Gotowe bibliografie tematyczne / Primary health care services

Gotowa bibliografia na temat „Primary health care services”

Autor: Grafiati
Data publikacji: 4 czerwca 2021
Data aktualizacji: 31 stycznia 2023

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Artykuły w czasopismach na temat "Primary health care services"

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CHMIEL, Magda. "QUALITY ATTRIBUTES OF PRIMARY HEALTH CARE SERVICES". Scientific Papers of Silesian University of Technology. Organization and Management Series 2019, nr 134 (2019): 7–16. http://dx.doi.org/10.29119/1641-3466.2018.134.1.

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Nikcy N M, Nikcy N. M., i Jenifer D’Souza. "Client satisfaction with Primary Health Care services". International Journal of Scientific Research 3, nr 6 (1.06.2012): 382–83. http://dx.doi.org/10.15373/22778179/june2014/128.

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Vespestad, May-Kristin, i Anne Clancy. "Service dominant logic and primary care services". International Journal of Quality and Service Sciences 11, nr 1 (18.03.2019): 127–40. http://dx.doi.org/10.1108/ijqss-02-2018-0012.

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Purpose The purpose of this study is to explore perceptions of successful collaboration by a group of professionals in primary health care, using service-dominant logic (SDL) as a theoretical framework. Design/methodology/approach This study carries out secondary analysis of the results from a Norwegian national survey on collaboration amongst professionals in primary health care services. Findings Findings illustrate that SDL can provide a theoretical framework for understanding health and social care services. The study provides evidence for the relevance of the theory at micro level. Viewing primary care through the lens of SDL enables an understanding of the applicability of market principles to health and social care. The study illustrates the relevance of the following principles: services are the fundamental basis of exchange; indirect exchange can mask the fundamental basis of exchange. Operant resources are the fundamental source of strategic benefit; actors cannot deliver value but can participate in the creation and offering of value propositions. Social implications Awareness of the use of SDL in health care services can be positive for service provision and it could be incorporated as a supplementary perspective in educational programs for health care professionals. Originality/value Applying principles from SDL as a theoretical framework for primary care services challenges the conventional understanding of marketing in health services. This paper responds to the need for a more in-depth understanding of how SDL can help health care professionals recognize their role as participants in providing seamless health care at micro level.
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Kim, Young Sik. "Reorienting health services: Health promotion services in primary care". Korean Journal of Health Education and Promotion 32, nr 4 (1.10.2015): 59–65. http://dx.doi.org/10.14367/kjhep.2015.32.4.59.

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Diers, Donna. "Mental Health Services in Primary Care". Nurse Practitioner 11, nr 11 (listopad 1986): 8. http://dx.doi.org/10.1097/00006205-198611000-00002.

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Gage, Lois W., i Nancy W. Kline. "Mental Health Services in Primary Care". Nurse Practitioner 11, nr 12 (grudzień 1986): 10???14. http://dx.doi.org/10.1097/00006205-198612000-00002.

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Skuse, David. "Mental health services in primary care". International Psychiatry 7, nr 1 (styczeń 2010): 3. http://dx.doi.org/10.1192/s1749367600000886.

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In the UK, only 13% of people with long-term mental health problems are in employment, compared with 35% generally of people with a disability (Royal College of General Practitioners, 2005). Nearly 2.6 million individuals receive incapacity benefit and/or severe disability allowance and, of these, close to 1 million are claiming incapacity benefit due to mental ill health. The management of this enormous number of people – providing support to them and helping them get back into employment – is an issue that cannot be addressed adequately by our specialist mental health services. Accordingly, other models of service delivery need to be considered. The three thematic papers in this issue look at this issue from the perspective of three highly contrasting societies.
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Weitzel, Rolf. "Library services for primary health care". Social Science & Medicine 32, nr 1 (styczeń 1991): 51–57. http://dx.doi.org/10.1016/0277-9536(91)90126-w.

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Rudd, Cobie. "Primary Health Care in Queensland". Australian Journal of Primary Health 1, nr 1 (1995): 17. http://dx.doi.org/10.1071/py95004.

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In 1993, the Queensland government responded to the challenges facing the Queensland health system when it released the Queensland Primary Health Care Policy. In the Policy, the public sector involvement in health system reform is outlined, and the vital role played by the non-government and private sectors are supported. The direction for the future delivery of health services clearly entails meeting the needs of local populations through an emphasis on community participation and development, intersectoral collaboration and co-ordination of health services. The Policy supports an improved balance between tertiary, high cost institutional care and community-based primary health care. The development and extension of community health services is recognised in the Plan as an important strategy in achieving a more balanced health system.
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Gunatilake, Sarath, T. E. J. De Fonseka i D. N. Fernando. "Integrating occupational health services with primary health care". Möbius: A Journal for Continuing Education Professionals in Health Sciences 5, nr 3 (lipiec 1985): 33–36. http://dx.doi.org/10.1002/chp.4760050309.

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Rozprawy doktorskie na temat "Primary health care services"

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Iveson, Claire. "From primary care to mental health services:". Thesis, University of Liverpool, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.490634.

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Filipe, Luís Alexandre Coelho. "Estimating demand for primary health care services". Master's thesis, NSBE - UNL, 2012. http://hdl.handle.net/10362/9543.

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A Work Project, presented as part of the requirements for the Award of a Masters Degree in Economics from the NOVA – School of Business and Economics
Primary health services exist with the purpose of providing basic health care to every person at a cost they can afford. But is it fully available to everyone? The objective of this work project is to estimate the demand for primary health care services having into account that in some regions the citizens are not using as much health care as they would like due to supply side constraints. Using the number of consultations as proxy for demand, and applying an econometric tool called switching regression, the demand for primary health care services will be estimated.
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Poulton, Brenda Christine. "Effective multidisciplinary teamwork in primary health care". Thesis, University of Sheffield, 1995. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.339905.

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Jones, Roger Hugh. "Self care and primary care of dyspepsia". Thesis, University of Southampton, 1990. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.241615.

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Dunkley-Hickin, Catherine. "Effects of primary care reform in Quebec on access to primary health care services". Thesis, McGill University, 2014. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=123121.

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Primary health care reform has become an area of priority in health policy with a strong importance placed on interdisciplinary teams of health care professionals. Quebec's model, the groupes de médicine de famille (GMFs), were introduced late in 2002 emphasizing team-centered approaches to service delivery and aiming to improve access to primary health care, especially to improve after-hours access and to increase the number of Quebecers with a family doctor.A decade after their implementation, I investigated the impact of GMFs on various measures of access to primary health care and perceived remaining barriers. I emphasize potential access – i.e. measures that capture whether an individual has the ability to access needed health care including having a regular medical doctor.I used data from seven waves of the Canadian Community Health Survey to capture reported access to primary care and barriers to access. GMFs emerged at different rates in different health regions across Quebec allowing the construction of a GMF 'participation' measure using the share of primary care physicians practicing in GMFs in each health region and year. I employed a modified difference-in-difference analysis design that uses multivariate regression analysis to control for time trends in the outcomes, time-invariant differences between regions and individual-level covariates in an attempt to estimate the causal impact of GMF implementation on access to primary health care.I verified that pre-policy differences in terms of population and socioeconomic characteristics between regions with ultimately high vs. low rates of GMF participation are reasonable and remain fixed over time, making comparisons of these regions appropriate. Results suggest that rates of reported access have increased over time in most Quebec health regions. However, these measures of access vary across regions and some always report lower rates of access. Controlling for time trends, fixed differences between regions, and individual characteristics, reported access does not change significantly as GMF participation increases. Improved access to primary health care was one of the principal objectives of Quebec's primary care reform a decade ago. My findings suggest that increased GMF participation has not improved several important measures of access, and that additional policy measures may be necessary to increase potential access to primary health care.
La réforme des soins de santé de première ligne occupe une place prioritaire parmi les réformes de santé, notamment avec une grande importance accordée à des équipes interdisciplinaires de professionnels de santé. Le modèle choisi par Québec, les groupes de médecine de famille (GMFs), a été mis en place à la fin de 2002. Ce modèle met l'emphase sur des équipes interprofessionnelles et vise à augmenter le nombre de Québécois avec un médecin de famille, ainsi qu'à offrir une plus grande accessibilité des services de la première ligne, notamment hors les heures normales de travail. Une décennie après leur implantation, j'ai étudié l'impact des GMFs sur diverses mesures d'accès aux soins de santé de première ligne. Je mets l'emphase sur l'accès potentiel – c'est-à-dire les mesures permettant de déterminer si un individu a la possibilité d'accéder aux soins de santé nécessaires, y compris d'avoir un médecin régulier.J'ai utilisé des données de sept cycles de l'Étude sur la santé dans les collectivités canadiennes pour capturer l'accès déclaré aux soins de première ligne et obstacles à cet accès. Il existe une variation régionale dans l'implantation des GMFs à travers les différentes régions sociosanitaires du Québec, ce qui me permet de construire une mesure de participation aux GMFs constituée de la proportion des médecins de première ligne pratiquant en GMF par région sociosanitaire et par année. J'ai employé une analyse qui consiste de modèles de différence-dans-les-différences modifiées qui utilise une analyse de régression multivariée pour contrôler les tendances temporelles, les différences constantes entre les régions, et les covariables au niveau individuel, le but étant d'estimer l'effet causal de la mise en œuvre des GMFs sur l'accès aux soins de santé de première ligne.J'ai vérifié que les différences de caractéristiques populationnelles et socio-économiques dans la période pré-politique entre les régions ayant un taux élevé par rapport à celles ayant un faible taux de participation aux GMFs sont raisonnables et fixes au cours des années de mon étude, rendant ainsi toute comparaison de ces régions appropriées. Les résultats suggèrent que les taux d'accès déclarés ont augmenté au fil du temps dans la plupart des régions sociosanitaires du Québec. Toutefois, ces mesures d'accès varient selon les régions et certains signalent toujours des taux inférieurs d'accès. Contrôlant pour les tendances temporelles, les différences fixes entre les régions, et les caractéristiques individuelles, l'accès déclaré ne change pas de manière significative avec l'augmentation de la participation aux GMFs.Un meilleur accès aux soins de santé de première ligne constituait l'un des principaux objectifs explicites de la réforme des soins de santé de première ligne de 2002. Mes résultats suggèrent que l'augmentation de la participation aux GMFs n'a pas amélioré plusieurs mesures importantes d'accès. En conséquence, des politiques supplémentaires pourraient être nécessaires pour accroître l'accès potentiel aux soins de santé de première ligne.
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Feder, Gene. "Traveller gypsies and primary health care in East London". Thesis, King's College London (University of London), 1994. https://kclpure.kcl.ac.uk/portal/en/theses/traveller-gypsies-and-primary-health-care-in-east-london(f8d67b0e-b690-487d-b033-f9eebc6e678b).html.

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Giuffrida, Antonio. "Essays on the organisation of primary health care services". Thesis, University of York, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.313956.

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Nickson, Patricia Jane. "The implementation of primary health care in North Eastern Zaire". Thesis, University of Liverpool, 1989. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.291717.

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Rahman, Shams-Ur. "Location-allocation modelling for primary health care provision in Bangladesh". Thesis, University of Exeter, 1991. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.280652.

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Boardman, Helen Fiona. "Headache in primary care : epidemiology, management, and use of health care services". Thesis, Keele University, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.275244.

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Książki na temat "Primary health care services"

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Primary care mental health. London: RCPsych Publications, 2009.

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Dorrell, Stephen. Primary care: The future. [London]: NHS Executive, 1996.

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Daviaud, Emmanuelle. Service agreements for primary health care services between province and local authorities. Johannesburg: Centre for Health Policy, University of the Witwatersrand, 1998.

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Nick, Goodwin, red. Towards managed primary care: The role and experience of primary care organizations. Aldershot, Hants, England: Ashgate Pub., 2005.

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Great Britain. Department of Health and Social Security. Health services management: Community nursing services and primary health care teams. London: DHSS, 1987.

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Canada, Canada Health. The Health Transition Fund: Primary health care. Ottawa: Health Canada, 2002.

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Janet, Polnay, red. Child protection in primary care. Abingdon: Radcliffe Medical, 2001.

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Board, Greater Glasgow Health. Primary care: A direction statement : primary care, physiotherapy services, speech and language therapy services, dietetic services, podiatry/chiropody services, occupational therapy services : draft. [Glasgow]: The Board, 1997.

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Primary care: Balancing health needs, services, and technology. New York: Oxford University Press, 1998.

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Laetitia, King, i Swanepoel Trinette, red. Aspects of primary health care. Wyd. 2. Cape Town: Oxford University Press, 1999.

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Części książek na temat "Primary health care services"

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Oeffinger, Kevin C., i Larissa Nekhlyudov. "Optimizing Health: Primary Care". W Health Services for Cancer Survivors, 189–203. New York, NY: Springer New York, 2011. http://dx.doi.org/10.1007/978-1-4419-1348-7_9.

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Salter, Brian. "Primary Health Care". W The Politics of Change in the Health Service, 75–97. London: Macmillan Education UK, 1998. http://dx.doi.org/10.1007/978-1-349-26224-3_5.

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Corney, Roslyn. "Mental health services". W Interprofessional issues in community and primary health care, 137–63. London: Macmillan Education UK, 1995. http://dx.doi.org/10.1007/978-1-349-13236-2_8.

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Acland, Sarah. "Mental Health Services in Primary Care". W World Mental Health Casebook, 121–52. Boston, MA: Springer US, 2002. http://dx.doi.org/10.1007/0-306-47686-x_5.

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Geiger, A. "Social Work in Health Care Services". W Primary Health Care in the Making, 46–48. Berlin, Heidelberg: Springer Berlin Heidelberg, 1985. http://dx.doi.org/10.1007/978-3-642-69977-1_11.

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Robinson, Patricia J., i Jeffrey T. Reiter. "Behavioral Health Consultant Services, Location, and Support". W Behavioral Consultation and Primary Care, 55–70. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-13954-8_4.

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Jimbo, Masahito. "Providing Preventive Services to Men: A Substantial Challenge?" W 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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Mungrue, Kameel. "Health Services at the Primary Care Level". W Global Encyclopedia of Public Administration, Public Policy, and Governance, 3019–23. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-20928-9_2836.

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Mungrue, Kameel. "Health Services at the Primary Care Level". W Global Encyclopedia of Public Administration, Public Policy, and Governance, 1–5. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-31816-5_2836-1.

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Jenkins, Rachel, Moira Kessler, Michelle Riba, Jane Gunn i Felix Kauye. "Public health aspects of integration of mental health into primary care services". W Companion to Primary Care Mental Health, 97–115. London: CRC Press, 2022. http://dx.doi.org/10.1201/9781846198465-8.

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Streszczenia konferencji na temat "Primary health care services"

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Holtrop, Jodi Summers, Erik Kramer, Mark Gritz, Krithika Suresh, Leigh Perreault, L. Miriam Dickinson, Lauren Tolle, Johnny Williams i Peter Smith. "Extent of Weight Management Services Provided in Health System Primary Care Practices". W NAPCRG 50th Annual Meeting — Abstracts of Completed Research 2022. American Academy of Family Physicians, 2023. http://dx.doi.org/10.1370/afm.21.s1.3516.

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Lim, Yu Jin, i M. Judith Lynam. "An Investigation of Older Korean Immigrants' Perspectives on Accessing Primary Health Care Services". W Annual Worldwide Nursing Conference. Global Science & Technology Forum (GSTF), 2015. http://dx.doi.org/10.5176/2315-4330_wnc15.128.

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Nimziata, E., P. Hermann i H. Cossa. "Application of the EHTP methodology to plan primary health care services in Mozambique". W 3rd IEE Seminar on Appropriate Medical Technology for Developing Countries. IET, 2004. http://dx.doi.org/10.1049/ic.2004.0672.

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George, Pierrakos, Platis Charalampos i Iracleous P. Dimitrios. "Design and implementation of monitoring and evaluation of health care system: The paradigm of primary health care services users in Greece". W MATHEMATICAL METHODS AND COMPUTATIONAL TECHNIQUES IN SCIENCE AND ENGINEERING. Author(s), 2017. http://dx.doi.org/10.1063/1.4996684.

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"EMPOWERING PRIMARY HEALTH CARE SERVICES THROUGH E-GOVERNANCE - A Case Study from Delhi Government". W 3rd International Conference on Web Information Systems and Technologies. SciTePress - Science and and Technology Publications, 2007. http://dx.doi.org/10.5220/0001268502210227.

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Teixeira, Jorge Grenha, Lia Patricio, Leonel Nobrega, Larry Constantine i Raymond P. Fisk. "Healthcare professionals as customers: A service perspective on Portuguese primary care health information systems". W 2013 IEEE 15th International Conference on e-Health Networking, Applications and Services (Healthcom 2013). IEEE, 2013. http://dx.doi.org/10.1109/healthcom.2013.6720704.

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Untimanon, O., K. Boonmeephong, A. Promrat, T. Saipang i K. Sukanun. "1317 Development of occupational health services practices standards in accrediting primary care units in thailand". W 32nd Triennial Congress of the International Commission on Occupational Health (ICOH), Dublin, Ireland, 29th April to 4th May 2018. BMJ Publishing Group Ltd, 2018. http://dx.doi.org/10.1136/oemed-2018-icohabstracts.447.

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Grangeiro, Adriano Filipe Barreto, Lucy de Oliveira Gomes, Cristina da Silva Cunha i Otávio de Toledo Nóbrega. "Effectiveness of Expressive Therapies in Sleep Disorders in Elderly Hyperfrequent of Primary Health Care". W XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.358.

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Background: Sleep disorders have multifactorial causes affecting 25 to 30%of the adult population, which can consist of primary or secondary conditions, representing a serious risk to public health. They are risk factors for the elderly population, estimating that 50% of this age group have symptoms related to sleep. Objectives: to verify the efficacy of expressive therapies (ET) in sleep disorders in hyperfrequent elderly (HE) of Primary Health Care (PHC). Methods: Quasi-experimental study, with 69 elderly people assisted at PHC in a metropolitan region of the Midwest, divided into two groups: intervention (hyperfrequent elderly) and control (non-hyperfrequent). The sleep questionnaires were used: Pittsburgh sleep quality index (PSQI), Epworth sleepiness scale (ESE), Insomnia severity index (ISI) and STOP-Bang (SB), in addition to the investigation of sociodemographic and anthropometric variables. and related to health services. For data analysis, chi-square tests, multivariate analysis of variance and Wilks’ Lambda test were used, considering p ≤ 0.05. Results: The intervention group (IG) showed a decrease in the scores of PSQI (p = 0.003), ESE (p = 0.006), ISI (p <0.001), SB (p = 0.002) with significant differences between groups. Conclusions: Expressive therapies were effective in hyperfrequent elderly, mitigating sleep disorders. Thus, by reducing sleep disorders in the group of hyperfrequent elderly people using non-pharmacological intervention in PHC, it is possible to improve sleep quality and, consequently, decrease the use of health services, reducing financial costs for the public health system.
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Emaimo, Alice John, i John Emaimo. "The Contemporary Issues in Medico-Social, Sanitary Protection of Mother and Child; Health Care Facilities, Awareness and Management of Primary Health Care Services in Nigeria". W ICMHI 2021: 2021 5th International Conference on Medical and Health Informatics. New York, NY, USA: ACM, 2021. http://dx.doi.org/10.1145/3472813.3473197.

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Carlos Betancourt Sanchez, Luis, i Vladimir Cuenca Cuellar. "Occupational health care services for informal workers. From public policy to real practice". W 13th International Conference on Applied Human Factors and Ergonomics (AHFE 2022). AHFE International, 2022. http://dx.doi.org/10.54941/ahfe1002670.

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Informal workers make up the majority of active workers in the world; However, actual access to occupational health services is limited, precarious, and of minimal relevance for health promotion in the workplace. Occupational health programs have a strong emphasis on accidents and to a lesser extent on disease prevention. However, this approach is based on a deterministic vision that does not correspond to the real needs of workers with respect to their health.Some countries establish in their regulatory frameworks that occupational health and safety services are the responsibility of the employer; in other cases, the services are administered by a public regulatory framework that allows access to a greater number of workers without considering the characteristics of insertion into employment. In the case of informal workers, although they have access to some primary health care services that constitute the first contact with the health system, there is little recognition of the health problems derived from work at this level.In some sectors, such as agriculture and mining, public policies have been implemented to promote health care for informal workers. However, multiple problems hinder the continuity of the programs and the quality of care for workers. The training of health professionals to integrate actions on occupational health in primary health care is scarce. The development of competencies for health professionals and community agents is timely and necessary, not only for the identification and analysis of work-related problems but also for the promotion of health in the workplace. On the other hand, financing of health care programs is scarce, sometimes it depends on political agreements that do not materialize in public programs that are sustained over time.It is necessary to emphasize that a combined action is required between the state and institutions, which allows establishing conditions for comprehensive care from the promotion of health in the workplace. All of the above are under a vision that goes beyond the notion of accidents and occupational diseases as central axes of workers' health.
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Raporty organizacyjne na temat "Primary health care services"

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Maclean, Johanna Catherine, Chandler McClellan, Michael Pesko i Daniel Polsky. Reimbursement Rates for Primary Care Services: Evidence of Spillover Effects to Behavioral Health. Cambridge, MA: National Bureau of Economic Research, lipiec 2018. http://dx.doi.org/10.3386/w24805.

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Jigjidsuren, Altantuya, Bayar Oyun i Najibullah Habib. Supporting Primary Health Care in Mongolia: Experiences, Lessons Learned, and Future Directions. Asian Development Bank, styczeń 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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Gopinath, Ranjani, Rajesh Bhatia, Sonalini Khetrapal, Sungsup Ra i Giridhara R. Babu. Tuberculosis Control Measures in Urban India: Strengthening Delivery of Comprehensive Primary Health Services. Asian Development Bank, grudzień 2020. http://dx.doi.org/10.22617/wps200409-2.

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Approximately 2.69 million tuberculosis (TB) cases—about a quarter of the global cases—were reported in India on The Global TB Report 2019. There are nearly half a million “missing” cases every year, either undiagnosed, unaccountable, or inadequately diagnosed and treated. This paper analyzes the magnitude of TB transmission and the quality of interventions in urban areas and migrant populations in India. It identifies key factors and areas that need to be further strengthened for the country to achieve its goal of eliminating TB by 2025. The study is aligned with the government’s objective to strengthen the provision of comprehensive primary health care services for the urban poor as part of India’s National Strategic Plan, 2017–2025.
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Gopinath, Ranjani, Rajesh Bhatia, Sonalini Khetrapal, Sungsup Ra i Giridhara R. Babu. Tuberculosis Control Measures in Urban India: Strengthening Delivery of Comprehensive Primary Health Services. Asian Development Bank, grudzień 2020. http://dx.doi.org/10.22617/wps200409-2.

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Approximately 2.69 million tuberculosis (TB) cases—about a quarter of the global cases—were reported in India on The Global TB Report 2019. There are nearly half a million “missing” cases every year, either undiagnosed, unaccountable, or inadequately diagnosed and treated. This paper analyzes the magnitude of TB transmission and the quality of interventions in urban areas and migrant populations in India. It identifies key factors and areas that need to be further strengthened for the country to achieve its goal of eliminating TB by 2025. The study is aligned with the government’s objective to strengthen the provision of comprehensive primary health care services for the urban poor as part of India’s National Strategic Plan, 2017–2025.
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Smit, Amelia, Kate Dunlop, Nehal Singh, Diona Damian, Kylie Vuong i Anne Cust. Primary prevention of skin cancer in primary care settings. The Sax Institute, sierpień 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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Aldana, Alexander. Optimizing Naval Hospital Camp Pendleton's Primary Care Access by Managing Demand of the Emergency Department through a Health Services Center: A Marcus Welby Care Initiative. Fort Belvoir, VA: Defense Technical Information Center, czerwiec 2006. http://dx.doi.org/10.21236/ada473562.

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Maître, Bertrand, Ivan Privalko i Dorothy Watson. Social Transfers and Deprivation in Ireland: A study of cash and non-cash payments tied to housing, childcare, and primary health care services. ESRI, listopad 2020. http://dx.doi.org/10.26504/bkmnext401.

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A new ESRI study commissioned by the Department of Social Protection found that tied cash and non-cash transfers are associated with lower deprivation, especially among vulnerable families. The authors considered benefits tied to housing, childcare, and medical services using 2017 data.
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Tummala, Rohan, Andrew de Jesus, Natasha Tillett, Jeffrey Nelson i Christine Lamey. Clinical and Socioeconomic Predictors of Palliative Care Utilization. University of Tennessee Health Science Center, styczeń 2021. http://dx.doi.org/10.21007/com.lsp.2020.0006.

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INTRODUCTION: Palliative care continues to gain recognition among primary care providers, as patients suffering from chronic conditions may benefit from use of this growing service. OBJECTIVES: This single-institution quality improvement study investigates the clinical characteristics and socioeconomic status (SES) of palliative care patients and identifies predictors of palliative care utilization. METHODS: Retrospective chart review was used to compare clinical and SES parameters for three groups of patients: (1) palliative care patients who attended at least one visit since the inception of the University Clinical Health Palliative Care Clinic in Memphis, TN in October 2018 (n = 61), (2) palliative care patients who did not attend any appointments (n = 19), and (3) a randomized group of age-matched primary care patients seen by one provider from May 2018 to May 2019 (n = 36). A Poisson regression model with backward conditional variable selection was used to determine predictors of palliative care utilization. RESULTS: Patients across the three care groups did not differ in demographic parameters. Compared to palliative care-referred non-users and primary care patients, palliative care patients tended to have lower health risk (p < 0.001). Palliative care patients did not differ from primary care patients in socioeconomic status but did differ in comorbidity distribution, having a higher prevalence of cancer (𝜒2 = 14.648, df = 7, p = 0.041). Chance of 10-year survival did not differ across risk categories for palliative care patients but was significantly lower for very high-risk compared to moderate-risk primary care patients (30% vs. 78%, p = 0.019). Significant predictors of palliative care use and their corresponding incidence rate ratios (IRR) were hospital referral (IRR = 1.471; p = 0.039), higher number of prescribed medications (IRR = 1.045; p = 0.003), lower Charlson Comorbidity Index (IRR = 0.907; p = 0.003), and lower systolic blood pressure (IRR = 0.989; p = 0.004). CONCLUSIONS: Patients who are expected to benefit from and of being high utilizers of palliative care may experience greater clinical benefit from earlier referral to this service.
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Reddy, P. H. A qualitative study of quality of care in rural Karnataka. Population Council, 1995. http://dx.doi.org/10.31899/rh1995.1018.

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The Third Five-Year Plan (1961–66) aimed at reducing the crude birth rate in India to 25 per 1,000 population by 1973, however this goal has not been achieved. Several other demographic goals were set later, to be achieved by specified years, but they were deferred or revised. One major reason for the failure to achieve these goals was thought to be the lack of adequate infrastructural facilities for the family welfare program, thus it was decided to improve the institution–population ratio. The primary objective of this study is to assess the quality of interaction between clients and providers, and the quality of family welfare services. More specifically, the study examines how family welfare program personnel interact with clients in a given setting, the quality of interaction, how frequently such interaction takes place, the provider's view of, and satisfaction with, the information and quality of family welfare services provided, and the client's view of, and satisfaction with, the information and quality of family welfare services received. The focus of the investigation is on the family welfare program—the maternal and child health and family planning programs.
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Toloo, Sam, Ruvini Hettiarachchi, David Lim i Katie Wilson. Reducing Emergency Department demand through expanded primary healthcare practice: Full report of the research and findings. Queensland University of Technology, styczeń 2022. http://dx.doi.org/10.5204/rep.eprints.227473.

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Demand for public hospital emergency departments’ services and care is increasing, placing considerable restraint on their performance and threatens patient safety. Many factors influence such demand including individual characteristics (e.g. perceptions, knowledge, values and norms), healthcare availability, affordability and accessibility, population aging, and internal health system factors (e.g patient flow, discharge process). To alleviate demand, many initiatives have been trialled or suggested, including early identification of at-risk patients, better management of chronic disease to reduce avoidable ED presentation, expanded capacity of front-line clinician to manage sub-acute and non-urgent care, improved hospital flow to reduce access block, and diversion to alternate site for care. However, none have had any major or sustained impact on the growth in ED demand. A major focus of the public discourse on ED demand has been the use and integration of primary healthcare and ED, based on the assumption that between 10%–25% of ED presentations are potentially avoidable if patients’ access to appropriate primary healthcare (PHC) services were enhanced. However, this requires not only improved access but also appropriateness in terms of the patients’ preference and PHC providers’ capacity to address the needs. What is not known at the moment is the extent of the potential for diversion of non-urgent ED patients to PHC and the cost-benefits of such policy and funding changes required, particularly in the Australian context. There is a need to better understand ED patients’ needs and capacity constraint so as to effect delivery of accessible, affordable, efficient and responsive services. Jennie Money Doug Morel
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