1997 Awards for Innovation and Excellence in Primary Health Care - Management Initiatives: Organisational Change and Organisation Design

1997 ◽  
Vol 3 (3) ◽  
pp. 100
Author(s):  
Cherie Slater
Keyword(s):  
Community Health ◽  
Change Process ◽  
Care Management ◽  
Health Sector ◽  
Organisational Change ◽  
Community Health Service ◽  
Collaborative Approach ◽  
Community Health Centres ◽  
Primary Health ◽  
Organisation Design

Brief Description of the Initiative: The Inner South Community Health Service was created in 1993 as a result of the voluntary amalgamation of three successful community health centres - Prahran, South-Port and St Kilda. The amalgamation process was used as an opportunity to develop a large multi-site service responsive to each of its local communities and well positioned to meet effectively the challenges of rapidly changing political and health sector environments. The organisation design and change process was developed and implemented using a collaborative approach that was self-directed and self-managed; changes were both radical and developmental. Throughout the process client services were maintained and opportunities for including new programs were pursued. The organisation design was underpinned by two key principles - client focus and integration.

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.

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).

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.

scholarly journals Performance measurement for community health services: opportunities and challenges

2003 ◽  
Vol 26 (3) ◽  
pp. 133 ◽  
Author(s):  
Gwyn Jolley
Keyword(s):  
Health Care ◽  
Performance Measurement ◽  
Community Health ◽  
Health Sector ◽  
South Australia ◽  
Community Health Services ◽  
Structured Interviews ◽  
Primary Health ◽  
Policy And Strategy ◽  
Performance Domains

This paper presents findings from a study that investigated performance measurement for primary health care servicesdelivered by the community health sector, and assessed the effectiveness and value of a performance measurementapproach in the evaluation of these services. Eleven semi-structured interviews were conducted with key stakeholdersin South Australia. The findings indicate that three major steps are needed to move forward in the use of performancemeasurement in the community health sector. These steps are i) development of a policy and strategy statement forcommunity health, ii) identification of performance domains and indicators, and iii) development of appropriatedata systems.

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
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Community Health ◽  
Health Centre ◽  
Community Health Centres ◽  
Healthcare Network ◽  
North East ◽  
The North ◽  
Primary Health ◽  
North Eastern

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.

scholarly journals Differences between dental health service quality and utilization of Community Health Centres in the City of Padang based on indicators of utilisation effectiveness

2018 ◽  
Vol 30 (2) ◽  
pp. 140
Author(s):  
Azri Darma ◽  
Hidayati Hidayati ◽  
Fadil Oenzil
Keyword(s):  
Health Service ◽  
Health Services ◽  
Service Quality ◽  
Community Health ◽  
Dental Health ◽  
Community Health Service ◽  
Community Health Centres ◽  
Health Centres ◽  
Health Service Quality ◽  
The City

Introduction: The high prevalence of oral disease have not been followed by the availability of oral healthcare, especially at the community-based level. This study was aimed to determine the differences between dental health service quality and utilisation of community health centres in the city of Padang based on indicators of utilisation effectiveness. Methods: A cross-sectional survey was conducted towards two Community Health Services (Puskesmas) as the samples selected using random sampling technique. One Community Health Service was representing a rarely visited Community Health Service with ≤ 9 patients visit per day, and another Community Health Service was representing oppositely. As much as 131 respondents were included in this study, selected using the purposive sampling method. Dimensional satisfaction of service quality including tangibility, reliability, responsiveness, assurance, and empathy, were collected by interviewing the respondents based on a self-reported questionnaire. All data were analysed using the chi-square test. Results: The majority of respondents agreed that dimensional satisfaction such as tangibility, reliability, responsiveness, assurance, and empathy at both Community Health Services were at a good level. There was a significant relationship (p < 0.05) between several dimensional satisfaction of service quality variables (the wide and clean parking area; intense involvement of dentists on every oral examination; friendly service by the front-office; and empathetic affection of dentists towards the patient’s complain) and the utilisation of oral health services. Conclusion: No service differences found from relationship analysis between dental health service quality and utilisation of community health centres in the city of Padang based on indicators of utilisation effectiveness.Keywords: Service quality, dimensional satisfaction, oral health service, service utilisation, Community Health Centre.

Best Practice and Allied Health

1996 ◽  
Vol 2 (1) ◽  
pp. 92
Author(s):  
Jill Thoroughgood
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Community Health ◽  
Health Professionals ◽  
Best Practice ◽  
Allied Health ◽  
Health Sector ◽  
Models Of Care ◽  
Allied Health Professionals ◽  
Primary Health

In this paper, issues are discussed relating to the provision of quality allied health advice, and the focus of the allied health program in primary health care and community health settings in the Peninsula and Torres Strait Region of Queensland, since Regionalisation in 1991. It was apparent to allied health professionals working in community health, that the change process presented an opportunity to influence not only the Regional Health Authority, but also to act as a united voice for the professions and to be advocates for best practice models of care for the community. Why do allied health professionals need to be utilised in an advisory role in community based health settings? What are the impacts on policy, planning, and on the services provided by community health care workers? How can allied health advisers enhance the quality of outcomes of best practice for the consumers of community health programs? Allied health advisers are important for the whole health sector by ensuring that effective and appropriate allied health services are delivered, that there are increases in allied health resources, that there are improvements in health outcomes for clients, that primary health care models of care are implemented, and, finally, that best practice is implemented by the allied health professional.

Utilising implementation science in building research and evaluation capacity in community health

2010 ◽  
Vol 16 (4) ◽  
pp. 276 ◽  
Author(s):  
John Bamberg ◽  
Amaryll Perlesz ◽  
Peter McKenzie ◽  
Sharon Read
Keyword(s):  
Qualitative Research ◽  
Community Health ◽  
Research Method ◽  
Program Effectiveness ◽  
Health Centre ◽  
Health Sector ◽  
Change Model ◽  
Structured Interviews ◽  
Evaluation Capacity ◽  
Community Health Centres

It is becoming increasingly important for the community health sector to provide evidence of practice and program effectiveness. Unfortunately many community health centres do not have the capacity to provide such evidence and require the implementation of innovative changes within their organisation to develop their capacity to conduct research and evaluation. In this paper we present our project in which we utilised Donald Ely’s model to build research and evaluation capacity in a community health centre. We utilised a qualitative research method that incorporated a co-operative inquiry action research design. Qualitative research methods incorporated data from semi-structured interviews, observations and the recording of relevant meetings. The data were analysed by means of thematic analysis. We found that to successfully build research and evaluation capacity entails the application of a model that is capable of not only addressing significant issues in implementation but that can also identify the conditions within an organisation that are important to achieve change. Ely’s Conditions for Change model was most appropriate to implement the necessary changes.

Selecting Members of Victorian Community Health Boards

1998 ◽  
Vol 4 (4) ◽  
pp. 116
Author(s):  
Brigid McCoppin ◽  
Robyn Byrne
Keyword(s):  
Community Health ◽  
State Government ◽  
Health Centre ◽  
Horizontal Integration ◽  
Community Members ◽  
Community Health Centres ◽  
Primary Health ◽  
Democratic Election ◽  
The Government ◽  
Selection Of

The Victorian State Government has changed the method of selection of community health centre board of management members from election by community members to government appointment. The Government argued in Parliament that this was to ensure more expert and accountable boards, while the Opposition regretted a loss of democratic election and community participation. A survey of board presidents shows that health centre selection panels accomplished their new task with dispatch and efficiency, in spite of Department of Human Services delays. Presidents consider their new boards on the whole an improvement, with added expertise though not necessarily improved accountability. Some concerns remain about a loss of local accountability and identification, and community health centres now face a government policy aimed at greater horizontal integration of the whole primary health care sector.

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