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Статті в журналах з теми "Indigenous primary health care"
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Wakerman, John, and Cindy Shannon. "Strengthening primary health care to improve Indigenous health outcomes." Medical Journal of Australia 204, no. 10 (June 2016): 363–64. http://dx.doi.org/10.5694/mja16.00031.
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Crowshoe, Lynden (Lindsay), Anika Sehgal, Stephanie Montesanti, Cheryl Barnabe, Andrea Kennedy, Adam Murry, Pamela Roach, et al. "The Indigenous primary health care and policy research network: Guiding innovation within primary health care with Indigenous peoples in Alberta." Health Policy 125, no. 6 (June 2021): 725–31. http://dx.doi.org/10.1016/j.healthpol.2021.02.007.
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McMurray, Anne, and Rani Param. "Culture-specific care for Indigenous people: A primary health care perspective." Contemporary Nurse 28, no. 1-2 (April 2008): 165–72. http://dx.doi.org/10.5172/conu.673.28.1-2.165.
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Boudville, Andrea I., Mitchell D. Anjou, and Hugh R. Taylor. "Improving eye care for Indigenous Australians in primary health care settings." Australian Journal of Rural Health 21, no. 2 (April 2013): 121–27. http://dx.doi.org/10.1111/ajr.12014.
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Henderson, Rita, Stephanie Montesanti, Lindsay Crowshoe, and Charles Leduc. "Advancing Indigenous primary health care policy in Alberta, Canada." Health Policy 122, no. 6 (June 2018): 638–44. http://dx.doi.org/10.1016/j.healthpol.2018.04.014.
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Rankoana, Sejabaledi A. "Indigenous Plant-Derived Medical Applications for Primary Health Care." International Journal of Social Science Research and Review 5, no. 11 (November 5, 2022): 163–68. http://dx.doi.org/10.47814/ijssrr.v5i11.719.
Повний текст джерелаАнотація:
Traditional medicine is an important primary health care resource for many people and has been acknowledged as a necessary component of reaching universal health. The purpose of this research is to offer an overview of indigenous plant-derived medicinal applications administered to treat current human ailments. The data were collected via a mixed-methods research in four Bapedi communities in South Africa's Limpopo Province. The research documented six different techniques for administering indigenous plant-derived medications, including decoction, infusion, steam bath, incense, poultice, and powder. These uses are determined by the kind of plant material employed and the type of illness being treated. For instance, a leaf poultice is applied directly to wounds to promote healing, while decoctions and infusions of the root, bark, and bulb are used as purgatives and enemas to treat gastrointestinal diseases and as emetics to alleviate cough. Steam baths and incense inhalation increase sweat, which is beneficial in the treatment of fever and cough. The standard dose for decoctions and infusions is a teacup, but there are no accounts of particular dosages for poultices, steam, ash, burned root, or leaf sap. This research advises hastening the process of authenticating traditional medicine in order to assure optimal practices, such as accurate dosage uses for medications.
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MacLean, Sarah, Angela Harney, and Kerry Arabena. "Primary health-care responses to methamphetamine use in Australian Indigenous communities." Australian Journal of Primary Health 21, no. 4 (2015): 384. http://dx.doi.org/10.1071/py14126.
Повний текст джерелаАнотація:
Crystal methamphetamine (commonly known as ‘ice’) use is currently a deeply concerning problem for some Australian Indigenous peoples and can cause serious harms to individual, families and communities. This paper is intended to support best practice responses by primary health-care staff working with Australian Indigenous people who use methamphetamine. It draws on a systematic search of relevant databases to identify literature from January 1999 to February 2014, providing an overview of prevalence, treatment, education and harm reduction, and community responses. The prevalence of methamphetamine use is higher in Indigenous than non-Indigenous communities, particularly in urban and regional settings. No evidence was identified that specifically related to effective treatment and treatment outcomes for Indigenous Australians experiencing methamphetamine dependence or problematic use. While studies involving methamphetamine users in the mainstream population suggest that psychological and residential treatments show short-term promise, longer-term outcomes are less clear. Community-driven interventions involving Indigenous populations in Australia and internationally appear to have a high level of community acceptability; however, outcomes in terms of methamphetamine use are rarely evaluated. Improved national data on prevalence of methamphetamine use among Indigenous people and levels of treatment access would support service planning. We argue for the importance of a strength-based approach to addressing methamphetamine use, to counteract the stigma and despair that frequently accompanies it.
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Shahaed, Heba, Guneet Sandhu, and Eric Seidlitz. "Reviewing Inequities in Primary Care Received by Indigenous Peoples in Ontario." Sciential - McMaster Undergraduate Science Journal, no. 5 (December 4, 2020): 21–28. http://dx.doi.org/10.15173/sciential.v1i5.2542.
Повний текст джерелаАнотація:
Research has shown that Indigenous peoples in Canada experience health inequities when compared to the non-Indigenous population. High quality primary care has been described in literature; however, this has not been explored through the lens of Indigenous health. A scoping review was performed in order to investigate the quality of primary care received by indigenous peoples in Ontario. To conduct this review, a search of current literature on primary care in Indigenous communities in Ontario was performed. The studies examined in this review were derived from four different databases and many evaluated specific communities using a qualitative and quantitative approach. Several themes were identified including inadequate preparation and training of health care providers, physician and nursing shortages, strategies associated with improved quality of care, management of mental health, disparities in health service delivery station types and ineffective primary care impacts on hospitalizations. This literature search demonstrated a clear gap in the literature on the quality of primary care received by the Indigenous population in Ontario. Thus, further research is necessary in order to outline the current state of primary care being delivered to Indigenous populations in Ontario, and develop strategies to enhance the quality of care for this population.
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Diehl, Eliana Elisabeth, and Esther Jean Langdon. "Indigenous participation in primary care services in Brazil." Regions and Cohesion 8, no. 1 (March 1, 2018): 54–76. http://dx.doi.org/10.3167/reco.2018.080104.
Повний текст джерелаАнотація:
English abstract:In 1990, the Brazilian Unified Health System institutionalized new relationships between the government and society. In recognition of the inequalities and inequities inflicted upon Indigenous Peoples, the Indigenous Health Subsystem was established in 1999. Roles were created for the democratic exercise of Indigenous participation and prominence in three border spaces: Indigenous health agents as members of health teams; Indigenous representatives on health councils; and Indigenous organizations as primary care providers. This article explores these spaces based on ethnographic research from southern Brazil. It concludes that the roles created for Indigenous participation and governance are ambiguous and contradictory. When participating in new opportunities created by the government, Indigenous actors are subjected to a centralized and bureaucratized system that offers little possibility of autonomous decision- making or action.Spanish abstract:En 1990, el Sistema Único de Salud institucionalizó nuevas relaciones entre el gobierno y la sociedad, estableciendo en 1999 el Subsistema de Salud Indígena. Se crearon nuevos roles para el ejercicio democrático de la participación indígena con prominencia en tres espacios de frontera: agentes indígenas de salud como miembros de los equipos de salud; representantes indígenas en los consejos de salud; y organizaciones indígenas como proveedores de atención primaria. Este artículo explora estos espacios basado en investigación etnográfi ca del sur de Brasil. Se concluye que los roles creados para la participación y gobernanza indígena son ambiguos y contradictorios. Cuando se participa en nuevas oportunidades creadas por el gobierno, los actores indígenas son sometidos a un sistema que ofrece poca posibilidad de tomar decisiones autónomas o actuar.French abstract:1990 le système unique de santé brésilien, le SUS (Sistema Único de Saúde) institutionnalisait de nouvelles relations entre le gouvernement et la société en donnant aux usagers un rôle central et en leur att ribuant une large participation dans tous les secteurs des soins. En reconnaissance des inégalités et iniquités historiques infl igées aux peuples indigènes, le sous-système de soin indigène fut établi en 1999. De nouveaux rôles furent créés pour l’exercice démocratique de la participation indigène et sa reconnaissance dans trois zones d’action et de communication délimitées. Cet article explore ces espaces sur la base de recherches ethnographiques réalisées au Sud du Brésil et conclut que les rôles créés pour la participation indigène et la notion associée de gouvernance sont souvent ambigus et contradictoires.
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Turner, Lyle, Tim Albers, Adrian Carson, Carmel Nelson, Renee Brown, and Marianna Serghi. "Building a regional health ecosystem: a case study of the Institute for Urban Indigenous Health and its System of Care." Australian Journal of Primary Health 25, no. 5 (2019): 424. http://dx.doi.org/10.1071/py19038.
Повний текст джерелаАнотація:
Efforts to address Indigenous health disadvantage require a refocus on urban settings, where a rapidly increasing majority (79%) of Indigenous Australians live. Proximity to mainstream primary care has not translated into health equity, with the majority of the Indigenous burden of disease (73%) remaining in urban areas and urban Indigenous people continuing to face significant barriers in accessing comprehensive and culturally appropriate care. This paper presents a case study of how the Institute for Urban Indigenous Health (IUIH) has strategically responded to these challenges in South East Queensland – home to Australia’s largest and equal fastest growing Indigenous population. The IUIH has developed a new regional and systematised model – a regional health ‘ecosystem’ – for how primary care is delivered and intersects with the broader health system. Through intentional action, which strengthens the self-efficacy of community, the IUIH System of Care has delivered real gains for the Indigenous population of the region and has the capacity to deliver similar improvements in health access and outcomes in other regions.
Дисертації з теми "Indigenous primary health care"
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Lavoie, JoseÌe Gabrielle. "Patches of equity : policy and financing of indigenous primary health care providers in Canada." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2005. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.417833.
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Davis, Kierrynn, University of Western Sydney, Faculty of Social Inquiry, and School of Social Ecology. "Cartographies of rural community nursing and primary health care: mapping the in-between spaces." THESIS_FSI_SEL_Davis_K.xml, 1998. http://handle.uws.edu.au:8081/1959.7/470.
Повний текст джерелаАнотація:
This postmodern feminist ethnographies research aimed to explore the everyday meanings of primary health care (PHC) held by rural community nurses. Secondly, the research aimed to explore the everyday meanings of care held by the clients of the rural community nurses who participated in the study. The representation of this research is written in four voices which converse with each other to varying degrees in each chapter. This writing strategy is a deliberate one aimed at destabilising the usual approach to representation of research. It is also a strategy which seeks methodological coherence. The third aim therefore is to deliberately trouble the acceptable grounds concerning how nursing research is represented. The research utilised dialogical (conversational)and participant observation methods concerning the everyday meanings of nurses and their clients.The meanings I made of the information were created from a deconstruction of the texts. These texts included fieldnotes of participant observations and transcripts of conversations with nurses and their clients. The form of deconstruction utilised was informed from multiple sources and involved three levels of analysis. A realist interpretation was followed by an oppositional interpretation and then a reconstructive movement. The results revealed that rural community nurses practice is both spatio-temporally contextualised and metaphorically situated in an in-between space. This in-between space is situated between margin and the centre. Rural community nurses working on the margins traverse this space in order to overcome further marginalisation whilst working with Indigenous Australians and the aged. Moreover, the in-between space encompasses and creates opportunities to mutually exchange the gift of desire that being - empowering and compassionate relationships with clients and colleagues. Futhermore, whilst rural community nurses are strongly committed to the philosophy of PHC, their evryday working life is discursively constructed by powerful discourses which result in oppositional tensions. The tensions and the 'in-between' space allow the rhetoric of PHC to be resisted and reframed. Consequently, the oppositional constructs of their practice were displaced. Moreover, this necessitated the negotiation of space and place, and required the reconstruction of subjectivity, intersubjectivity and becomingDoctor of Philosophy (PhD)
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au, A. Eades@murdoch edu, and Anne-Marie Eades. "Factors that influence participation in self-management of wound care in three Indigenous communities in Western Australia: Clients' perspectives." Murdoch University, 2008. http://wwwlib.murdoch.edu.au/adt/browse/view/adt-MU20090702.111437.
Повний текст джерелаАнотація:
The purpose of this study was to identify any barriers or enablers as influences on wound care self-management by Indigenous people. A qualitative, interpretive study sought to investigate how participants perceived their wounds and their general health, and to identify the influences on them accessing wound care services.
There is a dearth of information on culturally appropriate practice in wound management for Indigenous Australians. This research project was therefore significant in attempting to bridge the gap in nursing knowledge of Indigenous clients' perceptions of barriers and enablers for seeking wound care services,especially in relation to lower leg ulcers. The lack of culturally sensitive wound management practices potentially impacts on Indigenous clients' behaviours in seeking treatment from their health service providers.
Participant observations and semi-structured interviews with the research participants investigated the management of their wounds, and the ways in which their culture influences wound management. The main aim was to understand participants' comprehension of the importance of wound care through reflection. Understanding the enhancing or obstructive influences on wound management practices was expected to provide a foundation for teaching self care of wounds in Indigenous populations and inform health professionals' approach to health education.
The data were analysed using thematic analysis, which generated common themes related to the research questions. These themes are: visibility, of the problem,4 perceived versus actual level of knowledge, acceptance of co-morbid health conditions and pre-determined path of ill health. These findings indicated that in one region, participants' perception of poor health was related to visibility of the problem. Participants chose to have their visible wounds managed by Silver Chain Nursing Association, whereas Diabetes and Hypertension and any other non-visible disorders were seen as appropriate to the Aboriginal Medical Service (AMS). Further to this finding, most participants displayed a sense of helplessness and hopelessness when sharing information about their diagnosis of diabetes, believing this was the norm. Many also believed that having a strong family history of a particular disease resulted in the participants also inheriting the disease. During post interview educational sessions many of the Indigenous participants were surprised by the evidence based-research reported to them by the researcher that diabetes is a manageable disease with life style changes.
Another issue highlighted was the perceived level of knowledge the participants had about wound care. Reassurance was given by the participants that their level of knowledge about how to manage their wounds was adequate. However, none of the participants were concerned about the length of time that their wound/s had or were being managed, between 3 months and 5 years. This acceptance that although a wound is not getting any worse and not getting any better was the norm is cause for concern, and indicates a low level of health literacy. This theme was 'perceiving an imbalance in perceptions of wound care knowledge with actual knowledge'.
The most important recommendation from the study findings is the need to consider health literacy more carefully in the development of health promotion and health education for Indigenous clients with wounds.
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Rankoana, Sejabaledi Agnes. "The use of indigenous knowledge for primary health care among the Northern Sotho in the Limpopo Province." Thesis, University of Limpopo (Turfloop Campus), 2012. http://hdl.handle.net/10386/752.
Повний текст джерелаАнотація:
Thesis (M.Phil.) --University of Limpopo, 2012An exploratory study was conducted on the ethnomedical aspects of rural communities in the Limpopo Province with emphasis on the use of cultural practices, values and belief systems to meet primary health care needs. The study explored the use of indigenous medical knowledge for remedial, preventive and protective health care. Qualitative and quantitative data were collected through interviews and questionnaire administration with 240 research respondents purposely selected from four communities of the Northern Sotho in the Limpopo Province. The research findings show that the Northern Sotho culture is composed of a wealth of indigenous knowledge, practices, values and belief systems that were developed by the people themselves with the objective of maintaining good health. The study respondents have extensive experience and knowledge about the elements responsible for much of the diseases that afflict them. For this reason, they have developed cultural belief systems and values that lessen the risks for contracting disease. Susceptibility to disease is lessened by knowledge about cosmological factors, disease etiologies, heeding of cultural taboos, moral behaviour, hygiene, healthy diet, drinking of clean water and proper sanitation and waste removal. Immunization against disease is accomplished through administration of indigenous plant medicines dispensed by traditional health practitioners. Instances of self-medication were encountered in 18% of the respondents. The respondents apply simple home remedies for prevention and remedial purposes. Treatment is meant for simple ailments such as flu, cough, diarrhea, snakebites, fever, measles and mumps. The medicines administered for self-medication are prepared in the household by the patient, his/her parent or a family member. Traditional health practitioners are consulted for preventive, protective and remedial care by 52% of the respondents and their families. Traditional health practitioners provide holistic remedial care through administration of medicines prepared from the indigenous plant materials such as bulbs, roots, leaves and bark of trees. The indigenous health care mechanisms of the Northern Sotho address basic elements of primary health care such as fostering self-care and self-reliance, community participation and the use of traditional medical practices for the maintenance of good health. It is recommended that the indigenous knowledge of preventive, protective and remedial care should be incorporated into Primary Health Care Programs to promote the WHO principle that communities should plan and implement their own health care services. Scientific validation of the health benefits derived from the consumption or utilization of medicinal plants should be encouraged.
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Mji, Gubela. "Exploring the health knowledge carried by older Xhosa women in their home situation, with special focus on indigenous knowledge." Thesis, Stellenbosch : Stellenbosch University, 2013. http://hdl.handle.net/10019.1/79978.
Повний текст джерелаАнотація:
Thesis (PhD)--Stellenbosch University, 2013.ENGLISH ABSTRACT: Rationale: Critical questions have been raised about the overcrowding of primary care services, such as community health centres (CHCs) and clinics in predominantly Xhosa-occupied areas in the Western and Eastern Cape, with clients who present with minor health ailments. Suggestions have been made about the integration and the use of the indigenous health knowledge (IHK) carried by older Xhosa women in the services as a strategy for managing minor health ailments, and as a way of encouraging appropriate health-seeking behaviour. Preliminary studies have reinforced the need for the revival of the IHK that currently is lying dormant within communities. The studies affirm that such knowledge could be an asset if integrated into, and valued by, the Western biomedical model, and could play a major role in contributing towards alleviating the problem of overcrowding in primary care (PC) services. Aim: This study primarily explored and described the IHK carried by older Xhosa women and used in the management of health problems in their home situation. Secondary recommendations were made to key stakeholders regarding the use, retainment and integration of the IHK into PC services. Method: This ethnographic, feminist and emancipatory study used qualitative methods of data collection. Thirty-six (36) older Xhosa women were purposefully selected to participate in four FGDs, to explore the IHK that they used for managing health problems in their home situation. Sixteen (16) in-depth interviews were conducted with the elite older Xhosa women and their family members to validate the findings from the four FGDs. The process of analysis and interpretation was informed by an inductive process of a combination of narrative analysis and the analysis of narratives strategies. Findings: The findings showed that the older Xhosa women possess IHK regarding the management of minor health problems within the home situation. Assessment, treatment strategies and medications were identified. Functionality and observation are mainly used to diagnose and manage illness. This approach also includes monitoring the progress, severity and recovery from illness in the patient. The findings further demonstrated that older Xhosa women were also managing illnesses that could be classified as major. They could clearly distinguish between what was health and what was illness in their village. Distance from health care services had an impact on the health-seeking behaviour of the older Xhosa women, with those closer to health care services wanting all illnesses, even those that could be classified as minor health ailments, to be managed by the health service, and those who were farther away from the hospital appearing to manage complex illnesses, and only referring clients with those illnesses to external health care services quite late. The findings further showed communication and attitudinal problems that existed between the clients and health care providers. Conclusion: Many studies have already challenged the manner in which PHC was implemented in developing countries, as it appeared to focus on the curative approach to disease and left out disease prevention and health promotion. It is within this area that the older Xhosa women appear to express the greatest concern for the health of their homes and villages. The older Xhosa women in the Eastern Cape appear to be struggling with problems of broken family units, and are left behind to struggle to keep the home together, as they lack the necessary resources to do the hard work involved with producing food and building the home and village. In the light of the promise of National Health Insurance and the revitalisation of PHC, the study proposes that the two major national health policies should take cognisance of the IHK utilised by the older Xhosa women, and that there should be a clear plan as to how the knowledge can be supported within a health care systems approach. A rural health model is proposed by the study to do this.
AFRIKAANSE OPSOMMING: Rasionaal: Daar word kritiese vrae gestel oor die toeloop van mense met geringe ongesteldhede by primêre-sorg(PS)-dienste, soos gemeenskapgesondheidsentrums (GGS) en klinieke, hoofsaaklik in Xhosa-woongebiede in die Wes- en Oos-Kaap. Voorstelle is geopper dat ouer Xhosa-vroue se inheemse gesondheidskennis (IGK) by die dienste geïntegreer en benut moet word as ’n strategie om minder ernstige gesondheidsprobleme te bestuur en om mense aan te moedig om toepaslike keuses oor gesondheidshulp te maak. Voorlopige navorsing het die nodigheid bevestig dat die kundigheid wat tans onbenut in gemeenskappe lê, herontgin behoort te word. Die navorsing bevestig dat sulke kennis ’n bate kan wees indien dit as ’n gewaardeerde element by die Westerse biomediese model ingeskakel word en dat dit ’n groot rol kan speel om die druk op PS-sentrums te verlig. Doelstelling:Hierdie navorsing ondersoek en beskryf hoofsaaklik die IGK waaroor ouer Xhosa-vroue beskik en wat in die hantering van gesondheidsprobleme in hul tuisomgewing aangewend word. Aanvullende aanbevelings rakende die gebruik, behoud en integrasie van IGK by PS-dienste is aan bepalende belanghebbers voorgelê. Metode: Kwalitatiewe data-insamelingsmetodes is in hierdie etnografiese, feministiese en bevrydingsgerigte navorsing gebruik. Ses-en-dertig ouer Xhosa-vroue is spesifiek uitgesoek vir deelname aan vier fokusgroepbesprekings (FGB’s) om hul hantering van gesondheidsprobleme in hul tuisomgewing aan die hand van hul IGK te ondersoek. Sestien indringende onderhoude is met die elite- ouer Xhosa-vroue en hul gesinslede gevoer om die bevindings van die vier besprekings te bevestig. Die proses van ontleding en vertolking is gerig deur ’n induktiewe proses wat ’n kombinasie van narratiewe ontleding en die ontleding van narratiewe strategieë behels het. Bevindings: Die bevindings wys dat ouer Xhosa-vroue IGK het rakende die hantering van minder ernstige gesondheidsprobleme in die tuisomgewing. Evalueringsmetodes, behandelingstrategieë en medikasie is uitgewys. Kwale word hoofsaaklik volgens funksionaliteit en waarneming gediagnoseer en hanteer. Die werkwyse sluit in dat pasiënte se vordering, die erns van hul siekte en hul herstel gemoniteer word. Die bevindings wys verder dat ouer Xhosa-vroue ook siektetoestande hanteer wat as ernstig geklassifiseer kan word. Hulle kan duidelik tussen gesondheid en siekte in hul gemeenskap onderskei. Die afstand vanaf gesondheidsorgdienste speel ’n rol in die gedrag van ouer Xhosa-vroue wat keuses oor gesondheidshulp betref; diegene wat na aan ʼn gesondheidsorgsentrum woon, verkies dat die gesondheidsdienste alle siektes - selfs dié wat as minder ernstige gesondheidskwale geklassifiseer kan word - moet hanteer, terwyl diegene wat verder van ’n hospitaal woon, klaarblyklik self komplekse siektetoestande behandel en eers op ’n gevorderde stadium sulke kliënte na eksterne gesondheidsorgdienste verwys. Die bevindings het ook probleme rakende kommunikasie en houdingsingesteldheid tussen kliënte en gesondheidsdiensverskaffers uitgewys. Gevolgtrekking: Verskeie ondersoeke het al die manier waarop PG-sorg in ontwikkelende lande toegepas word, bevraagteken, aangesien die benadering oënskynlik op genesing fokus terwyl dit siektevoorkoming en gesondheidsvoorligting verontagsaam. Dis oor hierdie aspek dat die ouer Xhosa-vroue skynbaar die grootste kommer oor die welstand van hul huishoudings en gemeenskappe het. Die ouer Xhosa-vroue in die Oos-Kaap het klaarblyklik met dieselfde probleme van gebroke gesinne as dié in die Wes-Kaap te kampe, en word dikwels alleen agtergelaat om die huishouding te laat oorleef. Hulle kry swaar om sonder die nodige hulpbronne die harde werk te doen om voedsel te produseer en om huishoudings en die gemeenskap op te bou. In die lig van die vooruitsigte wat nasionale gesondheidsversekering en vernuwing van die PGS inhou, stel hierdie navorsingsprojek voor dat bogenoemde twee hoofelemente van die nasionale gesondheidsorgbeleid aandag skenk aan die IGK wat ouer Xhosa-vroue toepas, asook dat ’n duidelike plan uitgewerk word oor hoe hierdie kennis binne die benadering tot gesondheidsorg ondersteun kan word. Die navorsings stel ’n model vir plattelandse gesondheidsorg voor om dié doelstellings te verwesenlik.
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Crengle, Suzanne Marie. "The management of children's asthma in primary care : Are there ethnic differences in care?" Thesis, University of Auckland, 2008. http://hdl.handle.net/2292/4957.
Повний текст джерелаАнотація:
Whole document restricted until August 2010, see Access Instructions file below for details of how to access the print copy.Abstract Background Asthma is a common problem in New Zealand, and is associated with significant morbidity and costs to children, their families, and wider society. Previously published New Zealand literature suggested that Māori and Pacific children were less likely than NZ European children to receive asthma medications and elements of asthma education, had poorer knowledge of asthma, and experienced greater morbidity and hospitalisations. However, none of the previous literature had been specifically designed to assess the nature of asthma care in the community, or to specifically answer whether there were ethnic disparities in care. A systematic review of studies published in the international literature that compared asthma management among different ethnic groups drawn from community-based samples was undertaken. The results of this review suggested that minority ethnic group children were less likely to receive elements of asthma medication use, asthma education and self-management (action) plans. Objectives The primary objectives of the study were to: • describe the use of medications, medication delivery systems, asthma education, and self-management plans in primary care for Māori, Pacific, and Other ethnic group children • ascertain whether there were any ethnic disparities in the use of medications, medication delivery systems, asthma education, and self-management plans in primary care after controlling for differences in socio-economic position and other potential confounders. Secondary objectives were to: • describe the asthma-related utilisation of GP, after hours medical care, emergency departments, and hospital admissions among Māori, Pacific, and Other ethnic group children with asthma • ascertain whether differences in medication use, the provision of asthma education, and the provision of self-management plans explained ethnic differences in health service utilisation. Methods A cross-sectional survey was conducted in Auckland, New Zealand. The caregivers of 647 children who were aged 2–14 years, had a diagnosis of asthma or experienced ‘wheeze or whistling in the chest’, and had experienced symptoms in the previous 12 months were identified using random residential address start points and door knocking. Ethnically stratified sampling ratios were used to ensure that approximately equal numbers of children of Māori, Pacific and Other ethnicity were enrolled into the study. A face-to-face interview was conducted with the caregivers of these children. Data was collected about: socio-demographic factors; asthma morbidity; asthma medications and delivery devices; exposure to, and experiences of, asthma education and asthma action plans; and asthma-related health services utilisation. Results In this study, the caregivers of 647 eligible children were invited to participate and 583 completed the interview, giving an overall completion rate of 90.1%. There were no ethnic differences in completion rates. The overall use of inhaled corticosteroid medications had increased since previous New Zealand research was published. Multivariable modelling that adjusted for potential confounders did not identify ethnic differences in the use of inhaled corticosteroids or oral steroids. Some findings about medication delivery mechanisms indicated that care was not consistent with guidelines. About 15% of participants reported they had not received asthma education from a primary care health professional. After adjusting for potential confounders there were no ethnic differences in the likelihood of having received asthma education from a health professional. Among those participants who had received education from a primary care health professional, significantly fewer Māori and Pacific caregivers reported receiving education about asthma triggers, pathophysiology and action plans. Lower proportions of Pacific (77.7%; 95% confidence interval (95%CI) 70.3, 85.1) and Māori (79.8%; 95% CI 73.6, 85.9) caregivers were given information about asthma triggers compared to Other caregivers (89.2%; 95% CI 84.9, 93.6; p=0.01). Fewer Māori (63.6%; 95% CI 55.7, 71.4) and Pacific (68.1%; 95% CI 60.1, 76.1) caregivers reported receiving information about pathophysiology (Other 75.9%; 95% CI 69.5, 82.3; p=0.05). Information about asthma action plans had been given to 22.7% (95% CI 15.5, 29.9) of Pacific and 32.9% (95% CI 25.3, 40.6) of Māori compared to Other participants (36.5%; 95% CI 28.6, 44.3; p=0.04). In addition, fewer Māori (64.2%; 95% CI 56.1, 72.3) and Pacific (68.5%; 95% CI 60.1, 77.0) reported that the information they received was clear and easy to understand (Other 77.9%; 95% CI 71.8, 84.1; p=0.03). About half of those who had received education from a health professional reported receiving further education and, after adjustment for potential confounders, Pacific caregivers were less likely to have been given further education (odds ratio 0.57; 95% confidence interval 0.33, 0.96). A minority of participants (35.3%) had heard about action plans and, after adjustment for potential confounders, Pacific caregivers were less likely to have heard about these plans (odds ratio 0.54; 95% confidence interval 0.33, 0.96). About 10% of the sample was considered to have a current action plan. The mean number of visits to a GP for acute and routine asthma care (excluding after-hours doctors and medical services) in the previous twelve months were significantly higher for Pacific (3.89; CI 3.28, 4.60) and Māori (3.56; CI 3.03, 4.16) children than Other ethnic group children (2.47; CI 2.11, 2.85; p<0.0001). Multivariable modelling of health service utilization outcomes (‘number of GP visits for acute and routine asthma care in the previous twelve months’, ‘high use of hospital emergency departments’, and ‘hospital admissions’) showed that adjustment for potential confounding and asthma management variables reduced, but did not fully explain, ethnic differences in these outcomes. Māori children experienced 22% more GP visits and Pacific children 28% more visits than Other children (p=0.05). Other variables that were significantly associated with a higher number of GP visits were: regular source of care they always used (regression coefficient (RC) 0.24; p<0.01); lower household income (RC 0.31; p=0.004) and having a current action plan (RC 0.38; p=0.006). Increasing age (RC -0.04; p=0.003), a lay source of asthma education (RC -0.41; p=0.001), and higher scores on asthma management scenario (RC -0.03; p=0.05) were all associated with a lower number of GP visits. Pacific (odds ratio (OR) 6.93; 95% CI 2.40, 19.98) and Māori (OR 2.60; 95% CI 0.87, 8.32) children were more likely to have used an emergency department for asthma care in the previous twelve months (p=0.0007). Other variables that had a significant effect on the use of EDs in the multivariable model were: not speaking English in the home (OR 3.72; 95% CI 1.52, 9.09; p=0.004), male sex (OR 2.43; 95% CI 1.15, 5.15; p=0.02), and having a current action plan (OR 7.85; 95% CI 3.49, 17.66; p<0.0001). Increasing age was associated with a reduced likelihood of using EDs (OR 0.90; 95% CI 0.81, 1.00; p=0.05). Hospitalisations were more likely in the Pacific (OR 8.94; 95% CI 2.25, 35.62) and Māori (OR 5.40; 95% CI 1.28, 23.06) ethnic groups (p=0.007). Four other variables had a significant effect on hospital admissions in the multivariable model. Participants who had a low income (OR 3.70; 95% CI 1.49, 9.18; p=0.005), and those who had a current action plan (OR 8.39; 95% CI 3.85, 18.30; p<0.0001) were more likely to have been admitted to hospital in the previous 12 months. Increasing age (OR 0.88; 95% CI 0.80, 0.98; p=0.02) and parental history of asthma (OR 0.39; 95% CI 0.18, 0.85; p=0.02) were associated with reduced likelihood of admission. Conclusions The study is a robust example of cross-sectional design and has high internal validity. The study population is representative of the population of children with asthma in the community. The three ethnic groups are also considered to be representative of those ethnic groups in the community. The study, therefore, has good representativeness and the findings of the study can be generalised to the wider population of children with asthma in the Auckland region. The results suggested that some aspects of pharmacological management were more consistent with guideline recommendations than in the past. However, given the higher burden of disease experienced by Māori and Pacific children, the lack of observed ethnic differences in the use of preventative medications may reflect under treatment relative to need. There are important ethnic differences in the provision of asthma education and action plans. Future approaches to improving care should focus on interventions to assist health professionals to implement guideline recommendations and to monitor ethnic disparities in their practice. Asthma education that is comprehensive, structured and delivered in ways that are effective for the people concerned is needed.
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Dangala, Study Paul. "An investigation of the potential role of indigenous healers in life skills education in schools." Thesis, University of the Western Cape, 2006. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=init_3187_1180443519.
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This thesis investigated the potential role of indigenous healers in life skills education in South African schools. The main focus of this study was to explore how indigenous knowledge of traditional healers can contribute to the development of life skills education in South African schools. The research also sought to strengthen Education Support Services in the South African education system, in order to address barriers to learning. These barriers to learning are linked to health challenges such as substance abuse, violence, malnutrition and HIV/AIDS and many other health-related issues in school-going age learners.
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Selden, Suzanne M. "PHC : unravelling a maze." University of Sydney, 2009. http://hdl.handle.net/2123/5976.
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Doctor of Philosophy(PhD)The thesis explores the complexities of primary health care in a setting characterised as being both isolated and remote, and in the process identifies factors critical for developing successful PHC programs in such settings and more broadly. The four questions underpinning the study are 1) is a PHC approach relevant to the chosen small remote Australian community; 2) to what extent was a PHC approach being implemented; 3) what are the barriers and enablers to developing and implementing a PHC approach; and 4) what are the crucial factors for PHC programs in similar communities. The first chapter provides the background to the study, beginning with the range of descriptions of primary health care and the many themes needed to understand how it plays out in a small community. The Menindee community and some of the local health service players are introduced. Chapter Two explores complexity theory and complex adaptive systems and its relevance to organisations and managing change, particularly in complex environments. Chapter Three examines the evolution of primary health care, its philosophy, principles and elements as both a model of health care and of development. Chapter Four addresses social determinants, the life course and the long-term effects of inequity, before considering current factors that impact on health and health services. These include the beginning and end of the life course and those in the ‘middle’ where the effects of the obesity and diabetes epidemics are being played out at a younger age. The chapter concludes by noting common themes across the three chapters. Chapter Five describes the research design and methods. A case study using mixed methods was chosen and the theoretical framework provides an exploration of complexity and transdisciplinarity. What changed during the course of the study, questions of scope and its limitations are stated. Chapter Six is a quantitative analysis of the study community, which examines community demographics, the life course, a summary of adult and child health, and service use. These enable an understanding of the community profile, its uniqueness and its similarity to other communities that might benefit from a comprehensive PHC approach. The questions to be explored in the qualitative phase are identified. Chapter Seven is a qualitative study of the community in the midst of change. An individual interview guide approach was used and representatives from the community, local and regional health service providers were interviewed. Chapter Eight provides a synthesis of the two studies as they address themes from the complexity, PHC and social inequity literature. Five themes had particular significance to the study community: social determinants and Indigenous health; community size, resilience and change; chronic disease programs and prevention; vulnerable groups; and a complex adaptive systems perspective. The second section answers the four study questions. The thesis concludes with a discussion of PHC rhetoric and reality, the relevance of the study and its limitations, and issues requiring further research when considering primary health care in smaller communities.
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Martins, Juliana Cláudia Leal. "O trabalho do enfermeiro na saúde indígena: desenvolvendo competências para a atuação no contexto intercultural." Universidade de São Paulo, 2017. http://www.teses.usp.br/teses/disponiveis/6/6135/tde-29082017-152141/.
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Introdução: O trabalho em saúde indígena tem como característica marcante a interculturalidade. O locus da prática dos profissionais é o contexto intercultural. A atuação nesse espaço de trabalho exige conhecimentos e competências que, muitas vezes, não são abordados durante a formação acadêmica. É também escassa a oferta de cursos após a graduação. O foco deste estudo foi a compreensão e a análise das possibilidades de aprendizagem do enfermeiro a partir da vivência do trabalho no interior das áreas indígenas. Para isso, considerou-se a realidade concreta do trabalho como um potencial espaço de aprendizado, fortemente marcado pela interculturalidade. Objetivo: Analisar a vivência do trabalho de saúde dentro do território indígena como um espaço potencial de aprendizagem para que o enfermeiro qualifique a sua prática profissional voltada para a atuação neste contexto intercultural. Método: Trata-se de um estudo descritivo de abordagem qualitativa do tipo estudo de caso. O campo do estudo foi o Distrito Sanitário Especial Indígena (DSEI) Xingu e os sujeitos da pesquisa foram os enfermeiros que nele atuam. Os dados primários foram obtidos por meio de entrevistas semiestruturadas que abordaram a prática profissional e o processo de aprendizagem tendo como referência o trabalho no interior da terra indígena. A análise do material empírico foi realizada através da técnica de análise de conteúdo e com o apoio de conceitos do campo da antropologia e da educação tais como: competência profissional, aprendizagem significativa e interculturalidade. Resultados: A partir da inserção no serviço, os enfermeiros iniciam um processo de aprendizado que segue impulsionado cotidianamente pelas situações vivenciadas no trabalho e que tem os indígenas como principais mediadores. Aos poucos, os profissionais aprendem a identificar e mobilizar os recursos necessários para uma atuação profissional mais competente que atenda às demandas do contexto. A reprodução de práticas e atitudes é a principal estratégia utilizada pelos profissionais para lidar com as dificuldades. Dentre os elementos que compõem a competência para o trabalho nesse campo, se destacam as atitudes na relação com os indígenas e suas práticas. As representações e concepções trazidas pelos profissionais interferem na atuação profissional. A interculturalidade se mostra como fator inerente que caracteriza o contexto e as demandas que são colocadas aos profissionais que nele atuam. O distanciamento da gestão do DSEI faz com que tanto o processo de aprendizado quanto o desenvolvimento de competências ocorram de maneira autodirigida. Conclusões: O perfil da atuação profissional do enfermeiro ganha forma, quase que exclusivamente, a partir de referências encontradas dentro da área indígena contribuindo para a consolidação de um modelo de atenção distante do proposto nas diretrizes políticasIntroduction: The work in Indigenous Health is characterized by interculturality. The locus of practitioners\' practice is the intercultural context. Acting in this workspace requires knowledge and skills that are often not addressed during academic education. The offer of courses after graduation is also scarce. The focus of this study was the understanding and analysis of nurses\' learning possibilities based on the experience of work within indigenous areas. For this, the concrete reality of work was considered as a potential learning space, strongly marked by interculturality. Objective: To analyze the experience of health work within indigenous lands as a potential learning space for nurses to qualify their professional practice geared towards acting in this intercultural context. Method: This is a descriptive study of a qualitative approach of the case study type. The field of study was the Indigenous Special Sanitary District (DSEI) Xingu and the research subjects were the nurses who work in it. The primary data were obtained through a semi structured interview that approached the professional practice and the learning process having as reference the work in indigenous land. The analysis of the empirical material was carried out through the technique of content analysis and with the support of concepts of the field of anthropology and education, such as: professional competence, meaningful learning and interculturality. Results: As from the insertion in the service, the nurses begin a learning process that continues driven daily by the situations experienced in the work and that has the indigenous people as main mediators. Professionals are gradually learning to identify and mobilize the resources needed for more competent professional action that meets the demands of the context. Reproduction of practices and attitudes is the main strategy used by practitioners to deal with difficulties. Among the elements that compose the competence for the work in this field, the attitudes in relation with the natives and their practices stand out. The representations and conceptions brought by the professionals interfere in the professional performance. Interculturality shows itself as an inherent factor that characterizes the context and the demands that are presented to the professionals who work in it. The distance from the DSEI management makes both the learning process and the development of competencies occur in a selfdirected way. Conclusions: The profile of nurses\' professional performance is shaped, almost exclusively, from references found within the indigenous area, contributing to the consolidation of a model of attention that is far from that proposed in the political guidelines
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Aguiar, Aldalice Pinto de. "Cobertura vacinal das crianças menores de 5 anos no município de São Gabriel da Cachoeira - AM, 2004-2009." Universidade Federal do Amazonas - Fundação Oswaldo Cruz, 2011. http://tede.ufam.edu.br/handle/tede/4556.
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Vaccination represents an important health action in preventing morbidity and mortality from vaccine-preventable diseases, immunization coverage and the analysis is essential to assess the adequacy of the provision of services in this field and provide information that assists in planning of vaccination in the city. The objective of this study, which was developed through qualitative and quantitative research, was to analyze the immunization coverage of children under 5 years old of rural and urban areas in the municipality of São Gabriel da Cachoeira - AM from 2004 to 2009. The quantitative data collection was done from secondary sources of registration of vaccines doses, classified by age group of children vaccinated, obtained from the Sistema de Informação do Programa Estadual de Imunização and the municipality and vaccine census of Distrito Sanitário Especial Indígena do Alto Rio Negro. The collection of qualitative data concerning the role of multidisciplinary teams of health was conducted through semi-structured interviews, dealing with topics of planning and scheduling of vaccination activities. The universe of this study included all doses of vaccines administered during the research and interviews with 26 professionals who work in immunization activities in the municipality. The results show that vaccination coverage in rural areas are more trustful than the urban area. The job of healthcare professionals has shown a mix of management, administration and support and in Indian areas demanded by complex technical-operational actions given through a tremendous amount of logistics, more flattening in the relationship between members of the multidisciplinary team of health Indian and flexibility in the direct performance, rigidity and hierarchy of roles and tasks among many professional levels. The professional roles in the urban area, the actions were simpler, not by promoting dialogue and cross-cutting interactions among team members. After all, there is a great disparity of sources to calculate the population vaccine coverage, especially in urban areas; these factors have committed the accuracy of qualitative data. The low coverage reflects the limitations found in the operationalization of immunization activities in the municipality of São Gabriel da Cachoeira.
A vacinação representa uma importante ação de saúde na prevenção da morbimortalidade por doenças imunopreveníveis, e a análise da cobertura vacinal é fundamental para avaliar a adequação da provisão de serviços nesse campo e disponibilizar informações que auxiliem no planejamento das ações de vacinação do município. O objetivo deste estudo, desenvolvido mediante pesquisa quali-quantitativa, foi analisar a cobertura vacinal das crianças menores de 5 anos da área rural e urbana no município de São Gabriel da Cachoeira - AM no período compreendido entre 2004 a 2009. A coleta de dados quantitativos foi realizada a partir de fontes secundárias de registro das doses aplicadas de vacinas, classificadas segundo a faixa etária das crianças vacinadas, obtidos no Sistema de Informação do Programa Estadual de Imunização e do município e nos censos vacinais do Distrito Sanitário Especial Indígena do Alto Rio Negro. A coleta de dados qualitativos foi efetuada por meio de entrevistas semi-estruturadas referente à atuação das equipes multiprofissionais de saúde, versando sobre tópicos de planejamento e programação das atividades de vacinação. O universo deste estudo compreendeu todas as doses de vacinas aplicadas no período da pesquisa e entrevistas com os 26 profissionais atuantes nas ações de vacinação no município. Os resultados mostraram que as coberturas vacinais da área rural são mais fidedígnas do que as da área urbana. O processo de trabalho dos profissionais de saúde revelou-se misto, de gestão, administração e assistência, na área indígena demandado por ações técnicas-operacionais complexas, veiculadas por meio de uma grande carga de logística, maior horizontalização no relacionamento entre os membros da equipe multiprofissional e flexibilidade no desempenho dos papéis profissionais. Na área urbana, as ações se mostraram mais simples e rotineiras, maior rigidez e hierarquização de papeis e tarefas entre os diversos níveis profissionais. Conclui-se que há uma grande disparidade das fontes populacionais para o cálculo das coberturas vacinais, principalmente para a área urbana, tais fatores comprometeram a precisão dos dados qualitativos. As baixas coberturas encontradas refletem as limitações da operacionalização das ações de vacinação no município de São Gabriel da Cachoeira.
Книги з теми "Indigenous primary health care"
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B, Murray Richard, and Kimberley Aboriginal Medical Services' Council., eds. Aboriginal primary health care: An evidence-based approach. Melbourne: Oxford University Press, 1999.
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Primary care: A doctor's life north and south of the border. Santa Fe: Sunstone Press, 2013.
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Sharon, Bushby, ed. Aboriginal healthworkers: Primary health care at the margins. Crawley, W.A: University of Western Australia Press, 2006.
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Nyamwaya, David. African indigenous medicine: An anthropological perspective for policy makers and primary health care managers. Nairobi: African Medical and Research Foundation, 1992.
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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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Bergerhoff, Petra, Dieter Lehmann, and 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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Cohen, Alan. Primary care mental health. Edited by Hill Alison. London: Emap Public Sector Management, 2000.
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Tanzania. Primary health care strategy. [Dar es Salaam]: Govt. of the United Republic of Tanzania, Ministry of Health, 1992.
Знайти повний текст джерелаЧастини книг з теми "Indigenous primary health care"
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Ciotti, Emanuele, Daniele Irmici, and 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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Rogers, Anne, and David Pilgrim. "Primary Care." In Mental Health Policy in Britain, 143–56. London: Macmillan Education UK, 2001. http://dx.doi.org/10.1007/978-1-137-03963-7_8.
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Knowles, Ann-Marie, Vaithehy Shanmugam, and 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. 7th 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.
Повний текст джерелаТези доповідей конференцій з теми "Indigenous primary health care"
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Wang, Na, and 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, and 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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Maguire, Graeme, Sean Blackall, Jae Beom Hong, Paul King, Conroy Wong, Lloyd Einsiedel, Marc Rémond, and Cindy Woods. "Bronchiectasis in Oceania – survival and health care in Indigenous and non-Indigenous populations." In ERS International Congress 2018 abstracts. European Respiratory Society, 2018. http://dx.doi.org/10.1183/13993003.congress-2018.pa345.
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Onwuemene, Onyeka. "Optimized Technical and Commercial Strategy for Marginal Field Re-Entry – A Case Study." In SPE Nigeria Annual International Conference and Exhibition. SPE, 2021. http://dx.doi.org/10.2118/207081-ms.
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Abstract This paper examines an optimized strategy and approach for executing a marginal field re-entry in the face of harsh global economic realities in the oil and gas sector. With dwindling and depressing oil prices driven by demand & supply volatility with root causes traceable to some factors such as the prevalent health pandemic, clamor for green energy, climate change discussions, geopolitics etc, the operating model for oil companies will need to drastically change to reflect current realities. Due to rapid global urbanization and increasing population amongst other factors, there is a corresponding huge appetite for oil to meet energy demands. This has led to exploration in unconventional terrains, utilization of the full extent of primary and secondary recovery mechanisms to attain high RFs in already producing fields and in some extreme cases, the development of marginal fields. In the Niger Delta area of Nigeria, marginal fields usually given up by Oil majors or abandoned following production exigencies and government laws are acquired and operated by indeginous companies. These indigenous players look for the most cost-effective means to produce these assets as it becomes the only way to make profit. A case study for field re-entry in the Niger Delta, which emphasized relatively/comparatively reduced capital outlay dependent on the technical approach is examined. Lessons learnt are drawn to aid enlightened go-forward actions and that will ensure a go-to template for similar future marginal field re-entry projects.
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Halas, Gayle, and 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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Manning, Garth, Frank van Dijk, and 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., and 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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Miranda, Eka, Mediana Aryuni, Richard Richard, and 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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Azzam, Nawras. "54 Primary health care education and antibiotics overuse." In Preventing Overdiagnosis, Abstracts, August 2018, Copenhagen. BMJ Publishing Group Ltd, 2018. http://dx.doi.org/10.1136/bmjebm-2018-111070.54.
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Intolo, S., and W. Sritanyarat. "DEVELOPMENT OF STROKE PREVENTIVE CARE MODEL FOR OLDER PERSONS IN A PRIMARY CARE CONTEXT." In International Conference on Public Health. The International Institute of Knowledge Management (TIIKM), 2017. http://dx.doi.org/10.17501/icoph.2017.3112.
Повний текст джерелаЗвіти організацій з теми "Indigenous primary health care"
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Baker, Timothy. Oregon Primary Care Physicians' Support for Health Care Reform. Portland State University Library, January 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, January 2000. http://dx.doi.org/10.15760/etd.5508.
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Basinga, Paulin, Paul Gertler, Agnes Binagwaho, Agnes Soucat, Jennifer Sturdy, and 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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Thieschafer, Cheryl L. Definition of Roles and Responsibilities of Health Care Team Members in a Population-Based Model of Primary Health Care Delivery. Fort Belvoir, VA: Defense Technical Information Center, June 1997. http://dx.doi.org/10.21236/ada372084.
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Bradley, Cathy, David Neumark, and Lauryn Saxe Walker. The Effect of Primary Care Visits on Health Care Utilization: Findings from a Randomized Controlled Trial. Cambridge, MA: National Bureau of Economic Research, December 2017. http://dx.doi.org/10.3386/w24100.
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Jigjidsuren, Altantuya, Bayar Oyun, and Najibullah Habib. Supporting Primary Health Care in Mongolia: Experiences, Lessons Learned, and Future Directions. Asian Development Bank, January 2021. http://dx.doi.org/10.22617/wps210020-2.
Повний текст джерелаАнотація:
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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Abrams, Melinda Abrams, Mollyann Brodie Brodie, Jamie Ryan Ryan, Michelle Doty Doty, Liz Hamel Hamel, and Mira Norton Norton. Primary Care Providers' Views of Recent Trends in Health Care Delivery and Payment:Findings from the Commonwealth Fund/Kaiser Family Foundation 2015 National Survey of Primary Care Providers. New York, NY United States: Commonwealth Fund, August 2015. http://dx.doi.org/10.15868/socialsector.25044.
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Smit, Amelia, Kate Dunlop, Nehal Singh, Diona Damian, Kylie Vuong, and Anne Cust. Primary prevention of skin cancer in primary care settings. The Sax Institute, August 2022. http://dx.doi.org/10.57022/qpsm1481.
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Overview Skin cancer prevention is a component of the new Cancer Plan 2022–27, which guides the work of the Cancer Institute NSW. To lessen the impact of skin cancer on the community, the Cancer Institute NSW works closely with the NSW Skin Cancer Prevention Advisory Committee, comprising governmental and non-governmental organisation representatives, to develop and implement the NSW Skin Cancer Prevention Strategy. Primary Health Networks and primary care providers are seen as important stakeholders in this work. To guide improvements in skin cancer prevention and inform the development of the next NSW Skin Cancer Prevention Strategy, an up-to-date review of the evidence on the effectiveness and feasibility of skin cancer prevention activities in primary care is required. A research team led by the Daffodil Centre, a joint venture between the University of Sydney and Cancer Council NSW, was contracted to undertake an Evidence Check review to address the questions below. Evidence Check questions This Evidence Check aimed to address the following questions: Question 1: What skin cancer primary prevention activities can be effectively administered in primary care settings? As part of this, identify the key components of such messages, strategies, programs or initiatives that have been effectively implemented and their feasibility in the NSW/Australian context. Question 2: What are the main barriers and enablers for primary care providers in delivering skin cancer primary prevention activities within their setting? Summary of methods The research team conducted a detailed analysis of the published and grey literature, based on a comprehensive search. We developed the search strategy in consultation with a medical librarian at the University of Sydney and the Cancer Institute NSW team, and implemented it across the databases Embase, MEDLINE, PsycInfo, Scopus, Cochrane Central and CINAHL. Results were exported and uploaded to Covidence for screening and further selection. The search strategy was designed according to the SPIDER tool for Qualitative and Mixed-Methods Evidence Synthesis, which is a systematic strategy for searching qualitative and mixed-methods research studies. The SPIDER tool facilitates rigour in research by defining key elements of non-quantitative research questions. We included peer-reviewed and grey literature that included skin cancer primary prevention strategies/ interventions/ techniques/ programs within primary care settings, e.g. involving general practitioners and primary care nurses. The literature was limited to publications since 2014, and for studies or programs conducted in Australia, the UK, New Zealand, Canada, Ireland, Western Europe and Scandinavia. We also included relevant systematic reviews and evidence syntheses based on a range of international evidence where also relevant to the Australian context. To address Question 1, about the effectiveness of skin cancer prevention activities in primary care settings, we summarised findings from the Evidence Check according to different skin cancer prevention activities. To address Question 2, about the barriers and enablers of skin cancer prevention activities in primary care settings, we summarised findings according to the Consolidated Framework for Implementation Research (CFIR). The CFIR is a framework for identifying important implementation considerations for novel interventions in healthcare settings and provides a practical guide for systematically assessing potential barriers and facilitators in preparation for implementing a new activity or program. We assessed study quality using the National Health and Medical Research Council (NHMRC) levels of evidence. Key findings We identified 25 peer-reviewed journal articles that met the eligibility criteria and we included these in the Evidence Check. Eight of the studies were conducted in Australia, six in the UK, and the others elsewhere (mainly other European countries). In addition, the grey literature search identified four relevant guidelines, 12 education/training resources, two Cancer Care pathways, two position statements, three reports and five other resources that we included in the Evidence Check. Question 1 (related to effectiveness) We categorised the studies into different types of skin cancer prevention activities: behavioural counselling (n=3); risk assessment and delivering risk-tailored information (n=10); new technologies for early detection and accompanying prevention advice (n=4); and education and training programs for general practitioners (GPs) and primary care nurses regarding skin cancer prevention (n=3). There was good evidence that behavioural counselling interventions can result in a small improvement in sun protection behaviours among adults with fair skin types (defined as ivory or pale skin, light hair and eye colour, freckles, or those who sunburn easily), which would include the majority of Australians. It was found that clinicians play an important role in counselling patients about sun-protective behaviours, and recommended tailoring messages to the age and demographics of target groups (e.g. high-risk groups) to have maximal influence on behaviours. Several web-based melanoma risk prediction tools are now available in Australia, mainly designed for health professionals to identify patients’ risk of a new or subsequent primary melanoma and guide discussions with patients about primary prevention and early detection. Intervention studies have demonstrated that use of these melanoma risk prediction tools is feasible and acceptable to participants in primary care settings, and there is some evidence, including from Australian studies, that using these risk prediction tools to tailor primary prevention and early detection messages can improve sun-related behaviours. Some studies examined novel technologies, such as apps, to support early detection through skin examinations, including a very limited focus on the provision of preventive advice. These novel technologies are still largely in the research domain rather than recommended for routine use but provide a potential future opportunity to incorporate more primary prevention tailored advice. There are a number of online short courses available for primary healthcare professionals specifically focusing on skin cancer prevention. Most education and training programs for GPs and primary care nurses in the field of skin cancer focus on treatment and early detection, though some programs have specifically incorporated primary prevention education and training. A notable example is the Dermoscopy for Victorian General Practice Program, in which 93% of participating GPs reported that they had increased preventive information provided to high-risk patients and during skin examinations. Question 2 (related to barriers and enablers) Key enablers of performing skin cancer prevention activities in primary care settings included: • Easy access and availability of guidelines and point-of-care tools and resources • A fit with existing workflows and systems, so there is minimal disruption to flow of care • Easy-to-understand patient information • Using the waiting room for collection of risk assessment information on an electronic device such as an iPad/tablet where possible • Pairing with early detection activities • Sharing of successful programs across jurisdictions. Key barriers to performing skin cancer prevention activities in primary care settings included: • Unclear requirements and lack of confidence (self-efficacy) about prevention counselling • Limited availability of GP services especially in regional and remote areas • Competing demands, low priority, lack of time • Lack of incentives.
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Kelley, Susan D., Leonard Bickman, and Stephanie Boyd. Improving Deployment-Related Primary Care Provider Assessments of PTSD and Mental Health Conditions. Fort Belvoir, VA: Defense Technical Information Center, October 2013. http://dx.doi.org/10.21236/ada612362.
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Kelley, Susan D., Leonard Bickman, Stephanie Boyd, Ryan Hargraves, and Melanie Leslie. Improving Deployment-Related Primary Care Provider Assessments of PTSD and Mental Health Conditions. Fort Belvoir, VA: Defense Technical Information Center, October 2010. http://dx.doi.org/10.21236/ada612979.
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