scholarly journals The interface between primary health care and population health: challenges and opportunities for prevention

2016 ◽  
Vol 26 (1) ◽  
Author(s):  
Mark Harris
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Population Health ◽  
Primary Health ◽  
Challenges And Opportunities

Stigma towards mental illness and substance use issues in primary health care: Challenges and opportunities for Latin America

2017 ◽  
Vol 13 (10) ◽  
pp. 1468-1480 ◽  
Author(s):  
Jaime C. Sapag ◽  
Brena F. Sena ◽  
Inés V. Bustamante ◽  
Sireesha J. Bobbili ◽  
Paola R. Velasco ◽  
...  
Keyword(s):  
Health Care ◽  
Mental Illness ◽  
Substance Use ◽  
Latin America ◽  
Primary Health Care ◽  
Primary Health ◽  
Challenges And Opportunities

scholarly journals Using population health surveys to provide information on access to and use of quality primary health care

2006 ◽  
Vol 30 (4) ◽  
pp. 485 ◽  
Author(s):  
Elizabeth J Comino ◽  
Oshana Hermiz ◽  
Jeff Flack ◽  
Elizabeth Harris ◽  
Gawaine Powell Davies ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Population Health ◽  
Health Survey ◽  
Health Surveys ◽  
Diabetes Management ◽  
Relevant Information ◽  
Population Based ◽  
Primary Health ◽  
Data Collections

Objective: Currently, primary health care (PHC) is under-represented in health statistics due to the lack of a comprehensive PHC data collection. This research explores the utility of population health surveys to address questions relating to access to and use of PHC, using diabetes as an example. Methods: Drawing on published material relating to diabetes management, we developed a conceptual framework of access to and use of quality PHC. Using this framework we examined three recent population-based health surveys ? the 2001 National Health Survey, 2002?03 NSW Health Survey, and AusDiab ? to identify relevant information collection. Results: We identified seven domains comprising aspects of quality PHC for people with diabetes. For each domain we proposed associated indicators. In critiquing the three population health surveys in relation to these indicators, we identified strengths and weaknesses of the data collections. Conclusion: This approach could inform the development of questions and extension of population health surveys to provide a better understanding of access to and use of quality PHC in Australia. The additional information would complement other data collections with a communitybased perspective and contribute to the develop- ment of PHC policy.

A Psychiatrist's Experience in a Primary Health Care Setting

1977 ◽  
Vol 7 (3) ◽  
pp. 229-240 ◽  
Author(s):  
Henry E. Schniewind
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Care Setting ◽  
Health Care Team ◽  
Health Care Setting ◽  
Working Relationships ◽  
Full Time ◽  
Primary Health Care Setting ◽  
Primary Health ◽  
Challenges And Opportunities

Psychiatrists have, for years, offered consultation to their nonpsychiatrist colleagues in many settings and have worked with them in a variety of ways. The development of new programs in primary medical care offers new challenges and opportunities to the liaison psychiatrist. This paper describes the experience of a full-time psychiatrist in a hospital-based primary health care setting. Special problems are encountered in developing working relationships with patients, physicians, nurses, social workers, administrators, and other members of the health care team. Effective resolution of these problems makes it possible to offer comprehensive mental health services as an integral part of primary health care. This psychiatrist's role differs from other consultation-liaison functions by virtue of full-time economic, patient care, academic, geographic and administrative assimilation into the primary health care setting itself. It is suggested that this role is an effective way to bring supportive and educational psychiatric services to patients and providers of all levels of sophistication and need.

scholarly journals Reducing Disease Burden in Rural Populations: Case Studies in Europe and Africa

2021 ◽  
Author(s):  
Paulo Henrique das Neves Martins Pires
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Family Medicine ◽  
Case Studies ◽  
Population Health ◽  
Health Indicators ◽  
Income Country ◽  
Rural Populations ◽  
Family Doctors ◽  
Primary Health

In 1984, Portugal was a middle-income country, developing the primary health care system, based on family doctors, health centres and health posts, reaching almost all population, with infectious diseases as one of the main health problems. In 2006, Mozambique was a low-income country, with a national health service attaining 60% of the population (40% in rural areas), with a double burden of disease (infectious and non-communicable diseases). Working in primary health care in Europe and Africa, we compare several experiences of family medicine practice in rural populations, different in context, time, and methods: Portugal 1984–2006 and Mozambique 2007–2020, all with a strong component of community health education. Our descriptive case studies, summarise strategies, interventions, and results, reviewing reports and articles. Population’ health indicators, and quality of life have improved, in different contexts with culturally tailored approaches. Participative societal diagnosis and multidisciplinary interventions are necessary to improve rural population health. Different rural populations and cultures are ready to learn and to participate in health promotion; empowering rural populations on health issues is an affordable strategy to better health indicators and services. Family Medicine is effective to extend primary health care to all rural populations, aiming universal health cover.

Staff perceptions of primary healthcare service change: influences on staff satisfaction

2014 ◽  
Vol 38 (5) ◽  
pp. 580 ◽  
Author(s):  
Rachel Tham ◽  
Penny Buykx ◽  
Leigh Kinsman ◽  
Bernadette Ward ◽  
John S. Humphreys ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Service Delivery ◽  
Health Outcomes ◽  
Population Health ◽  
Primary Healthcare ◽  
Visionary Leadership ◽  
Staff Satisfaction ◽  
Primary Health ◽  
Service Change

Strong primary healthcare (PHC) services are efficient, cost-effective and associated with better population health outcomes. However, little is known about the role and perspectives of PHC staff in creating a sustainable service. Staff from a single-point-of-entry primary health care service in Elmore, a small rural community in north-west Victoria, were surveyed. Qualitative methods were used to collect data to show how the key factors associated with the evolution of a once-struggling medical service into a successful and sustainable PHC service have influenced staff satisfaction. The success of the service was linked to visionary leadership, teamwork and community involvement while service sustainability was described in terms of inter-professional linkages and the role of the service in contributing to the broader community. These factors were reported to have a positive impact on staff satisfaction. The contribution of service delivery change and ongoing service sustainability to staff satisfaction in this rural setting has implications for planning service change in other primary health care settings. What is known about this topic? Integrated PHC services have an important role to play in achieving equitable population health outcomes. Many rural communities struggle to maintain viable PHC services. Innovative PHC models are needed to ensure equitable access to care and reduce the health differential between rural and metropolitan people. What does this paper add? Multidisciplinary teams, visionary leadership, strong community engagement combined with service partnerships are important factors in the building of a rural PHC service that substantially contributes to enhanced staff satisfaction and service sustainability. What are the implications for practitioners? Understanding and engaging local community members is a key driver in the success of service delivery changes in rural PHC services.

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