using general inductive approach. RESULTS: Thirteen stakeholders interviewed (four males, nine females) in 2006. Included both NZ- and Island-born people of Samoan, Tongan, Niuean, Fijian and NZ European ethnicities; age 20–65 years. Occupations included general practitioner, practice nurse, community worker, Ministry of Health official and manager representing mainstream and Pacific-specific organisations. Key themes were significant differences in attributes, needs and values between ‘traditional’ and contemporary Pacific people; issues regarding recruitment and retention of Pacific people into the primary health care workforce; importance of cultural appropriateness for Pacific populations utilising mainstream and Pacific-specific primary care services and both advantages and disadvantages of ‘Pacific for Pacific’ services. CONCLUSION: Interviews demonstrated heterogeneity of Pacific population regarding ethnicity, age, duration of NZ residence and degree of immersion in their culture and language. Higher rates of mental disorder amongst NZ-born Pacific signpost urgent need to address the impact of Western values on NZ-born Pacific youth. Pacific population growth means increasing demands on health services with Pacific worker shortages across all primary health care occupations. However it is not possible for all Pacific people to be treated by Pacific organisations and/or by Pacific health workers and services should be culturally competent regardless of ethnicity of providers. KEYWORDS: Pacific Islands, New Zealand, manpower, ethnic groups, Oceanic Ancestry Group, primary health care

scholarly journals A public health Italian ethical movement to sustain the beveridge model: health promotion and equity

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
G Sessa ◽  
G Occhini ◽  
C Milani ◽  
G Marini ◽  
A Sarro
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Promotion ◽  
Health Policy ◽  
Primary Health Care ◽  
Best Practices ◽  
Health Professionals ◽  
Right To Health ◽  
Primary Health ◽  
The Right

Abstract Worldwide sustainability of the National Health Systems (NHS) has been facing different challenges, such as population ageing, epidemiologic transition and deep social transformations. All these changes are struggling Italian welfare state and its public NHS. Following the principle of the Right to Health of the Declaration of Human Right and the Italian Constitution, a group of young health professionals from all over Italy founded a campaign called “2018 Primary Health care: Now or Never”(PHC Campaign) reminding WHO report of 2008 “primary Health Care: Now more than never”. This movement promotes a reform of the NHS focusing on comprehensive-PHC (C-PHC) and health promotion to guarantee sustainability of the Beveridge model italian system, fight health inequalities and answer the complexity of population needs in a period of spending cuts. Since the beginning, the movement started an educational program through the study of the literature and the research of the Italian and international best practices of C-PHC and community health promotion. As a result, to achieve the goal of this project, PHC campaign organized peer education training sessions, educational site-visit of some Italian best practices, lectures and workshops with Italian and foreigner health professionals experts on the field. Several national and regional events had been organized all over Italy. Members of “PHC” Campaign have been invited to write books, news on web-based newspapers on this topic and participate in congresses. To date, PHC campaign might be considered one of the strongest not-institutional voices in Italy in supporting the public beveridge-model NHS Moved from a strong ethical health policy view underlined the importance of the Right-to-Health and of a C-PHC based NHS, since the beginning, “2018 Primary Health care: Now or Never” Movement identified three asset of action: advocacy, education/knowledge and diffusion. Key messages The experience showed the importance of health professionals engagement in public health topics such as sustainability of public NHS in order to promote a reform towards health promotion and equity. PHC Campaign is an example of how a bottom-up ethical movement on public health from different Health professionals could actively contribute to promoting cultural and health policy change.

Dietary guidelines training may improve health promotion practice: Results of a controlled trial in Brazil

2021 ◽  
pp. 026010602199692
Author(s):  
Cláudia Raulino Tramontt ◽  
Tarsis de Mattos Maia ◽  
Larissa Galastri Baraldi ◽  
Patricia Constante Jaime
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Primary Health Care ◽  
Educational Intervention ◽  
Health Professionals ◽  
Controlled Trial ◽  
Intervention Group ◽  
Dietary Guidelines ◽  
Primary Health ◽  
The Impact

Background: The double burden of malnutrition points to an urgent need to develop strategies to promote healthy diets. Health professionals are key elements for health promotion and must be prepared to deal with these issues in health services. Aim: This study aimed to evaluate the impact of an educational intervention based on Brazilian Dietary Guidelines in the practice of multidisciplinary teams working in primary health care. Methods: A controlled trial comprising pre- and post-tests was conducted with four multidisciplinary healthcare teams. The intervention group received 16 hours of training on the Brazilian Dietary Guidelines. The professionals’ practices were evaluated by direct observation, before and after the intervention, for two months at each timepoint. Data on dietary counselling were collected using a previously validated scale. The Kruskal-Wallis test was used for intragroup comparison at T0 versus T1, and the intergroup effects of the intervention were estimated by generalized linear regression analysis with a 95% confidence interval. Results: The regression with the interaction term between the intervention group and time showed a positive effect of the educational intervention on professionals’ practices in the intervention group in the crude and adjusted models (coefficient = 1.36 and p = 0.020). Brazilian Dietary Guidelines application significantly increased in non-nutritionist professionals’ practices ( p = 0.007) and in activities not related to nutrition ( p = 0.028) in the intervention group over time (T1-T0). No significant differences were found in the control group. Conclusion: The intervention proved to be effective in promoting changes in health professionals’ practices, demonstrating the strength of the strategy for dissemination of nutrition guidelines in primary health care.

The Roots of Global Health Inequity

2017 ◽  
Author(s):  
Joia S. Mukherjee
Keyword(s):  
Health Care ◽  
World War Ii ◽  
Primary Health Care ◽  
Economic Policies ◽  
World War ◽  
The Public ◽  
The World Bank ◽  
Primary Health ◽  
The Cold War ◽  
The Impact

This chapter outlines the historical roots of health inequities. It focuses on the African continent, where life expectancy is the shortest and health systems are weakest. The chapter describes the impoverishment of countries by colonial powers, the development of the global human rights framework in the post-World War II era, the impact of the Cold War on African liberation struggles, and the challenges faced by newly liberated African governments to deliver health care through the public sector. The influence of the World Bank and the International Monetary Fund’s neoliberal economic policies is also discussed. The chapter highlights the shift from the aspiration of “health for all” voiced at the Alma Ata Conference on Primary Health Care in 1978, to the more narrowly defined “selective primary health care.” Finally, the chapter explains the challenges inherent in financing health in impoverished countries and how user fees became standard practice.

scholarly journals Cohort study of ageing from Bagé (SIGa-Bagé), Brazil: profile and methodology

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Elaine Thumé ◽  
Marciane Kessler ◽  
Karla P. Machado ◽  
Bruno P. Nunes ◽  
Pamela M. Volz ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Cohort Study ◽  
Primary Health Care ◽  
Rio Grande ◽  
Cognitive Testing ◽  
Rio Grande Do Sul ◽  
Primary Health ◽  
The Impact

Abstract Background The Bagé Cohort Study of Ageing is a population-based cohort study that has recently completed the first follow-up of a representative sample of older adults from Bagé, a city with more than 100,000 inhabitants located in the state of Rio Grande do Sul, Brazil. This is one of the first longitudinal studies to assess the impact of primary health care coverage on health conditions and inequalities. Our aim is to investigate the prevalence, incidence and trends of risk factors, health behaviours, social relationships, non-communicable diseases, geriatric diseases and disorders, hospitalisation, self-perceived health, and all-cause and specific-cause mortality. In addition, we aim to evaluate socioeconomic and health inequalities and the impact of primary health care on the outcomes under study. Methods/design The study covers participants aged 60 or over, selected by probabilistic (representative) sampling of the urban area of the city of Bagé, which is covered by Primary Health Care Services. The baseline examination included 1593 older adults and was conducted from July 2008 to November 2008. After eight to nine years (2016/2017), the first follow-up was conducted from September 2016 to August 2017. All participants underwent an extensive core assessment programme including structured interviews, questionnaires, cognitive testing (baseline and follow-up), physical examinations and anthropometric measurements (follow-up). Results Of the original participants, 1395 (87.6%) were located for follow-up: 757 elderly individuals (47.5%) were re-interviewed, but losses in data transfer occurred for 22. The remaining 638 (40.1%) had died. In addition, we had 81 (5.1%) refusals and 117 (7.3%) losses. Among the 1373 older adults who were followed down, there was a higher proportion of female interviewees (p=0.042) and a higher proportion of male deaths (p=0.001) in 2016/2017. There were no differences in losses and refusals according to gender (p=0.102). There was a difference in average age between the interviewees (68.8 years; SD ±6.5) and non-interviewees (73.2 years; SD ±9.0) (p<0.001). Data are available at the Department of Social Medicine in Federal University of Pelotas, Rio Grande do Sul, Brazil, for any collaboration.

Preparing nurses for primary health care futures: how well do Australian nursing courses perform?

2010 ◽  
Vol 16 (3) ◽  
pp. 211 ◽  
Author(s):  
Helen Keleher ◽  
Rhian Parker ◽  
Karen Francis
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Primary Health Care ◽  
Chronic Disease ◽  
Curriculum Reform ◽  
Community Settings ◽  
Educational Preparation ◽  
Undergraduate Nursing ◽  
Primary Health ◽  
Prevention And Health Promotion

Health reform is increasingly targeted towards strengthening and expansion of primary health systems as care is shifted from hospitals to communities. The renewed emphasis on prevention and health promotion is intended to curb the tide of chronic disease and sustain effective chronic disease management, as well as address health inequities and increase affordable access to services. Given the scope of nurses’ practice, the success of Australia’s health system reforms are dependent on a nursing workforce that is appropriately educated and prepared for practice in community settings. This article reports on the results of an Australian national audit of all undergraduate nursing curricula to examine the extent of professional socialisation and educational preparation of nurses for primary health care. The results of the audit are compared with Australian nursing standards associated with competency in primary health care. The findings indicate that Australian nursing competencies are general in their approach to skills and knowledge, not specifying any particular competencies for primary health care, while undergraduate student preparation for practice in primary health and community settings is patchy and not keeping pace with reform agendas that promote expanded roles for nurses in primary health care, prevention and health promotion. The implication for nursing curriculum reform is that attention to achieving nursing graduate capacity for primary health care and health promotion is a priority.

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