Advancing consumer participation in primary health: The case of a Victorian Primary Care Partnership

2005 ◽  
Vol 11 (2) ◽  
pp. 38 ◽  
Author(s):  
Lauren Cordwell
Keyword(s):  
Primary Care ◽  
Service Providers ◽  
Linguistic Diversity ◽  
Community Services ◽  
Consumer Participation ◽  
Metropolitan Region ◽  
North Central ◽  
The North ◽  
Primary Health ◽  
Training Resources

This paper presents an overview of the North Central Metro Primary Care Partnership (NCMPCP) process to strengthen consumer participation. The NCMPCP is a voluntary alliance of 60 health and community services in Melbourne's Northern metropolitan region that aims to make positive, sustainable improvements to services from the perspective of clients, their carers and their families. The population of the NCMPCP catchment includes significant cultural and linguistic diversity and social and economic disadvantage. In strengthening consumer participation, consumers and service providers from NCMPCP member agencies identified the need for a consumer participation training resource to be developed to support the ongoing engagement of consumers in participation opportunities in primary health services. The development of a consumer participation training resource involved consumers and service providers from 14 agencies. Consumers were involved in all stages of needs identification, design, implementation and evaluation. The process to develop the consumer participation training resources has contributed to a greater understanding of consumer participation for the NCMPCP member agencies and has increased the level of engagement and participation by consumers. The process has highlighted the need for consumers and service providers to be trained, resourced and supported to carry out consumer participation work.

scholarly journals Development of a Unique Student Pharmacist Internship in a Primary Care Provider System

Pharmacy ◽  
2019 ◽  
Vol 7 (2) ◽  
pp. 36
Author(s):  
Norman E. Fenn ◽  
Natalie R. Gadbois ◽  
Gwen J. Seamon ◽  
Shannon L. Castek ◽  
Kimberly S. Plake
Keyword(s):  
Primary Care ◽  
Inventory Management ◽  
Nurse Practitioners ◽  
Care Provider ◽  
Primary Care Provider ◽  
Assistance Program ◽  
North Central ◽  
The North ◽  
Contraceptive Devices ◽  
One Year

Purpose: To describe a unique pharmacy intern program in a group of federally qualified health center (FQHC) outpatient primary care provider clinics. Summary: A pharmacy intern program was created at the North Central Nursing Clinics in Indiana, a group of four FQHC outpatient primary care provider facilities. Intern-performed tasks included: Prior authorization (PA) requests, medication assistance program (MAP) applications, sample procurement and inventory, and contraceptive devices for implantation inventory management. Interns interacted with clinic administration, nurse practitioners, and medical staff to complete their assigned responsibilities. Over a one-year period, the interns completed documentation on more than 2000 charts during a combined 12 h a week. Interns identified the interprofessional interactions as the most beneficial experience, while providers acknowledged no difference in the processing of paperwork during the transition of duties from pharmacy fellow to intern. Conclusion: This unique pharmacy intern program was successfully created and implemented in a primary care provider office, resulting in learning opportunities for pharmacy interns, as well as operational efficiencies to fellows, providers, and the organization.

Collaboration between the family nurse and family doctor from the perspective of patients: a qualitative study

2019 ◽  
Author(s):  
Ewa Taranta ◽  
Ludmila Marcinowicz
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Dominant Role ◽  
Family Doctor ◽  
Primary Care Clinic ◽  
Care Clinic ◽  
The North ◽  
Primary Health ◽  
The Family

Abstract Background There is increasing focus on collaboration in primary health care, but there is insufficient patient perspective on collaboration between the family nurse and family doctor. Objective To explore how patients perceive collaboration between the family nurse and family doctor in primary health care in Poland. Methods A qualitative approach and an inductive, naturalistic inquiry strategy were used. Thirty-seven patients from eight general practice clinics in the north-eastern part of Poland participated in semi-structured, face-to-face interviews. The qualitative data were examined by means of thematic analysis. The study was reported according to the consolidated criteria for reporting qualitative research (COREQ) checklist. Results Four subthemes emerged in the context of nurse–doctor collaboration, namely: (i) carrying out the doctor’s orders; (ii) visit preparation; (iii) the family nurse as a source of information and (iv) participants’ perceptions of the status of the family nurse. Nurses performing instrumental activities connected with a doctor’s orders was understood by the participants to be collaboration and prevailed in their responses. Conclusion The perception of collaboration (or lack thereof) between the family nurse and family doctor results from patients’ varied experiences and observations during their visits to a primary care clinic. The traditional model of nursing care and the hierarchical relationship, in which the doctor has the dominant role, are evident in the patients’ remarks. The autonomy of nursing could be strengthened by expanding, and highlighting, the primary care activities that a nurse can perform on her own.

Primary Health and The Problem with Men?

2002 ◽  
Vol 8 (1) ◽  
pp. 83 ◽  
Author(s):  
Rick Hayes
Keyword(s):  
Primary Care ◽  
Health Promotion ◽  
Best Practice ◽  
Strategic Framework ◽  
North East ◽  
The North ◽  
Primary Health ◽  
Practice Approach ◽  
The Creation ◽  
The Many

It would be a brave health promotion coordinator who would suggest to Primary Care Partnership health promotion sub-committee members that just providing "information" to "people who are problems" is a "best-practice" approach (Legge et aI., 1996). One, and only one, of the many reasons for the change has been the creation and dissemination of the Men's Health Promotion Strategic Framework (Hayes, 1999). This framework was developed through a project funded by the Victorian Health Promotion Foundation and commissioned by the North East Health Promotion Centre (NEHPC), Melbourne.

The role of consumer participation in Victorian Primary Care Partnerships

2004 ◽  
Vol 10 (2) ◽  
pp. 134 ◽  
Author(s):  
Maria Teresa Dawson
Keyword(s):  
Primary Care ◽  
Community Participation ◽  
State Government ◽  
Health Sector ◽  
Health Service Delivery ◽  
Integrated System ◽  
Reporting Guidelines ◽  
Consumer Participation ◽  
Strategic Direction ◽  
Primary Health

In April 2000, the Victorian Department of Human Service (DHS) launched the Primary Care Partnerships (PCP) Strategy as a key element of a wider reform of the primary health sector. The PCP Strategy was designed to address perceived fragmentation within the primary health system and to achieve a better integrated system of health service delivery. From the start, consumer, carer and community participation has been integral to the aims, objectives and implementation of the PCP Strategy. This paper argues that the latest developments in the general policy and funding and reporting guidelines for the PCP Strategy have had flow-on effects in policy for consumer participation. The initial in-principle commitment and practical support given by the state government to PCPs to develop and implement consumer participation represented a commitment to consumer participation at the higher levels of the ladder of participation (Brager & Specht, 1969). Most recent policy directions, particularly the funding and reporting guidelines for PCPs - based on outcomes/impact measures - locate consumer participation at the lower levels of the ladder of participation. This paper provides an overview of the key DHS policy and strategic direction documents shaping consumer and community participation in PCPs, and critically analyses these documents against the ladder of participation.

Comorbidity Action in the North: a study of services for people with comorbid mental health and drug and alcohol disorders in the northern suburbs of Adelaide

2016 ◽  
Vol 24 (6) ◽  
pp. 592-597 ◽  
Author(s):  
Dennis Liu ◽  
Charlotte de Crespigny ◽  
Nicholas Procter ◽  
Janet Kelly ◽  
Hepsibah Francis ◽  
...  
Keyword(s):  
Mental Health ◽  
Service Providers ◽  
Aboriginal People ◽  
Working Party ◽  
The Elderly ◽  
Community Services ◽  
Service Improvement ◽  
Skilled Workers ◽  
Alcohol Disorders ◽  
The North

Objective: This study identified barriers to and facilitators of mental health (MH) and alcohol and drug (AOD) comorbidity services, in order to drive service improvement. Method: Participatory action research enabled strong engagement with community services, including Aboriginal and refugee groups. Surveys, interviews and consultations were undertaken with clinicians and managers of MH, AOD and support services, consumers, families, community advocates and key service providers. Community participation occurred through consultation, advisory and working party meetings, focus groups and workshops. Results: Barriers included inadequate staff training and poor community and workforce knowledge about where to find help. Services for Aboriginal people, refugees, the elderly and youth were inadequate. Service fragmentation (‘siloes’) occurred through competitive short-term funding and frequent re-structuring. Reliance on the local hospital emergency department was concerning. Consumer trust, an important element in engagement, was often lacking. Conclusions: Comorbidity should be core business of both MH and AOD services by providing consistent ‘no wrong door’ care. Non-governmental organisations (NGOs) need longer funding cycles to promote stability and retain skilled workers. Comorbidity workforce training for government and NGO staff is required. Culturally appropriate comorbidity services are urgently needed. Despite the barriers, collaboration between clinicians/workers was valued.

Sustaining Chronic Disease Management in Primary Care: Lessons from a Demonstration Project

2007 ◽  
Vol 13 (2) ◽  
pp. 121 ◽  
Author(s):  
Anna Williams ◽  
Mark Harris ◽  
Kathy Daffurn ◽  
Gawaine Powell Davies ◽  
Shane Pascoe ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Chronic Disease ◽  
Health Service ◽  
Service Providers ◽  
Care Delivery ◽  
Demonstration Project ◽  
Service Utilisation ◽  
Primary Health

Chronic disease self-management (CDSM) programs have been found effective in improving clinical, behavioural, and self-efficacy outcomes associated with a range of chronic illnesses, and evidence suggests that CDSM is effective in reducing health care costs and health service utilisation. As the setting where most chronic disease is managed, primary health care is an ideal setting for supporting CDSM. This study aimed to explore the uptake and sustainability of CDSM within routine activities of primary health care clinicians involved in the implementation of a demonstration project within an Area Health Service in Sydney NSW. Interviews and focus groups were conducted with managers and clinicians involved in the project. Findings included (1) widespread support from participants for CDSM (2) participating clinicians thought that CDSM was valuable to themselves, their clients and the health system (3) the program required clients to be able to speak and understand English and so presented many barriers for implementation in CALD communities, and (4) the program was not effective in engaging some key members of the primary care team; in particular, general practitioners. The study highlights system design issues including communication and continuity of care between service providers, workforce supply and demands of acute care delivery in the community that will need to be addressed for sustainable and effective CDSM to be achieved.

Trust in Relationships Between Primary Health Care Organisations

2001 ◽  
Vol 7 (1) ◽  
pp. 56 ◽  
Author(s):  
Jenny Adam ◽  
Rae Walker
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Service Providers ◽  
Care Service ◽  
Local Population ◽  
Partnership Development ◽  
Health And Wellbeing ◽  
Primary Health ◽  
Primary Care Sector

In Victoria the primary health care sector is in a period of change intended to strengthen the integration of a complex service system through a process of partnership development based on collaboration. The partnerships are voluntary alliances of the primary care service providers, usually within a locality of two to three local government areas. Their purpose is to improve the health and wellbeing of the local population by strengthening inter-agency coordination in the areas of needs identification, planning and service delivery. Trust is a key issue in this process. This paper is a report of the first stage of a study to explore trust in the context of relationships between organisations in the primary care sector.

scholarly journals Community oriented primary care in Tshwane District, South Africa: Assessing the first phase of implementation

2013 ◽  
Vol 5 (1) ◽  
Author(s):  
Hans-Friedemann Kinkel ◽  
Tessa Marcus ◽  
Shehla Memon ◽  
Nomonde Bam ◽  
Jannie Hugo
Keyword(s):  
South Africa ◽  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Health Care Providers ◽  
Service Providers ◽  
Health Sector ◽  
Political Commitment ◽  
Care Providers ◽  
Primary Health

Background: Re-engineering primary health care is a cornerstone of the health sector reforminitiated nationally in South Africa in 2009. Using the concept of ward based NGO-run healthposts, Tshwane District, Gauteng, began implementing community oriented primary care (COPC) through ward based outreach teams (WBOT) in seven wards during 2011.Objectives: This study sought to gain insight into how primary health care providers understood and perceived the first phase of implementing COPC in the Tshwane district.Method: Qualitative research was performed through focus group interviews with staff of the seven health posts during September 2011 and October 2011. It explored primary health careproviders’ understanding, perception and experience of COPC.Results: Participants raised organisational, workplace and community relationship issues in the discussions. Organisationally, these related to the process of initiating and setting up COPC and the relationship between governmental and nongovernmental organisations. Issues that arose around the workplace related to the job situation and employment status and remuneration of health post staff. Community related issues centred on the role and relationship between service providers and their communities.Conclusion: COPC touched a responsive nerve in the health care system, both nationallyand locally. It was seen as an effective way to respond to South Africa’s crisis of health care. Initiating the reform was inevitably a complex process. In this initial phase of implementing COPC the political commitment of governmental and nongovernmental organisations was evident. What still had to be worked through was how the collaboration would materialise in practice on the ground.

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