Primary Care in Australia

1986 ◽  
Vol 16 (2) ◽  
pp. 199-212
Author(s):  
N. A. Andersen
Keyword(s):  
General Practitioners ◽  
Care Delivery ◽  
The Elderly ◽  
Health Care Delivery System ◽  
Continuing Care ◽  
New Developments ◽  
Australian Health ◽  
The Family ◽  
Royal Australian College ◽  
The Way

The Australian health care delivery system is reviewed in this article, with special comment on the implications of the financial components of the system and government concerns regarding costs and over-servicing. General practitioners' perception of their role is not significantly different from the expectation of patients, yet the reality may not match the idealized view. There are problems related to availability and there are developments which seem to pose some threat to the continuing care of patients. New developments have occurred in the way in which practice is organized which give an emphasis to continual availability over 24 hour periods, and these developments pose a challenge to the way in which doctors have organized their practices. Population features-Aborigines, migrants, and the elderly-present significant problems that are not always well met, and the concept of total patient care thereby suffers. The general practitioner's apparent failure to fill the expected role in co-ordination of services is discussed, as is the need for general practitioners to become more actively involved in health education and promotion. The hope for the future lies in the Family Medicine Programme of The Royal Australian College of General Practitioners, which represents a major attempt to provide appropriate vocational training for general practice.

The Expanding Role of Clinical Sociology in Australia

2009 ◽  
Vol 3 (2) ◽  
pp. 56-62
Author(s):  
Les Spencer
Keyword(s):  
Health Care ◽  
Delivery System ◽  
Health Care Delivery ◽  
Social Transformation ◽  
Care Delivery ◽  
The United States ◽  
Health Care Delivery System ◽  
Evidence Based ◽  
Australian Health

This paper introduces clinical sociology as a humanistic, multidisciplinary specialty seeking to improve the quality of people's lives. It traces the emergence of clinical sociology in the United States in 1931, and in Australia in the late 1950s in the context of the pioneering clinical sociology research into social transformation at Australian society's margins by Neville Yeomans. A contemporary illustration is given demonstrating how a biopyschosocial model of health is now being implemented as world best-evidence-based practice within the Australian health care delivery system. Further arguments, citing national and international evidence based on sociotherapeutic models of intervention, support a proposal for the Australian Sociology Association to engage in dialogues with health care agencies with the view of establishing clinical sociologists as an integral part of the Australian health-care delivery system.

scholarly journals The dialogic life-death in care delivery to adolescents with cancer

2012 ◽  
Vol 20 (1) ◽  
pp. 126-134 ◽  
Author(s):  
Maria José Menossi ◽  
Juliana Cardeal da Costa Zorzo ◽  
Regina Aparecida Garcia de Lima
Keyword(s):  
Data Collection ◽  
Health Professionals ◽  
Care Delivery ◽  
Theoretical Framework ◽  
Loved One ◽  
Cancer Family ◽  
Health Team ◽  
The Family ◽  
The Way

This study aims to understand the experience of adolescents with cancer, family and the health team regarding death in the healthcare context, in the light of Edgar Morin's proposed theoretical framework of complexity. Participants were 12 adolescents, 14 relatives and 25 health professionals. The interview was used for data collection. The discussion of data was guided by the dialogic life-death in the context of care to adolescents with cancer. It was observed that the singularity in the way the adolescent experiences time and faces death and the possibility that the family will lose a loved one may not be in accordance with the care the health team offers, considering structural, organizational and affective aspects. It is not enough for the team just to rationally make choices on the use of diagnostic-therapeutic devices, in line with predefined moments in the disease. Instead, a contextualized and sensitive understanding of each situation is needed.

scholarly journals Lessons from 40 years' surveillance of influenza in England and Wales

2007 ◽  
Vol 136 (7) ◽  
pp. 866-875 ◽  
Author(s):  
D. M. FLEMING ◽  
A. J. ELLIOT
Keyword(s):  
Influenza Virus ◽  
General Practitioners ◽  
Hospital Admissions ◽  
Care Delivery ◽  
Influenza Virus Infection ◽  
Respiratory Illness ◽  
The Elderly ◽  
Surveillance Network ◽  
England And Wales ◽  
Syncytial Virus

SUMMARYThe influenza virus continues to pose a significant threat to public health throughout the world. Current avian influenza outbreaks in humans have heightened the need for improved surveillance and planning. Despite recent advances in the development of vaccines and antiviral drugs, seasonal epidemics of influenza continue to contribute significantly to general practitioner workloads, emergency hospital admissions, and deaths. In this paper we review data produced by the Royal College of General Practitioners Weekly Returns Service, a sentinel general practice surveillance network that has been in operation for over 40 years in England and Wales. We show a gradually decreasing trend in the incidence of respiratory illness associated with influenza virus infection (influenza-like illness; ILI) over the 40 years and speculate that there are limits to how far an existing virus can drift and yet produce substantial new epidemics. The burden of disease caused by influenza presented to general practitioners varies considerably by age in each winter. In the pandemic winter of 1969/70 persons of working age were most severely affected; in the serious influenza epidemic of 1989/90 children were particularly affected; in the millennium winter (in which the NHS was severely stretched) ILI was almost confined to adults, especially the elderly. Serious confounders from infections due to respiratory syncytial virus are discussed, especially in relation to assessing influenza vaccine effectiveness. Increasing pressure on hospitals during epidemic periods are shown and are attributed to changing patterns of health-care delivery.

scholarly journals Bringing the Nurse Back to the Bedside

2021 ◽  
Author(s):  
Gordon Bingham ◽  
Paul Ross ◽  
Susan Poole ◽  
Naomi Dobroff ◽  
Larnie Wright ◽  
...  
Keyword(s):  
Health Services ◽  
Patient Care ◽  
Care Delivery ◽  
Nursing Profession ◽  
Australian Health ◽  
Care Outcomes ◽  
The Way

As digitisation continues to increase across Australian health services, the nursing profession has focused on analysing and measuring the way care is provided to the patients. Focus on optimising nursing workflows and improved care delivery has presented challenges but this is now demonstrating improvements in patient care outcomes and time for care.

scholarly journals The qualitative experience of telehealth access and clinical encounters in Australian health care during COVID-19: Implications for policy

2021 ◽  
Author(s):  
Jennifer White ◽  
Julie Byles ◽  
Tom Walley
Keyword(s):  
Health Care ◽  
General Practitioners ◽  
Health Care Services ◽  
Care Delivery ◽  
Tertiary Hospital ◽  
Policy Implications ◽  
Australian Health ◽  
Care Services ◽  
Adaptive Models ◽  
Hunter Region

Abstract BackgroundAdaptive models of health care delivery, such as telehealth consultations, have rapidly been adopted to ensure ongoing delivery of essential health care services during COVID-19. However there remain gaps in our understanding of how clinicians have adapted to telehealth. This study aims to explore the telehealth experiences or specialists, based at tertiary hospital in the Hunter Region, and General Practitioners (GP) including barriers, enables and opportunities. Methods In-depth interviews explored the telehealth experiences of specialists, based at tertiary hospital in the Hunter Region of Australia, and General Practitioners (GP) including barriers, enablers and opportunities. Data were analyzed using an inductive thematic approach with constant comparison.ResultsIndividual interviews were conducted with 10 specialist and 5 GPs. Key themes were identified: (1) Transition to telehealth has been valuable but challenging; (2) Persisting telehealth process barriers need addressing; (3) Establishing when face-to-face consults are essential; (4) Changes in workload pressures and potential for double up; (5) Essential modification of work practices and (6) Exploring what is needed going forwardDiscussionWhile there is a need to rationalise and optimise health access during a pandemic, we suggest that more needs to be done improve telehealth going forward. Our results have important policy implications. Specifically, there is a specific need to effectively train clinicians to competently utilize and be confident using this telehealth and to educate patients on necessary skills and etiquette.

scholarly journals Medicinal plants used by the indigenous Ati tribe in Tobias Fornier, Antique, Philippines

2021 ◽  
Vol 22 (2) ◽  
Author(s):  
Cecilia Cordero ◽  
GRECEBIO JONATHAN D. ALEJANDRO
Keyword(s):  
Medicinal Plants ◽  
Drug Research ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Use Value ◽  
Structured Interviews ◽  
Informant Consensus ◽  
The Family ◽  
Alternative Means ◽  
Visual Problems

Abstract. Cordero CS, Alejandro GJD. 2021. Medicinal plants used by the indigenous Ati tribe in Tobias Fornier, Antique, Philippines. Biodiversitas 22: 521-538. This study documented the medicinal plants used by the indigenous Ati tribe in Sitio Pantad, Brgy. Igcalawagan, Tobias Fornier, Antique. Semi-structured interviews were conducted with the tribal chieftain, council of elders, herb doctors, and other members of the tribe who have indigenous knowledge of using medicinal plants in traditional medicine. The Use Value, Informant Consensus Factor, and Fidelity Level were used to determine the plants’ importance. A total of 108 plant species distributed in 97 genera and 44 families were used by the Ati to treat 67 diseases in 12 categories. The family Fabaceae was best represented with 15 species, followed by Lamiaceae with 12 species, and Asteraceae, Euphorbiaceae, and Poaceae with 5 species each. The most frequently used part was the leaf and the most common method of preparation and administration was decoction that was taken orally. One of the most culturally important medicinal plants was Euphorbia hirta L. with the highest use value (0.59) for treating visual problems, dengue, typhoid fever, and headache. The result of this study serves as an ethnobotanical base for drug research and formulation, as well as creating the needed awareness for preserving ethnomedicine as a safe and effective alternative means in the health care delivery system.

scholarly journals The process of end-of-life care delivery to the families of elderly patients according to the Family Health Strategy

2013 ◽  
Vol 21 (1) ◽  
pp. 380-387 ◽  
Author(s):  
Lucía Silva ◽  
Kátia Poles ◽  
Michelle Freire Baliza ◽  
Mariana Cristina Lobato dos Santos Ribeiro Silva ◽  
Maiara Rodrigues dos Santos ◽  
...  
Keyword(s):  
Elderly Patients ◽  
End Of Life ◽  
End Of Life Care ◽  
Care Delivery ◽  
Family Health ◽  
The Elderly ◽  
Life Care ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

OBJECTIVE: To understand the process of end-of-life care delivery to the families of elderly patients according to a Family Health Strategy (FHS) team, to identify the meanings the team attributes to the experience and to build a theoretical model. METHOD: Symbolic Interactionism and Grounded Theory were applied. Fourteen professionals working in an FHS located in a country town in the state of São Paulo were interviewed. RESULTS: Through comparative analysis, the core category overcoming challenges to assist the family and the elderly during the dying process was identified, and it was composed of the following sub-processes: Identifying situational problems, Planning a new care strategy, Managing the care and Evaluating the care process. CONCLUSION: the team faces difficulties to achieve better performance in attending to the biological and emotional needs of families, seeking to ensure dignity to the elderly at the end of their lives and expand access to healthcare.

scholarly journals Needs for continuing care of demented people: a model for estimating needs

1992 ◽  
Vol 16 (8) ◽  
pp. 465-467 ◽  
Author(s):  
John P. Wattis ◽  
Janet Hobson ◽  
George Barker
Keyword(s):  
United Kingdom ◽  
Social Services ◽  
The Elderly ◽  
Continuing Care ◽  
The United Kingdom ◽  
People With Dementia ◽  
The Way

The way in which residential and other forms of continuing care have developed in the United Kingdom has been reviewed (Lewis & Wattis, 1988). It has been a story of unclear policy and confusion, especially in respect of people with dementia. At present there is a lack of clarity about who is responsible for providing continuing care for demented people. Traditionally, their care was shared between social services Part III (including EMI – for the ‘elderly mentally infirm’) homes and NHS psychogeriatric and geriatric beds.

scholarly journals Penerapan Kompres Jahe Untuk Mengurangi Nyeri Pada Lansia Penderita Asam Urat

2021 ◽  
Vol 1 ◽  
pp. 1732-1736
Author(s):  
Muhammad Lutfi ◽  
Dwi Fijianto
Keyword(s):  
Nursing Staff ◽  
The Elderly ◽  
Pain Scale ◽  
Joint Area ◽  
Purine Content ◽  
The Family ◽  
The Way

AbstractGout is a disease that attacks the joint area, caused by consuming too many foods with high purine content, and sufferers feel pain and swelling in the joints. One ofthe ways to reduce pain by compressing with ginger. This study aims to apply the way in order to reduce on the elderly with gout. The result stated both have decreased pain scale. The first patients has decreased the scalen from 5 to 2, and the latter had decreased the scale from 4 to 2, Furthermore, the patients and the family finally have understood the treatment of gout. Therefore, it can be concluded that compressing theraphy with ginger can reduce pain in the joints of eldery patients with gout. Thus, it is expected for the nursing staff to teach the theraphy on the patient and the familyKeywords : gout; compressing with ginger; elderly AbstrakAsam urat merupakan penyakit yang menyerang pada area sendi yang disebabkan banyaknya mengonsumsi makanan dengan kandungan purin tinggi dengan keluhan nyeri dan bengkak pada sendi. Tindakan untuk mengurangi nyeri salah satunya adalah kompres jahe. Tujuan dari studi kasus ini adalah menerapkan kompres jahe untuk mengurangi nyeri pada lansia penderita asam urat.Metode yang digunakan adalah metode deskriptif, yaitu metode yang digunakan untuk menganalisis data dengan cara mendeskripsikan atau menggambarkan data yang telah terkumpul. Hasil studi kasus ini pasien I dan II terjadi penurunan skala nyeri pasien I dari skala 5 menjadi 2 dan pasien II dari skala 4 menjadi 2, serta memahami perawatan pada asam urat. Kesimpulan studi kasus ini bahwa terapi kompres jahe dapat menurunkan nyeri pada persendian pasien lansia penderita asam urat. Saran untuk perawat diharapkan mengajarkan cara mengatasi penyakit asam urat dengan menggunakan terapi kompres jahe.Kata kunci : Asam urat;, kompres jahe; lansia

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