ACTing on CHASP: Identifying Barriers to Change

1995 ◽  
Vol 1 (1) ◽  
pp. 98
Author(s):  
Karen Murphy ◽  
Jenny Hazelton ◽  
Jenny Aitchison
Keyword(s):  
Community Health ◽  
Development Program ◽  
Positive Influence ◽  
Health Staff ◽  
Community Health Centres ◽  
Primary Health ◽  
Barriers To Change ◽  
Health Centres ◽  
Health Project ◽  
Review Reports

This paper is a result of participation in the Primary Health Development Program in 1994. As part of this program participants were required to undertake a primary health project. 'ACTing on CHASP�Identifying barriers to change' aimed at identifying key barriers to implementation of the Community Health Accreditation and Standards Program (CHASP) review recommendations in ACT community health centres. The studies involved an analysis of CHASP review reports and discussions with community health staff in three community health centres. Key barriers were identified, but an important outcome appeared to be the positive influence that the CHASP review process had had on community health staff.

Community Health and General Practice: The Impact of Different Cultures on the Integration of Primary Care

2001 ◽  
Vol 7 (1) ◽  
pp. 65 ◽  
Author(s):  
Hal Swerissen ◽  
Jenny Macmillan ◽  
Catuscia Biuso ◽  
Linda Tilgner
Keyword(s):  
Primary Care ◽  
Health Care ◽  
General Practice ◽  
Primary Health Care ◽  
Community Health ◽  
Community Health Centres ◽  
Care Services ◽  
Primary Health ◽  
Health Centres ◽  
The Relationship

This study examined the existing relationship between community health centres and General Practice Divisions in the State of Victoria, including the nature of joint working arrangements and the identification of barriers to greater collaboration. Improved integration of primary health care services has been advocated to improve consumer and population health outcomes and to reduce inappropriate use of acute and extended care services. General practitioners (GPs) and community health centres are two key providers of primary health care with potential for greater integration. The current study conducted telephone interviews with 20 community health centre CEOs and 18 Executive Officers of divisions, which were matched according to catchment boundaries. Results suggest, while some joint planning is occurring, especially on committees, working parties and projects, there is an overall low level of satisfaction with the relationship between community health centres and GPs and GP divisions. Major barriers to greater integration are the financial or business interests of GPs and misunderstanding and differences in perceived roles and ideology between GPs and community health centres. Improved communication, greater contact and referral and follow-up procedures are identified as a means of improving the relationship between GPs, GP divisions and community health centres. Community health centres and general practitioners (GPs) are key providers of primary care (Australian Community Health Association, 1990).

Inter-Organisational Relationships of Community Health Centres

1997 ◽  
Vol 3 (4) ◽  
pp. 18
Author(s):  
Rae Walker ◽  
Sally Mitchell ◽  
Maria Wright
Keyword(s):  
Community Health ◽  
Health Workers ◽  
Local Environment ◽  
The Other ◽  
Health Staff ◽  
Health Practice ◽  
Community Based ◽  
Community Health Centres ◽  
Community Health Work ◽  
Health Centres

It is often argued that community based health organisations ought to have substantial links with other organisations in their local environment in order to provide integrated, accountable clinical and preventive services. This paper reports results from a study of the links forged by staff working in four community health centres in Victoria, Australia. The pattern of links between organisations is described and their functions explored. The perceptions of community health workers and their network partners in the other organisations are compared and the strategies used by the workers to establish and build their links identified. It can be argued that links with external organisations are important in community health practice and are valued by the organisations with which the centres establish links. They have, however, received very little attention within or without the field of community health. They are taken for granted, rarely discussed, and as often inhibited as facilitated by the structures within which community health centres operate. Consequently, a great deal of valuable community health work remains unacknowledged, potentially underdeveloped and undervalued. It has not been made clear how education can best support community health staff in this aspect of their work.

scholarly journals Development of a hexagonal, mesh-based distribution method for community health centres

2018 ◽  
Vol 13 (2) ◽  
Author(s):  
Yinan Zhou ◽  
Ge Bai ◽  
Li Luo
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Community Health ◽  
Health Care Services ◽  
Local Population ◽  
Distribution Method ◽  
Community Health Centres ◽  
Care Services ◽  
Primary Health ◽  
Health Centres

Community health centres (CHCs) are the health gatekeepers of the local population. Location and numbers of the CHCs affect fairness and effectiveness with regard to access to primary health care. In the past, the distribution of the CHCs was solely empiric-based. The goal of this study was to devise a method for CHC distribution based on the principle of improving equity as well as ensuring efficiency. We tested the effectiveness and operability of the method through a process of revision and simulation using Guangdong Province, China as sample district. A methodology based on literature review and expert consultation was repeatedly applied until an ideal result had been reached. A hexagonal, mesh-based method was developed and used to find a solution where the CHCs could be distributed where their location would be the most needed and total number suitable. Testing the effectiveness of the proposed plan, we found the proportion of area covered to be 52.8% and the proportion of the population covered 80.7%, which is 15.4% and 14.7%, respectively, better than before. It was concluded that the hexagonal mesh-based, distribution method can effectively define the location as well as the number or required CHCs, not only improving the accessibility for residents to primary health care services but also maximizing cost-effectiveness. Management of the city by grid is a new idea in urban management, which improves rationality of planning and also may be applied for many different purposes in addition to CHC localization.

scholarly journals 1997 Awards for Innovation and Excellence in Primary Health Care - Management Initiatives: Health Promotion Plan for Darebin Community Health Centres Collaboration

1997 ◽  
Vol 3 (4) ◽  
pp. 114
Author(s):  
Bruce Hurley
Keyword(s):  
Health Promotion ◽  
Community Health ◽  
Care Management ◽  
Best Practice ◽  
Local Community ◽  
Health Data ◽  
Community Health Centres ◽  
Current Health ◽  
Primary Health ◽  
Health Centres

The Program: East Preston and Northcote Community Health Centres committed themselves to producing a Health Promotion Plan for Darebin (HPP) for 1997 and beyond. The HPP is based on an analysis of Darebin's health data and demographics, current health promotion thinking, and analysis of best practice examples of health promotion in Community Health Centres and other settings, and on consultation with the staff and Boards of both Centres, other key agencies and the local community.

scholarly journals The development of urban community health centres for strengthening primary care in China: a systematic literature review

2015 ◽  
pp. ldv043 ◽  
Author(s):  
Harry H. X. Wang ◽  
Jia Ji Wang ◽  
Samuel Y. S. Wong ◽  
Martin C. S. Wong ◽  
Stewart W. Mercer ◽  
...  
Keyword(s):  
Primary Care ◽  
Literature Review ◽  
Community Health ◽  
Systematic Literature Review ◽  
Urban Community ◽  
Community Health Centres ◽  
Health Centres
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