scholarly journals 1997 Awards for Innovation and Excellence in Primary Health Care - Alliances and Collaboration: North Eastern Community Health Centre Alliance

1997 ◽  
Vol 3 (3) ◽  
pp. 80
Author(s):  
Bruce Hurley

Brief Description of the Program: An alliance was formed between the East Preston, Northcote, West Heidelberg, Eltham, Lalor, Whittlesea, and Diamond Valley Community Health Centres in the North East of Melbourne, first, to position the Centres to play a key role in developing a coherent and strong primary health care sector, based on 'community health principles', within the prime catchment area of the North Eastern Healthcare Network. The second purpose of the alliance was to assist in facilitating continuity of care between the acute and primary health sectors.

2001 ◽  
Vol 7 (1) ◽  
pp. 65 ◽  
Author(s):  
Hal Swerissen ◽  
Jenny Macmillan ◽  
Catuscia Biuso ◽  
Linda Tilgner

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).


Author(s):  
Tatjana Kitić jaklić ◽  
Jože Prestor ◽  
Matjaž Maletič

The COVID-19 epidemic caused by the SARS-Co-V2 virus has dramatically affected the daily life of society as a whole and almost without exception the functioning of various institutions. The first and hardest have been institutions falling under the health care sector. Over the past several decades, the functioning of health care institutions has retained a more or less type of fragile balance that has been further shaken by the COVID-19 epidemic. This has served to inadevertently reveal some shortcomings in the health care sector. In this article, we outline the reorganization and adaptation of the primary health care sector as seen in the example of the Community Health Centre Kranj. Particulary highlighted are challenges faced within the health care institution as well as examples of good practice that should be maintained in the event of any future infectious disease epidemic outbreaks.


1997 ◽  
Vol 3 (3) ◽  
pp. 66
Author(s):  
Steve Moorhead

Brief Description of the Program: The program is a Family Violence Program at the Melton Community Health Centre (MCHC) in a western suburb of Melbourne.


PLoS ONE ◽  
2016 ◽  
Vol 11 (12) ◽  
pp. e0167648 ◽  
Author(s):  
Mohammad Amiri ◽  
Ahmad Khosravi ◽  
Ahmad Reza Eghtesadi ◽  
Zakieh Sadeghi ◽  
Ghasem Abedi ◽  
...  

2018 ◽  
Vol 13 (2) ◽  
Author(s):  
Yinan Zhou ◽  
Ge Bai ◽  
Li Luo

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.


2021 ◽  
Vol 6 (2) ◽  
pp. e003907
Author(s):  
Ran Liao ◽  
Yaqian Liu ◽  
Shunzhuang Peng ◽  
Xing Lin Feng

BackgroundChina set out the vision to establishing a hierarchical medical system, with primary health care (PHC) facilities serving health care users’ first contact. Common ailments were listed, supported by a series of auxiliary policy measures. We aim to assess whether these policies were effective to prompt users’ preference to PHCs within these contexts.MethodsUsing data from three waves of National Health Service Survey, we examined trends in care users’ first contact with PHC facilities in Jilin, a north eastern province, during 2008–2018. We analysed trends and factors affecting care users’ choices, stratified by type of diseases and urban–rural settings.ResultsFrom 38 823 respondents, the survey identified 3302 health care users who sought outpatient care. 54.92% and 82.49% with diseases recommended to PHC, in urban and rural Jilin, respectively, contacted PHC facilities first. While 33.51% and 61.19% with diseases not recommended to PHC did so. Care users’ first contact with PHC facilities followed an inverse U shape during 2008–2018. Such trends were more profound among care users with hypertension and/or diabetes. Neither social health insurance coverage nor contracting with family doctors was associated with care users’ first contacts. Only 1.25% care users had referral experiences. Low perceived quality was the main barrier to choose PHC facilities.ConclusionHealth care users sought PHC in a chaotic manner in Jilin. None of the recent efforts seemed effective in prompting their preference to PHC facilities. Without levering quality of PHC, an effective hierarchical medical system could be hardly forged in China.


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