Bibliografias temáticas / Primary health care

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Literatura científica selecionada sobre o tema "Primary health care"

Autor: Grafiati

Publicado: 4 de junho de 2021

Última modificação: 31 de julho de 2024

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Artigos de revistas sobre o assunto "Primary health care"

Dirican, Oya, Özge Abacı Bozyel e Dilek Öztaş. "Mobbing in the Case of Primary Health Care Providers". Archives of Medical Case Reports and Case Study 5, n.º 1 (5 de janeiro de 2022): 01–07. http://dx.doi.org/10.31579/2692-9392/098.

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Objectives: Primary healthcare workers are the main drivers of the population-oriented health education programs. In this work, we aim to offer an account of the conditions that lead to mobbing in Primary Health Care Employees, and of the ways to address this problem and its consequences. Methods: This study has been conducted on the medical staff in primary health care units in the province of Antalya, with the permission of the Provincial Health Directorate and the approval of the ethics board of the Antalya Education and Research Hospital. It was planned as a cross-sectional study; survey forms were filled out by 752 employees during an internal training for primary health care in 2017. After informing the subjects regarding the aims of the study, we gave them a survey of 21 questions. The average time for the individuals to answer the questions was 30 minutes. The survey was designed to ask the individuals their age, gender, educational background and occupation, whether they know of any case of mobbing, whether they were subjected to mobbing themselves and for how long, the position and the gender of the perpetrator, and whether and how they addressed the issue. The answers of the participants were analyzed with descriptive statistical analysis, the frequencies were determined and chi-square test was used. Results: 72.2% (543) of the participants declare that they heard the words "mobbing" or "psychological harassment" before. In our study, the rate of exposure to mobbing was found to be 30.4% among primary care providers. We have found that mobbing exposure was significantly higher among females and midwives and nurses. Our study reveals that in every occupational group perpetrators are mostly in management positions; that 36-45 age group was the most victimized group by both genders; that the most common method in order to handle mobbing is the loss of communication which is a new problem between the perpetrator and the victim and that the most common response to mobbing is to share it with friends; and our study finds that the period of mobbing in the midwife-nurse group is mostly 19 months and more, while this period takes to 9-12 months in the case of doctors. Discussion: One of the most important steps in preventing mobbing is to take timely measures in organizations and to prevent the problem from harming the organization and employees. Educating employees about emotional assault within their working environment is proposed as an important solution for them to protect themselves when they are subjected to harassment.

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Hampton, J. R. "The primacy of primary health care". BMJ 317, n.º 7174 (19 de dezembro de 1998): 1724–25. http://dx.doi.org/10.1136/bmj.317.7174.1724.

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MCELMURRY, BEVERLY J. "Primary Health Care". Annual Review of Nursing Research 17, n.º 1 (janeiro de 1999): 241–68. http://dx.doi.org/10.1891/0739-6686.17.1.241.

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Primary Health Care (PHC) has been promulgated for over two decades as a global strategy for ensuring basic health care for all people. PHC is characterized by equity, accessibility, availability of resources, social participation, intersectoral community action, and cultural sensitivity. While PHC can be discussed as philosophy or a process, it is critical that PHC be understood as a community focus in health care that differs from a primary care focus on individuals. Capturing PHC components in community-based interventions in order to advance the development of a rigorous research base requires a shift in thinking about what constitutes acceptable methods and evidence for evaluating changes in health care. To this end, the authors of this review discuss perspectives and available research that inform practice within multidisciplinary teams, highlight the importance of social discourse, and review participatory evaluation issues for achieving a working relationship with communities. Particular attention is focused on education for nurses’ roles in PHC activities within implementation models fostering community mobilization and development. An action plan is suggested as a means for situating discrete research activity within a PHC framework.

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Goodman, Mark. "Primary health care". Veterinary Record 177, n.º 1 (2 de julho de 2015): 24.3–24. http://dx.doi.org/10.1136/vr.h3571.

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Allan, Ross. "Primary health care". Veterinary Record 177, n.º 3 (16 de julho de 2015): 80.2–80. http://dx.doi.org/10.1136/vr.h3842.

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Sharan, Sudhir. "Primary Health Care". Journal of Health Management 7, n.º 2 (outubro de 2005): 295–302. http://dx.doi.org/10.1177/097206340500700209.

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Kar, S. B. "Primary health care". Academic Medicine 65, n.º 5 (maio de 1990): 301–6. http://dx.doi.org/10.1097/00001888-199005000-00006.

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Davidson, Patricia, Judith MacIntosh, Dianne McCormack e Evelyn Morrison. "Primary Health Care". Holistic Nursing Practice 16, n.º 4 (julho de 2002): 65–74. http://dx.doi.org/10.1097/00004650-200207000-00010.

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Wilkin, David. "Primary Health Care". Ageing and Society 6, n.º 3 (setembro de 1986): 359–61. http://dx.doi.org/10.1017/s0144686x00006024.

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Plant, Paul. "Primary Health Care". Ageing and Society 10, n.º 1 (março de 1990): 109–12. http://dx.doi.org/10.1017/s0144686x0000790x.

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Teses / dissertações sobre o assunto "Primary health care"

Bumgarner, D., K. Owens, J. Correll, W. T. Dalton e Jodi Polaha. "Primary Behavioral Health Care in Pediatric Primary Care". Digital Commons @ East Tennessee State University, 2012. https://dc.etsu.edu/etsu-works/6597.

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Polaha, Jodi. "Primary Care Behavioral Health". Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/6676.

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Skånér, Ylva. "Diagnosing heart failure in primary health care /". Stockholm, 2004. http://diss.kib.ki.se/2004/91-7349-784-3/.

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Foskett-Tharby, Rachel Christine. "Coordination of primary health care". Thesis, University of Manchester, 2014. https://www.research.manchester.ac.uk/portal/en/theses/coordination-of-primary-health-care(987d5002-cf2f-4ece-8f53-f89ea2127e1e).html.

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Background: Improving coordination of care is a major challenge for health systems internationally. Tools are required to evaluate alternative approaches to improve coordination from the patient perspective. This study aimed to develop and validate a new measure of coordination for use in a primary care setting. Methods: Four methods were used. Firstly, a concept analysis was undertaken to identify the essential attributes of coordination drawing upon literature from health and organisational studies and to establish its boundaries with related concepts such as continuity of care, integration and patient centred care. Secondly, existing measures of coordination were reviewed to assess the extent to which item content reflected the definition arising from the concept analysis and to appraise psychometric properties. Thirdly, a new instrument, the Care Coordination Questionnaire (CCQ), was developed utilising items from existing questionnaires and others developed following focus groups with 30 patients. Ten cognitive interviews were used to evaluate the items generated. Finally, the CCQ was administered in a cross sectional survey to 980 patients. Item and model analyses were performed. Test-retest reliability was evaluated through a second administration of the CCQ after two weeks. Concurrent validity was evaluated through correlation with the Client Perceptions of Coordination Questionnaire (CPCQ). Construct validity was evaluated through correlation with responses to a global coordination item and a satisfaction scale and the testing of two a prior hypotheses: i) coordination scores would decrease with increasing numbers of providers and ii) coordination scores would decrease with increasing numbers of long-term conditions. Results: The concept analysis suggested that coordination should be considered as a process for the organisation of patient care characterised by: purposeful activity, information exchange, knowledge of roles and responsibilities, and responsiveness to change. The systematic review identified 5 existing measures of coordination and a further 10 measures which incorporated a coordination subscale. Only one demonstrated conceptual coverage but had poor psychometric properties. A new instrument was therefore developed and tested as described above. 299 completed surveys were returned. Respondents were predominantly elderly and of white ethnicity; approximately half were female. Five items were deleted following item analyses. Model analysis suggested a four factor two-level model of coordination comprising of 18 items. This correlated well with the CPCQ, the global coordination item and satisfaction scale. The a priori hypotheses were upheld. Retest reliability was acceptable at the patient group level. Conclusions: The CCQ has demonstrated good psychometric characteristics in terms of item responses, reliability and construct validity. Further exploration of these properties is required in a larger, more diverse sample before it can be recommended for widespread use, but it shows potential utility in the evaluation of different approaches to coordinating care.

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Florini, Marita A. "Primary care providers' perception of care coordination needs and strategies in adult primary care practice". Thesis, State University of New York at Binghamton, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3630859.

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Problem: Medical and nursing literature poorly identify primary care providers' (PCP) relationship to care coordination (CC). Primary care providers' education, experience, and perspective, contribute to: (a) assessments of patient's care coordination needs, and (b) variability in behavior to address needs. Dissimilar approaches to CC by PCPs affect work relationships and office flow.

Purpose: To pre-pilot a new tool describing PCPs' knowledge, perception, and behavior regarding CC. Methods: Primary care physicians, nurse practitioners, and physician assistants were surveyed.

Analysis: Frequencies and percentages provided sample characteristics. Descriptive statistics analyzed provider responses within and between groups. Narratives were analyzed for themes. Tool refinement is suggested however, the tool does describe PCPs and CC activities.

Significance: A tool was developed to evaluate areas of CC activity performed by PCPs. Information from surveys of PCPs can illuminate behaviors that lead to improved work flow, efficiency, and patient outcomes. Doctors of Nursing Practice who are PCPs contribute to primary care CC through leadership, experience, and descriptive evidence.

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Polaha, Jodi. "Integrating Behavioral Health Into Primary Care". Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/6648.

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Onwuliri, Michael O. "Primary health care management in Nigeria". Thesis, Aston University, 1987. http://publications.aston.ac.uk/12207/.

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This research sets out to assess if the PHC system in rural Nigeria is effective by testing the research hypothesis: 'PHC can be effective if and only if the Health Care Delivery System matches the attitudes and expectations of the Community'. The field surveys to accomplish this task were carried out in IBO, YORUBA, and HAUSA rural communities. A variety of techniques have been used as Research Methodology and these include questionnaires, interviews and personal observations of events in the rural community. This thesis embraces three main parts. Part I traces the socio-cultural aspects of PHC in rural Nigeria, describes PHC management activities in Nigeria and the practical problems inherent in the system. Part II describes various theoretical and practical research techniques used for the study and concentrates on the field work programme, data analysis and the research hypothesis-testing. Part III focusses on general strategies to improve PHC system in Nigeria to make it more effective. The research contributions to knowledge and the summary of main conclusions of the study are highlighted in this part also. Based on testing and exploring the research hypothesis as stated above, some conclusions have been arrived at, which suggested that PHC in rural Nigeria is ineffective as revealed in people's low opinions of the system and dissatisfaction with PHC services. Many people had expressed the view that they could not obtain health care services in time, at a cost they could afford and in a manner acceptable to them. Following the conclusions, some alternative ways to implement PHC programmes in rural Nigeria have been put forward to improve and make the Nigerian PHC system more effective.

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Baker, Timothy Alan. "Oregon Primary Care Physicians' Support for Health Care Reform". PDXScholar, 1994. https://pdxscholar.library.pdx.edu/open_access_etds/4755.

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This dissertation studies Oregon primary care physicians' attitudes toward health care reform. Two models of reform are examined: one, health care rationing such as that proposed by the Oregon Health Plan (OHP); and, two, support for national health insurance (NHI). This work examines the necessity for changing the present health care system, traced from the early origins of the medical profession to the present day health care "crisis." The high cost of health care is examined and an overview of the OHP is provided, including citations from John Kitzhaber, M.D., author of the plan. Overall, Oregon primary care physicians overwhelmingly supported health care rationing policies. Just under 75 percent of the physicians expressed support for health care rationing policies such as that proposed by the Oregon Health Plan. However, just under 48 percent of the same physicians expressed support for national health insurance (NHI). Internal medicine physicians were most supportive of health care rationing policies and OB/GYN physicians were least supportive. Conversely, pediatricians were most supportive of NHI and OB/GYN physicians were least supportive. Regression analyses explained 11.5 percent of variation in support for health care rationing policies and 20.9 percent of their support for national health insurance (NHI). While strong support measures were found for health reform such as that proposed by the Oregon Health Plan (OHP), no similar measures of support for NHI emerged. Almost universal support for health care reform such as the OHP was found among primary care physicians across the state, however similar patterns were not found for NHI. It appears from the research's findings that attempts to change the health care system that include the physician's ability to ration care would be more successful than a more systematic change such as would occur under a national health insurance program. This dissertation points out that physicians represent strong supporting forces and/or opposing forces for health care reform. Their attitudes toward such reform must be considered if successful change is to occur in the U.S. health care system.

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Mukiapini, Shapi. "Baseline measures of Primary Health Care Team functioning and overall Primary Health Care performance at Du Noon Community Health Centre". Master's thesis, University of Cape Town, 2017. http://hdl.handle.net/11427/24504.

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Background: The importance of effective team work for improving quality of care has been demonstrated consistently in research. We conducted a baseline measure of team effectiveness and a baseline measure of primary health care performance. Aim: To improve Primary health care team effectiveness and ultimately the quality and user experience of primary care at Du Noon Community Health Centre. (CHC) Setting: Du Noon CHC in the southern/western substructure of the Cape Town Metro district services. Methods: A cross sectional study using a combination of Nominal Group Technique (NGT) method and a questionnaire survey to assess PHC team effectiveness and to obtain baseline measure for Primary Health Care (PHC) organization and performance. Results: Data from 20 providers from the primary health care team, showed that the PHC team members perceived their team as a well functioning team (70% agreement on the 7 items of the PHC team assessment tool, incorporated in the ZA PCAT. The NGT method reveals that communication and leadership are the main challenges to effective team functioning, The NGT also provides ideas on how to deal with these challenges. Data from 110 users and 12 providers using the ZA PCAT: 18.2% of users rated first contact-access as acceptable to good; 47,3% rated ongoing care as acceptable to good. The remaining subdomains of the ZA PCAT were rated as acceptable to good by at least 65% of the users. 33% of the providers (doctors and clinical nurse practitioners) rated first contact-access as acceptable to good; 25% rated ongoing care as acceptable to good, the remaining subdomains of the ZA PCAT were rated as acceptable to good by at least 50% of providers. First contact-access received the lowest acceptable to good score (18.2%) and comprehensiveness (service available) received the highest score (88.2%) from the users. For the providers the lowest acceptable to good score was for ongoing care (25%) and the highest acceptable to good score was for primary health care team (100%). The total primary scores are good (above 60%) for both users and providers but moderately higher for the providers. Conclusions: How teams perceive their effectiveness can motivate them to generate ideas for improvement. There were discrepancies between ZA PCAT (PHC team functioning) results and the NGT method results. The ZA PCAT (8 pre-existing domains) baseline results show a contrast between providers' and users' perceptions of the PHC system at Du Noon consistent with the finding of the Western Cape ZA PCAT study. We encourage Du Noon CHC to use these results to improve the user experience of primary health care services there.

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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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Livros sobre o assunto "Primary health care"

Bergerhoff, Petra, Dieter Lehmann e Peter Novak, eds. Primary Health Care. Berlin, Heidelberg: Springer Berlin Heidelberg, 1990. http://dx.doi.org/10.1007/978-3-642-83240-6.

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Greenhalgh, Trisha, ed. Primary Health Care. Oxford, UK: Blackwell Publishing Ltd, 2007. http://dx.doi.org/10.1002/9780470691779.

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Yesudian, C. A. K., 1950- e Tata Institute of Social Sciences., eds. Primary health care. Bombay: Tata Institute of Social Sciences, 1991.

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Great Britain. Parliament. House of Commons. Social Services Committee. Primary health care. London: H.M.S.O., 1986.

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Social Democratic Party. Working Party on Health and Personal Social Services. Primary health care. London: SDP, 1986.

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1922-, Fry John, e Hasler John, eds. Primary health care 2000. Edinburgh: Churchill Livingstone, 1986.

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Tanzania. Primary health care strategy. [Dar es Salaam]: Govt. of the United Republic of Tanzania, Ministry of Health, 1992.

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Cohen, Alan. Primary care mental health. Editado por Hill Alison. London: Emap Public Sector Management, 2000.

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With Emmanuel Aban Oddoye, Habteab Zerit, and Introduction by H. L. Mays, ed. PRIMARY HEALTH CARE GUIDELINES. Nashville, Tennessee: W.H.O. Collaborating Centre/International Center for Health Sciences, Meharry Medical College, 1986.

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Save the Children (U.S.), ed. Sustaining primary health care. New York: St. Martin's Press, 1995.

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Capítulos de livros sobre o assunto "Primary health care"

Ciotti, Emanuele, Daniele Irmici e Marco Menchetti. "Primary Care". In Health and Gender, 269–75. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-15038-9_28.

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Baggott, Rob. "Primary Health Care". In Health and Health Care in Britain, 245–74. London: Macmillan Education UK, 2004. http://dx.doi.org/10.1007/978-1-137-11638-3_10.

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Baggott, Rob. "Primary Health Care". In Health and Health Care in Britain, 210–27. London: Macmillan Education UK, 1998. http://dx.doi.org/10.1007/978-1-349-14492-1_9.

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Halcomb, Elizabeth, e Christine Ashley. "Primary Health Care". In Handbook of Social Sciences and Global Public Health, 1–22. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-96778-9_13-1.

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Knowles, Ann-Marie, Vaithehy Shanmugam e Ross Lorimer. "Primary Health Care". In Social Psychology in Sport and Exercise, 169–90. London: Macmillan Education UK, 2015. http://dx.doi.org/10.1007/978-1-137-30629-6_9.

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Laverack, Glenn. "Primary Health Care". In A–Z of Health Promotion, 163–64. London: Macmillan Education UK, 2014. http://dx.doi.org/10.1007/978-1-137-35049-7_62.

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Jefferys, Margot. "Primary health care". In Interprofessional issues in community and primary health care, 185–201. London: Macmillan Education UK, 1995. http://dx.doi.org/10.1007/978-1-349-13236-2_10.

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Salter, Brian. "Primary Health Care". In 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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Purves, Geoffrey. "Primary health care". In Metric Handbook, 32–1. 7^a ed. London: Routledge, 2021. http://dx.doi.org/10.4324/9781003052586-35.

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Purves, Geoffrey. "Primary Health Care". In Metric Handbook, 603–21. Sixth edition. | New York: Routledge, 2018.: Routledge, 2018. http://dx.doi.org/10.4324/9781315230726-33.

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Trabalhos de conferências sobre o assunto "Primary health care"

Wang, Na, e Jinguo Wang. "How to Improve Primary Health Care and the Meaning of Primary Health Care". In 2016 International Conference on Education, Management Science and Economics. Paris, France: Atlantis Press, 2016. http://dx.doi.org/10.2991/icemse-16.2016.70.

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Garcia, Saulo Jose Argenta, Rubia Alves da Luz Santos, Priscila Sousa de Avelar, Renato Zaniboni e Renato Garcia. "Health care technology management applied to public primary care health". In 2011 Pan American Health Care Exchanges (PAHCE 2011). IEEE, 2011. http://dx.doi.org/10.1109/pahce.2011.5871898.

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Costa, Ana Beatriz Mendes, Arthur Pessoa Travassos Vinagre, Catharina Louise Araújo de Oliveira, Emanuel Moreira Marcolino, Hadassa Vilany Luz, Rayonnara Yasmin Silva do Nascimento, Washington Luis Pereira de Lima Filho e Layza de Souza Chaves Deininger. "The importance of prenatal care in primary health care". In III SEVEN INTERNATIONAL MULTIDISCIPLINARY CONGRESS. Seven Congress, 2023. http://dx.doi.org/10.56238/seveniiimulti2023-255.

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Prenatal care is an essential follow-up for pregnant women, in order to ensure the healthy development of pregnancy and the birth of a healthy baby, resulting in a greater reduction in maternal and infant mortality rates. The assistance to the pregnant woman and the fetus must always count on a qualified, humanized and hierarchical health team, according to the needs imposed by the pregnancy.

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Halas, Gayle, e Prabhnoor Osahan. "Interprofessional Primary Care Teamwork: Investigating Experiences of Health Care Providers". In NAPCRG 50th Annual Meeting — Abstracts of Completed Research 2022. American Academy of Family Physicians, 2023. http://dx.doi.org/10.1370/afm.21.s1.4416.

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Diniz, Ana Maria Marinho, Deborah Cybelly Tavares Pinangé Coutinho, Diego Rodrigues da Silva, Érica Vilar Ramalho de Souza, Rosineila Fátima Marques Watanabe, Lucineide Alves Vieira Braga e Layza de Souza Chaves Deininger. "Educational activity about low-risk prenatal care in Primary Health Care". In III SEVEN INTERNATIONAL MULTIDISCIPLINARY CONGRESS. Seven Congress, 2023. http://dx.doi.org/10.56238/seveniiimulti2023-275.

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The article describes an educational experience carried out by medical students during their internship in Teaching-Service-Community Integration (IESC) IV. The aim of the activity was to raise awareness of low-risk prenatal care in Primary Health Care, in accordance with national guidelines, with a view to ensuring a healthy and safe birth. As well as reporting on partner prenatal care, which was also addressed as an innovative strategy introduced by the Ministry of Health, seeking to involve men in reproductive planning actions and improve access to health services. The activity included role-playing, dynamics about myths and truths related to prenatal consultations, talks about care during pregnancy, vaccinations, health checks and breastfeeding promotion. In addition, the article emphasizes the importance of integrating teaching, services and the community to promote maternal and child health and points out that the experience was enriching for both the students and the community.

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Abrams, Ruth, Johanna Spiers, Jill Maben, Wendy Grosvenor, Morro Touray e Heather Gage. "1 Dementia care coordinators in primary care: a realist evaluation". In UCL’s Qualitative Health Research Network Conference Abstracts 2024. British Medical Journal Publishing Group, 2024. http://dx.doi.org/10.1136/bmjopen-2024-ucl-qhrn2024.1.

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Manning, Garth, Frank van Dijk e Peter Buijs. "1701 Scaling up workers’ health coverage through primary health care". In 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.1186.

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Iluyemi, A., e R. E. Croucher. "E-health as an appropriate technology in primary health care". In 4th IET Seminar on Appropriate Healthcare Technologies for Developing Countries. IET, 2006. http://dx.doi.org/10.1049/ic.2006.0665.

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Alves, Deborah Michelle Oliveira, Cecília Mendonça Cavalcanti, Daniel Lucena Fonseca, Gustavo Damasceno Melo Cavalcanti, Huggo Vieira Suassuna, Lívia Jardim Freitas Freire e Layza de Souza Chaves Deininger. "Prenatal care in primary care: An experience report". In III SEVEN INTERNATIONAL MULTIDISCIPLINARY CONGRESS. Seven Congress, 2023. http://dx.doi.org/10.56238/seveniiimulti2023-249.

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Prenatal care aims to ensure the healthy development of pregnancy in order to allow delivery with lower risks for the mother and baby, since about 830 women die every day from complications related to pregnancy or childbirth worldwide, according to data released by the Pan American Health Organization (PAHO). With the Previne Brasil program, indicators for prenatal follow-up were included, such as routine testing for HIV/Syphilis, early recruitment of pregnant women up to 12 weeks of gestation, follow-up of at least six prenatal consultations and dental visits. At the time of discovery of pregnancy, the pregnant woman should seek the nearest health unit to start the follow-up, which in the first consultation should be performed a detailed anamnesis in order to know its particularities, such as place of residence, socioeconomic characteristics, support network, understand and offer support for the gestational period still in the first trimester, There is also the opening of the vaccination booklet and prescription of complementary tests.

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Miranda, Eka, Mediana Aryuni, Richard Richard e Adrian Giovanny Tanara. "Health Care Mobile Application Development for Sub-District Primary Health Care: How and Why". In 2021 Sixth International Conference on Informatics and Computing (ICIC). IEEE, 2021. http://dx.doi.org/10.1109/icic54025.2021.9632883.

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Relatórios de organizações sobre o assunto "Primary health care"

Mehegan, Laura. Adults Rate Their Primary Care Health Care Providers. Washington, DC: AARP Research, outubro de 2023. http://dx.doi.org/10.26419/res.00576.001.

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Baker, Timothy. Oregon Primary Care Physicians' Support for Health Care Reform. Portland State University Library, janeiro de 2000. http://dx.doi.org/10.15760/etd.6635.

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Baker, Robin. Primary Care and Mental Health Integration in Coordinated Care Organizations. Portland State University Library, janeiro de 2000. http://dx.doi.org/10.15760/etd.5508.

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Shi, Leiyu, Diana M. Pinto e Frederico C. Guanais. Measurement of Primary Care: Report on the Johns Hopkins Primary Care Assessment Tool. Inter-American Development Bank, março de 2013. http://dx.doi.org/10.18235/0009098.

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Renewed interest in the Primary Health Care-PHC agenda is a common element of the majority of recent health system reforms throughout Latin America and the Caribbean-LAC. Strengthening of PHC has been recognized as a promising solution to address the major challenges the Region's health systems face. As governments are making substantive long term investments in PHC oriented healthcare reforms, there is a requirement for accountability and increased transparency and reporting on the results of these initiatives. As a consequence, implementation of PHC strategies needs to be accompanied with mechanisms to collect data that will allow assessment of the extent to which primary care processes are being implemented and on their impact of quality, efficiency, cost, equity and consumer satisfaction. The Johns Hopkins Primary Care Assessment Tool or PCAT is amongst the instruments currently available to assess performance of PHC in several dimensions and from the perspective of users, practitioners, and systems. The purpose of this technical document is to provide a description of this instrument including its composition, measurement, functions, uses, and requirements to deploy the tool in practical applications and to discuss the challenges and opportunities to use the tool in the context of the LAC Region.

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Basinga, Paulin, Paul Gertler, Agnes Binagwaho, Agnes Soucat, Jennifer Sturdy e Christel Vermeersch. Paying Primary Health Care Centers for Performance in Rwanda. Unknown, 2010. http://dx.doi.org/10.35648/20.500.12413/11781/ii202.

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Macinko, James. Measuring Population Experiences of Primary Care: Innovations in Primary Care Assessment in OECD and LAC countries. Inter-American Development Bank, janeiro de 2014. http://dx.doi.org/10.18235/0009152.

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This study develops a composite measure of primary care experience, using the Commonwealth Fund's 2010 International Health Policy Survey (IHP), applied on eleven high income OECD countries, and based on user self-report. The multidimensional measure is composed of answers regarding specific primary care domains, including: accessibility, continuous care, coordination of care, and provider communication and cultural competence. The overall measure of primary care experience is tested and validated, including an exploration of population characteristics (e.g. sex, age, income, migration status, insurance type) that are associated with higher or lower assessments of the receipt of primary care. It explicitly assesses the influence of demographic, socioeconomic, health need, and health system variables, and includes important interaction terms between these variables. Based on the results, the measure's potential suitability for use in Latin America and the Caribbean is assessed. This includes commentary on possibilities for comparison between LAC and the OECD countries covered by the Commonwealth. The results suggest that it is possible to develop a composite measure of user primary care experience based on survey data. In general, the primary care measure developed performed relatively well in terms of discriminating between people who have good versus poor experiences with their health system.

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Arrieta, Alejandro, e Ariadna García Prado. Series of Avoidable Hospitalizations and Strengthening Primary Health Care: The Case of Chile. Inter-American Development Bank, dezembro de 2012. http://dx.doi.org/10.18235/0006952.

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This paper studies the effect of ambulatory and hospital coinsurance rates on HACSC among individuals with private insurance in Chile. During the last decade, Chile's private health sector has experienced a dramatic increase in its hospitalization rates, growing at four times the rate of ambulatory visits (see graph 1). Such evolution has raised concern among policy makers, interested in promoting more preventive services, and a major use of ambulatory care. The growth on the prevalence of chronic diseases has also set up the alarm. A burden disease study made in 2007 shows that 84% of the total diseases in the country were non-communicable diseases (Universidad Católica de Chile, 2008). The 2003 National Health Survey showed that only a small fraction of those affected by a chronic disease had their condition under control (Bitrán et al, 2010). In this context, coinsurance can be a valuable tool for dealing with cost escalating problems in the health system while, at the same time, promoting more ambulatory visits and preventive services and less HCSC.

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Garcia, Emma, Félicie Pierre, Pierre-Yves Meunier e Laurent Letrilliart. CDSSs for health screening in primary care: a scoping review. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, janeiro de 2024. http://dx.doi.org/10.37766/inplasy2024.1.0075.

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Macinko, James, Inês Dourado e Frederico C. Guanais. Chronic Diseases, Primary Care and Health Systems Performance: Diagnostics, Tools and Interventions. Inter-American Development Bank, novembro de 2011. http://dx.doi.org/10.18235/0007980.

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Growing exposure to risk factors in combination with low levels of access to preventive care are increasing unmet health needs. LAC has been experiencing a "nutrition transition" towards less healthy diets. Thirty to sixty percent of the region's population does not achieve the minimum recommended levels of physical activity and obesity is rising rapidly. Inadequate access to high quality health services, including clinical prevention and diagnostic services and difficult access to essential medicines are significant contributing factors to the growing burden of chronic disease.

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Smit, Amelia, Kate Dunlop, Nehal Singh, Diona Damian, Kylie Vuong e Anne Cust. Primary prevention of skin cancer in primary care settings. The Sax Institute, agosto de 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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