Relevant bibliographies by topics / Hospital Primary health care

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  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers
  6. Reports

Academic literature on the topic 'Hospital Primary health care'

Author: Grafiati
Published: 4 June 2021
Last updated: 1 February 2022

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Journal articles on the topic "Hospital Primary health care"

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Fry, John, and W. John Stephen. "Primary Health Care in the United Kingdom." International Journal of Health Services 16, no. 4 (1986): 485–95. http://dx.doi.org/10.2190/m0l4-qp4q-50k2-8rgv.

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General practice is one of the three bases of care in the British National Health Service (NHS); the other two are hospital and community services. Each is administered separately. There are 30,000 general practitioners (for a population of 57 million), who are independent and can organize their work as they see fit. Few are single-handed (13 percent) and the majority work in groups of three to five physicians. They are paid by capitation fees, and fees for specific services, and also receive reimbursements for staff, premises rental, and local taxes (rates). They work in close association with practice teams that include nurses, midwives, and social workers. There are no universal hospital privileges but many general practitioners hold appointments in local hospitals. Important trends in the NHS include mandatory vocational training of general practitioners for three years; the growing importance of attempts by the Royal College of General Practitioners to shift care from the hospital to the community; increased patient participation; clashes between the government and the medical profession over restricted funding of the NHS; definition and improvement of “quality,” and a need for improved data collection; and long waits for hospital services.
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Arisanti, Nita, Dany Hilmanto, Elsa Pudji Setiawati, and Veranita Pandia. "The Need for Palliative Care in Primary Health Care." Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) 1, no. 3 (2018): 103. http://dx.doi.org/10.22146/rpcpe.41691.

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.................... The access to palliative care in ends of life is one of the patients’ rights. Therefore it should be delivered into every level of health care for patients and family members. In some countries, palliative care is more frequent delivered in hospitals compare to primary health care, even though primary health care has a significant role in providing palliative care. Most families prefer to care for patients at home rather than in the hospital................................... The implementation of palliative care in Indonesia is still very limited to certain hospitals, even though doctors in primary care have great potential to offer such care to people in the community. Some of the factors contributing to the implementation are cultural and socioeconomic factors, patient and family perceptions, attitudes of service providers, lack of trained personnel, distribution of palliative care units, lack of consolidation and limited funds. As a result, patients with end-stage disease die in hospitals without receiving palliative care or dying at home with inadequate support................
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Krämer, Jonas, and Jonas Schreyögg. "Substituting emergency services: primary care vs. hospital care." Health Policy 123, no. 11 (2019): 1053–60. http://dx.doi.org/10.1016/j.healthpol.2019.08.013.

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Day, Carolina Baltar, Regina Rigatto Witt, and Nelly D. Oelke. "Integrated care transitions: emergency to primary health care." Journal of Integrated Care 24, no. 4 (2016): 225–32. http://dx.doi.org/10.1108/jica-06-2016-0022.

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Purpose – The purpose of this paper is to focus on the Integrated Care Transitions Project between the emergency department (ED) of a university hospital and primary health care (PHC) services in a large city in Southern Brazil was the focus of this study. Care transitions occurred through telephone contact for patients discharged from the ED to PHC. Design/methodology/approach – This descriptive, exploratory qualitative research collected data via semi-structured interviews (n=14) including interns of health disciplines, advisors for interns, nurses, and physicians from the ED and PHC Family Unit. A thematic analysis of the data were conducted. Findings – ED providers felt they gained increased knowledge of the care networks available for patients in the community. Connection between the providers in ED and PHC facilitated confidence in the services provided in the community and increased continuity of care for patients’ needs. The PHC providers recognized integration promoted communication and better care planning for patients discharged from ED. Integrated care made the work in the PHC easier and benefited the users. Research limitations/implications – The study evaluated a program available in one hospital. Generalizability may be limited as services in the ED were provided by professional residents and their advisors, not employees of the hospital. Practical implications – Shared information by different health services leads to better care for patients and greater job satisfaction for providers. Originality/value – Care transitions are not well-managed in health care; there is limited research focusing on care transitions from ED to community. For providers and patients, this program assisted in building capacity and networks for transitions in care.
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Bay, K. S., K. A. Toll, and J. R. Kerr. "Utilisation of Acute Care Hospital Beds by Levels of Care." Health Services Management Research 2, no. 2 (1989): 133–45. http://dx.doi.org/10.1177/095148488900200205.

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An exploratory analysis of utilisation patterns of acute care hospitals in the Province of Alberta, Canada was carried out to develop a methodology for assessing bed utilisation profiles of acute care hospitals by levels of care. The utilisation of Alberta acute care hospital beds was measured in terms of primary, secondary and tertiary levels of hospital services. Patient origin—destination methodology was applied and a regionalisation perspective employed. The data used for this study were hospital separation abstracts compiled by all Alberta acute care hospitals during year 1986, this coincided with the most recent available Canadian census data. It was estimated that approximately 10–11% of Alberta beds were used for tertiary care as derived from population based utilisation rates and patient flow patterns. With respect to per capita measurement, the number of beds used per 1,000 residents was: 3.5 to 3.9 for primary, 1.2 to 1.6 for secondary, and about 0.6 for tertiary levels of care. Regression analysis revealed that the marginal cost per bed at each level was approximately 75–79, 87–88, and 201–209 thousand Canadian dollars per year in 1986 for primary, secondary and tertiary care respectively. The profiles thus estimated explained about 65% of per bed hospital cost variation.
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KAAG, MARJA E. C., DIRK WIJKEL, and DICK DE JONG. "Primary Health Care Replacing Hospital Care—the Effect on Quality of Care." International Journal for Quality in Health Care 8, no. 4 (1996): 367–73. http://dx.doi.org/10.1093/intqhc/8.4.367.

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Pinchbeck, Edward W. "Convenient primary care and emergency hospital utilisation." Journal of Health Economics 68 (December 2019): 102242. http://dx.doi.org/10.1016/j.jhealeco.2019.102242.

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Syukriani, Yoni Fuadah. "Academic Health System in West Java in Strengthening Primary Health Care." Journal of Midwifery 5, no. 1 (2021): 71. http://dx.doi.org/10.25077/jom.5.1.71-80.2020.

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Academic Health System (AHS) has been developed in many countries to strengthen the relationship between medical education and health professions with the health care system, which is essential to improve health outcome. Indonesia has chosen to establish AHS in several provinces, each with the autonomy to develop the system in accord with regional needs. Health cluster faculties in Universitas Padjadjaran, with its two main teaching hospitals, the West Java provincial government strived to develop AHS to overcome health services problem and medical education in the province that has enormous geographical and demographic challenges. The strategy used focuses on two things: distributed medical education (DME) and the development of a more effective referral system. The goals are dividing the province into seven regionals, upscaling one local hospital in each to become a regional referral hospital, expanding learning opportunities for medical students, and endorsing research to strengthen the primary healthcare services. Activities were carried out through the distribution of medical students and residents to local hospitals and primary healthcare facilities along with the education of local medical professionals as supervisors. Grants were provided for research that focus on quality primary healthcare, construction of data portal for patient management referral systems, telemedicine, and tele-education. The challenges faced are mainly related to the different mindset between institutions that have different work cultures and the wide variance of situations between regions. It is therefore recommended to build a more straightforward AHS system with addition of sub-networks, besides continue to maintain close communication and policy development.
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Malcolm, Laurence. "Primary health care and the hospital: Incompatible organisational concepts?" Social Science & Medicine 39, no. 4 (1994): 455–58. http://dx.doi.org/10.1016/0277-9536(94)90088-4.

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Quanjel, Tessa C. C., Marieke D. Spreeuwenberg, Jeroen N. Struijs, Caroline A. Baan, and Dirk Ruwaard. "Substituting hospital care with primary care: The evaluation of a cardiology Primary Care Plus intervention." International Journal of Integrated Care 18, s2 (2018): 197. http://dx.doi.org/10.5334/ijic.s2197.

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Dissertations / Theses on the topic "Hospital Primary health care"

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Barbosa, Rafael Ribeiro. "Primary public health care and socioeconomic asymmetries in Portugal." Master's thesis, NSBE - UNL, 2012. http://hdl.handle.net/10362/9566.

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Machado, Eduardo Filipe Calado e. "Primary and hospitalar health care: Building a happy marriage." Master's thesis, NSBE - UNL, 2010. http://hdl.handle.net/10362/9862.

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A Work Project, presented as part of the requirements for the Award of a Masters Degree in Management from the NOVA – School of Business and Economics<br>We address the potential integration of the Hospital Dr. Fernando Fonseca E.P.E. with the Primary Care Units in its geographical coverage area in a Local Health Unit. We apply semi-structured interviews in order to understand how to best implement this model of local organization in the referred case. We classify the interviews of each unit according to pre-determined criteria and suggest measures to be implemented. Results demonstrate that the hospital is more able to promptly assume a change process towards the new organizational model when compared to the primary care units. Moreover, we reached the conclusion that the achievement of the expected benefits to the whole depends heavily on local characteristics and implementation process. There is the need to invest in key elements such as the maintenance and renewal of infrastructures and in a common information system. Albeit these investments do not assure the achievement of the benefits of an integrated management system per se, they are essential in the process of constructing an unique entity.
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Engström, Sven. "Quality, costs and the role of primary health care /." Linköping : Univ, 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-5198.

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Engström, Sven. "Quality, costs and the role of primary health care." Doctoral thesis, Linköpings universitet, Institutionen för medicin och hälsa, 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-5198.

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The general aim of this thesis is to describe and analyse the role of primary care in health care systems in terms of health, health care utilisation and costs, and to study the feasibility of retrieval of data from computerised medical records to monitor medical quality. The thesis includes five studies, a systematic literature review, a register study of utilisation of hospital and primary care, a study based on data from computerised medical records of individual patients cost for primary care, and two studies of management of respiratory infections in primary care based on data from computerised medical records of twelve health centres. The general findings of the literature review were that an expansion of the primary care component of the health care system would most likely result in better health, lower hospital care consumption and lower expenses for care. The personal physician and continuity of care were core elements to achieve this, and the significance of the way primary care is organised and funded was evident. In the register study fifty health centres were compared. Age and rates of outpatient hospital visits were the most important factors explaining the variation of rates of hospitalisations between the health centres’ areas. Hospital district also influenced hospitalisation rates in the different health centres’ areas, indicating that the health care structure in the district per se was an important factor. The rates of visits to general practitioners correlated negatively with rates of hospitalisations. The study of costs in primary care showed that the variation in the costs of the individual patients was substantial, also within age groups and within the diagnosis-related Adjusted Clinical Groups (ACG). Age and gender explained a smaller part of the variation in costs per patient in primary care. Adding the ACG weight had a major influence on improving the ability to explain the variation in costs at patient level. The ACG system might be of value in the calculation of weighted capitation in Swedish primary care, but appears to be sensitive to the thoroughness with which physicians register diagnoses. The retrieval of data from computerised medical records comprised a total number of 19 965 encounters for respiratory tract infections i.e. 199 per 1000 inhabitants during the year 2001. Most frequent diagnoses were common cold, acute tonsillitis, and acute bronchitis. The number of antibioticprescriptions was 7 961, accounting for 47% of the episodes. The most commonly prescribed antibiotics were phenoxymethylpenicillin (61%), tetracyclines (18%) and macrolides (8%). A rapid test was performed in 43% of the encounters: for C-reactive protein (CRP) in 31%; for Group A beta-haemolytic streptococci (StrepA) in 22%; and both tests were performed in 10% of the encounters. The findings in the study indicate that StrepA and CRP tests were used too frequently and often with minor contributions to patient management. The frequencies of tests and of antibiotic prescriptions varied greatly between health centres in a way that hardly could be explained by differences in morbidity. Computerised medical records provided a source of clinical information, which might be a feasible and pragmatic method for studying daily practice, and for follow-up of adherence to guidelines in general practice.
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Lugo, Palacios D. "Analysis of the effectiveness of primary care services and of hospital efficiency in the Mexican health care system." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2016. http://researchonline.lshtm.ac.uk/2837740/.

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In 2003, Mexico conducted a major health reform that transformed its health system to gradually extend health care insurance coverage to more than 50 million uninsured. The expansion of insurance coverage increased the demand for health care and the amount of resources allocated to health. However, little is known about the efficiency with which these resources have been used and about the quality of the services provided. This thesis contributes to this literature by analysing the extent to which primary and hospital care providers are making an efficient use of the resources in the system. The first part of the thesis uses ambulatory care sensitive hospitalisations (ACSHs) to analyse the effectiveness of primary care services within and between the 32 states of Mexico during 2001-2011. Additionally, the burden of ACSHs is defined and a methodology to estimate it proposed. The second part of the thesis details the incentive structure faced by Mexican public hospitals and predicts that hospitals will adjust their performance level to meet their external demand. The model is tested by extending previous work that estimates hospital effects on the length of stay of its patients purged of patient and treatment characteristics. Each hospital effect is interpreted as a measure of performance and then used to construct a panel to examine whether variation across hospitals and over time is related to hospital and state characteristics in estimated dependent variable models for 2005-2013. The findings suggest a high heterogeneity in both primary and hospital care performance with well identified groups of best and worst performers. The empirical model on hospital performance supports the theoretical prediction and additionally found that hospital performance is persistent over time and consistent across type of care.
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Chisholm, Susan. "Health education and women's development : an evaluation of the PCEA Chogoria Hospital Primary Health Care Programme, Chogoria, Kenya." Thesis, McGill University, 1994. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=26256.

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This study was undertaken in order to determine the contribution of the Chogoria Hospital's health education programme to the development of women in the Meru communities of the Kenyan highlands. The research was designed within the framework of the Gender And Development theory, focussing on the social structures and relations underlying women's development needs. The objectives were based on a review of the literature. Field research was then conducted over a three month period in Chogoria, Kenya. The research was based in ethnographic methodology, consisting of participant observation and interviews. The study found that the programme contributes to and perpetuates the traditional social structures and relations of Meru society, including the dominance of men over women. The programme's approach to participatory development was found to empower the existing power structure of Meru communities, obscure the development needs of women and increase their burdens of labour and responsibility. The study offers several recommendations to enable the CHD to better meet the needs of Meru women. The recommendations address the following issues: the commitment of the CHD to the empowerment of the community, of volunteers and of women; the role of dialogue and education about women, their potential and possibilities; the alleviation of women's burdens of labour and responsibilities; the placement of women's health and development at the centre of the CHD agenda; and the training of CHD staff in the full spectrum of community participatory development.
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Snyman, J. S. "Effectiveness of the basic antenatal care package in primary health care clinics." Thesis, Nelson Mandela Metropolitan University, 2007. http://hdl.handle.net/10948/728.

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Pregnancy challenges the health care system in a unique way in that it involves at least two individuals – the woman and the fetus. The death rates of both pregnant women (maternal mortality) and newborns (perinatal mortality) are often used to indicate the quality of care the health system is providing. In terms of maternal and perinatal outcomes South Africa scores poorly compared to other upper-middle income countries (Penn-Kekana & Blaauw, 2002:14). The high stillbirth rate compared to the neonatal death rate reflects poor quality of antenatal care. Maternal and perinatal mortality is recognised as a problem and as a priority for action in the Millennium Development Goals (Thieren & Beusenberg, 2005:11). The Saving Mothers (Pattinson, 2002: 37-135) and Saving Babies (Pattinson, 2004:4-35) reports describe the causes and avoidable factors of these deaths with recommendations on how to improve care. The quality of care during the antenatal period may impact on the health of the pregnant woman and the outcome of the pregnancy, in particular on the still birth rate. In primary health care services there are many factors which may impact on and influence the quality of antenatal care. For example with the implementation of the comprehensive primary health care services package (Department of Health, 2001a:21-35) changes at clinic level resulted in a large number of primary health care professional nurses having to provide antenatal care, who previously may only have worked with one aspect of the primary health care package such as minor ailments or childcare. Because skills of midwifery or antenatal care, had not been practiced by some of these professional nurses, perhaps since completion of basic training, their level of competence has declined, and they have not been exposed to new developments in the field of midwifery. The practice of primary health care nurses is also influenced by the impact of diseases not specifically related to pregnancy like HIV/AIDS and tuberculosis. The principles of quality antenatal care are known (Chalmers et al. 2001:203) but despite the knowledge about these principles the maternal and perinatal mortality remains high. The Basic Antenatal Care quality improvement package is designed to assist clinical management and decision making in antenatal care. The implementation of the BANC package may influence the quality of antenatal care positively, which in turn may impact on the outcome of pregnancy for the mother and her baby. The aim of this study was to evaluate the effectiveness of the Basic antenatal care (BANC) package to improve the quality of antenatal care at primary health care clinics.
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Hamdulay, Goolam. "A cost-analysis study of primary diabetes treatment at day-hospitals and a provincial hospital in the Western Cape." University of Western Cape, 1996. http://hdl.handle.net/11394/7517.

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Masters of Commerce<br>The provision of health care in South Africa is undergoing major restructuring. The aim is to achieve substantial, visible and sustainable improvements to the efficiency and accessibility of primary healthcare (PHC) services for all South Africans. One of the country's most critical problems is the weak and fragmented public sector PHC system. The most critical problems contributing to this are the maldistribution of resources (financial, physical and human) between hospitals and the primary care system, and between rural and urban areas. The health sector, therefore, faces the challenge of a complete restructuring and transformation of the national health care delivery system and related institutions. Choices need to be made about which services to cut, which to streamline and where savings can be made. Ways need to be found to use ALL of South Africa's resources optimally. This process of restructuring would be facilitated by the availability of accurate information on resource utilisation in the health sector. This study estimates the difference in the cost of primary diabetes treatment at dayhospitals and a provincial hospital in the Western Cape in 1992/93. Health economics is in its infancy in South Africa and serious data limitations exist. This study is therefore a pioneering effort in many ways. An appropriate methodological framework in which to conduct the costing had to be developed. The South African health sector, health spending arid the cost of primary diabetes treatment at day-hospitals and the provincial hospital are reviewed. Theoretical perspectives of the health care market and the methodologies of cost analysis are discussed. The cost analysis method of study is chosen, and arguments are advanced for its suitability in the South African context. A simple method of calculating the direct costs to obtain the average cost is proposed for the purpose of the study. Direct costs consist of staff costs and other related costs, such as medical supplies, non-medical supplies, building operations, equipment etc. These costs are then used to calculate the average costs per diabetic patient at the day-hospitals and the provincial hospital. The average cost per diabetic patient at day-hospitals amounted to R18.76, while at the provincial hospital the cost was R59.60. https://
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Zedan, Haya Saud. "Discharge summary communication from secondary to primary care." Thesis, University of Nottingham, 2012. http://eprints.nottingham.ac.uk/12980/.

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Studies were conducted in Nottingham, UK to assess quality of discharge summary communication sent from secondary to primary care using updated processing methods. Objectives (1) Assess available evidence on effectiveness of interventions aiming to improve discharge information communication specifically introducing computerised discharge summaries (2) Assess differences in discharge summary quality using new processing methods (3) Obtain perspectives of secondary care on discharge communication issues, identifying points of weakness and primary care views on discharge information communicated from hospital. Methods (1) Systematic review of literature on effectiveness of interventions aiming to improve discharge summary information communication (2) Before and after studies of two different discharge summary types in three departments within Nottingham University Hospitals NHS Trust (3) Qualitative interviews with key stakeholders (N=27) and observations in 3 sites. Results The systematic review returned 21 interventions with emphasis on the introduction of computerised systems to improve quality (timeliness and completeness of discharge summaries). Nine studies significantly improved the completeness of the discharge summary. Ten studies significantly increased the timeliness of the generation of the document and the transfer of information. The three before and after studies produced varying results; the HCOP findings suggested improvements post-intervention in completeness of summaries; this was not statistically significant. In Nephrology, computerisation significantly speeded up the timeliness of discharge summaries but there was no significant difference in completeness between the two types. In Paediatrics, computerisation increased the number of summaries not completed, and the handwritten summary was significantly faster. Computerised discharge summaries contained more information- this was statistically significant. The qualitative study identified issues with understanding the concept of discharge, the purpose and importance of the discharge summary, and organisational issues around the ability to balance the demands for completeness and timeliness, a lack of leadership and user-centred design of the electronic discharge system. Conclusions The literature reviewed found examples of the potential computerisation has on discharge documentation quality. The research studies conducted showed that the introduction of computerisation into the discharge documentation process produced mixed results in quality (completeness and timeliness) of discharge summaries communicated from secondary to primary care. Slight improvements were found in the before and after studies and staff feedback was positive. The success of such interventions depends largely on increased clinical leadership and user-centred design. An established link to patient safety is needed to increase awareness of the importance of discharge summary communication and justify major system change.
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Brock, Sheila Anne. "The role of obstetric ultrasound in primary health care at a secondary hospital in South Africa." Thesis, Peninsula Technikon, 2000. http://hdl.handle.net/20.500.11838/1558.

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Thesis (MTech (Radiography))--Peninsula Technikon, Cape Town, 2000<br>Ultrasound has, until recently, been regarded as a sophisticated diagnostic modality, reserved for tertiary health care. In reality, it is a cost-effective, reliable and safe modality that is highly suited to primary health care. Secondary level centres provide the only access to ultrasound for many of the obstetric primary health care patients, as primary health care has limited ultrasound resources. The increasing monthly statistics, at one secondary centre, bares witness to the need for ultrasound in primary health care. At the time of this study ultrasound scans were not routine for every obstetric patient. Experience indicates that only the patients who clinically suggest a possible risk are referred for ultrasound to confirm, or rule out problems. However, there are a number of complications, which have little or no early clinical indications. [Palmer, 1995:285] This means that many of the problems encountered are often in late gestation and they have a marked bearing on the obstetric management of the patient. This was a retrospective study, of approximately 1000 patients attending an ultrasound department at a secondary centre. Most of the obstetric patients that were sent for an ultrasound examination came from the primary health care centres in the region.
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Books on the topic "Hospital Primary health care"

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Societat Andorrana de Ciències. Jornades. El petit hospital i el metge de capçalera: Recerca, docència, assistència. Societat Andorrana de Ciències, 1993.

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The hospital in rural and urban districts: Report of a WHO Study Group on the Functions of Hospitals at the First Referral Level. World Health Organization, 1992.

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Siem, Tjam F., ed. Hospitals and the health care revolution. World Health Organization, 1988.

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Kruzikas, Denise T. Preventable hospitalizations: A window into primary and preventive care, 2000. U.S. Department of Health and Human Services, Agency for Hearthcare Research and Quality, 2004.

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Khokar, A. K. Hospitals and primary health care: A practical guide. International Hospital Federation, 1992.

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United Hospital Fund of New York., ed. Beyond the clinic: Redefining hospital ambulatory care. United Hospital Fund of New York, 1997.

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1960-, Brooks Phyllis, ed. Hospitals and the poor: Strategies for primary care. United Hospital Fund of New York, 1991.

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Pate, Muhammad Ali. Primary health care in Nigeria: Looking back & looking forward : date, Tuesday, June 1, 2010 : venue, Old Great Hall, Lagos University Teaching Hospital (LUTH), Idi-Araba, Lagos State. Women's Health and Action Research Centre, 2010.

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United States. Congress. Senate. Committee on Health, Education, Labor, and Pensions. Subcommittee on Primary Health and Aging. Diverting non-urgent emergency room use: Can it provide better care and lower costs? : hearing before the Subcommittee on Primary Health and Aging of the Committee on Health, Education, Labor, and Pensions, United States Senate, One Hundred Twelfth Congress, first session ... May 11, 2011. U.S. Government Printing Office, 2013.

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Great Britain. Commission for Healthcare Audit and Inspection. Clinical governance review Havering Primary Care Trust, April 2004. Stationery Office, 2004.

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Book chapters on the topic "Hospital Primary health care"

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Isani, Z. "Primary Health Care in the hospital." In Child Health in the Tropics. Springer Netherlands, 1985. http://dx.doi.org/10.1007/978-94-009-5012-2_30.

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Poleshuck, Ellen L. "Women's health and the role of primary care psychology." In The primary care consultant: The next frontier for psychologists in hospitals and clinics. American Psychological Association, 2005. http://dx.doi.org/10.1037/10962-011.

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Habben, Corey J. "Men's health in primary care: Future applications for psychologists." In The primary care consultant: The next frontier for psychologists in hospitals and clinics. American Psychological Association, 2005. http://dx.doi.org/10.1037/10962-013.

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Etherage, Joseph R. "Pediatric behavioral health consultation: A new model for primary care." In The primary care consultant: The next frontier for psychologists in hospitals and clinics. American Psychological Association, 2005. http://dx.doi.org/10.1037/10962-009.

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Rowan, Anderson B., and Christine N. Runyan. "A primer on the consultation model of primary care behavioral health integration." In The primary care consultant: The next frontier for psychologists in hospitals and clinics. American Psychological Association, 2005. http://dx.doi.org/10.1037/10962-001.

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Folen, Raymond A., Larry C. James, Mark Verschell, and Jay E. Earles. "Telehealth and health psychology: Emerging issues in contemporary practice." In The primary care consultant: The next frontier for psychologists in hospitals and clinics. American Psychological Association, 2005. http://dx.doi.org/10.1037/10962-014.

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Levy, Raymond A., and Milton Kotelchuck. "Fatherhood and Reproductive Health in the Antenatal Period: From Men’s Voices to Clinical Practice." In Engaged Fatherhood for Men, Families and Gender Equality. Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-75645-1_6.

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AbstractThere is very limited literature on the experiences of fathers during Obstetric prenatal care (PNC), especially hearing from fathers’ voices directly. The MGH Fatherhood Project conducted two annual surveys—data combined for analysis—of all fathers who accompanied their partners to prenatal care visits over 2-week periods at a large, tertiary-care urban hospital in Boston, MA. The anonymous, voluntary close-ended survey was offered in multiple languages and self-administered on iPads.Results: Nine hundred fifty nine fathers participated, 86% of attending fathers, possibly making the study the largest research sample of fathers in PNC. Fathers are actively and deeply engaged with the impending birth; they have substantial physical health needs (obesity, family planning and lack of primary care), and mental health needs (stress, depressive symptoms, and personal isolation). Fathers perceived they were well treated during the PNC visit, but were desirous of more reproductive, relational, and infant health information and skills, which they preferred to receive from publications, social media, or health professionals; and they were very supportive of PNC fatherhood initiatives.Discussion: The results suggest five sets of practical recommendations to create a more father-friendly environment in Obstetric care-Staff Training; Father-Friendly Clinic Environment; Explicit Affirmation of Father Inclusion; Development of Educational Materials; and Specialized Father-Focused Health Initiatives, all with the goal of improving reproductive health outcomes for families.
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McDaniel, Susan H., Thomas L. Campbell, and David B. Seaburn. "Acute Hospital Care." In Family-Oriented Primary Care. Springer New York, 1990. http://dx.doi.org/10.1007/978-1-4757-2096-9_21.

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

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Greenberg, Warren. "Hospital Industry." In The Health Care Marketplace. Springer New York, 1998. http://dx.doi.org/10.1007/978-1-4612-1668-1_3.

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Conference papers on the topic "Hospital Primary health care"

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Almeida, Mirian, Patricia Baptista, Cristina Queiros, Elizabete Borges, and Vanda Felli. "P254 Burnout and job satisfation among nurses of hospital care and primary health care: a correlational study." In Occupational Health: Think Globally, Act Locally, EPICOH 2016, September 4–7, 2016, Barcelona, Spain. BMJ Publishing Group Ltd, 2016. http://dx.doi.org/10.1136/oemed-2016-103951.570.

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Eltai, Nahla Omer, Lubna Abu Rub, Hana A. Mohamed, Asma A. Al Thani, Hamda Qotba, and Hadi M. Yassine. "Testing Air Quality of Primary Health Care Centers in Qatar." In Qatar University Annual Research Forum & Exhibition. Qatar University Press, 2020. http://dx.doi.org/10.29117/quarfe.2020.0125.

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Background: Poor indoor air quality results in significant adverse effects on human health. In particular, the hospital atmospheric environment requires high air quality to protect patients and health care workers against airborne disease including nosocomial infections. Monitoring and surveillance programs of air pollutants and communicable diseases are essential as they provide information on the effectiveness of occupational hygiene and hazard control, and beneficial in assessing risks to community and environment. Objectives: This study aims to identify, monitor and report the level of air borne bacteria at four PHCC canters in Doha. Methodology: Four primary Health Centers (HC) were selected for testing air quality namely, Qatar University HC (North of Doha), AlRayan HC (West of Doha), Um Ghualina HC (Centre of Doha) and Old airport HC (South of Doha). Three sublocations were tested in each health center including a triage room, lobby and outdoor sample; each centre was visited once a month. Two sampling methods were used in this study: Anderson impactor (viable method) and filtration method (non-viable method). Anderson six stages impactor (TISCH Environmental, USA) was used to collect airborne bacteria on nutrient agar plates. Then the samples were incubated at 37 o C for 24 - 48 hours. The average colony- forming units (CFU) of bacteria was calculated per cubic meter of air (CFU/m3 ). On the other hand, the SKC Button Sampler (SKC Inc. PA, USA) was used to collect the airborne bacteria using cellulose ester filters. The collected isolates will be identified by sequencing 16srRNA (Miseq) later. Preliminary results: According to our preliminary results, the smallest average number of bacteria in the air was detected in QU HC, 3.2 (CFU/m3 ). While the highest average number was 44.7 CFU/m3 detected in Old Airport HC. Al-Rayyan HC and Om Ghuilina HC exhibited 30 and 20 CFU/m3 sequentially. Conclusions: Our preliminary results depicted that the occupancy pattern, size, and age of the building affect the number of bacteria in the air. However, more samples will be collected for better statistical sample size and analysis. .In addition, the captured airborne bacteria will be identified by 16s r RNA sequencing later.
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Shamsunder, Saritha, Kavita Agarwal, Archana Mishra, and Sunita Malik. "Sample survey of cancer awareness in health care workers." In 16th Annual International Conference RGCON. Thieme Medical and Scientific Publishers Private Ltd., 2016. http://dx.doi.org/10.1055/s-0039-1685266.

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Objective: To see the awareness about cancer in women among ASHA workers. Place of Study: Awareness Sessions at Safdarjung Hospital, New Delhi. Background: ASHA workers are the first point of contact for women in the community &amp; bridge the back between the hospital and women. They have been instrumental in the success of the family planning programme &amp; polio eradication program in India. Materials and Methods: A questionnaire about educational status, awareness about breast &amp; cervical cancer statistics, methods of screening and diagnosis was distributed to Accredited Social Health Activists appointed by the government at two educational sessions organized at Safdarjung hospital. Results: Of the 200 ASHA workers attending, 188 completed the questionnaire. Their educational status ranged from 7th standard to post-graduate, majority had studied up to 10th standard. Their sources of information were mostly television and mobile phones, 23% had knowledge about internet, 36% were using Whats app. Only 28% knew about the commonest cancer in Indian women. Regarding breast cancer, 63% were aware of self examination of breasts, 41% knew the frequency of self examination; awareness about symptoms of breast cancer was prevalent in 46%, 24% knew about risk factors of breast cancer. Regarding Cervical Cancer, 28% knew about risk factors, 22% knew about symptoms of cervical cancer; 19% knew about screening methods for cervical cancer, 9.5% knew the screening intervals. Conclusion: Health education about cancer prevention should start at the primary school level. Special educational &amp; motivational sessions for ASHA workers could help in cancer prevention programs.
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Japarova, Damira, and Anara Kamalova. "The Use of Financial Resources in Public Health Organizations in The Kyrgyz Republic." In International Conference on Eurasian Economies. Eurasian Economists Association, 2017. http://dx.doi.org/10.36880/c09.01972.

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Public health in Kyrgyzstan is generally characterized by the dominance of inpatient care. There is an increase in hospitalization in all regions of the republic. This is an indicator of ineffective activity at the primary level, i.e. patients who have not been treated in polyclinics become hospital patients. This fact contradicts the goals of health care reform and shows that limited resources in health care are used inefficiently. A considerable part of the state funds is used for the treatment of privileged special patients. Accordingly, no more than 6% of budgetary funds are addressed for remaining citizens. During the analyzed period, the share of expenses for medicines decreased, most of the funds are aimed at increasing the salaries of medical staff, covering public services and other expenses. Customers who need state support do extra payment for doctors. Herewith a small share of their extra payment is used for treatment and nutrition in hospitals.
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Mitratza, M., AE Kunst, P. Harteloh, MMJ Nielen, and B. Klijs. "RF03 Estimating the occurrence of diabetes at the end of life using multiple cause of death data linked with primary care, hospital care and medication prescription data." In Society for Social Medicine and Population Health and International Epidemiology Association European Congress Annual Scientific Meeting 2019, Hosted by the Society for Social Medicine & Population Health and International Epidemiology Association (IEA), School of Public Health, University College Cork, Cork, Ireland, 4–6 September 2019. BMJ Publishing Group Ltd, 2019. http://dx.doi.org/10.1136/jech-2019-ssmabstracts.118.

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Rezel-Potts, E., and M. Gulliford. "OP46 Comparison of sepsis recording in primary care electronic health records and linked hospital episodes and mortality data: population-based cohort study in England." In Society for Social Medicine and Population Health Annual Scientific Meeting 2020, Hosted online by the Society for Social Medicine & Population Health and University of Cambridge Public Health, 9–11 September 2020. BMJ Publishing Group Ltd, 2020. http://dx.doi.org/10.1136/jech-2020-ssmabstracts.46.

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Japarova, Damira. "Allocation and Use of Financial Resources in Health Care in Kyrgyzstan." In International Conference on Eurasian Economies. Eurasian Economists Association, 2017. http://dx.doi.org/10.36880/c08.01830.

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TThe distribution of the limited financial resources in the state hospitals in Kyrgyzstan is uneven. The problems associated with the current method of distribution of resources: the poor quality of services at the level of polyclinics and high hospitalization rates that require an evaluation of the budget allocation of healthcare organizations operating in the Single Payer system. In order to improve the efficiency of resource use it is suggested to review the principles of allocation of resources to the primary level of patient care.
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Daniel, Sunitha, Mathews Numpeli, PG Balagopal, et al. "118 Planning and implementation of a cancer control program with integration of primary health care and palliative care services in a low middle income country." In Accepted Oral and Poster Abstract Submissions, The Palliative Care Congress 1 Specialty: 3 Settings – home, hospice, hospital 25 – 26 March 2021 | A virtual event, hosted by Make it Edinburgh Live, the Edinburgh International Conference Centre’s hybrid event platform. British Medical Journal Publishing Group, 2021. http://dx.doi.org/10.1136/spcare-2021-pcc.136.

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de Carvalho, Natália Reis, Ana Luiza Carvalho Costa, Andréa Carvalho Araújo Moreira, Samir Gabriel Vasconcelos Azevedo, Naiara Teixeira Fernandes, and Francisco Eduardo Silva Oliveira. "THE FAMILY HEALTH STRATEGY AND HOSPITALIZATIONS IN OLDER ADULTS IN THE NORTHEAST OF BRAZIL." In XXII Congresso Brasileiro de Geriatria e Gerontologia. Zeppelini Publishers, 2021. http://dx.doi.org/10.5327/z2447-21232021res01.

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OBJECTIVE: To analyze the association between the expansion of the Family Health Strategy and hospitalizations for ambulatory care-sensitive conditions in older adults. METHODS: This ecological study was conducted from June to October 2019. The units of analysis were all states in the Northeast of Brazil, and the historical outline included the period from 2008 to 2018. Data on the coverage of the Family Health Strategy and hospitalizations were extracted from the Primary Care Information and Management System and the Hospital Information System. For the association analysis, Spearman coefficients (r) were calculated at a 95% confidence interval (p &lt; 0.05) using STATA, version 13.0. An absolute r value above 0.5 was considered satisfactory. RESULTS: From 2008 to 2018, the Northeast Region recorded a 13.33% increase in the Family Health Strategy coverage and a 27.44% decrease in hospitalization rates. Coverage did not expand in the states of Paraíba, Rio Grande do Norte, and Sergipe; in the latter, there was also no significant reduction in hospitalization rates. There was a correlation between the expansion of the Family Health Strategy and a reduction in hospitalizations for ambulatory care-sensitive conditions in the states of Alagoas (r = −0.9636), Bahia (r = −0.9545), Ceará (r = −0.8884), and Piauí (r = −0.7000). CONCLUSIONS: The results indicate that increased coverage of the Family Health Strategy is associated with greater effectiveness of primary care. However, other intervening factors in hospitalization rates for ambulatory care-sensitive conditions should be considered, such as the health care model and socioeconomic context.
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Abdulrhim, Sara Hamdi, Mohamed Izham Mohamed Ibrahim, Sowndramalingam Sankaralingam, et al. "The Perspectives of Healthcare Professionals and Patients on the Value of Collaborative Care Model for Diabetes in Primary Healthcare settings in Qatar." In Qatar University Annual Research Forum & Exhibition. Qatar University Press, 2020. http://dx.doi.org/10.29117/quarfe.2020.0178.

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Background: Diabetes mellitus (DM) is one of the top health priorities in Qatar due to its high prevalence of 15.5%, which is projected to increase to 29.7% by 2035. DM management is still challenging despite healthcare advancement, warranting the need for a comprehensive Collaborative Care Model (CCM). Therefore, we aim to evaluate the value of CCM in DM care at a primary healthcare (PHC) setting in Qatar. Methodology: This study was a qualitative exploration of healthcare professionals’ (HCPs’) and patients’ perspectives on the value of CCM provided at the center. Twelve patients and twelve HCPs participated in semi-structured one-toone interviews. Qualitative data were analyzed and interpreted using a deductive coding thematic analysis process. Results: The interviews resulted in 14 different themes under the predefined domains: components of CCM (five themes), the impact of CCM (three themes), facilitators of CCM provision (three themes), and barriers of CCM provision (three themes). The majority of the participants indicated easy access to and communication with HCPs at QPDC. Participants appreciated the extra time spent with HCPs, frequent follow-up visits, and health education, which empowered them to self-manage DM. Generally, participants identified barriers and facilitators related to patients, HCPs, and healthcare system. Conclusion: The providers and users of CCM had an overall positive perception and appreciation of this model in PHC settings. Barriers to CCM such as unpleasant attitude and undesirable attributes of HCPs and patients, unsupportive hospital system, and high workload must be addressed before implementing the model in other PHC settings.
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Reports on the topic "Hospital Primary health care"

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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, 2021. http://dx.doi.org/10.22617/wps210020-2.

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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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Aldana, Alexander. Optimizing Naval Hospital Camp Pendleton's Primary Care Access by Managing Demand of the Emergency Department through a Health Services Center: A Marcus Welby Care Initiative. Defense Technical Information Center, 2006. http://dx.doi.org/10.21236/ada473562.

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Tipton, Kelley, Brian F. Leas, Nikhil K. Mull, et al. Interventions To Decrease Hospital Length of Stay. Agency for Healthcare Research and Quality (AHRQ), 2021. http://dx.doi.org/10.23970/ahrqepctb40.

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Background. Timely discharge of hospitalized patients can prevent patient harm, improve patient satisfaction and quality of life, and reduce costs. Numerous strategies have been tested to improve the efficiency and safety of patient recovery and discharge, but hospitals continue to face challenges. Purpose. This Technical Brief aimed to identify and synthesize current knowledge and emerging concepts regarding systematic strategies that hospitals and health systems can implement to reduce length of stay (LOS), with emphasis on medically complex or vulnerable patients at high risk for prolonged LOS due to clinical, social, or economic barriers to timely discharge. Methods. We conducted a structured search for published and unpublished studies and conducted interviews with Key Informants representing vulnerable patients, hospitals, health systems, and clinicians. The interviews provided guidance on our research protocol, search strategy, and analysis. Due to the large and diverse evidence base, we limited our evaluation to systematic reviews of interventions to decrease hospital LOS for patients at potentially higher risk for delayed discharge; primary research studies were not included, and searches were restricted to reviews published since 2010. We cataloged the characteristics of relevant interventions and assessed evidence of their effectiveness. Findings. Our searches yielded 4,364 potential studies. After screening, we included 19 systematic reviews reported in 20 articles. The reviews described eight strategies for reducing LOS: discharge planning; geriatric assessment or consultation; medication management; clinical pathways; inter- or multidisciplinary care; case management; hospitalist services; and telehealth. All reviews included adult patients, and two reviews also included children. Interventions were frequently designed for older (often frail) patients or patients with chronic illness. One review included pregnant women at high risk for premature delivery. No reviews focused on factors linking patient vulnerability with social determinants of health. The reviews reported few details about hospital setting, context, or resources associated with the interventions studied. Evidence for effectiveness of interventions was generally not robust and often inconsistent—for example, we identified six reviews of discharge planning; three found no effect on LOS, two found LOS decreased, and one reported an increase. Many reviews also reported patient readmission rates and mortality but with similarly inconsistent results. Conclusions. A broad range of strategies have been employed to reduce LOS, but rigorous systematic reviews have not consistently demonstrated effectiveness within medically complex, high-risk, and vulnerable populations. Health system leaders, researchers, and policymakers must collaborate to address these needs.
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Baker, Timothy. Oregon Primary Care Physicians' Support for Health Care Reform. Portland State University Library, 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, 2000. http://dx.doi.org/10.15760/etd.5508.

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Chandra, Amitabh, Pragya Kakani, and Adam Sacarny. Hospital Allocation and Racial Disparities in Health Care. National Bureau of Economic Research, 2020. http://dx.doi.org/10.3386/w28018.

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Fay, Myron L. Simulation Models of Three Ireland Army Community Hospital Primary Care Clinics. Defense Technical Information Center, 1998. http://dx.doi.org/10.21236/ada372312.

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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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Kolstad, Jonathan, and Amanda Kowalski. The Impact of Health Care Reform On Hospital and Preventive Care: Evidence from Massachusetts. National Bureau of Economic Research, 2010. http://dx.doi.org/10.3386/w16012.

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Schmacker, Eric R. A Study of Efficiency of the Department of Primary Care at Keller Army Community Hospital. Defense Technical Information Center, 2000. http://dx.doi.org/10.21236/ada409854.

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