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.

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 Role of community figure in Healthy Indonesia Program with family approach (PIS-PK) in Banjarnegara District, Central Java

2020 ◽  
Vol 3 (3) ◽  
pp. 178
Author(s):  
Mujiati Mujiati ◽  
Eva Sulistiowati ◽  
Siti Nurhasanah
Keyword(s):  
Community Health ◽  
Health Centre ◽  
Sources Of Information ◽  
Community Members ◽  
Central Java ◽  
Family Approach ◽  
Depth Interview ◽  
Community Data ◽  
The Village

The involvement of community figure is one form of participation in health development, including in the Healthy Indonesia Program with Family Approach (PIS-PK). The purpose of this study was to determine the role of community figure in PIS-PK. The type of study was a qualitative study in one kelurahan which was included in the working area of Community Health Care (CHC) Banjarnegara 1 in Banjarnegara District, Central Java, which was chosen purposively. Data collection was done by in-depth interview. The key informants were community figure, namely from the kelurahan (kelurahan head and its staff) and community members who were considered community figure in the village. Data triangulation was done by conducting in-depth interview with the head and staff of community health centre and the community. Data that has been obtained was analyzed thematically. The results of the study showed that community figure played an important role in the implementation of PIS-PK as sources of information about PIS-PK, helping field organizing, helping prepare complete families documents, assisting CHC staff and surveyor in home visits and helping solve problems that arise, and generally playing a role in the smooth implementation of PIS-PK. Social support from the local government and communities can be a motivation to continue to play a role in supporting the success of PIS-PK.

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 Analysis of COVID-19 Prevention Behaviour among Diabetes Mellitus Comorbidity Patients in Palembang

2021 ◽  
Vol 9 (2) ◽  
pp. 168
Author(s):  
Giszka Putri ◽  
Hamzah Hasyim ◽  
Nur Alam Fajar
Keyword(s):  
Diabetes Mellitus ◽  
Community Health ◽  
Statistical Significance ◽  
Health Centre ◽  
P Value ◽  
Diabetic Patients ◽  
Cross Sectional ◽  
Community Health Centres ◽  
Health Centres ◽  
Preventive Behaviour

Background: COVID-19 in Diabetes Mellitus (DM) patients are at higher risk for severe complications than people without DM. Preventive behaviour is the best way to avoid COVID-19 infection for DM patients due to its bad impact, such as severe symptoms requiring intensive care, leading to death. Objective: This study aims to analyse the COVID-19 preventive behaviour among DM comorbidity patients in Palembang. Method: The cross-sectional study was conducted from April 2021 to May 2021 using a questionnaire to diabetic patients at six community health centres in Palembang. The questionnaire has four sections: patient characteristics, knowledge, attitude, and COVID-19 prevention behaviour. A proportional random sampling technique was used to determine the number of samples according to the data on diabetic patients in each health centre. The total sample was 183 respondents from 1.266 total population diabetic patients in six community health centres. Respondents were diabetic patients aged ³ 18 years old and willing to fill out the questionnaire. Univariate, bivariate, and multivariate statistical analyses were used to analyse the data. Results: More respondents have good knowledge (50.3%), negative attitude (57.3%), and poor COVID-19 preventive behaviour (53.0%). The findings revealed a statistical significance between knowledge (P-value = 0.0001), attitude (P-value = 0.0001), and educational status (P-value = 0.0001) with COVID-19 preventive behaviour. Furthermore, knowledge is the most determinant factor of COVID-19 preventive behaviour (PR= 7.597, 95% CI: 3.701 – 15.597). Conclusion: According to this study, diabetic patients with poor knowledge are at greater risk of having poor COVID-19 prevention behaviours. COVID-19 prevention programs, especially health education programs at the community health centre, need to be improved to ensure that diabetic patients adopt reasonable and appropriate COVID-19 prevention practices.

scholarly journals Politicking with Health Care and Its Implications for the Attainment of Universal Health Coverage

2020 ◽  
Author(s):  
Aloysius Odii ◽  
Pamela Ogbozor ◽  
Charles Orjiakor ◽  
Prince Agwu ◽  
Obinna Onwujekwe
Keyword(s):  
Universal Health Coverage ◽  
Local Governments ◽  
Health Workers ◽  
Health Centre ◽  
Healthcare Delivery ◽  
Health Coverage ◽  
Healthcare Staff ◽  
Community Members ◽  
Primary Health ◽  
Universal Health

Abstract Background Primary Health Centres (PHCs) are acknowledged key to the achievement of Universal Health Coverage (UHC) owing to their closeness to the grass-root and the constant patronage by low- and middle-income class citizens. An impediment to the efficiency of PHCs is the nature of politics on-going in its operation beginning from its physical construction, employment of staff, among others. This study provides evidence of politicking marring the efficiency of PHCs as well as possible solutions to the issue. Method The study was carried out in eight purposively selected PHC facilities drawn from three local government areas in Enugu State, southeast Nigeria. Data were collected using in-depth interviews (IDIs) and focus group discussions (FGDs). The IDIs involved sixteen participants that cut across frontline health workers, heads and supervisors of health units at the local governments, and chairpersons of the health facility committees (HFCCs). In addition, four FGDs were held with male and female service users of the facilities. Findings It was discovered that certain powerful community members influenced the locations of PHCs, even when the general community is disfavoured by such decision. Powerful group of persons equally influence the recruitment and sanctioning of healthcare staff. The consequences include weak patronage of the facilities and poor healthcare delivery. Of the several solutions, obtaining localised support from powerful persons in the community to enforce fairness featured strongly. Conclusions The politics around primary healthcare is a threat to the achievement of UHC, since it discourages patronage and encourages inefficiency of healthcare staff. To overcome this, there is the need to facilitate genuine participation of community members and implementing local actions and policies in the facilitation of PHCs, and also, rapidly addressing the excesses of powerful groups and individuals. Key words: Primary Health Centre; Politicking; Universal Health Coverage; Power; Politics

scholarly journals Reorganizacija službe na primarnem nivoju zdravstvene dejavnosti v času epidemije COVID-19

2021 ◽  
Author(s):  
Tatjana Kitić jaklić ◽  
Jože Prestor ◽  
Matjaž Maletič
Keyword(s):  
Infectious Disease ◽  
Health Care ◽  
Primary Health Care ◽  
Community Health ◽  
Daily Life ◽  
Good Practice ◽  
Health Centre ◽  
Health Care Sector ◽  
The Past ◽  
Primary Health

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.

Development and Validation of the Primary Care Consumer Opinion Survey

2001 ◽  
Vol 7 (1) ◽  
pp. 34
Author(s):  
Hal Swerissen ◽  
Linda Tilgner
Keyword(s):  
Community Health ◽  
Service Provision ◽  
Health Centre ◽  
Principal Component ◽  
Survey Instrument ◽  
Speech Pathology ◽  
Opinion Survey ◽  
Community Health Centres ◽  
Health Centres ◽  
Health Care Consumer

Using past measures of consumer feedback, the aim of the present study was to construct a consumer opinion survey for use in community health centre settings; to pilot the survey instrument across a number of community health centres; and to validate the instrument. A total of 950 consumers attending one of six targeted services (physiotherapy, dental, podiatry, counselling/social work, dietetics, and speech pathology) across four northern metropolitan community health centres in Victoria were invited to participate. Returned surveys were analysed using principal component analysis and the extracted scales were tested for internal consistency and validity. Out of the 950 surveys distributed 471 were returned (response rate of 50%). The survey instrument was found to measure consumer opinion regarding satisfaction with centre environment and satisfaction with service provision. The centre environment scale consisted of one factor, with a Cronbach alpha of .80. The service provision scale consisted of two factors: 'aspects of the service provider' and 'benefits of the visit'. Reliability for the total scale was .93. The two scales correlated moderately with a validity item measuring overall satisfaction. The Primary Health Care Consumer Opinion Survey is a reliable and valid measure, which provides the potential for the establishment of norms to assess consumer opinion.

1997 Awards for Innovation and Excellence in Primary Health Care - Community Support

1997 ◽  
Vol 3 (3) ◽  
pp. 66
Author(s):  
Steve Moorhead
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Community Health ◽  
Family Violence ◽  
Health Centre ◽  
Community Support ◽  
Community Health Centre ◽  
Care Community ◽  
Primary Health

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.

Community Health Service Agreements 1992 to 1995: Changes in Practice and Purpose

1996 ◽  
Vol 2 (4) ◽  
pp. 42
Author(s):  
Rae Walker ◽  
Beverley Lewis ◽  
Sally Mitchell
Keyword(s):  
Community Health ◽  
Human Services ◽  
Health Centre ◽  
System Management ◽  
Technical Issue ◽  
Community Health Centres ◽  
Health Centres ◽  
Provision Of Services ◽  
Internal Operations ◽  
Transitional Phase

In Victoria, community health centres are undergoing major changes. In this paper, a study of service and funding agreements, their changed purposes, and how the practices surrounding them have also changed, is reported. The study provides some insights into the dynamics of the contractual model of health system management. The information was obtained from the service and funding agreements of community health centres, interviews with staff of the Department of Human Services, and interviews with community health centre managers. At the end of 1995, community health centres were still in a transitional phase. They were changing from being locally focused, multi-disciplinary organisations that approached health as a social and technical issue to ones that were centrally focused, still multi-disciplinary but increasingly attending to the technical provision of services. There were, however, many ambiguities in the system that allowed services to resist the changes that were considered least desirable. To a degree they de-coupled internal operations from the external presentation of them.

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