Relevant bibliographies by topics / Preventive health services Victoria

Academic literature on the topic 'Preventive health services Victoria'

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Published: 10 December 2022
Last updated: 29 January 2023

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Journal articles on the topic "Preventive health services Victoria"

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Martin-Kerry, Jacqueline M., Martin Whelan, John Rogers, Anil Raichur, Deborah Cole, and Andrea M. de Silva. "Addressing disparities in oral disease in Aboriginal people in Victoria: where to focus preventive programs." Australian Journal of Primary Health 25, no. 4 (2019): 317. http://dx.doi.org/10.1071/py18100.

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The aim of this study is to determine where Aboriginal people living in Victoria attend public oral health services; whether they access Aboriginal-specific or mainstream services; and the gap between dental caries (tooth decay) experience in Aboriginal and non-Aboriginal people. Analysis was undertaken on routinely collected clinical data for Aboriginal patients attending Victorian public oral health services and the distribution of Aboriginal population across Victoria. Approximately 27% of Aboriginal people attended public oral health services in Victoria across a 2-year period, with approximately one in five of those accessing care at Aboriginal-specific clinics. In regional Victoria, 6-year-old Aboriginal children had significantly higher levels of dental caries than 6-year-old non-Aboriginal children. There was no significant difference in other age groups. This study is the first to report where Aboriginal people access public oral health care in Victoria and the disparity in disease between Aboriginal and non-Aboriginal users of the Victorian public oral healthcare system. Aboriginal people largely accessed mainstream public oral healthcare clinics highlighting the importance for culturally appropriate services and prevention programs to be provided across the entire public oral healthcare system. The findings will guide development of policy and models of care aimed at improving the oral health of Aboriginal people living in Victoria.
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Anderson, Philip. "Developing Preventive Services." Children Australia 13, no. 2 (1988): 16–19. http://dx.doi.org/10.1017/s0312897000001880.

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Before discussing the types of services that are required I would like to look, just briefly, at some of the recent history in the provision of services.Edith Bennett was the Director of the Family Welfare Division in what is now Community Services Victoria. Those of you who have been around for more than ten years will remember her. She once said that what we need is a range of flexible services. Being rather young and believing I knew it all I thought at the time that this was a load of simplistic rubbish. How could something so simple be true. The field likes to make these things complex. However, looking back I feel she had made a key point that is perfectly obvious now.
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Mitchell, Brian. "Preventative Child Welfare Services in Victoria." Children Australia 13, no. 1 (1988): 10–14. http://dx.doi.org/10.1017/s0312897000001752.

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The idea of prevention in child welfare is not new. The prevention of substitute placement of children whether on a temporary or long-term basis has been a fundamental principle of child welfare we have held to for many years in Victoria.However, it is only in the last decade that this principle is actually being carried out in practice by a number of voluntary agencies. For many children placement is still commonly used as a solution it is easier to place a child than to promote change within many multi-deficit families.
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M. Brown, Rhonda. "Community Health Within the Context of Health Reform." Australian Journal of Primary Health 6, no. 1 (2000): 85. http://dx.doi.org/10.1071/py00009.

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Recent health reforms in Victoria based on a market model characterised by competition and market control of health services, have radically changed the funding and management of community health organisations and the way health services are provided. Community health has sustained ongoing funding cuts, restructures, amalgamations, and corporatisation over the past decade. Within the context of reform community health has been forced to become competitive through improvement in the efficiency and effectiveness of services. At the same time organisations must collaborate to ensure a co-ordinated approach to health care and continue to provide services which are responsive to community needs. With diminishing government funding community health organisations must seek alternative funding sources through the tendering process. A 1998 study of one of the largest metropolitan community health organisations in Victoria gives some insights into the impact of these reforms. The findings of this study show that health reforms based on market principles are not compatible with the delivery of health care, and in particular with primary health care, the underlying philosophy of community health. Organisations are becoming more bureaucratic and hierarchical with decision making being driven by management rather than by consultation with community and staff. Resources are being diverted from health promotion and community development activities to direct services, that are individual and problem focused rather than community and prevention focused.
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Heilbrunn-Lang, Adina Y., Lauren M. Carpenter, Seona M. Powell, Susan L. Kearney, Deborah Cole, and Andrea M. de Silva. "Reviewing public policy for promoting population oral health in Victoria, Australia (2007–12)." Australian Health Review 40, no. 1 (2016): 19. http://dx.doi.org/10.1071/ah15013.

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Objective Government policy and planning set the direction for community decisions related to resource allocation, infrastructure, services, programs, workforce and social environments. The aim of the present study was to examine the policy and planning context for oral health promotion in Victoria, Australia, over the period 2007–12. Methods Key Victorian policies and plans related to oral health promotion in place during the 2007–12 planning cycle were identified through online searching, and content analysis was performed. Inclusion of oral health (and oral health-related) promotion initiatives was assessed within the goals, objectives and strategies sections of each plan. Results Six of the 223 public health plans analysed (3%) included oral health ‘goals’ (including one plan representing nine agencies). Oral health was an ‘objective’ in 10 documents. Fifty-six plan objectives, and 70 plan strategies related to oral health or healthy eating for young children. Oral health was included in municipal plans (44%) more frequently than the other plans examined. Conclusion There is a policy opportunity to address oral health at a community level, and to implement population approaches aligned with the Ottawa Charter that address the social determinants of health. What is known about the topic? Poor oral health is a significant global health concern and places a major burden on individuals and the healthcare system, affecting approximately 50% of all children and 75%–95% of adults in Australia. The Ottawa Charter acknowledges the key role of policy in improving the health of a population; however, little is known about the policy emphasis placed on oral health by local government, primary care partnerships and community health agencies in Victoria, Australia. What does this paper add? This is a review of oral health content within local government (municipal) and community health plans in Victoria, Australia. What are the implications for practitioners? The findings identify several opportunities for public health and community health practitioners and policy makers to place greater emphasis on prevention and improvement of the oral health of Victorians through policy development.
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Galbally, Rhonda. "Mental Health Promotion in Victoria: A Strategic Approach." Australasian Psychiatry 5, no. 1 (February 1997): 14–18. http://dx.doi.org/10.3109/10398569709082086.

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Health promotion has proved to be crucial in most areas of health, for example, cardiovascular health, cancer control and injury prevention. However, mental health promotion has hitherto been a very poor cousin by comparison with funds spent on other health promotion areas, and also by comparison with funds spent on mental health services. This situation is understandable. First, there has been a need to shake mental health services out of antiquity to ensure that they not only meet fundamental standards of human rights, but also begin to develop a focus on rehabilitation. Second, the amorphous, unspecific and often haphazard nature of the few existing mental health promotion programs has, to a degree, given mental health promotion a bad name. As mental health promotion initiatives must inevitably relate to social and structural issues, the health content of mental health promotion has sometimes been hard to identify.
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Klein, Harald. "Reforming Primary Care in Victoria: Will Primary Care Partnerships Do the Job?" Australian Journal of Primary Health 8, no. 1 (2002): 23. http://dx.doi.org/10.1071/py02004.

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Spiralling medical costs and escalating demand for health services are putting primary care reform firmly on the agenda for governments around the world. A more coordinated and prevention-oriented approach must be adopted now to avoid a looming crisis in health care. In Victoria, the Primary Care Partnership (PCP) Strategy aims to improve health outcomes and better manage the demand for services by functionally integrating health and community support services. This paper provides an overview of the key factors that have shaped primary care reform in the State of Victoria; the logic of the PCP Strategy; a summary of the results of the strategy after 18 months; and a critical assessment of the key challenges for the strategy in the future. The paper concludes that the strategy has already led to much stronger collaboration between agencies, more integrated service planning and emerging models for service coordination. For these achievements to translate to improved health outcomes, the systems changes being initiated by PCPs need to be translated into the way services are provided in the community. This cannot be achieved by collaboration between service providers alone. It is now time for all relevant parts of government to support PCP objectives and initiatives in the way they plan and fund services.
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Lin, Clare, Nuno Goncalves, Ben Scully, Ruth Heredia, and Shalika Hegde. "A Teledentistry Pilot Study on Patient-Initiated Care." International Journal of Environmental Research and Public Health 19, no. 15 (July 31, 2022): 9403. http://dx.doi.org/10.3390/ijerph19159403.

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COVID-19 has challenged the public dental workforce in their ability to continue providing routine oral health care services. To mitigate the risk of COVID-19 transmission to staff and patients, Teledentistry was implemented in many parts of the world, mainly to provide remote consultations, undertake triage, and offer preventive educational sessions. The aim of this paper is to describe Dental Health Services Victoria’s (DHSV) patient-initiated Teledentistry model of care implemented during peak COVID transmission in Victoria. The Teledentistry model supported patient-centered care involving active collaboration and shared decision making between patients, families, and clinicians in designing and managing remote care plans. DHSV’s eligible patient cohort includes disadvantaged population groups with greater oral health needs. Strong emphasis was placed on the simplicity and user friendliness of the Telehealth platform, as well as the support for patients with low technology literacy. Consumers and dental workforce were consulted and modifications to the use of language and services were undertaken before the launch. A total of 2492 patients accessed Telehealth services between May 2020 and April 2021. Approximately 39% of patients were born in a country other than Australia. A total of 489 patient-reported experience measures (PREMs) were received. Patients agreed or strongly agreed that the care they received met their needs (87%); they received answers to their questions (89%); they left their visit knowing what is next (87%); they felt they were taken care of during their visit (90%); and they felt involved in their treatment (89%). Teledentistry enabled patients to initiate access to care and consult with dental workforce remotely and safely during peak pandemic.
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Heilbrunn-Lang, Adina Y., Lauren M. Carpenter, Andrea M. de Silva, Lisa K. Meyenn, Gillian Lang, Allison Ridge, Amanda Perry, Deborah Cole, and Shalika Hegde. "Family-centred oral health promotion through Victorian child-health services: a pilot." Health Promotion International 35, no. 2 (April 21, 2019): 279–89. http://dx.doi.org/10.1093/heapro/daz025.

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Abstract Maternal and Child Health Services (MCHS) provide ideal settings for oral disease prevention. In Victoria (Australia), child mouth-checks (Lift-the-Lip) and oral health promotion (OHP) occur during MCHS child visits. This study trialled Tooth-Packs (OHP resources, toothbrushes, toothpastes) distribution within MCHS to (i) assess the impacts of Tooth-Packs distribution on child and family oral health (OH) behaviours and knowledge, including Maternal and Child Health Nurses (MCHN) child referral practices to dental services, and (ii) determine the feasibility and acceptability of incorporating Tooth-Packs distribution into MCHN OHP practices. A mixed-methods evaluation design was employed. MCHN from four high-needs Victorian Local Government Areas distributed Tooth-Packs to families of children attending 18-month and/or 24-month MCHS visits (baseline). Families completed a questionnaire on OH and dietary practices at baseline and 30-month follow-up. Tooth-Packs distribution, Lift-the-lip mouth-checks and child OH referrals were conducted. Guided discussions with MCHN examined intervention feasibility. Overall, 1585 families received Tooth-Packs. Lift-the-lip was conducted on 1493 children (94.1%). Early childhood caries were identified in 142 children (9.5%) and these children were referred to dental services. Baseline to follow-up behavioural improvements (n = 230) included: increased odds of children having ever seen an OH professional (OR 28.0; 95% CI 7.40–236.88; p < 0.001), parent assisted toothbrushing twice/day (OR 1.76; 95% CI 1.05–3.00; p = 0.030) and toothpaste use >once/day (OR 2.82; 95% CI 1.59–5.24; p < 0.001). MCHN recommendations included distribution of Tooth-Packs to at-risk children <12-months of age. MCHS provide an ideal setting to enable timely family-centred OHP intervention and adoption of good OH behaviours at an early age.
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Adams, Karen, Chris Halacas, Marion Cincotta, and Corina Pesich. "Mental health and Victorian Aboriginal people: what can data mining tell us?" Australian Journal of Primary Health 20, no. 4 (2014): 350. http://dx.doi.org/10.1071/py14036.

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Nationally, Aboriginal people experience high levels of psychological distress, primarily due to trauma from colonisation. In Victoria, Aboriginal Community Controlled Health Organisations (ACCHOs) provide many services to support mental health. The aim of the present study was to improve understanding about Victorian Aboriginal people and mental health service patterns. We located four mental health administrative datasets to analyse descriptively, including Practice Health Atlas, Alcohol and Other Drug Treatment Service (AODTS), Kids Helpline and Close The Gap Pharmaceutical Scheme data. A large proportion of the local Aboriginal population (70%) were regular ACCHO clients; of these, 21% had a mental health diagnosis and, of these, 23% had a Medicare Mental Health Care Plan (MHCP). There were higher rates of Medicare MHCP completion rates where general practitioners (GPs) had mental health training and the local Area Mental Health Service had a Koori Mental Health Liaison Officer. There was an over-representation of AODTS episodes, and referrals for these episodes were more likely to come through community, corrections and justice services than for non-Aboriginal people. Aboriginal episodes were less likely to have been referred by a GP or police and less likely to have been referrals to community-based or home-based treatment. There was an over-representation of Victorian Aboriginal calls to Kids Helpline, and these were frequently for suicide and self-harm reasons. We recommend primary care mental health programs include quality audits, GP training, non-pharmaceutical options and partnerships. Access to appropriate AODTS is needed, particularly given links to high incarcerations rates. To ensure access to mental health services, improved understanding of mental health service participation and outcomes, including suicide prevention services for young people, is needed.
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Dissertations / Theses on the topic "Preventive health services Victoria"

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Carrigan, Amanda Jane. "Determining the Cost-Effectiveness of Preventive Health Services." Thesis, The University of Arizona, 2010. http://hdl.handle.net/10150/146241.

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The purpose of the thesis was to explore the issues surrounding the cost and implementation of prevention. Specifically, methods for determining cost-effectiveness and measuring the health benefits conferred from prevention were explored and services that have been determined to be cost-effective were discussed. Through interviews with health care professionals, administrators, and public health professors, perceptions of the benefits and costs of prevention were explored. Barriers to the implementation of prevention were discussed. The thesis concludes with suggestions on steps that health care providers and policy-makers can take to improve the health of the U.S. population through prevention.
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Berry, Elizabeth. "PREVENTIVE DENTAL SERVICES FOR INFANTS AND SUBSEQUENT UTILIZATION OF DENTAL SERVICES." VCU Scholars Compass, 2009. http://scholarscompass.vcu.edu/etd/1708.

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The purpose of this study was to examine the use of dental services for young children following a preventive oral health intervention in a pediatric medical clinic. Over a 3 year period (2005-2008), children 0-36 months of age, enrolled in Medicaid, were provided preventive oral health services in a medical setting. Descriptive statistics and multivariate logistic regression were used to determine the effect receiving the preventive oral health services in a medical setting with the outcomes of dental utilization. 15% were determined to have dental caries at the intervention and 42% found to have a dental visit post-intervention. Children determined to have decay at the intervention were significantly more likely to have one or more restorative or adjunctive service post-intervention. After receiving preventive oral health care in a medical clinic, the resulting utilization of dental services was higher than what is commonly reported for dental utilization in infant populations of low-income children.
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Guo, Jong-long. "Comparisons of clinical preventive services utilization among elderly, middle-aged and young adults in five Texas sites /." Digital version accessible at:, 2000. http://wwwlib.umi.com/cr/utexas/main.

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Lapierre, Sophie. "The logistics of preventive health services using fixed and mobile facilities." Diss., Georgia Institute of Technology, 1995. http://hdl.handle.net/1853/24353.

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Marine, Marjorie Butler. "Marketing health care services for a preventive health care agency : a categorical study." Virtual Press, 1987. http://liblink.bsu.edu/uhtbin/catkey/530368.

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The purpose of the study was to determine the needs of one marketing segment of clients seen in a contraceptive clinic in the Midwest. The marketing segment targeted for study was women with positive Pap smears. A comparison group of women with negative Pap smears was sampled from the same clinic during the time frame July 1, 1982, to July 1, 1984.Nine research questions were investigated. Responses have been reported relative to the following questions:1. Does the incidence of positive Pap smears depend on the presence of cervical infection a woman may have?2. Does the incidence of positive Pap smears depend on whether or not a woman smokes?3. Does the incidence of positive Pap smears depend on the type of contraceptive (pill or barrier) used by a woman?4. Does the incidence of positive Pap smears depend number of abortions experienced by a woman?5. Does the incidence of positive Pap smears depend on the number of pregnancies experienced by a woman?6. Does the incidence of positive Pap smears depend on whether the woman is white or black?7. Does the incidence of positive Pap age of the woman?8. Does the incidence of positive Pap smears depend on the smears depend on whether the woman is married or not?9. Does the incidence of positive Pap smears depend on the educational status of the woman?Five conclusions were drawn from findings of the study and were confined to the population for the study, clients of the selected clinic:1. Women with positive Pap smears are more likely to have infections than women with negative Pap smears.2. Women who have had abortions are more likely to have positive Pap smears.3. The incidence of positive Pap smears is associated with pregnancies; that is women with one or more pregnancies are more likely to have positive Pap smears.4. A higher proportion of black women have positive Pap smears than white women.5. Women with less education have more positive Pap smears than women with higher levels of education.
Department of Educational Administration and Supervision
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Balogh-Reynolds, Joanna. "Self-Rated Health Status' Influence on Utilization of Clinical Preventive Services." Thesis, Carlow University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10605473.

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Early identification through preventive care screenings has proven to lessen the cost and impact of illness, while reducing premature mortality. Current literature has identified disparities related to access and utilization of preventive care services. The current assumption is that females have a higher likelihood to comply with recommended preventive care screenings than men. A variance identified in gender studies indicated women have a higher usage of preventive care screenings, and a higher use of overall medical services. The objective of this study is to understand if there is a predictive value of self-reported health status that can impact the utilization of preventive care services in women accessing a mammogram voucher program.

A convenience sample of 40 participants from the Mammogram Voucher Program administered by Adagio Health was surveyed. Using the RAND 36-Item Health Survey, participants’ self-rated health status was assessed. Demographic data and survey responses were compared with utilization of the mammogram voucher to ascertain if a correlation occurs. The survey results did not indicate, in this sample, that a relationship exists. However, demographic data indicated there is a relative impact on voucher utilization compared to self-perception. Specifically, the education level of the respondents yielded a statistically significant result. Participants with a reported education level of at least 12 years were found to be more likely to utilize a voucher while those with greater than 12 years of education did not. The lack of demonstrated statistical correlations for the self-rated health status questions do not necessarily prove a lack of relationship with utilization of preventative health care, rather suggests that demographics may influence preventive health care utilization more strongly. A larger sample size comparing additional factors will need to be studied.

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Li, Jun. "The use of child health computing systems in primary preventive care : an evaluation." Thesis, University College London (University of London), 1993. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.274686.

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Condon, Louise Jane. "Understanding preventive community health services for pre-school children : origins, policy and current practice." Thesis, University of Bristol, 2009. http://hdl.handle.net/1983/cf5dd7c3-8fef-492d-b8a4-192e4c6b98e2.

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Community health services for pre-school children have been the major universal health provision for well-children for over a hundred years. Traditionally these services have been largely delivered by health visitors, who are now community nurses with a specialist post-graduate qualification. Preventive health services for children in the UK have been increasingly criticised as insufficiently evidence-based. Criticism has led to reform of national policy and subsequent major changes to existing services, particularly in targeting services to those with the highest health and social needs. The effect of these policy changes upon the service provided for pre-school children by health visitors is not known. This thesis explores the origins and development of children's preventive health services and examines the effect of post-1989 policy changes in practice, in particular the move to a predominately targeted child health promotion programme. The empirical study used a mixed methods approach to investigate changes to local policy and practice. A national survey was made of health visitors' child health promotion practice (n=1043) which was followed by an in-depth interview study (n=25) of health visitors' views on service changes. Study findings illuminate the effect of post-1989 reforms on child health services, showing a diversity of practice across the country, and resistance to key aspects of policy and practice among health visitors. Despite a revised national child health promotion programme being published in April 2008, which addresses some of the areas of concern highlighted by this study, flaws remain which have implications for the successful implementation of this programme. These flaws reflect wider contentious issues in NHS policy-making, related to the distribution of power and resources between different professional groups within the NHS and service users. Failing to explore these issues in policy and practice reduces the ability of preventive health services to maintain and improve pre-school children's health.
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Zhang, Jianzhen (Jenny). "Socioeconomic position and utilisation of preventive health services among adults in the general population." Thesis, Queensland University of Technology, 2007. https://eprints.qut.edu.au/16532/1/Jianzhen_Zhang_Thesis.pdf.

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Background: International research has shown that socioeconomically disadvantaged groups experience significantly higher mortality and morbidity rates than other groups. Both cardiovascular disease (CVD) and diabetes are major contributors to Australia's burden of disease, and individuals from lower socioeconomic groups are more likely to be affected by both, and to have worse prognoses and outcomes. There is substantial research evidence that a range of preventive activities can reduce the morbidity and mortality associated with these conditions. Research in countries with good access to primary health care services has demonstrated that socioeconomically disadvantaged groups tend to have higher levels of medical consultations, but make less use of preventive care and screening services. This fact contributes to their poorer health outcomes, as diagnosis will typically occur later than for more advantaged individuals, thus leading to a poorer prognosis. However, to date, there has been little research on the differential utilisation of preventive health services for CVD and diabetes by different socioeconomic groups in Australia. To understand socioeconomic influences on the use of preventive health services, a comprehensive review of the literature of determinants of health service utilisation was conducted and a number of explanations for this relationship considered. It was proposed that the following factors are likely to be important in this relationship: differences in the perception of the availability of, and accessibility to health care, attitudes and beliefs toward preventive health care, having a regular source of care, perception of interpersonal care from general practitioners, and social support. A number of theoretical models were also reviewed; in particular, the Andersen Behavioural Model of Health Service Research Utilisation. Aims: This doctoral research program has described the relationship between socioeconomic position (SEP) and utilisation of preventive health services in relation to CVD and diabetes. It aims to improve the understanding of the determinants of uptake and utilisation of preventive health services in general practice by different socioeconomic groups in Australia. Methods: The study was conducted in Brisbane Australia, in 2004, using a cross-sectional design and a self-administered mailed survey for data collection. A sample of adults aged 25-64 years was selected randomly from the Brisbane Electoral Roll. A conceptual model incorporating a range of relevant socio-demographic, risk-factor and behavioural variables in the relationship between SEP and GP-based use of preventive health services was used to develop a self-administered questionnaire. The questionnaire was pilot-tested and then reviewed by a panel of international experts. A new self-administered questionnaire, the Health Service Utilisation Questionnaire (HSUQ), was developed. It included 79 items: 12 socio-demographic items; 10 items assessing health status, disease conditions and smoking status; 20 items assessing use of health services; and 37 items assessing the factors that might affect use of health services utilisation. The HSUQ was then mailed to 800 randomly selected survey participants. The survey response rate was 65.6 per cent. After exclusion of those patients with cardiovascular diseases and diabetes, the final sample size was 381, consisting of 155 males and 226 females. Socioeconomic indicators were individual education level and family income. Blood pressure, blood cholesterol and blood glucose check-ups by general practitioners (GPs) were used as the major outcome variables. Nine scales and two dichotomous variables that measure those potential factors were derived following Principal Component Analysis and reliability testing. The data were analysed separately by gender, and adjusted for age and each of the socioeconomic indicators. Statistical description, bivariate analysis and multivariable modelling in SPSS were applied for the data analysis. Results: The survey results were suggestive of socioeconomically disadvantaged people being less likely than more advantaged people to utilise preventive health services for CVD and diabetes. For males, the low socioeconomic groups recorded the least use of preventive health services among the three education and income groups, including blood cholesterol and blood glucose check-ups, while the high socioeconomic group recorded the greatest use of preventive health services. There was no apparent relationship between education level and blood pressure check-up, while individuals from low-income families were less likely to go for a blood pressure check-up. For females, most of the results suggested that the low socioeconomic groups were less likely than the high socioeconomic groups to have blood cholesterol and blood glucose check-ups. However, this was not the case for blood pressure check-ups. The results showed that the low and middle socioeconomic groups were more likely than the high socioeconomic groups to have BP check-ups. However, the low socioeconomic groups were still less likely than the middle socioeconomic groups to have a blood pressure check-up. Overall, there was a similar pattern between education and income and the use of GP-based preventive health services among both males and females. The findings from the examination of the mediating factors between SEP and the GP-based use of preventive health services suggested that socioeconomically disadvantaged adults (both low level of education and low income) are more concerned about transport and travel time to health care, and accessibility to health care in terms of finding a GP who bulk bills, the cost of seeing a GP and having a choice of GP. They are also less likely to have a regular place of care and social support. These potential factors are likely to result in a lesser use of preventive health services than their high-SEP counterparts. In addition, the findings also suggested that respondents with a low level of education have less-positive attitudes towards health care, and that those from low-income families do not have a regular care provider and are less likely to visit their GP for a preventive check-up in relation to CVD and diabetes in Australia. Conclusions: Strategies for reducing socioeconomic health inequalities are partly associated with changing social and economic policies, empowering individuals, strengthening social and family networks, and improving the equity of the health care system. Strategies have been recommended for implementation in general practice that are directed at targeting the needs of disadvantaged groups; for example, providing longer consultation time and actively offering information on preventive care. Implementation of health promotion programs is needed in disadvantaged areas to keep the community informed about the availability of health services and to make health services more accessible. The health care system needs to be geographically accessible through improvements to the transport system. In addition, improving access to a regular source of primary health care is likely to be an important step in encouraging low-SEP individuals to use preventive health services.
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Zhang, Jianzhen (Jenny). "Socioeconomic position and utilisation of preventive health services among adults in the general population." Queensland University of Technology, 2007. http://eprints.qut.edu.au/16532/.

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Background: International research has shown that socioeconomically disadvantaged groups experience significantly higher mortality and morbidity rates than other groups. Both cardiovascular disease (CVD) and diabetes are major contributors to Australia's burden of disease, and individuals from lower socioeconomic groups are more likely to be affected by both, and to have worse prognoses and outcomes. There is substantial research evidence that a range of preventive activities can reduce the morbidity and mortality associated with these conditions. Research in countries with good access to primary health care services has demonstrated that socioeconomically disadvantaged groups tend to have higher levels of medical consultations, but make less use of preventive care and screening services. This fact contributes to their poorer health outcomes, as diagnosis will typically occur later than for more advantaged individuals, thus leading to a poorer prognosis. However, to date, there has been little research on the differential utilisation of preventive health services for CVD and diabetes by different socioeconomic groups in Australia. To understand socioeconomic influences on the use of preventive health services, a comprehensive review of the literature of determinants of health service utilisation was conducted and a number of explanations for this relationship considered. It was proposed that the following factors are likely to be important in this relationship: differences in the perception of the availability of, and accessibility to health care, attitudes and beliefs toward preventive health care, having a regular source of care, perception of interpersonal care from general practitioners, and social support. A number of theoretical models were also reviewed; in particular, the Andersen Behavioural Model of Health Service Research Utilisation. Aims: This doctoral research program has described the relationship between socioeconomic position (SEP) and utilisation of preventive health services in relation to CVD and diabetes. It aims to improve the understanding of the determinants of uptake and utilisation of preventive health services in general practice by different socioeconomic groups in Australia. Methods: The study was conducted in Brisbane Australia, in 2004, using a cross-sectional design and a self-administered mailed survey for data collection. A sample of adults aged 25-64 years was selected randomly from the Brisbane Electoral Roll. A conceptual model incorporating a range of relevant socio-demographic, risk-factor and behavioural variables in the relationship between SEP and GP-based use of preventive health services was used to develop a self-administered questionnaire. The questionnaire was pilot-tested and then reviewed by a panel of international experts. A new self-administered questionnaire, the Health Service Utilisation Questionnaire (HSUQ), was developed. It included 79 items: 12 socio-demographic items; 10 items assessing health status, disease conditions and smoking status; 20 items assessing use of health services; and 37 items assessing the factors that might affect use of health services utilisation. The HSUQ was then mailed to 800 randomly selected survey participants. The survey response rate was 65.6 per cent. After exclusion of those patients with cardiovascular diseases and diabetes, the final sample size was 381, consisting of 155 males and 226 females. Socioeconomic indicators were individual education level and family income. Blood pressure, blood cholesterol and blood glucose check-ups by general practitioners (GPs) were used as the major outcome variables. Nine scales and two dichotomous variables that measure those potential factors were derived following Principal Component Analysis and reliability testing. The data were analysed separately by gender, and adjusted for age and each of the socioeconomic indicators. Statistical description, bivariate analysis and multivariable modelling in SPSS were applied for the data analysis. Results: The survey results were suggestive of socioeconomically disadvantaged people being less likely than more advantaged people to utilise preventive health services for CVD and diabetes. For males, the low socioeconomic groups recorded the least use of preventive health services among the three education and income groups, including blood cholesterol and blood glucose check-ups, while the high socioeconomic group recorded the greatest use of preventive health services. There was no apparent relationship between education level and blood pressure check-up, while individuals from low-income families were less likely to go for a blood pressure check-up. For females, most of the results suggested that the low socioeconomic groups were less likely than the high socioeconomic groups to have blood cholesterol and blood glucose check-ups. However, this was not the case for blood pressure check-ups. The results showed that the low and middle socioeconomic groups were more likely than the high socioeconomic groups to have BP check-ups. However, the low socioeconomic groups were still less likely than the middle socioeconomic groups to have a blood pressure check-up. Overall, there was a similar pattern between education and income and the use of GP-based preventive health services among both males and females. The findings from the examination of the mediating factors between SEP and the GP-based use of preventive health services suggested that socioeconomically disadvantaged adults (both low level of education and low income) are more concerned about transport and travel time to health care, and accessibility to health care in terms of finding a GP who bulk bills, the cost of seeing a GP and having a choice of GP. They are also less likely to have a regular place of care and social support. These potential factors are likely to result in a lesser use of preventive health services than their high-SEP counterparts. In addition, the findings also suggested that respondents with a low level of education have less-positive attitudes towards health care, and that those from low-income families do not have a regular care provider and are less likely to visit their GP for a preventive check-up in relation to CVD and diabetes in Australia. Conclusions: Strategies for reducing socioeconomic health inequalities are partly associated with changing social and economic policies, empowering individuals, strengthening social and family networks, and improving the equity of the health care system. Strategies have been recommended for implementation in general practice that are directed at targeting the needs of disadvantaged groups; for example, providing longer consultation time and actively offering information on preventive care. Implementation of health promotion programs is needed in disadvantaged areas to keep the community informed about the availability of health services and to make health services more accessible. The health care system needs to be geographically accessible through improvements to the transport system. In addition, improving access to a regular source of primary health care is likely to be an important step in encouraging low-SEP individuals to use preventive health services.
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Books on the topic "Preventive health services Victoria"

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Preventive health services for adolescents. Springfield, Ill., U.S.A: Thomas, 1989.

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Centers for Medicare & Medicaid Services (U.S.). Staying healthy: Medicare's preventive services. [Baltimore, Maryland?]: Centers for Medicare & Medicaid Services, 2004.

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Guide to clinical preventive services: Report of the U.S. Preventive Services Task Force. 2nd ed. Alexandria, Va: International Medical Pub., 1996.

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Guide to clinical preventive services: Report of the U.S. Preventive Services Task Force. 2nd ed. Baltimore: Williams & Wilkins, 1996.

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U.S. Preventive Services Task Force. Guide to clinical preventive services: Report of the U.S. Preventive Services Task Force. Baltimore: Williams & Wilkins, 1989.

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United States. Office of Disease Prevention and Health Promotion., ed. Guide to clinical preventive services: Report of the U.S. Preventive Services Task Force. 2nd ed. [Washington, DC]: U.S. Dept. of Health and Human Services, Office of Public Health and Science, Office of Disease Prevention and Health Promotion, 1996.

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U.S. Preventive Services Task Force. The guide to clinical preventive services: Recommendations of the U.S. Preventive Services Tack Force. [Washington, D.C.]: Agency for Healthcare Research and Quality, 2006.

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Jackson, Ray. Issues in preventive health care. Ottawa, Ont: Science Council of Canada, 1985.

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Jackson, Ray W. Issues in preventive health care. Ottawa: Science Council of Canada, 1985.

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Keeping children safe: The Government's response to the "Victoria Climbié Inquiry report" and Joint Chief Inspectors' Report "Safeguarding children" : Presented to Parliament by the Secretary of State for Health, the Secretary of State for the Home Department and the Secretary of State for Education and Skills by Command of Her Majesty, September 2003. London: TSO, 2003.

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Book chapters on the topic "Preventive health services Victoria"

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Macklem, Gayle L. "Providing Preventive Services in Schools." In Preventive Mental Health at School, 1–18. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4614-8609-1_1.

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Jimbo, Masahito. "Providing Preventive Services to Men: A Substantial Challenge?" In Men's Health in Primary Care, 45–55. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-26091-4_4.

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Bar-Yam, Yaneer, Dion Harmon, Keith Nesbitt, May Lim, Suzanne Smith, and Bradley A. Perkins. "Opportunities in Delivery of Preventive Services in Retail Settings." In Handbook of Systems and Complexity in Health, 879–87. New York, NY: Springer New York, 2012. http://dx.doi.org/10.1007/978-1-4614-4998-0_49.

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Hornblow, Andrew R. "Preventive and Promotional Goals of Community Mental Health Services." In Epidemiology and Community Psychiatry, 331–36. Boston, MA: Springer US, 1985. http://dx.doi.org/10.1007/978-1-4684-4700-2_48.

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Hennequin, Christine. "Charting and Documenting Spiritual Care in Health Services: Victoria, Australia." In Charting Spiritual Care, 79–95. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-47070-8_5.

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Namer, Yudit, and Oliver Razum. "Access to Primary Care and Preventive Health Services of LGBTQ+ Migrants, Refugees, and Asylum Seekers." In SpringerBriefs in Public Health, 43–55. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-73630-3_5.

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Mønsted, Troels. "A Matter of Distance? A Qualitative Study of Data-Driven Early Lifestyle Assessment in Preventive Healthcare." In Quantifying Quality of Life, 467–81. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-94212-0_19.

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AbstractAn essential objective of preventive healthcare is to assess the lifestyle of citizens and identify those with health risk behaviors long time before they develop a lifestyle-related disease. In spite of lasting attempts to support preventive healthcare services in reaching individuals at risk through information campaigns, systematic health check programs, and more recently, data-driven approaches, citizens remain at a distance to the preventive healthcare services. The purpose of this chapter is to investigate the reasons for this distance between citizens and preventive care offers and the potential of quantified-self technologies for decreasing this. The analysis shows that while data-driven approaches to lifestyle assessment do assist preventive care services in screening a large population, they do not solve the fundamental challenge; that citizens are often challenged in relating to the risk assessment and in the consequences of their current behaviors on a long timescale. Based on these findings, two design implications are elicited to guide design of systems based on quantified-self to support early assessment and improvement of potentially unhealthy lifestyle, potentially improving health and quality of life in the long term.
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Antonucci, Gianluca, Marco Berardi, and Andrea Ziruolo. "Not just Targets: Human Prospects in Health Services for All—Insights from an Italian Case Study on Covid-19 Vaccination and Preventive Services." In Human-Centered Service Design for Healthcare Transformation, 353–73. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-20168-4_20.

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Whalen, Christian. "Article 24: The Right to Health." In Monitoring State Compliance with the UN Convention on the Rights of the Child, 205–16. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-84647-3_22.

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AbstractArticle 24 reflects the perspective of the drafters that the right to health cannot be understood in narrow bio-medical terms or limited to the delivery of health services. Rather, in its reference, for example, to food, water, sanitation, and environmental dangers, it recognises the wider social and economic factors that influence and impact on the child’s state of health. Thus, the text of Article 24 sets out: a broad right to health for all children combined with a right of access to health services a priority focus on measures to address infant and child mortality, the provision of primary health care, nutritious food and clean drinking water, pre-natal and post-natal care, and preventive health care, including family planning the need for effective measures to abolish traditional practices harmful to children’s health a specific obligation on States Parties to cooperate internationally towards the realisation of the child’s right to health everywhere, having particular regard to the needs of developing countries. The right to health is a prime example of the interelatedness of child rights as it is contingent upon and informed by the realization of so many other rights guaranteed to children under the convention. This chapter analyses the child’s right to health in relation to four essential attributes. The first attribute of the child’s right to the highest attainable standard of health emphasizes what an exacting standard this human rights norm contains. Taking a social determinants of health perspective the right entails not just access to health services but programmatic supports in sanitation, transportation, education and other fields to guarantee the enjoyment of health. The second attribute focuses on the Basic minimum criteria of the right to health as reflected in Article 24(2). A third attribute is the insistence upon child health accountability mechanisms using the Availability, Accessibility, Acceptability and Quality Accountability Framework. Finally, given the wide discrepancies in enjoyment of children’s right to health across the globe, a fourth attribute focuses upon international cooperation to ensure equal access to the right to health.
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Maki, Hussein AwadElkarim Hussein. "General Oncology Care in Sudan." In Cancer in the Arab World, 251–64. Singapore: Springer Singapore, 2022. http://dx.doi.org/10.1007/978-981-16-7945-2_16.

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AbstractThe Sudanese healthcare system has two main branches to solve the country’s health problems, preventive medicine and therapeutic medicine. In other words, it mainly works with communicable and non-communicable diseases and the services are divided into primary level (for the primary health centers), secondary level (general hospitals), and tertiary level (specialized centers such as oncology and neurosurgery). However, the main factors that are drawbacks to the healthcare system are overall economic instability, low health expenditure, and civil wars. Data about cancer in Sudan is scarce. There is a lack of prospective whole country studies about cancer in Sudan. The instability of the population, inadequate trained personnel, and the inefficient cancer registry system contributed to the lack of accurate figures about the true incidence of cancer in Sudan. Therefore, the frequency ratios of tumors are mostly represented in different publications. Cancer in Sudanese patients is usually present lately or in advanced stages and many cases are reported at younger ages. Cancer treatment centers in Sudan are few with inadequate resources for the variety of treatment methods. While huge efforts are being made to improve cancer medical care in the country, there are still many obstacles that need to be solved to ensure that cancer patients have a high standard of services in both public and private sectors. There are limited early detection and screening programs, especially in rural areas. More diagnostic and treatment centers are now being established in many cities in Sudan. This chapter addresses the general view of the cancer situation in Sudan, reviewing the different aspects of the cancer burden and different associated conditions related to oncology.
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Conference papers on the topic "Preventive health services Victoria"

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Andrew, E., R. Roggenkamp, Z. Nehme, S. Cox, and K. Smith. "5 Mental health-related presentations to emergency medical services in victoria, australia." In Meeting abstracts from the second European Emergency Medical Services Congress (EMS2017). British Medical Journal Publishing Group, 2017. http://dx.doi.org/10.1136/bmjopen-2017-emsabstracts.5.

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Gokhale, Swapna S. "Comparing the Impact of Unhealthy Behaviors and Preventive Services on Chronic Health Outcomes." In 2020 IEEE/ACM International Conference on Advances in Social Networks Analysis and Mining (ASONAM). IEEE, 2020. http://dx.doi.org/10.1109/asonam49781.2020.9381443.

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Peters, Charlotte, Marieke Bijen, Nicole Dukers-Muijrers, Christian Hoebe, and Fraukje Mevissen. "O13.5 Reaching home-based female sex workers with preventive sexual health care services in The Netherlands." In Abstracts for the STI & HIV World Congress (Joint Meeting of the 23rd ISSTDR and 20th IUSTI), July 14–17, 2019, Vancouver, Canada. BMJ Publishing Group Ltd, 2019. http://dx.doi.org/10.1136/sextrans-2019-sti.180.

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Huo, Xingyue, and Joseph Finkelstein. "Abstract PO-195: Factors affecting disparities in delivery of preventive services to cancer survivors." In Abstracts: AACR Virtual Conference: Thirteenth AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; October 2-4, 2020. American Association for Cancer Research, 2020. http://dx.doi.org/10.1158/1538-7755.disp20-po-195.

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Khan, Arshia A., Michael Reuter, Nam Phung, and Syed S. Hafeez. "Wireless solution to prevent decubitus ulcers: Preventive weight shifting guide, monitor, and tracker app for wheel chair users with spinal cord injuries (phase II)." In 2016 IEEE 18th International Conference on e-Health Networking, Applications and Services (Healthcom). IEEE, 2016. http://dx.doi.org/10.1109/healthcom.2016.7749500.

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Kumar, Anil, and Younus Sheikh. "An Assessment of Health Hazards in Valves for Gaseous Oxygen Service: Sources and Preventive Measures." In ASME 2018 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2018. http://dx.doi.org/10.1115/imece2018-86018.

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Oxygen content in air is approximately 21% by volume. With many industrial uses, mainly in the manufacture of steel and chemicals, for metal cutting, welding ,hardening & scarfing, it is being transported as a non-liquefied gas at pressures of 138 bar (13800000 Pa) or above, also as a cryogenic fluid at pressures and temperatures below 13.8bar (1380000 Pa) & −146.5°C (126.65K). Commonly we found air separation plants produce ultra-pure oxygen (> 99.9% purity) via liquefaction of atmospheric air and separation of the oxygen by fractionation and thereby transported to the needy areas via pipelines. The research efforts directed towards technical assessment to establish the correlations between valve construction and turbulence and solving the complications in the transported ultra-pure oxygen gas in the pipelines and through mounted valves. Hence, it is necessary to study the performance, complexities and fire hazards associated with the valves transporting it and the preventive measures to avoid any catastrophic failure in ultra-pure gaseous oxygen services. The study was conducted on two isolation valves — each of ball and globe of relative size. It was realized that velocities of the ultrapure gaseous oxygen on the impingement sites inside the valve are beyond the safe limit as recommended by European Industrial Gas Association (EIGA) [4] and various other prominent industrial gas manufacturers. Moreover, globe valve gave relatively less turbulence and velocity at initial opening of the valve. The study revealed that majority of health hazards & accidents on industrial usage of ultra-pure gaseous oxygen media are the result of the inadequate awareness of the degreasing or cleaning and optimum material selection and construction of the valve and fittings on the industrial pipeline.
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Rahman, Saleh M. M., Cynthia M. Harris, Miaisha Mitchell, and Karam F. A. Soliman. "Abstract A29: Community and academic partnership to prevent breast cancer: Experience from the Community Outreach and Preventive Services Core of a P20 Center." In Abstracts: Sixth AACR Conference: The Science of Cancer Health Disparities; December 6–9, 2013; Atlanta, GA. American Association for Cancer Research, 2014. http://dx.doi.org/10.1158/1538-7755.disp13-a29.

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Percy-Laurry, Antoinette, Richard Berzon, Jennifer Croswell, Carrie Klabunde, Melissa Green Parker, LeShawndra Price, Pamela Thornton, Kate Winseck, and Xinzhi Zhang. "Abstract PO-262: Achieving health equity in cancer preventive services: NIH Workshop insights on barriers and the effectiveness of evidence-based interventions and strategies." In Abstracts: AACR Virtual Conference: Thirteenth AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; October 2-4, 2020. American Association for Cancer Research, 2020. http://dx.doi.org/10.1158/1538-7755.disp20-po-262.

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Jeannin, Antoine, Rodrigo Vieira Camara de Castro, Jonathan Peter, and Sebastien de Tessieres. "Enhanced Use of Digital Solutions to Enable New Health Care Services on Calm Buoys." In Offshore Technology Conference. OTC, 2021. http://dx.doi.org/10.4043/31126-ms.

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Summary Offshore fields present a growing need to guarantee safety and productivity while minimizing operational costs and increasing remote assistance. Brownfields are more exposed to risks due to the presence of aged assets requiring in depth inspections to assess potential life extensions. This challenge was tackled with a comprehensive approach to asset integrity management based on the enhanced use of digital solutions to enable new health care services on offshore assets, like CALM Buoys. In line with the recent Oil & Gas industry trends, new digital technologies have been recently developed and deployed on board our fleet of CALM (Catenary Anchor Leg Mooring) Buoys, such as the 3C Telemetry system, Inspection Tablets, the IDEA Web Portal and the Marine Drone. All these new digital solutions will be presented in the proposed paper concerning their technical capabilities and the overall integrity performance improvements achieved with their enhanced use on offshore assets. The 3C Telemetry system converts and upgrades CALM Buoys into smart, internet-friendly offloading terminals, connecting the system to Cloud services and ensuring secured data transmission, treatment, storage, and privacy, while delivering reliable accurate information to operators anywhere in the world. Inspection tablets are used to optimize health check campaigns on Buoys with a real-time and remote back office engineering support. These systems can also be connected to the IDEA (Imodco Digital Experience Access) Web Portal to allow online data visualization and analysis of the mooring systems performance. "The Marine Drone is an unmanned survey vehicle to perform diverless UWILD (Underwater Inspection in Lieu of Dry-docking). The system can perform in depth visual inspections with its ROV (Remotely Operated Vehicle) and high-resolution subsea layout mapping of CALM buoys’ structures with its 3D bathymetry system, all providing high quality digital data post processed by advanced analytical tools for integrity analysis and preventive maintenance planning" (Castro, R., et al. 2020). Data management has become the most valuable asset for companies seeking to have a better understanding and to continuously improve operations. This paper will demonstrate how Buoys and passive (process wise) equipment, like Turrets, can be operated in new ways: 1. Connected Asset (IoT): 3C Telemetry, Tablets, and the Marine Drone. 2. Platform to share/connect data to algorithms/users: IDEA System. 3. New operating business models enabled by health care approach.
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Jayasekera, Jinani, and Eberechukwu Onukwugha. "Abstract B80: Racial differences in prostate cancer screening practices in U.S. ambulatory care settings prior to and following U.S. Preventive Services Task Force recommendations in 2008." In Abstracts: Sixth AACR Conference: The Science of Cancer Health Disparities; December 6–9, 2013; Atlanta, GA. American Association for Cancer Research, 2014. http://dx.doi.org/10.1158/1538-7755.disp13-b80.

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Reports on the topic "Preventive health services Victoria"

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Nelson, Heidi D., Amy Cantor, Jesse Wagner, Rebecca Jungbauer, Ana Quiñones, Rongwei Fu, Lucy Stillman, and Karli Kondo. Achieving Health Equity in Preventive Services. Agency for Healthcare Research and Quality (AHRQ), December 2019. http://dx.doi.org/10.23970/ahrqepccer222.

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Cantor, Amy, Heidi D. Nelson, Miranda Pappas, Chandler Atchison, Brigit Hatch, Nathalie Huguet, Brittny Flynn, and Marian McDonagh. Effectiveness of Telehealth for Women’s Preventive Services. Agency for Healthcare Research and Quality (AHRQ), June 2022. http://dx.doi.org/10.23970/ahrqepccer256.

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Objectives. To evaluate the effectiveness, use, and implementation of telehealth for women’s preventive services for reproductive healthcare and interpersonal violence (IPV), and to evaluate patient preferences and engagement for telehealth, particularly in the context of the coronavirus (COVID-19) pandemic. Data sources. Ovid MEDLINE®, CINAHL®, Embase®, and Cochrane CENTRAL databases (July 1, 2016, to March 4, 2022); manual review of reference lists; suggestions from stakeholders; and responses to a Federal Register Notice. Review methods. Eligible abstracts and full-text articles of telehealth interventions were independently dual reviewed for inclusion using predefined criteria. Dual review was used for data abstraction, study-level risk of bias assessment, and strength of evidence (SOE) rating using established methods. Meta-analysis was not conducted due to heterogeneity of studies and limited available data. Results. Searches identified 5,704 unique records. Eight randomized controlled trials, one nonrandomized trial, and seven observational studies, involving 10,731 participants, met inclusion criteria. Of these, nine evaluated IPV services and seven evaluated contraceptive care, the only reproductive health service studied. Risk of bias was low in one study, moderate in nine trials and five observational studies, and high in one study. Telehealth interventions were intended to replace usual care in 14 studies and supplement care in 2 studies. Delivery modes included telephone (5 studies), online modules (5 studies), and mobile applications (1 study), and was unclear or undefined in five studies. There were no differences between telehealth interventions to supplement contraceptive care and comparators for rates of contraceptive use, sexually transmitted infection, and pregnancy (low SOE); evidence was insufficient for abortion rates. There were no differences between telehealth IPV services versus comparators for outcomes measuring repeat IPV, depression, post-traumatic stress disorder, fear of partner, coercive control, self-efficacy, and safety behaviors (low SOE). The COVID-19 pandemic increased telehealth utilization. Barriers to telehealth interventions included limited internet access and digital literacy among English-speaking IPV survivors, and technical challenges and confidentiality concerns for contraceptive care. Telehealth use was facilitated by strategies to ensure safety of individuals who receive IPV services. Evidence was insufficient to evaluate access, health equity, or harms outcomes. Conclusions. Limited evidence suggests that telehealth interventions for contraceptive care and IPV services result in equivalent clinical and patient-reported outcomes as in-person care. Uncertainty remains regarding the most effective approaches for delivering these services, and how to best mobilize telehealth, particularly for women facing barriers to healthcare.
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Mahoney, Linda. The utilization of preventive health care services by low income members of a comprehensive prepaid health plan : the impact of outreach services. Portland State University Library, January 2000. http://dx.doi.org/10.15760/etd.1777.

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Smit, Amelia, Kate Dunlop, Nehal Singh, Diona Damian, Kylie Vuong, and Anne Cust. Primary prevention of skin cancer in primary care settings. The Sax Institute, August 2022. http://dx.doi.org/10.57022/qpsm1481.

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Overview Skin cancer prevention is a component of the new Cancer Plan 2022–27, which guides the work of the Cancer Institute NSW. To lessen the impact of skin cancer on the community, the Cancer Institute NSW works closely with the NSW Skin Cancer Prevention Advisory Committee, comprising governmental and non-governmental organisation representatives, to develop and implement the NSW Skin Cancer Prevention Strategy. Primary Health Networks and primary care providers are seen as important stakeholders in this work. To guide improvements in skin cancer prevention and inform the development of the next NSW Skin Cancer Prevention Strategy, an up-to-date review of the evidence on the effectiveness and feasibility of skin cancer prevention activities in primary care is required. A research team led by the Daffodil Centre, a joint venture between the University of Sydney and Cancer Council NSW, was contracted to undertake an Evidence Check review to address the questions below. Evidence Check questions This Evidence Check aimed to address the following questions: Question 1: What skin cancer primary prevention activities can be effectively administered in primary care settings? As part of this, identify the key components of such messages, strategies, programs or initiatives that have been effectively implemented and their feasibility in the NSW/Australian context. Question 2: What are the main barriers and enablers for primary care providers in delivering skin cancer primary prevention activities within their setting? Summary of methods The research team conducted a detailed analysis of the published and grey literature, based on a comprehensive search. We developed the search strategy in consultation with a medical librarian at the University of Sydney and the Cancer Institute NSW team, and implemented it across the databases Embase, MEDLINE, PsycInfo, Scopus, Cochrane Central and CINAHL. Results were exported and uploaded to Covidence for screening and further selection. The search strategy was designed according to the SPIDER tool for Qualitative and Mixed-Methods Evidence Synthesis, which is a systematic strategy for searching qualitative and mixed-methods research studies. The SPIDER tool facilitates rigour in research by defining key elements of non-quantitative research questions. We included peer-reviewed and grey literature that included skin cancer primary prevention strategies/ interventions/ techniques/ programs within primary care settings, e.g. involving general practitioners and primary care nurses. The literature was limited to publications since 2014, and for studies or programs conducted in Australia, the UK, New Zealand, Canada, Ireland, Western Europe and Scandinavia. We also included relevant systematic reviews and evidence syntheses based on a range of international evidence where also relevant to the Australian context. To address Question 1, about the effectiveness of skin cancer prevention activities in primary care settings, we summarised findings from the Evidence Check according to different skin cancer prevention activities. To address Question 2, about the barriers and enablers of skin cancer prevention activities in primary care settings, we summarised findings according to the Consolidated Framework for Implementation Research (CFIR). The CFIR is a framework for identifying important implementation considerations for novel interventions in healthcare settings and provides a practical guide for systematically assessing potential barriers and facilitators in preparation for implementing a new activity or program. We assessed study quality using the National Health and Medical Research Council (NHMRC) levels of evidence. Key findings We identified 25 peer-reviewed journal articles that met the eligibility criteria and we included these in the Evidence Check. Eight of the studies were conducted in Australia, six in the UK, and the others elsewhere (mainly other European countries). In addition, the grey literature search identified four relevant guidelines, 12 education/training resources, two Cancer Care pathways, two position statements, three reports and five other resources that we included in the Evidence Check. Question 1 (related to effectiveness) We categorised the studies into different types of skin cancer prevention activities: behavioural counselling (n=3); risk assessment and delivering risk-tailored information (n=10); new technologies for early detection and accompanying prevention advice (n=4); and education and training programs for general practitioners (GPs) and primary care nurses regarding skin cancer prevention (n=3). There was good evidence that behavioural counselling interventions can result in a small improvement in sun protection behaviours among adults with fair skin types (defined as ivory or pale skin, light hair and eye colour, freckles, or those who sunburn easily), which would include the majority of Australians. It was found that clinicians play an important role in counselling patients about sun-protective behaviours, and recommended tailoring messages to the age and demographics of target groups (e.g. high-risk groups) to have maximal influence on behaviours. Several web-based melanoma risk prediction tools are now available in Australia, mainly designed for health professionals to identify patients’ risk of a new or subsequent primary melanoma and guide discussions with patients about primary prevention and early detection. Intervention studies have demonstrated that use of these melanoma risk prediction tools is feasible and acceptable to participants in primary care settings, and there is some evidence, including from Australian studies, that using these risk prediction tools to tailor primary prevention and early detection messages can improve sun-related behaviours. Some studies examined novel technologies, such as apps, to support early detection through skin examinations, including a very limited focus on the provision of preventive advice. These novel technologies are still largely in the research domain rather than recommended for routine use but provide a potential future opportunity to incorporate more primary prevention tailored advice. There are a number of online short courses available for primary healthcare professionals specifically focusing on skin cancer prevention. Most education and training programs for GPs and primary care nurses in the field of skin cancer focus on treatment and early detection, though some programs have specifically incorporated primary prevention education and training. A notable example is the Dermoscopy for Victorian General Practice Program, in which 93% of participating GPs reported that they had increased preventive information provided to high-risk patients and during skin examinations. Question 2 (related to barriers and enablers) Key enablers of performing skin cancer prevention activities in primary care settings included: • Easy access and availability of guidelines and point-of-care tools and resources • A fit with existing workflows and systems, so there is minimal disruption to flow of care • Easy-to-understand patient information • Using the waiting room for collection of risk assessment information on an electronic device such as an iPad/tablet where possible • Pairing with early detection activities • Sharing of successful programs across jurisdictions. Key barriers to performing skin cancer prevention activities in primary care settings included: • Unclear requirements and lack of confidence (self-efficacy) about prevention counselling • Limited availability of GP services especially in regional and remote areas • Competing demands, low priority, lack of time • Lack of incentives.
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Frost, Jennifer J., Jennifer Mueller, and Zoe H. Pleasure. Trends and Differentials in Receipt of Sexual and Reproductive Health Services in the United States: Services Received and Sources of Care, 2006–2019. Guttmacher Institute, June 2021. http://dx.doi.org/10.1363/2021.33017.

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Key Points Seven in 10 U.S. women of reproductive age, some 44 million women, make at least one medical visit to obtain sexual and reproductive health (SRH) services each year. While the overall number of women receiving any SRH service remained relatively stable between 2006–2010 and 2015–2019, the number of women receiving preventive gynecologic care fell and the number receiving STI testing doubled. Disparities in use of SRH services persist, as Hispanic women are significantly less likely than non-Hispanic White women to receive SRH services, and uninsured women are significantly less likely to receive services than privately insured women. Publicly funded clinics remain critical sources of SRH care for many women, with younger women, lower income women, women of color, foreign-born women, women with Medicaid coverage and women who are uninsured especially likely to rely on publicly funded clinics. Among women who go to clinics for SRH care, two-thirds report that the clinic is their usual source for medical care. Among those relying on both private providers and public clinics, the proportion of women who reported receiving a combination of contraceptive and STI/HIV care increased between 2006–2010 and 2015–2019. Implementation of the Affordable Care Act has likely contributed to some of the changes observed in where women receive contraceptive and other SRH services and how they pay for that care: The share of women receiving contraceptive services who go to private providers rose from 69% to 77% between 2006–2010 and 2015–2019, in part because more women gained private or public health insurance coverage and there was a greater likelihood that their health insurance would cover SRH services. There was a complementary drop in the share of women receiving contraceptive services who went to a publicly funded clinic, from 27% in 2006–2010 to 18% in 2015–2019. For non-Hispanic Black women, immigrant women and uninsured women, there was no increase in the use of private providers for contraceptive care from 2006–2010 to 2015–2019. Among women served at publicly funded clinics between 2006–2010 and 2015–2019, there were significant increases in the use of both public and private insurance to pay for their care.
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Jigjidsuren, Altantuya, Bayar Oyun, and Najibullah Habib. Supporting Primary Health Care in Mongolia: Experiences, Lessons Learned, and Future Directions. Asian Development Bank, January 2021. http://dx.doi.org/10.22617/wps210020-2.

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ince the early 1990s, the Asian Development Bank (ADB) has broadly supported health sector reforms in Mongolia. This paper describes primary health care (PHC) in Mongolia and ADB support in its reform. It highlights results achieved and the lessons drawn that could be useful for future programs in Mongolia and other countries. PHC reform in Mongolia aimed at facilitating a shift from hospital-based curative services toward preventive approaches. It included introducing new management models based on public–private partnerships, increasing the range of services, applying more effective financing methods, building human resources, and creating better infrastructure. The paper outlines remaining challenges and future directions for ADB support to PHC reform in the country.
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Bastías, Gabriel, and Gabriel Rada. Does contracting out services improve access to care in low- and middle-income countries? SUPPORT, 2016. http://dx.doi.org/10.30846/1610092.

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Contracting out of health services is a formal contractual relationship between the government and a non state provider to provide a range of clinical or preventive services to a specified population. A contract document usually specifies the type, quantity and period of time during wich the services will be provided on behalf of the government. Contracting in is the contracting of external management to run public services, which is another particular type of contracting.
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Ciapponi, Agustín. Does group antenatal care improve outcomes for women and their babies? SUPPORT, 2016. http://dx.doi.org/10.30846/161015.

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Antenatal care is one of the key preventive health services used around the world, usually involving one-to-one visits with a care provider (midwife, obstetrician or general practitioner). Group antenatal care is a potentially useful alternative strategy.
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Wallace, Ina F. Universal Screening of Young Children for Developmental Disorders: Unpacking the Controversies. RTI Press, February 2018. http://dx.doi.org/10.3768/rtipress.2018.op.0048.1802.

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In the past decade, American and Canadian pediatric societies have recommended that pediatric care clinicians follow a schedule of routine surveillance and screening for young children to detect conditions such as developmental delay, speech and language delays and disorders, and autism spectrum disorder. The goal of these recommendations is to ensure that children with these developmental issues receive appropriate referrals for evaluation and intervention. However, in 2015 and 2016, the US Preventive Services Task Force (USPSTF) and the Canadian Task Force on Preventive Health Care issued recommendations that did not support universal screening for these conditions. This occasional paper is designed to help make sense of the discrepancy between Task Force recommendations and those of the pediatric community in light of research and practice. To clarify the issues, this paper reviews the distinction between screening and surveillance; the benefits of screening and early identification; how the USPSTF makes its recommendations; and what the implications of not supporting screening are for research, clinical practice, and families.
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Rojas Smith, Lucia, Megan L. Clayton, Carol Woodell, and Carol Mansfield. The Role of Patient Navigators in Improving Caregiver Management of Childhood Asthma. RTI Press, April 2017. http://dx.doi.org/10.3768/rtipress.2017.rr.0030.1704.

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Childhood asthma is a significant public health problem in the United States. Barriers to effective asthma management in children include the need for caregivers to identify and manage diverse environmental triggers and promote appropriate use of preventive asthma medications. Although health care providers may introduce asthma treatments and care plans, many providers lack the time and capacity to educate caregivers about asthma in an ongoing, sustained manner. To help address these complexities of asthma care, many providers and caregivers rely on patient navigators (defined as persons who provide patients with a particular set of services and who address barriers to care) (Dohan & Schrag, 2005). Despite growing interest in their value for chronic disease management, researchers and providers know little about how or what benefits patient navigators can provide to caregivers in managing asthma in children. To explore this issue, we conducted a mixed-method evaluation involving focus groups and a survey with caregivers of children with moderate-to-severe asthma who were enrolled in the Merck Childhood Asthma Network Initiative (MCAN). Findings suggest that patient navigators may support children’s asthma management by providing individualized treatment plans and hands-on practice, improving caregivers’ understanding of environmental triggers and their mitigation, and giving clear, accessible instructions for proper medication management. Study results may help to clarify and further develop the role of patient navigators for the effective management of asthma in children.
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