Reaction of New Soviet Immigrants to Primary Health Care Services in Israel

1998 ◽  
Vol 28 (3) ◽  
pp. 555-574 ◽  
Author(s):  
Larissa I. Remennick ◽  
Naomi Ottenstein-Eisen
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
The Elderly ◽  
Medical Services ◽  
Structured Interviews ◽  
Cultural Aspects ◽  
Care Services ◽  
Israeli Population ◽  
Primary Health Care Services ◽  
Diverse Cultures

The post-1989 immigration wave from the former U.S.S.R. has increased the Israeli population by over 12 percent, seriously affecting the host health care system. This study draws on semi-structured interviews with the immigrants visiting outpatient clinics in the Tel-Aviv area in order to explore organizational and cultural aspects of their encounter with the Israeli medical services. While instrumental aspects of care were seen as an improvement over the Soviet standards, communication between providers and clients was seriously flawed, reflecting both a language barrier and diverse cultures of illness and cure. Many interviewees complained of the impersonal, “technical” attitude of Israeli physicians toward patients and the lack of holism in care, which they allegedly enjoyed before emigration. Some immigrant patients feel deprived of the paternalism of the Soviet medical system, complaining that Israeli providers “forego responsibility” for patients' health. A consumerist approach to medical services is also a novelty, and immigrants have to learn to be informed and assertive clients. Most problems are experienced by the elderly patients; overall, women seem to adjust to the new system better than men.

scholarly journals Primary health care services utilization and satisfaction among the elderly in Asir region, Saudi Arabia

2004 ◽  
Vol 10 (3) ◽  
pp. 365-371
Author(s):  
A. A. Mahfouz ◽  
A. I. Al Sharif ◽  
M. N. El Gamal ◽  
A. H. Kisha
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Elderly People ◽  
Health Care Services ◽  
Tertiary Care ◽  
The Elderly ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services ◽  
Long Time

Use of primary health care [PHC] services and satisfaction among elderly people [60 + years] in Asir was studied in 26 PHC centers. They visited PHC centers significantly less often than younger adults but they were referred significantly more often to secondary and tertiary care and for more laboratory tests. A r and om sample of 253 elderly people attending the centers was interviewed about accessibility, continuity, humaneness, informativeness and thoroughness of care. Overall, 79.0% were satisfied with the services provided. The leading 3 items of dissatisfaction were:not enough audiovisual means for health education [65.1%], long time spent in the centre [46.4%], and not enough specialty clinics [42.5%]

scholarly journals ACTIONS/INTERACTIONS MOTIVATING NURSING LEADERSHIP IN THE CONTEXT OF PRIMARY HEALTH CARE

2015 ◽  
Vol 24 (4) ◽  
pp. 1121-1129 ◽  
Author(s):  
Gabriela Marcellino de Melo Lanzoni ◽  
Betina Hörner Schlindwein Meirelles ◽  
Alacoque Lorenzini Erdmann ◽  
Maira Buss Thofehrn ◽  
Clarice Maria Dall'Agnol
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Services ◽  
Training Stimulus ◽  
Nursing Leadership ◽  
Structured Interviews ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services ◽  
South Of Brazil

The aim of this qualitative study is to understand the actions/interactions identified as motivating leadership for nurses working at Primary Health Care services in a city in the South of Brazil. The Grounded Theory was used as the methodological framework. Data collection occurred through semi-structured interviews with twenty-three nurses working in the municipal health network and seven Nursing professors with expertise on the theme, distributed in four sample groups. The analysis revealed the category Composing the profile of nurses for leadership and its importance in health organizations, supported by three subcategories. The nurse exercises leadership driven by personality, vocational training stimulus, characteristics of the profession and influence of the environment. Nurses are influenced and influence the health service, acting in compliance with health policies, helping to foster the participation and integration of other workers in the health services.

scholarly journals Percepção dos enfermeiros sore a (não) procura dos homens por Atenção Primária à Saúde

2020 ◽  
Vol 10 (1) ◽  
pp. 58
Author(s):  
Ueliton Alves Vieira ◽  
Mariana De Oliveira Araujo ◽  
Bianca De Oliveira Araujo ◽  
Gilvânia Patrícia Do Nascimento Paixão
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Services ◽  
Family Health ◽  
Structured Interviews ◽  
Care Services ◽  
Primary Health ◽  
Analysis Technique ◽  
Primary Health Care Services ◽  
Nurses Perceptions

Este estudo teve como objetivos analisar a percepção dos enfermeiros sobre os motivos da (não) procura dos homens aos serviços de Atenção Primária à Saúde e descrever as dificuldades, facilidades e perspectivas encontradas pelos enfermeiros para promover o acesso dos homens a esses serviços. Trata-se de uma pesquisa de abordagem qualitativa realizada em unidades da Estratégia Saúde da Família (ESF), situadas na sede de um município do interior da Bahia, Brasil. Os participantes foram dez enfermeiros. Utilizou-se como técnicas de coleta de dados a entrevista semiestruturada e documentos, e para análise dos dados a Técnica de Análise de Conteúdo Temática. Diante dos resultados, percebeu-se que a escassa busca dos homens pelos serviços de saúde está relacionada à resistência em cuidar da saúde como forma preventiva e entre as dificuldades foram citados fatores institucionais e culturais. Como fatores facilitadores, os enfermeiros elencarama realização de atividades educativas e oferta de serviços específicos. Conclui-se que o trabalho desenvolvido pelo enfermeiro e demais membros da equipe de saúde de cada unidade da ESF constitui-se de grande importância nosentido de sensibilizar os homens sobre a importância do cuidado à saúde. NURSES PERCEPTION ON THE (NOT) DEMAND FOR PRIMARY HEALTH CARE BY MENThis study aimed to analyze nurses’ perceptions of the reasons for men’s (non) demand for Primary Health Care services and describe the difficulties, facilities and perspectives found by nurses to promote men’s access to these services. This is a qualitative, descriptive research carried out in Family Health Strategies (FHS) Units, located at the headquarters of a municipality in the countryside of Bahia, Brazil. The participants were ten nurses. The data collection techniques used were semi-structured interviews and document analysis. Thematic Content Analysis Technique was used for data analysis. In view of the results, it is clear that the low demand of men for health services is related to resistance to takingcare of health as a preventive form, and institutional and cultural factors were mentioned among the difficulties. As facilitating factors, nurses listed the provision of lectures/educational activities and the provision of specific services. It is concluded that the work developed by the nurse and other members of the health team of each FHS is of great importance in the sense of sensitizing men about the importance of health care.

scholarly journals Access for the elderly to primary health care services: an integrative review

10.3823/1917 ◽  
2016 ◽  
Author(s):  
Juliana Almeida Marques Lubenow ◽  
Anne Jaquelyne Roque Barrêto ◽  
Jordana de Almeida Nogueira ◽  
Antônia Oliveira Silva
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Services ◽  
The Elderly ◽  
Integrative Review ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services

scholarly journals Satisfaction of octogenarians with Primary Health Care services

2020 ◽  
Vol 23 (1) ◽  
Author(s):  
Luan Augusto Alves Garcia ◽  
Giovanna Gaudenci Nardelli ◽  
Ana Flávia Machado de Oliveira ◽  
Luiza Elena Casaburi ◽  
Fernanda Carolina Camargo ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Services ◽  
Family Health ◽  
The Elderly ◽  
Sociodemographic Factors ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services ◽  
The Disabled

Abstract Objective: To evaluate the satisfaction of octogenarians with Primary Health Care services. Method: a descriptive study, with a quantitative approach, was carried out with 30 older users of the Family Health Strategy, selected by a non-probabilistic sample. Data were collected at home, using the following questionnaires: the mini-mental state exam, a questionnaire on sociodemographic factors, health conditions and access to services, and a questionnaire on satisfaction with Primary Health Care. Data were analyzed using descriptive statistics. Results: The satisfaction analysis showed that the elderly octogenarians are satisfied in terms of care ( X ´ = 6,0 ; ± 1,5) and the interest that community agents demonstrate in them ( X ´ = 5,9 ; ± 1,6) and the availability of nurses for their treatment ( X ´ = 5,9 ; ± 1,1). Aspects related to the waiting time for nurses ( X ´ = 4,6 ; ± 1,6) and doctors ( X ´ = 4,9 ; ± 1,6), facilities for the disabled ( X ´ = 4,6 ; ± 1,4) and the perception that the unit is close to a perfect health unit ( X ´ = 4,6 ; ± 1,8). Conclusion: The services were positively evaluated, reflecting the importance of considering the perspective of octogenarian users in the planning of healthcare actions, since the evaluation of the quality of these services can lead to changes and guide actions in a way that is coherent with the lives of users, increasing their effectiveness, especially regarding actions aimed at the octogenarian population.

scholarly journals Portugal's primary health care human resources assessment

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J Oliveira Miranda ◽  
P Santos Luis ◽  
M Sarmento
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Family Medicine ◽  
Human Resources ◽  
Health Professional ◽  
Health Care Services ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services ◽  
The Mean

Abstract Background Primary health care services are the cornerstone of all health systems. Having clear data on allocated human resources is essential for planning. This work intended to map and compare the primary health care human resources of the five administrative regions (ARS) of the Portuguese public health system, so that better human resources management can be implemented. Methods The chosen design was a descriptive cross sectional study. Each of the five ARS were divided into primary health care clusters, which included several primary health care units. All of these units periodically sign a “commitment letter”, where they stand their service commitments to the covered population. This includes allocated health professionals (doctors, nurses), and the information is publicly accessible at www.bicsp.min-saude.pt. Data was collected for 2017, the year for which more commitment letters were available. Several ratios were calculated: patients/health professional; patients/doctor (family medicine specialists and residents); patients/nurse and patients/family medicine specialist. Mean, standard deviation, minimum and maximum values were calculated. Results National patients/health professional ratio was 702 with the mean of the 5 ARS calculated at 674+-7.15% (min 619, max 734) whilst the national patients/doctor ratio was 1247 with the mean of the 5 ARS calculated at 1217+-7.17% (min 1074, max 1290). National patients/nurse ratio was 1607 with the mean of the 5 ARS calculated at 1529+-13.08% (min 1199, max 1701). Finally, national patients/family medicine specialist ratio was 1711 with the mean of the 5 ARS calculated at 1650+-6,36% (min 1551, max 1795). Conclusions Human resources were differently spread across Portugal, with variations between the five ARS in all ratios. The largest differences occur between nursing staff, and may translate into inequities of access, with impact on health results. A more homogeneous human resources allocation should be implemented. Key messages Human resources in the Portuguese primary health care services are not homogeneously allocated. A better and more homogeneous allocation of human resources should be implemented to reduce access health inequities.

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