Journal articles: 'Community health centres'

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Peck, Edward. "Community mental health centres." Journal of Mental Health 3, no. 2 (January 1994): 149–50. http://dx.doi.org/10.3109/09638239409003794.

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Albrecht, Dennise. "Community health centres in Canada." Leadership in Health Services 11, no. 1 (March 1998): 5–10. http://dx.doi.org/10.1108/13660759810202596.

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Boardman, A. P., E. Sayce, and T. K. J. Craig. "Community Mental Health Centres Conference." Bulletin of the Royal College of Psychiatrists 12, no. 2 (February 1988): 61–62. http://dx.doi.org/10.1192/pb.12.2.61.

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Beaunoyer, Elisabeth, Valérie Desgroseilliers, Nicolas Vonarx, and Bernard Roy. "Practical Implications of Understanding Community Health Through Vitalism in Canadian Community Health Centers." Aporia 13, no. 1 (January 21, 2021): 6–14. http://dx.doi.org/10.18192/aporia.v13i1.5252.

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Definitions and understandings of the term “community health” are numerous, but generally orient themselves around an expanded understanding of health exceeding biomedical imperatives. Rethinking the conception of community health through a vitalistic approach with the idea of health, and thus the community, at its core allows for a deeper understanding of health experiences’ complexity and could eventually inspire practice innovations in community health centers. In this paper, we will present this theoretical conception of health and discuss how it can help to understand the innovative interventions approach conducted within community health centres in Canada. Specifically, the practical implications of this theoretical conception will be illustrated through two Canadian community health centres. A new perspective on health could have numerous implications for health professionals with the development of cutting-edge interventions potentially leading to change benefiting the community, but also for teaching and research innovations empowered by a deeper understanding of the wider story behind health issues.

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Salokangas, R. K. R., O. Poutanen, E. Stengård, R. Jähi, and T. Palo-oja. "Prevalence of depression among patients seen in community health centres and community mental health centres." Acta Psychiatrica Scandinavica 93, no. 6 (June 1996): 427–33. http://dx.doi.org/10.1111/j.1600-0447.1996.tb10673.x.

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Lecic-Tosevski, Dusica, and Maja Milosavljevic. "Community Mental Health Care in Serbia: Development and Perspectives." Consortium Psychiatricum 2, no. 2 (May 25, 2021): 81–85. http://dx.doi.org/10.17816/cp77.

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Community mental health care was developed in Serbia in 1982 at the Belgrade Institute of mental health. Treatment was provided through the primary health care system, with each health centre having its own mental health care team. However, in the process of psychiatric reform and deinstitutionalization, dedicated community centres had to be established, in accordance with the National Strategy for the Development of Mental Health Care. The first community-based mental health centre opened in the southern area of Serbia in 2005 and subsequently, other centres were established. The centres are organized independently of psychiatric hospitals and are located in local, self-government units, providing psychosocial treatment and the continuation of mental health care. In relation to the ongoing reform of psychiatry in the country, there are positive and negative issues. There are 41.41 beds per 100,000 of the population in psychiatric hospitals and 18.33 beds per 100,000 of the population in the psychiatric departments of general hospitals. Day hospitals, established throughout the country, provide patients with good quality care. Mental health care professionals are educated to a high standard and integrative, person-centred treatment is applied in most services. However, the level of stigma directed towards those with mental illness is still high and constitutes a barrier to treatment. Well-developed screening and early detection programmes to identify persons requiring mental health care are lacking, as are the records of patients with mental disorders. The future goal is to further reduce the number of beds in psychiatric hospitals, establish new community mental health care services throughout the country and ensure the prevention of mental disorders, as well as mental health promotion.

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McCoppin, Brigid. "Governance in Victorian Community Health Centres." Australian Journal of Primary Health 9, no. 1 (2003): 18. http://dx.doi.org/10.1071/py03003.

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Recently, Governments of both parties in Victoria have differed on the method of selecting members for the boards of management of community health centres, but have given less attention to how and in what ways these boards contribute to the work of the organisations over which they preside-organisations that have become both larger and more complex in the last 10 years. In this paper, community health presidents and Chief Executive Officers discuss board responsibilities and the ways in which boards execute them. The conclusion is that boards appear to be carrying out their varied responsibilities effectively, and according to government requirements.

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Tsuchisawa, K., K. Ono, T. Kanda, and G. Kelly. "Japanese occupational therapy in community mental health and telehealth." Journal of Telemedicine and Telecare 6, no. 2_suppl (August 2000): 79–80. http://dx.doi.org/10.1258/1357633001935699.

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Help for people with mental health problems in Japan has traditionally centred on inpatient medical care. In a revision of the Mental Health Welfare Law planned for 2001, responsibility for the support of people with mental health problems will be transferred from central government to local government. Furthermore, local government will, in turn, delegate administrative tasks to a ‘community life support centre‘. We believe that such a centre could be linked to a university with a telehealth network. Connection to the network could benefit people with mental health problems living at home. We also believe that occupational therapists are ideally positioned to play a significant role in community life support centres. With the expected sustained growth in Japanese occupational therapy, it could become a key profession in the rehabilitation of people with mental health problems.

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Swerissen, Hal, Jenny Macmillan, Catuscia Biuso, and Linda Tilgner. "Community Health and General Practice: The Impact of Different Cultures on the Integration of Primary Care." Australian Journal of Primary Health 7, no. 1 (2001): 65. http://dx.doi.org/10.1071/py01010.

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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).

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Holt, K. S. "COMMUNITY DEVELOPMENTAL CENTRES." Developmental Medicine & Child Neurology 8, no. 6 (November 12, 2008): 770–71. http://dx.doi.org/10.1111/j.1469-8749.1966.tb01840.x.

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Lorentzen, Steinar, Torleif Ruud, and Rolf W. Gråwe. "Group therapy in community mental health centres." Nordic Psychology 62, no. 3 (January 2010): 21–35. http://dx.doi.org/10.1027/1901-2276/a000014.

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Salčić, D., A. Bravo Mehmedbaić, and A. Kučukalić. "Patients Satisfaction Within Community Mental Health Centres." European Psychiatry 24, S1 (January 2009): 1. http://dx.doi.org/10.1016/s0924-9338(09)71113-7.

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Introduction:By the and of the war in Bosnia and Herzegovina process of psychiatric care reform has started by implementation of community mental health care concept. This way of mental health care organization is based on community mental health centres.Aim:Aim of this article is to assess the level of patients satisfaction with community mental health care provided within community mental health centers.Method:Research was conducted in three towns (Sarajevo, Zenica and Banja Luka) in Bosnia and Herzegovina in which the best possibilities for implementation of new organizational concept of care are existing. As research instrument adapted version of Patient satisfaction questionnaire within outpatient community mental health care was applied randomly with community mental health centers users.Results:In all targeted areas users of care expressed with high score their satisfaction with mental health professionals understanding for their situation and high level of trust toward mental health professionals. They were satisfied with time they spent with person who treat them, as well as with frequency of contacts with them, efficiency of therapy and efficiency of treatment in general. The level of satisfaction with the information regarding the treatment was optimal, but the lowest score for these items were registered in town Zenica.Conclusion:Results of the study, according to the level of patients satisfaction with services provided within community mental health centers, as a measure of their quality, indicates that focused community mental health centers provide services of good quality. It is neccessary to improve patients information regarding mental health disorder they are suffering from, as well as about treatment possibilities.

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Walker, Rae, Sally Mitchell, and Maria Wright. "Inter-Organisational Relationships of Community Health Centres." Australian Journal of Primary Health 3, no. 4 (1997): 18. http://dx.doi.org/10.1071/py97036.

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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.

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Gaudet, Janice Cindy, and Carmen Chilton. "Milo Pimatisiwin Project." International Journal of Indigenous Health 13, no. 1 (August 23, 2018): 20–40. http://dx.doi.org/10.32799/ijih.v13i1.30264.

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The Milo Pimatisiwin Project is a community-centred initiative of John Delaney Youth Centre in the Moose Cree First Nation community in the James Bay region, Ontario, Canada. This article describes the creation of this collaborative youth-centred project and how it re-centres Indigenous values and conception of health and wellbeing. The article begins with an overview of the Cree philosophy of milo pimatisiwin, “good and healthy living.” This sets the background for the focus of the article, namely the significance of sharing pimatisiwin teachings over the local youth radio station and within land-based initiatives. The study includes the project results and feedback from the youth engaged in the project. It also describes the Youth Services Director’s vision and leadership efforts to enhance culturally relevant programming at the Youth Centre. Finally, it discusses lessons learned in the project and suggests best ways to enhance wellbeing in community-engaged research initiatives. The aim is to privilege Indigenous people, their knowledge and experiences, and their critical role in decolonizing notions of health and wellbeing within research practices and community-centred initiatives.

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Hurley, Bruce. "1997 Awards for Innovation and Excellence in Primary Health Care - Management Initiatives: Health Promotion Plan for Darebin Community Health Centres Collaboration." Australian Journal of Primary Health 3, no. 4 (1997): 114. http://dx.doi.org/10.1071/py97047.

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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.

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McCoppin, Brigid, and Robyn Byrne. "Selecting Members of Victorian Community Health Boards." Australian Journal of Primary Health 4, no. 4 (1998): 116. http://dx.doi.org/10.1071/py98067.

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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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Walker, Rae, Beverley Lewis, and Sally Mitchell. "Community Health Service Agreements 1992 to 1995: Changes in Practice and Purpose." Australian Journal of Primary Health 2, no. 4 (1996): 42. http://dx.doi.org/10.1071/py96054.

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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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Morris, David, and Laurie Davidson. "Community mental health centres in a changing environment." Journal of Mental Health 1, no. 4 (January 1992): 295–99. http://dx.doi.org/10.3109/09638239208991558.

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Broom, Dorothy H. "The best medicine: women using community health centres." Australian and New Zealand Journal of Public Health 21, no. 3 (June 1997): 275–80. http://dx.doi.org/10.1111/j.1467-842x.1997.tb01699.x.

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Orr, Richard. "Psychiatric consultants based in community mental health centres." Psychiatric Bulletin 15, no. 8 (August 1991): 512. http://dx.doi.org/10.1192/pb.15.8.512-a.

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Sicotte, Claude, Danielle D’Amour, and Marie-Pierre Moreault. "Interdisciplinary collaboration within Quebec community health care centres." Social Science & Medicine 55, no. 6 (September 2002): 991–1003. http://dx.doi.org/10.1016/s0277-9536(01)00232-5.

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Catty, Jocelyn, and Tom Burns. "Mental health day centres." Psychiatric Bulletin 25, no. 2 (February 2001): 61–66. http://dx.doi.org/10.1192/pb.25.2.61.

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Aims and MethodMental health day centres have been little researched. We carried out a 1-week census at the four day centres run by a London borough.ResultsThe centres catered for a g roup with long-standing mental health problems, mostly under community mental health team care. A surprising number were suffering from physical ill health. They attended the centres primarily for social reasons or to participate in creative groups such as music and art.Very few were concurrently attending day hospitals.Clinical ImplicationsFurther work is essential to understand the distinction between NHS day hospitals and Social Services day centres in terms of utilisation and client group.This client group's needs, particularly for physical health care, require urgent attention.

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G., Abhijnana, Selvi Thangaraj, Ranganath T. S., and Vishwanath . "Comparing infrastructure of anganwadi centres under integrated child development services of urban and rural Bangalore: a cross sectional study." International Journal Of Community Medicine And Public Health 6, no. 10 (September 26, 2019): 4510. http://dx.doi.org/10.18203/2394-6040.ijcmph20194521.

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Background: Anganwadi centres under integrated child development services is the largest Project in India to improve not only child health but reproductive, maternal and adolescent health. The aim of the present study is to compare the infrastructure of urban and rural anganwadi which is one of the basic need to provide quality services.Methods: A total of 30 anganwadi centres are involved in our study in which 20 are from rural and 10 are from urban field practice area of Department of Community Medicine, Bangalore Medical College and Research Institute, Bangalore. This study employed interview method with anganwadi worker’s and observation of anganwadi centre using pre-designed, semi structured questionnaire and checklist.Results: 85% of rural and 60% urban anganwadi centres have their own buildings to carry out the services. 20% of rural anganwadi centres lack fixed name boards compared to urban anganwadi centres. 55% of rural anganwadi centres and 90% of urban anganwadi centres lack separate storage for raw food materials. 15% of rural anganwadi centres lack functional toilet facility. 40% of rural anganwadi centres lack functional weighing machine.Conclusions: Anganwadi centres are remote contact point of health care system within the community. The infrastructure of anganwadi centre such as type of building, space for cooking and activities, availability of functional equipments ensure the quality service deliveries which in turn are enhanced by timely supervision from higher authorities.

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Nerad, Sonja, and Axelle Janczur. "Primary Health Care with Immigrant and Refugee Populations: Issues and Challenges." Australian Journal of Primary Health 6, no. 4 (2000): 222. http://dx.doi.org/10.1071/py00056.

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Ontario's community health centres (CHCs) are leaders in providing community based health care programs and services. One of the primary objectives of the CHC program is to promote access to health care for populations that have traditionally experienced barriers for reasons such as language, culture and age, or for populations that are at high risk for illness such as persons living in poverty or those who are homeless. Funded by the provincial Ministry of Health and Long Term Care, Access Alliance Multicultural Community Health Centre is located in downtown Toronto, and is mandated to work specifically with immigrants and refugees to promote health and better access to health care. This paper describes the complexity of issues facing newcomers, the Centre's programs and services, as well as the organisation's struggle to define its role and value within the health and social service sector and to newcomer communities.

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Thomas, Susan, Sharmada Sivaram, Zubin Shroff, Ajay Mahal, and Sapna Desai. "‘We are the bridge’: an implementation research study of SEWA Shakti Kendras to improve community engagement in publicly funded health insurance in Gujarat, India." BMJ Global Health 7, Suppl 6 (September 2022): e008888. http://dx.doi.org/10.1136/bmjgh-2022-008888.

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IntroductionIndia’s efforts towards universal health coverage include a national health insurance scheme that aims to protect the most vulnerable from catastrophic health expenditure. However, emerging evidence on publicly funded health insurance, as well as experience from community-based schemes, indicates that women face specific barriers to access and utilisation. Community engagement interventions have been shown to improve equitable utilisation of public health services, but there is limited research specific to health insurance. We examined how existing community-based resource centres implemented by a women’s organisation could improve women’s access to, and utilisation of, health insurance.MethodsWe conducted an implementation research study in Gujarat, India to examine how SEWA Shakti Kendras, established by the Self-Employed Women’s Association, worked to improve community engagement in health insurance. SEWA organises women in the informal sector and provides social protection through health, insurance and childcare services. We examined administrative data, programme reports and conducted 30 in-depth qualitative interviews with users and staff. Data were analysed thematically to examine intervention content, context, and implementation processes and to identify enablers and barriers to improving women’s access to health insurance through SEWA’s community engagement approach.ResultsThe centres worked through multiple channels—doorstep services, centre-based support and health system navigation—to strengthen women’s capability to access health insurance. Each centre’s approach varied by contextual factors, such as women’s digital literacy levels and rural–urban settings. Effective community engagement required local leadership, strong government partnerships and the flexibility to address a range of public services, with implementation by trusted local health workers.ConclusionSEWA Shakti Kendras demonstrate how a local, flexible and community-based model can serve as a bridge to improve utilisation of health insurance, by engaging women and their households through multiple channels. Scaling up this approach will require investing in partnerships with community-based organisations as part of strategies towards universal health coverage.

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Parkinson, Sharon. "Victorian Health Policy Reform: Impact on Community-based Health Promotion." Australian Journal of Primary Health 3, no. 4 (1997): 7. http://dx.doi.org/10.1071/py97035.

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Since the Victorian Coalition Government was elected to office in 1992, community health policy has undergone considerable change as part of broader initiatives within the public sector. In the context of changing policy, concerns have been raised in the field of community health regarding the direction of community-based health promotion. The purpose of this study is to investigate the impact of policy reform on the conceptualisation, priority setting and practice of community-based health promotion. A series of interviews was conducted with a small sample of community health centre managers and staff within metropolitan Melbourne. Findings suggest that there has been a significant shift in the profile of community-based health promotion, with increasing emphasis on health promotion in clinical encounters and in groups, and less project work and community development. In terms of the principles of the Ottawa Charter, health promotion has moved away from the areas of community action and building healthy public policy as the centres focus increasingly on direct service provision. This study discusses the influences on and implications for the changing profile of community-based health promotion and considers directions for the future.

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Johnson, Anne, and Kate Silburn. "Community and consumer participation in Australian health services." Australian Health Review 23, no. 3 (2000): 113. http://dx.doi.org/10.1071/ah000113a.

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This article briefly describes recent initiatives to improve consumer participation in health services that have led tothe establishment of the National Resource Centre for Consumer Participation in Health. The results of a componentof the needs assessment undertaken by the newly established Centre are presented. They provide a 'snapshot' of thetypes of feedback and participation processes mainly being utilised by Australian health services at the different levelsof seeking information, information sharing and consultation, partnership, delegated power and consumer control.They also allow identification of the organisational commitment made by Australian health services to support a morecoordinated approach to community and consumer feedback and participation at different levels of health servicessuch as particular emphasis on determining the presence of community and consumer participation in keyorganisational statements, specific consumer policies and plans, identifiable leadership, inclusion into job descriptions,allocation of resources, and staff development and consumer training. Discussion centres around four key observationsand some of the key perceived external barriers.

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Cohen, Andrea, Lee Fairclough, and Janak Jass. "Optimizing Community and Stakeholder Engagement in a Merger of Community Health Centres." Healthcare Management Forum 24, no. 4 (December 2011): 192–95. http://dx.doi.org/10.1016/j.hcmf.2011.08.002.

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Community Health Centres (CHCs) are grounded in a model of care that includes engagement with the community and have a history of working with communities to respond to emerging needs. Although most CHCs consider themselves to be integrated, mergers in this sector are uncommon. In Ontario, the first voluntary merger of CHCs showed the importance of community engagement to realize the intended benefits of the integration and to effectively manage change.

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Collins, Lillith, and John Turner. "Coordination and Integration in the Bentleigh Bayside Community Health Service." Australian Journal of Primary Health 6, no. 4 (2000): 241. http://dx.doi.org/10.1071/py00058.

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The paper examines the development of coordinated and integrated primary care services through the establishment of community health centres in Victoria, with specific reference to the Bentleigh Bayside Community Health Service. In 1985 a random sample of 412 case records indicated that 52.4% of patients had seen more than one discipline at the Centre, and 34.7% of these patients received integrated care through case planning meetings. Fourteen criteria derived from the current literature were used to evaluate the integration and coordination of treatments and of health promotion activities. A repeat study demonstrated gains in health promotion, especially with respect to establishing support groups and the local coordination of community interventions. Integrated casework with external agencies has not changed. The analysis provides a base line for examining the effects of policy developments such as Primary Care Partnerships that address the issues of common assessments, exchange of client information and health promotion. Primary Care Partnerships are an extension of the structures in Community Health Centres. Primary Care Partnerships need to encourage personal contacts between agencies in order for individual and community health plans to be as effective as possible.

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Peck, Edward. "Community Mental Health Centres: Challenges to the new orthodoxy." Journal of Mental Health 3, no. 2 (January 1994): 151–56. http://dx.doi.org/10.3109/09638239409003795.

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Tarricone, Ilaria, Elisa Stivanello, Silvia Ferrari, Niccolò Colombini, Emilio Bolla, Mauro Braca, Cinzia Giubbarelli, et al. "Migrant pathways to community mental health centres in Italy." International Journal of Social Psychiatry 58, no. 5 (August 3, 2011): 505–11. http://dx.doi.org/10.1177/0020764011409523.

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Sandoya-Olivera, Edgardo, Augusto Ferreira-Umpiérrez, and Federico Machado-González. "Quality of blood pressure measurement in community health centres." Enfermería Clínica (English Edition) 27, no. 5 (September 2017): 294–302. http://dx.doi.org/10.1016/j.enfcle.2017.02.005.

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RENESES, BLANCA, ELENA MUÑOZ, and JUAN JOSÉ LÓPEZ-IBOR. "Factors predicting drop-out in community mental health centres." World Psychiatry 8, no. 3 (October 2009): 173–77. http://dx.doi.org/10.1002/j.2051-5545.2009.tb00246.x.

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Ambrose, Aleta, and Patricia Short. "Integrating health planning and social planning: a case study in community-based partnerships for better health." Australian Journal of Primary Health 15, no. 4 (2009): 294. http://dx.doi.org/10.1071/py09010.

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This paper reports the findings of a study that investigated the processes through which health planning and social planning were integrated in practice, at the community level, through the active engagement of childcare centres in health promotion and community capacity building. A small-scale, retrospective study of Healthy Bodies Healthy Minds, a community-based health promotion project for early childhood environments, was conducted. Focusing on links between health and social planning, the study revealed crucial factors that led to integrated planning and action at the community level: opportunities for professional development, the strengthening of partnerships through interpersonal networks, reduced isolation of childcare staff in community contexts, and genuine engagement of childcare centre staff in a planning process. It also demonstrated how momentum for planning and action at the community level was created, and how a shift towards integrated health and social planning, stemming from an attitudinal shift by childcare staff towards planning and partnerships, emerged. Insights are gained on ways to build upon the social component of health promotion programs, so as to establish sustainable partnerships for integrating health and social planning in communities.

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Topmiller, Michael, Jessica McCann, Jennifer Rankin, Hank Hoang, Joshua Bolton, and Alek Sripipatana. "Exploring the association of social determinants of health and clinical quality measures and performance in HRSA-funded health centres." Family Medicine and Community Health 9, no. 3 (July 2021): e000853. http://dx.doi.org/10.1136/fmch-2020-000853.

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ObjectiveThis paper explores the impact of service area-level social deprivation on health centre clinical quality measures.DesignCross-sectional data analysis of Health Resources and Services Administration (HRSA)-funded health centres. We created a weighted service area social deprivation score for HRSA-funded health centres as a proxy measure for social determinants of health, and then explored adjusted and unadjusted clinical quality measures by weighted service area Social Deprivation Index quartiles for health centres.SettingsHRSA-funded health centres in the USA.ParticipantsOur analysis included a subset of 1161 HRSA-funded health centres serving more than 22 million mostly low-income patients across the country.ResultsHigher levels of social deprivation are associated with statistically significant poorer outcomes for all clinical quality outcome measures (both unadjusted and adjusted), including rates of blood pressure control, uncontrolled diabetes and low birth weight. The adjusted and unadjusted results are mixed for clinical quality process measures as higher levels of social deprivation are associated with better quality for some measures including cervical cancer screening and child immunisation status but worse quality for other such as colorectal cancer screening and early entry into prenatal care.ConclusionsThis research highlights the importance of incorporating community characteristics when evaluating clinical outcomes. We also present an innovative method for capturing health centre service area-level social deprivation and exploring its relationship to health centre clinical quality measures.

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Smith, Sherryl. "A Model to Describe the Role of Health Promotion in Creating Healthy Communities." Australian Journal of Primary Health 6, no. 4 (2000): 69. http://dx.doi.org/10.1071/py00036.

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Health promotion theory and practice is grounded in the belief that health is far more than the absence of disease. In order to influence most effectively the health of communities, Community Health Centres must balance their attention and resources amongst medical, lifestyle/behavioural, and socioenvironmental approaches to health promotion. This discussion will include an overview of these approaches to health promotion based on current literature. Community Health Centres need to incorporate a variety of complementary health promotion approaches into their core services and activities. An analysis of one model, which integrates health promotion and population health, is provided with a discussion of its application in creating healthy communities.

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Buhrich, Neil, Anne Butchart, Susan Johnston, and Roberta Lauchlan. "Delivery of Medication to Psychiatric Patients in Community Health Services in New South Wales." Australian & New Zealand Journal of Psychiatry 30, no. 4 (August 1996): 523–30. http://dx.doi.org/10.3109/00048679609065027.

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Objective: We investigated the supply and monitoring of medication to patients who attend community mental health services in NSW. Method: The staff at four metropolitan and one rural community centre health service were interviewed. Information sought included policies and procedures concerning medication, the delivery of medication to patients, and staff reports concerning their knowledge and practice related to the legal requirements of the New South Wales Poisons Act 1966. Results: Sixty-five (62%) of 104 coordinators, medical officers and staff who were responsible for case managing patients were interviewed. The centres all differed in their existing policies and practices and the extent to which they were supported by their local hospital and retail pharmacies. Only one centre had a designated pharmacist and this was a part-time position. Conclusions: The delivery of medication at most centres is a fairly ad hoc arrangement with staff organising medication as best as they can. At times the supply of medication to patients fails to comply with legal and New South Wales Department of Health requirements.

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Bashar, M. D. Abu. "Assessment of infrastructure facilities, manpower and services at health sub-centres from a rural block of Haryana, North India." International Journal Of Community Medicine And Public Health 9, no. 7 (June 28, 2022): 2965. http://dx.doi.org/10.18203/2394-6040.ijcmph20221767.

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Background: A sub-centre is the most peripheral and first point of contact between the health care system and the Community. The success of any nationwide programme largely depends on well-functioning sub-centres providing services of acceptable standard to people. Indian Public Health Standards (IPHS) were programmed with an objective to standardize the health care infrastructure and services. Current study was undertaken with the aim to assess the infrastructure facilities, manpower and services of a sample of sub-centers from North India against the IPHS standards.Methods: A cross sectional study was carried out from February 2014 to October 2014 in 30 of the 32 sub-centres in a rural block of district Ambala in the state of Haryana, North India using a specially designed semi structured questionnaire to compare the existing physical infrastructure, manpower, quality control and service delivery in these sub-centres against the IPHS standards.Results: Significant gaps existed in available physical infrastructure and availability of manpower (especially male worker). The parameters designed for quality control like citizen’s charter, internal and external monitoring were also found to be deficient. Record keeping and reporting was also unsatisfactory. However, availability of the requisite services and service delivery was found to be satisfactory.Conclusions: There is urgent need to equip the sub-centres with the necessary infrastructure and logistics along with need of regular monitoring and supervision of the sub-centers by internal and external agencies so as to improve the quality of facilities and services provided by them.

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Nagle, Gabrielle. "Progress in Queensland: from Service Centres to Centres of Service." Australian Journal of Primary Health 1, no. 1 (1995): 109. http://dx.doi.org/10.1071/py95018.

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Planning the development of new community facilities is a challenge. The knowledge required to provide a framework in which to establish a functional structure go beyond that of architecture, construction, health service provision, and facility management. What is required is an ability to create a centre, not only based on its internal and external appearance, but also on whether it is responsive and flexible enough to incorporate future needs and services beyond immediate planning.

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Roussy, Véronique, and Charles Livingstone. "Service planning in the Victorian community health sector." Australian Journal of Primary Health 21, no. 3 (2015): 268. http://dx.doi.org/10.1071/py14076.

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Until now, comprehensive service planning has been uncommon in the Victorian community health sector. Where it has occurred, it has primarily been undertaken by community health services embedded within larger, hospital-based health services. Reflections on the utility and efficacy of community health service planning are largely absent from the Australian peer-reviewed literature. Using a case study focussed on a specific centre in Melbourne’s outer suburbs, this paper explores how community health service planning is shaped by the current policy context, the legal status of registered community health services, and the data and methodologies available to inform planning. It argues that regular and systematic service planning could support registered community health centres to better understand their unique position within the primary health-care landscape, having regard to their inherent opportunities and vulnerabilities. Furthermore, consistent and effective service planning is proposed to benefit agencies in establishing themselves as critical players in promoting local population health initiatives and driving improved health outcomes.

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Ziguras, Stephen J. "Implementation of ethnic health policy in community mental health centres in Melbourne." Australian and New Zealand Journal of Public Health 21, no. 3 (June 1997): 323–28. http://dx.doi.org/10.1111/j.1467-842x.1997.tb01707.x.

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Najman, J. M., J. Jones, D. Gibson, G. Lupton, S. Payne, M. Sheehan, P. Sheehan, K. Sweeny, J. S. Western, and G. Williams. "THE IMPACT OF HEALTH CENTRES IN BRISBANE ON SOME COMMUNITY HEALTH INDICATORS." Community Health Studies 5, no. 1 (March 26, 2010): 11–21. http://dx.doi.org/10.1111/j.1753-6405.1981.tb00726.x.

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Bennun, Ian, and Duncan Simpson. "Who uses community mental health centres? A study of one health district." Journal of Community & Applied Social Psychology 2, no. 3 (August 1992): 209–15. http://dx.doi.org/10.1002/casp.2450020305.

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Swerissen, Hal, and Linda Tilgner. "Development and Validation of the Primary Care Consumer Opinion Survey." Australian Journal of Primary Health 7, no. 1 (2001): 34. http://dx.doi.org/10.1071/py01005.

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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.

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Western, Sally. "Preventing Childhood Injury: Developing a Home Safety Display in a Community Health Centre." Australian Journal of Primary Health 5, no. 1 (1999): 76. http://dx.doi.org/10.1071/py99009.

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Childhood injury is a major health issue, with approximately 20,000 children under five hospitalised each year in Australia. The home is a common site for childhood injuries, with some of the more frequent episodes including falls, poisoning, burns, cuts and crush injuries. A regional initiative to develop a coordinated approach towards minimising injuries sustained by children between 0-4 years, resulted in the development of 'Childsafe Now', a health promotion program which involved training of child care providers, and the establishment of several home safety displays in the Eastern metropolitan region of Victoria. One of the home safety displays was developed in a Community Health Centre, utilising a pre-existing child care facility and the multidisciplinary skills of the staff. Community Health Centres were established with a focus on health promotion - encouraging illness and injury prevention through a holistic combination of education, community involvement, behavioural and social modification and multi-disciplinary primary health care services - yet the opportunity to establish a permanent, functional display which combines all of these aspects of health promotion is becoming increasingly rare. However, the skills and knowledge which have traditionally been nurtured within the Community Health Program make Community Health Centres a particularly appropriate location for establishing a Home Safety Display.

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Zhu, Jingrong, Xiaofei Li, Hongrui Chu, and Jinlin Li. "Willingness to use community health centres for initial diagnosis: the role of policy incentives among Chinese patients." Australian Journal of Primary Health 28, no. 1 (December 14, 2021): 49–55. http://dx.doi.org/10.1071/py21028.

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The aim of the study is to investigate the effect of policy incentives on residents’ willingness to use community health centres for initial diagnosis. A cross‐sectional survey with specific multiple price-list experiments was conducted in Guizhou, China. We were able to use in-depth individual interviews with a total of 422 participants. Our results showed that both financial and non-financial policy incentives can facilitate the utilisation of the community health centres. Approximately 60% of the respondents reported an increase in their willingness to use community health centres after the presentation of the financial policy, whereas 50% of respondents expressed an increase in their willingness to use community health centres with the non-financial policy. However, to some specific subgroups, such as residents with low trust, residents without chronic disease, residents with less healthcare visits and risk-averters, the impact of policy incentives were limited. The policy incentives are useful tools to attract more visitors to community health centres for initial diagnosis; however, their incentive effects vary in different subgroups. Thus, to change patients’ perceptions regarding healthcare provider choice for initial diagnosis, policymakers should consider the heterogeneous responses of patients to policy incentives and focus their efforts on key cohorts.

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Zhu, Jingrong, Xiaofei Li, Hongrui Chu, and Jinlin Li. "<i>Corrigendum to</i>: Willingness to use community health centres for initial diagnosis: the role of policy incentives among Chinese patients." Australian Journal of Primary Health 28, no. 1 (February 17, 2022): 82. http://dx.doi.org/10.1071/py21028_co.

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The aim of the study is to investigate the effect of policy incentives on residents’ willingness to use community health centres for initial diagnosis. A cross‐sectional survey with specific multiple price-list experiments was conducted in Guizhou, China. We were able to use in-depth individual interviews with a total of 422 participants. Our results showed that both financial and non-financial policy incentives can facilitate the utilisation of the community health centres. Approximately 60% of the respondents reported an increase in their willingness to use community health centres after the presentation of the financial policy, whereas 50% of respondents expressed an increase in their willingness to use community health centres with the non-financial policy. However, to some specific subgroups, such as residents with low trust, residents without chronic disease, residents with less healthcare visits and risk-averters, the impact of policy incentives were limited. The policy incentives are useful tools to attract more visitors to community health centres for initial diagnosis; however, their incentive effects vary in different subgroups. Thus, to change patients’ perceptions regarding healthcare provider choice for initial diagnosis, policymakers should consider the heterogeneous responses of patients to policy incentives and focus their efforts on key cohorts.

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Kaur, S., R. Gupta, I. D. Khan, S. Jindal, S. Prajapati, A. Makkar, and K. S. Rajmohan. "INFRASTRUCTURE, RESOURCES, SERVICES EVALUATION AND GAP ANALYSIS OF INTEGRATED MATERNAL AND CHILD DEVELOPMENT SERVICES IN INDIA." International Journal of Medicine and Medical Research 4, no. 2 (March 1, 2019): 67–71. http://dx.doi.org/10.11603/ijmmr.2413-6077.2018.2.9286.

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Background. Integrated Child Development Services (ICDS) is an Indian community-centric government program organized under Anganwadi centres catering to supplementary nutrition, health and preschool education, primary healthcare, growth monitoring and counselling the children under six years old along with their mothers. It is the world’s largest outreach program in a developing country covering a population of 1.35 billion; the variations in service delivery were analysed involving cross-sectional rural and urban Anganwadi centers in New Delhi. Methods. Data were collected by assessment of children and mothers, interview of Anganwadi workers and observation of service delivery parameters and conduction of activities. Infrastructural, beneficiaries, services and content were evaluated by a suitable pre-tested questionnaire based on the National Institute of Public Cooperation and Child Development (NIPCCD) evaluation proforma. The data was analysed by a descriptive statistics. Results. Gaps were found in respect of infrastructure, resources, health and nutrition facilities especially at rural Anganwadi centre which was inadequate in terms of implementation of nutrition and health program, supplementary nutrition, preschool education and nutrition rehabilitation centre for existing beneficiaries. Both Anganwadi centres were not catering for new WHO growth standards and adolescent health. Conclusions. Gaps found in respect of infrastructure, resources, health and nutrition facilities can affect performance of ICDS program and the services delivered by Anganwadi centres, which need a boost. Both urban and rural centres have a direct opportunity towards delivering adolescent health program focusing on nutrition and education of girls prior to their pregnancy, and adoption of new WHO growth standards.

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Fota, Nicusor, Florentina Furtunescu, Alina Negraru, and Manfred Zahorka. "Community integrated care in rural Romania – the role of community centres." International Journal of Integrated Care 19, no. 4 (August 8, 2019): 250. http://dx.doi.org/10.5334/ijic.s3250.

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Montalto, Michael, David Dunt, and Jeff Richardson. "Differences in patient throughput between community health centre and private general practitioners." Australian Health Review 19, no. 3 (1996): 56. http://dx.doi.org/10.1071/ah960056a.

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This study sought to compare the rate of patient throughput by community healthcentre general practitioners (GPs) and their private practice fee-for-servicecounterparts.The study group comprised 44 community health centre GPs (out of an identified51) in 16 community health centres; the control group comprised 268 GPs.Community health centre GPs were found to have significantly fewer consultationsand significantly smaller rebates than their private practice counterparts. Thedifference of means for consultation numbers and rebates was 30.3- per cent. Thepattern was reversed in the case of rural community health centre GPs (who retainfee-for-service arrangements).Figures are uncorrected for patient status, and data relate to Medicare billing practicesrather than observed activity or outcome. However, at face value they would indicatethat if Australian general practice moved to a community health centre model, withpredominantly salaried GPs, then patient throughput in general practice could beexpected to drop. Whether these results reflect the impact of incentives on throughputand, if so, whether this indicates a difference in the quality or accessibility of theservice provided to patients is not certain.

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Journal articles on the topic 'Community health centres'

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