scholarly journals Epidemiology of venous leg ulcers in primary health care: Incidence and prevalence in a health centre—A time series study (2010‐2014)

2018 ◽  
Vol 16 (1) ◽  
pp. 256-265 ◽  
Author(s):  
Miriam Berenguer Pérez ◽  
Pablo López‐Casanova ◽  
Raquel Sarabia Lavín ◽  
Héctor González de la Torre ◽  
José Verdú‐Soriano
Keyword(s):  
Health Care ◽  
Time Series ◽  
Primary Health Care ◽  
Health Centre ◽  
Leg Ulcers ◽  
Time Series Study ◽  
Venous Leg Ulcers ◽  
Primary Health ◽  
Series Study

scholarly journals Continuity of nursing care in Finnish primary health care settings: A 15-year follow-up

2018 ◽  
Vol 7 (1) ◽  
pp. 11 ◽  
Author(s):  
Risto Raivio ◽  
Eija Paavilainen ◽  
Kari J. Mattila
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Continuity Of Care ◽  
Nursing Care ◽  
Health Centre ◽  
University Hospital ◽  
Primary Health ◽  
Patient Reported ◽  
Health Centres

Objective: Continuity is an essential part of high-quality nursing care. This study is the first systematic follow-up of Finnish primary health care patients assessing continuity of health centre nursing staff. The aim was to ascertain how longitudinal interpersonal continuity of care is related to patients’ characteristics, their consultation experiences, and how continuity had changed over the 15-year study period.Methods: A questionnaire survey was conducted among patients attending the health centres in the Tampere University Hospital catchment area from 1998 to 2013. A total of 157,549 patients responded out of 363,464 in almost 60 health centres. We analysed the opinions of patients (n = 47,470) who had visited a nurse during the survey weeks. Opinions on the continuity of care were assessed with the question: “When visiting the health centre, do you usually see the same nurse”, the alternatives being “yes” or “no”. A binary logistic regression model was used.Results: Almost two thirds of the respondents had met the same nurse when visiting their health care centre. Longitudinal interpersonal continuity of care decreased by 15 percentage (67%-52%) during the study years. Continuity was connected to patient-related items such as a visit in the preceding 12 months (OR 1.32, 95% CI 1.17-1.49) and non-urgency of the visit (OR 1.44, 95% CI 1.27-1.63). The most prominent factor contributing to the sense of continuity of care was how attentively nurses had listened to their patients’ problems and shown an interest in them and a willingness to answer their questions (OR 1.31, 95% CI 1.120-1.43).Conclusions: In the past 15 years patient-reported longitudinal interpersonal continuity of nursing care has declined. However continuity of care proved to enhance the experienced quality of primary health care. Continuity was best realized in nursing care when nurses had listened to their patients’ problems, showed interest toward them and a willingness to answer their questions.

Does rural health system reform aimed at improving access to primary health care affect hospitalization rates? An interrupted time series analysis of national policy reforms in Iran

2019 ◽  
Vol 24 (2) ◽  
pp. 73-80 ◽  
Author(s):  
Arash Rashidian ◽  
Sedigheh Salavati ◽  
Hanan Hajimahmoodi ◽  
Mehrnaz Kheirandish
Keyword(s):  
Health Care ◽  
Time Series ◽  
Primary Health Care ◽  
Time Series Analysis ◽  
Rural Health ◽  
Interrupted Time Series ◽  
Interrupted Time Series Analysis ◽  
Series Analysis ◽  
Hospitalization Rates ◽  
Primary Health

Objectives To evaluate the effects of rural health insurance and family physician reforms on hospitalization rates in Iran. Methods An interrupted time series analysis of national monthly hospitalization rates in Iran (2003–2014), starting from two years before the intervention. Segmented regression analysis was used to assess the effects of the reforms on hospitalization rates. Results The analyses showed that hospitalization rates increased one year after the initiation of the reforms: 1.55 (95% CI: 1.24–1.86) additional hospitalizations per 1000 rural inhabitants per month (‘immediate effect’). This increase was followed by a further gradual increase of 0.034 per 1000 inhabitants per month (95% CI: 0.02–0.04). The gradual monthly increase continued for two years after the reforms. The higher hospitalization rates were maintained in the following years. We observed a significant increase in hospitalization rates at a national level in rural areas that continued for over 10 years after the policy implementation. Conclusion Primary health care reforms are often proposed for their efficiency outcomes (i.e. reduction in costs and use of hospitals) as well as their impact on improving health outcomes. We demonstrated that in populations with unmet needs, such reforms are likely to substantially increase hospitalization rates. This is an important consideration for successful design and implementation of interventions aimed at achieving universal health coverage in low- and middle-income countries.

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 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.

scholarly journals DISTRIBUTION AND SPATIAL PATTERN ANALYSIS ON MALNUTRITION CASES: A CASE STUDY IN PONTIANAK CITY

2020 ◽  
Vol 20 (2) ◽  
pp. 56-64
Author(s):  
Agus Fitriangga ◽  
Gerry Albilardo ◽  
Muhammad Pramulya
Keyword(s):  
Public Health ◽  
Health Care ◽  
Primary Health Care ◽  
Household Income ◽  
Health Care Service ◽  
Health Centre ◽  
Geographic Information ◽  
Spatial Pattern Analysis ◽  
Public Health Centre ◽  
Primary Health

Based on the Basic Health Research (Riskesdas) in 2018, malnutrition cases in West Kalimantan reached 23.8 percent. In 2015, Pontianak City documented 27 cases of malnutrition. Then, the cases increased in 2016 and 2017 as many as 29 and 41 cases. The utilization of Geographic Information System (GIS) is required as a method for public health surveillance and monitoring. This study aims to analyze the distribution of malnutrition cases based on several clinical and non-clinical factors using GIS between 2016 to 2017. The dependent variable was malnutrition cases and the independent variables included household income level, parent’s educational level, comorbidities factors, and distance to the primary health care service. A total of 65 cases of malnutrition in Pontianak City were collected from six sub-districts in Pontianak City. This research was a cross-sectional study. The results showed that of 65 cases of malnutrition occurred on under 5-year-old children in Pontianak in 2016-2017, malnutrition cases taking place in East Pontianak sub-district were 29 cases (44.6%). In addition, malnutrition with clinical symptoms was reported 63 cases (96.9%), while the distance from home to primary health care less than 1 km was 32 cases (49.23%). The study also revealed that malnutrition with comorbidities were 78,5%. Finally, household income levels with malnutrition were below Pontianak regional minimum wage (Rp 2,515,000/month or $176,88). The mapping of malnutrition cases using Geographic Information Systems can facilitate the nutrition programmer in Pontianak City Health Office and Public Health Centre in intervening the social determinant of health to overcome malnutrition.

scholarly journals Diagnostic utility and impact of ultrasonography by primary health care physician: an observational study

2019 ◽  
Vol 6 (4) ◽  
pp. 1707
Author(s):  
Uruj Altaf Qureshi ◽  
Khalid Bashir ◽  
Mahbooba Rasool
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Observational Study ◽  
Primary Care Physician ◽  
Health Centre ◽  
Care Physician ◽  
Primary Health Centre ◽  
Common Finding ◽  
Primary Health

Background: Ultrasound appears to be a suitable diagnostic technology for use in primary care and community settings. It plays a pivotal role in evaluation of patients and helps in making timely diagnosis and more widely on referral pathways into secondary care.Methods: The study was conducted at the primary health centre Hazratbal, which is one of the primary health centre of field practice area of the Department of community medicine, Government Medical College, Srinagar. This observational study was conducted over a period of three months where 255 patients were scanned by a primary care physician (sonologist). For each patient scanned, the ultrasound performing physician completed a standardized data collection form including patient demographics, clinical details, indications for ultrasound and ultrasound findings.Results: A total of 255 patients were scanned during the study period. Males were 43 (17%) and females were 212 (83%). Maximum number of patients were in the age range of 25-34 years, n=96 (38%). Among the patients scanned 66 (24.44%) were obstetric cases. Acute diffuse abdominal pain n=32 (11.85%) was the most common clinical presentation followed by pain upper abdomen n=28 (10.37%) among non-obstetric patients. Ovarian cyst was the most common finding, followed by fatty liver and bilateral nephrolithiasis.Conclusions: The utility of ultrasonography in the hands of primary care physician is of great value. It is cost effective option, especially in this part of the world. We need to give expertise to primary care physicians in order to provide better health care at primary health care settings, which will lessen the burden of referrals.

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.

scholarly journals Baseline measures of primary health care team functioning and overall primary health care performance at Du Noon Community Health Centre

2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Shapi Mukiapini ◽  
Graham Bresick ◽  
Abdul-Rauf Sayed ◽  
Cynthia Le grange
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Team Effectiveness ◽  
Health Centre ◽  
Primary Health ◽  
Good Score ◽  
Ongoing Care ◽  
Team Functioning ◽  
First Contact

Background: Research consistently demonstrates the importance of effective team work for improving the quality of health care. We conducted a baseline measure of primary health care (PHC) team effectiveness and overall PHC performance at a primary care facility.Aim: To improve PHC team effectiveness and ultimately the quality and user experience of primary care at a community health centre (CHC).Setting: Du Noon CHC in the southern and western substructure of the Cape Town Metro district services (MDHS).Methods: A cross-sectional study using a combination of the Nominal Group Technique (NGT) consensus method and the South African Primary Care Assessment Tool (ZA PCAT) to assess PHC team effectiveness and PHC organisation and performance.Results: The ZA PCAT was administered to 110 CHC users (patients) and 12 providers (doctors and clinical nurse practitioners). Data from 20 PHC team members showed they perceived their team as well functioning (70% agreement on a 7-item PHC team assessment tool incorporated into the ZA PCAT). The NGT method achieved participant (20) consensus on communication and leadership as the main challenges to effective team functioning and on ideas to overcome the challenges. The ZA PCAT user data showed 18.2% of users rated first contact access as acceptable to good; 47.3% of users rated ongoing care as acceptable to good. Provider data showed that 33% of providers rated first contact access as acceptable to good; 25% of providers rated ongoing care as acceptable to good. First contact access received the lowest acceptable to good score (18.2%) and comprehensiveness (services available) the highest score (88.2%) from users. For the providers, the lowest acceptable to good score was for ongoing care (25%) and the highest acceptable to good score was for primary health care team availability (100%). The ZA PCAT total primary scores were good (above 60%) for both users and providers but moderately higher for the providers.Conclusion: Knowledge of how teams perceive their effectiveness can motivate them to generate ideas for improving performance. There were discrepancies between providers’ assessment of team functioning using the ZA PCAT measure and the NGT method results. The ZA PCAT also showed differences between providers’ and users’ perceptions of PHC performance – consistent with the findings of the multi-CHC Western Cape ZA PCAT study. These findings should encourage and support CHC and district level staff in their efforts to improve the quality and user experience of primary care, as well as PHC team performance.

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