Relevant bibliographies by topics / Primary health care post

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  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
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Academic literature on the topic 'Primary health care post'

Author: Grafiati
Published: 4 June 2021
Last updated: 14 February 2022

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Journal articles on the topic "Primary health care post"

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Coetzee, R. H., R. Simpson, and N. Greenberg. "Detecting Post-Deployment Mental Health Problems in Primary Care." Journal of the Royal Army Medical Corps 156, no. 3 (September 1, 2010): 196–99. http://dx.doi.org/10.1136/jramc-156-03-16.

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Brimkulov, Nurlan N., and Damilya S. Nugmanova. "The role of Astana primary health care declaration for development of primary health care at postsoviet countryes." Russian Family Doctor 23, no. 3 (November 19, 2019): 13–18. http://dx.doi.org/10.17816/rfd2019313-18.

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The article presents the goals, principles and results of the implementation of the Almaty Declaration of the World Health Organization (WHO) on primary health care (PHC) of 1978; the background and main provisions of the Astana Declaration of WHO on PHC 2018. The article presents the stages of PHC development in the USSR, which was characterized by the widespread introduction of narrow specialists at the primary level of health care, which subsequently had certain negative consequences. In a number of post-Soviet countries, the principles of General medical practice (family medicine) were implemented in health care reform, but some provisions of the Alma-Ata Declaration were introduced with distortions. This has led to a lack of effective functioning of the PHC system, a shortage of General practitioners, especially in rural areas. The implementation of the main principles of the new Astana Declaration will be important for the effective implementation of health care reforms in all post-Soviet countries.
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Wright, C., MK Nepal, and WDA Bruce-Jones. "Mental Health Patients in Primary Health Care Services in Nepal." Asia Pacific Journal of Public Health 3, no. 3 (July 1989): 224–30. http://dx.doi.org/10.1177/101053958900300309.

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Patients attending two primary care settings in Nepal (a village health post and a district hospital outpatient department) were screened for psychiatric morbidity using the Self Reporting Questionnaire. Approximately one-quarter of all patients screened were found to have psychiatric morbidity. Women presenting were found to have higher frequency of “psychiatric caseness” than men. All these psychiatric patients presented with physical complaints, none with psychological, and the most common physical symptoms presented were abdominal pain, headache and cough. Health worker recognition of these cases was 29% in the health post and 0% in the hospital. Conclusions are drawn regarding the need for sufficient and relevant psychiatric teaching in health worker curriculae
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Morikawa, M. J., S. Schneider, S. Becker, and S. Lipovac. "Primary care in post-conflict rural northern Afghanistan." Public Health 125, no. 1 (January 2011): 55–59. http://dx.doi.org/10.1016/j.puhe.2010.08.021.

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Rayan-Gharra, Nosaiba, Efrat Shadmi, Boaz Tadmor, Natalie Flaks-Manov, and Ran Balicer. "Meaningful post-discharge primary care visits and readmissions: Are primary care post discharge explanations associated with reduced risk for readmission?" International Journal of Integrated Care 18, s2 (October 23, 2018): 223. http://dx.doi.org/10.5334/ijic.s2223.

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Kirby, Magnus, Sue Anderson, Paul Bidwell, Ann Clarke, Hilary Cool, Mike Cressey, Alex Croom, et al. "Excavations at Musselburgh Primary Health Care Centre." Scottish Archaeological Internet Reports 89 (March 10, 2020): 1–153. http://dx.doi.org/10.9750/issn.2056-7421.2020.89.

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An excavation was undertaken by CFA Archaeology Ltd (CFA) between August and November 2010 on the site of the new Musselburgh Primary Health Care Centre. The site, which lies to the south of Inveresk Road, is centred on NGR 33430 67224. Until its demolition, the area had been occupied by Brunton Wireworks. The Scheduled Monument of Inveresk Roman Fort lies at the top of the steep slope c 50m to the south of the excavation site. The excavation identified six phases of activity on the site, the earliest being a Mesolithic flint scatter (Clarke & Kirby forthcoming). The area was used as a burial ground in the Iron Age and a ring ditch may also be of prehistoric date. Later, six Roman inhumation burials (four of which had been decapitated) and a horse burial were interred, and a possible Roman fortlet was constructed. Across the site, a network of interconnected ditches formed part of a Roman-period field system, which cut through the rampart of the possible fortlet, and through a number of the graves. Along the southern boundary of the site a large accumulation of Roman midden deposits overlay features associated with the field system, although it may have started to build up while the latter was still in use. A post-built structure was also found, one post of which cut a ditch of the field system. The midden deposits extended along the full length of the southern boundary of the site, measuring 110m long by up to 20m wide. Numerous artefacts were recovered, representing the rubbish and discarded personal belongings of the fort occupants. The pottery included samian bowls with personal names scratched on the bases. Evidence from these, together with isotopic analysis of the human skeletons, shows that the ethnic origin of those living in the fort was diverse, as would be expected for the Roman army.
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Soedirham, Oedojo. "Integrated Services Post (Posyandu) as Sociocultural Approach for Primary Health Care Issue." Kesmas: National Public Health Journal 7, no. 5 (December 1, 2012): 195. http://dx.doi.org/10.21109/kesmas.v7i5.40.

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The birth of Integrated services post (Posyandu) in 1980s is no doubt based on the effort of the Goverment of Indonesia to improve the health status of the population following the International call the Declaration of Alma-Ata (Kazakhstan) about Primary Health Care in 1978. The key concept of thedeclaration is community participation. In Indonesia specifically the community participation is called “gotong royong”. Community plays an important role in the improvement of their own health. To involve community in the health care, the volunteer has to be recruited and trained to recognize basic health care issues. The idea is that the volunteers that called village health worker (kader) as part of the community would be much easier to deliver health programs because they are closer to them compare to the public health officials.This paper is intended to discuss Posyandu which is basically a sociocultural approach for primary health care as a strategy to improve the health status of Indonesian people.Keywords: Posyandu, primary health care, sociocultural approachAbstrakKelahiran posyandu pada tahun 1980-an merupakan usaha pemerintah Indonesia untuk meningkatkan status kesehatan masyarakat, mengikuti panggilan internasional, Deklarasi Alma Ata (Kazakhstan) tentang kesehatan masyarakat tahun 1978. Konsep kunci deklarasi tersebut adalah partisipasi masyarakat. Di Indonesia, partisipasi masyarakat disebut “gotong royong”. Masyarakat memainkan peran penting dalam meningkatkankesehatan masing-masing. Untuk melibatkan masyarakat dalam kesehatan masyarakat, relawan harus direkrut dan dilatih untuk mengenal isu-isu kesehatan masyarakat dasar. Gagasan mengenai relawan yang disebut kader (village health worker) tersebut diajukan agar relawan sebagai bagian darimasyarakat dapat lebih mudah menyampaikan program-program kesehatan karena lebih dekat dibandingkan pejabat kesehatan masyarakat. Di dalam artikel ini dibahas tentang Posyandu yang pada dasarnya merupakan pendekatan sosiokultural dalam pelayanan kesehatan masyarakat sebagai strategi untuk meningkatkan status kesehatan masyarakat Indonesia.Kata kunci: Posyandu, pelayanan kesehatan dasar, pendekatan sosiokultural
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Kordsmeier, Julia A., Christopher Ty Williams, and Angelina Anthamatten. "Teamwork and Oral Health in Diabetes Care." Journal of Doctoral Nursing Practice 13, no. 1 (February 26, 2020): 17–24. http://dx.doi.org/10.1891/2380-9418.13.1.17.

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BackgroundThe integration of oral health into primary care is often limited, despite its significant connection with many diseases, including diabetes mellitus (DM).ObjectiveThis project aimed to develop, implement, and evaluate an oral health education program for medical assistants (MAs) to increase oral health knowledge and enhance practice using standardized oral health screening questions for patients with DM.MethodsA nurse practitioner-led oral health program was implemented. Medical assistants completed a pre-test and post-test to assess oral health knowledge, a pre-survey and post-survey to assess likelihood of performing screening questions, and a post-implementation survey to assess barriers.ResultsAnalyses of pre-test and post-test results using the Wilcoxon matched pairs signed rank test (two-tailed) showed a significant increase in correct answers on the post-test (W = 0, N = 8, p ≤ 0.05), with the mean score increasing from 81% to 95%. In addition, the MAs' likelihood of asking screening questions increased and 62.5% reported no barriers to implementation after 1 week.ConclusionsAll participants demonstrated an increase in knowledge and likelihood of using screening questions.Implications for NursingAn oral health program using a team approach to equip MAs with training offers a practical method to incorporate evidence-based recommendations into primary care.
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Liseckiene, Ida, Wienke G. W. Boerma, Zemyna Milasauskiene, Leonas Valius, Irena Miseviciene, and Peter P. Groenewegen. "Primary care in a post-communist country 10 years later." Health Policy 83, no. 1 (September 2007): 105–13. http://dx.doi.org/10.1016/j.healthpol.2006.11.011.

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McHugh, Patrick, Michael Gordon, and Michael Byrne. "Evaluating brief cognitive behavioural therapy within primary care." Mental Health Review Journal 19, no. 3 (September 2, 2014): 196–206. http://dx.doi.org/10.1108/mhrj-02-2014-0004.

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Purpose – The purpose of this paper is to evaluate the clinical effectiveness of a brief CBT intervention within a primary care adult mental health service. Design/methodology/approach – In total, 92 participants with mild to moderate mental health difficulties were provided with five sessions of brief CBT. Clinical improvement was measured using the Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) at pre-treatment, mid-treatment and post-treatment, and on the Beck Depression Inventory-II (BDI-II) at pre-treatment and post-treatment. Findings – The planned five sessions of CBT were completed by 48.9 percent (n=45) of participants. Treatment completers with full clinical data (n=31) showed large statistically significant improvements on the CORE-OM and BDI-II from pre-therapy to post-therapy. Of treatment completers and non-completers with post-therapy and mid-therapy CORE-OM data, respectively (n=34), 61.8 percent showed reliable and clinically significant change. No statistically significant differences were found between treatment completers (n=45) and non-completers (n=47) in their pre-therapy clinical scores or socio-demographic characteristics. Practical implications – Brief CBT can be a clinically effective primary care intervention but needs to be implemented in a way that ensures high treatment engagement across a range of service users. Originality/value – This paper contributes to the evidence base of a primary care psychological intervention and demonstrates the importance of assessing treatment completion when evaluating clinical effectiveness.
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Dissertations / Theses on the topic "Primary health care post"

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Chaiyakae, Sonngan, Nobuyuki Hamajima, Pajjuban Hemhongsa, Yoshitoku Yoshida, and Tawatchai Yingtaweesak. "ACCESSIBILITY OF HEALTH CARE SERVICE IN THASONGYANG, TAK PROVINCE, THAILAND." Nagoya University School of Medicine, 2013. http://hdl.handle.net/2237/18473.

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McGuire, White Kathleen, McKenzie Calhoun, Beth Bailey, and Jesse Gilreath. "Interprofessional Transitional Care Teams Reduce Medications Needed Post-Discharge." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/asrf/2018/schedule/181.

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Purpose: The United State health system is fractionated: most patients travel from location to location to see various clinicians about specific aspects of their health. The poor outcomes and high cost we currently see in the United States health system has challenged clinicians to explore better processes. This study sought to identify the potential impact of utilizing interprofessional transitional care (IPTC) teams in the primary care setting following hospitalization. One outcome measured was the relationship between pharmacist’s participation and number of medications a patient was taking after their IPTC visit. Electronic Health Records were utilized to extract patient data and it was analyzed using SPSS and R programming to examine relationships between patient populations, disease states, number of medications, and pharmacist intervention. This study was conducted as part of an overall investigation into benefits of IPTC teams in Primary Care. We expect that the number of the medications to be reduced for patients that had a pharmacist involved in their transitional care visit.
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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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Ghannam, Yvette P. "Connecticut Primary Care Physicians and Chronic Lyme Disease." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7381.

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The prevalence of chronic Lyme disease (CLD) remains relatively unknown in Connecticut because there is not an agreement on what CLD is and how it should be diagnosed in addition to which pathological agent causes CLD. The aim of this quantitative study was to assess whether there were significant differences between two groups of primary care physicians (PCP) working in Connecticut from two different points in time regarding their knowledge in the diagnosis, treatment, and management of CLD. A knowledge, attitude, and practice model was used as the underlying theoretical framework for this study. A random cross-sectional survey was mailed out to the 1,726 PCPs found in the list of certified medical doctors in Connecticut of 2015. One hundred and forty-five PCPs responses (11.9% response rate) were received and compared to responses from previous data (a 2010 study) of 285 PCPs (39.1% response rate) from the list of certified medical doctors in 2006. The PCP estimated mean number of patients diagnosed and treated for CLD was not significantly different between 2006 and 2015. However, a significantly higher number of PCPs in 2015 reported knowing Lyme disease (LD) symptoms but not feeling comfortable diagnosing LD (χ� = 536.83, p < 0.001), and significantly more PCPs in 2015 reported knowing LD symptoms and feeling comfortable diagnosing CLD (χ� = 265.41, p < 0.001). This study can promote social change by encouraging Connecticut PCPs to recognize CLD as a diagnosis to enable the development of registries and case-control assessments. The findings of this study may also inspire future studies.
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Sparks, René Liezel. "Exploring the clients’ experience of Primary Health Care services prior to and post the implementation of appointment systems in City Health Clinics, Western Cape, South Africa." University of the Western Cape, 2018. http://hdl.handle.net/11394/6731.

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Magister Public Health - MPH
Long waiting times have, for many years, been synonymous with primary health care in South Africa, and this is evident by the long queues and consistent client dissatisfaction. There are multiple contributing factors that exacerbate waiting time in Primary Health Care (PHC) facilities such as shortage of health care providers, increase in the uninsured population and South Africa’s quadruple burden of diseases. Health establishments have initiated numerous strategies to reduce long waiting times with varying degrees of success. These strategies have mostly been quantified and linked to indicators to measure their level of success in relation to quality healthcare. This research explores the clients’ perception of one such intervention, which is the implementation of an appointment system in primary care facilities in the City of Cape Town. Qualitative, exploratory descriptive methods were used to gain understanding of the impact the appointment system has had on the clients’ experience of attending health care services. The researcher also explored how clients perceive their role with regard to the shaping of their clinic’s appointment system. Semi-structured in-depth interviews were conducted with fifteen purposively sampled clients from five City Health clinics, who have implemented an appointment system through the guidance of the Appointment System Learning Initiative (ASLI). Maximum variation in sampling ensured the inclusion of small, medium and larger facilities within different geographical settings. Data analysis was done using a thematic coding approach, the themes were derived from the emerging data and were used to guide the researcher in gaining a rich picture of the clients’ experiences within the clinics. Ethical approval was requested and received from both the University of the Western Cape (UWC) and City Health prior to engaging any participants.
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Tolom, Andile W. "An analysis of the views of health practitioners with respect to location of primary health care within Nelson Mandela Bay municipality district." Thesis, Nelson Mandela Metropolitan University, 2009. http://hdl.handle.net/10948/860.

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The South African Department of Health, like the health departments of many other countries, has reviewed its policies to focus on the delivery of comprehensive Primary Health Care (PHC). The South African health care sector is undergoing major restructuring in an attempt to address the inadequacies resulting from the fragmentation and duplication of health services in apartheid South Africa. Following this restructuring, the decentralisation to health services has been adopted as the model for both the governance and management of health issues (Department of Health, 2002:7). Before 1994, local government health departments were rendering certain primary health care services in terms of the Health Act 63 of 1977. Post 1994, the Constitution of the Republic of South Africa 1996 (Act 108 of 1996) classified primary health care as a provincial function. Based on this classification, primary health care services in South Africa are now being provided by two authorities, namely local government and provincial government, in the same community. Thus, in the Nelson Mandela Bay Municipality District, primary health care services are rendered by two authorities, namely the Nelson Mandela Bay Municipality and the Nelson Mandela Health District of the Eastern Cape Department of Health. These authorities are targeting the same community, with the same PHC package, with different sets of conditions of service, salary structures, infrastructure, accountability and authority. Such differences are believed to have impeded functional integration, depleted human resource capacity in rendering an effective and efficient PHC system and resulted in inefficient budget spending by both authorities. The problems of location, duplication and fragmentation of primary health care provision in the Nelson Mandela Bay Municipality District are not conducive to optimal service rendering. This will be resolved only once a unified, single integrated health service has been established. This study was undertaken to explore and describe the views of health practitioners with respect to the location of primary health care within the Nelson Mandela Bay Municipality District. The research design of this study was a quantitative, explorative, descriptive survey. Healthcare practitioners, like management, doctors and nurses, were asked to respond to a structured questionnaire. The findings of the study indicate that while health practitioners may hold diverse views on where primary health care should be located, they agree that a unified, single PHC authority would be desirable. Although primary health care is a combination of task-orientated basic health services and the process of community development, it is important that the authority of choice should ensure the highest possible quality through an integrated process, taking into account local needs. The recommendations made by the researcher on the conclusion of this study cover the principles on which a successful strategy for implementing primary health care should be based, including the need to create sustainable communities. It is hoped that the recommendations offered, will contribute to the more effective and efficient implementation of comprehensive primary health care services in Nelson Mandela Bay and also elsewhere in South African local government.
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Zimba, Anthony Andile. "A descriptive analysis of how primary health care services have developed in the Cape Metropolitan Area from the period: pre-1994 to post-2000 elections." Thesis, Stellenbosch : Stellenbosch University, 2002. http://hdl.handle.net/10019.1/52632.

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Assignment (MPA)--University of Stellenbosch, 2002.
ENGLISH ABSTRACT: Primary Health Care (PHC) approach is currently receiving tremendous attention worldwide as a mechanism to ensure effective and efficient public health services. The concept has evolved from the Alma Ata conference (1978). Since then many countries began to reorient their health services to achieve the goals of availability, accessibility and affordability of health care for all citizens and a number of management issues came to the forefront. Therefore, the provision of comprehensive PHC services is the key aspect to improving health services. A district health system has been identified as an ideal model for comprehensive PHC services to all the citizens in South Africa. Public health services in the Cape Metropolitan Area are characterised by functional fragmentation. Two public authorities render Primary Health Care services, namely the: Provincial Administration of the Western Cape through CHSO, and the Municipal Health Department. The fragmented nature of the public health services, which result in poor coordination of service delivery between the two health authorities, compromises the quality of service delivery. Historically, PHC services in the Cape Metropolitan Area - and indeed in the whole South Africa - have developed in a skewed manner. This work is an attempt at conceptualising the implications and consequences of this skewed health development. South Africa is presently undergoing fundamental reform, which has brought the PHC into disarray of fundamental change. Since the South African health care system is a highly complex institution, attempts have been made to critically analyse those aspects and features of inequality, inaccessibility, and inequity. Among these is the historical and present development of Cape Metropolitan Area health care and the structural features it assumed with the passing of time, trends and characteristics. In order to examine the theory in practice, the evolvement of PHC in the Cape Metropolitan Area will be analysed. The analysis highlights how different political formations have affected the development of PHC services and points out obstacles and limitations throughout the process, which had to be dealt with. Transformation of the existing health services, based on the principles of PHC, requires the redressing the imbalances of the past. Therefore, the integration of the two health authorities into one entity would best achieve the principles of district health system and will ensure comprehensive PRe.
AFRIKAANSE OPSOMMING: Die Primêre Gesondheidsorg benadering geniet tans wereldwyd erkenning as 'n meganisme om doeltreffende openbare gesondheidsdienslewering te versker. Die konsep, wat ontwikkel en gegroei het uit die Alma Ata-konferensie van 1978, is reeds deur verskeie regerings ge-implementeer ten einde die doelwitte van beskikbaarheid, toeganklikheid en bekostigbaarheid van gesondheidsorg vir alle landsburgers te verseker. Die voorsiening van omvattende Primêre Gesondheidsorgdienste word erken as 'n noodsaaklike middelom gesondheidsorg te verbeter. Die Distrikgesondheid-stelsel is geidentifiseer as 'n ideale model vir die implementering van omvattende Primêre Gesondheidsorgdienste in Suid Afrika. Publieke Gesondheidsdienste in die Kaapse Metropolitaanse-gebied word gekenmerk deur die feit dat dit funksioneel gefragmenteer is. Twee publieke owerhede, te wete die Provinsiale Administrasie van die Wes Kaap en die Kaapse Stadsraad lewer Primêre Gesondheidsorgdienste, wat aanleiding gee tot swak koordinering met die gevolg dat dienslewering daaronder ly. Primêre Gesondheidsdienste in die Kaapse Metropolitaansegebied, soos in die res van Suid Afrika, het op 'n onlogiese, skewe manier ontwikkel Hierdie werk is 'n poging om die gevolge en implikasies van die onlogiese, skewe gesondheids-ontwikkeling te konseptualiseer. Daar is gepoog om die uiters gekompliseerde gesondheidsdiens-stelsel in Suid Afrika krities te analiseer met spesifieke verwysing na die kenmenrke van ongelykheid, ontoeganklikheid en onbillikheid. Dit sluit die historiese en huidige ontwikkeling van gesondheidsorg in die Kaapse Metropolitaanse gebied en die strukturele kenmerke in wat deur die loop van jare as gevolg van verskeie invloede en neigings sigbar geraak het. Die ontwikkeling van Primêre Gesondheidsorg in die Kaapse Metropolitaanse-gebied word ge-analiseer ten einde bogenoemde teorie in die praktyk te bevestig. Die analise beklemtoon die invloed van verskillende politieke rolspelers op ,die ontwikkeling van Primêre Gesondheidsorgdienste en bevestig die struikelblokke en beperkings wat deurentyd opgeduik het. Transformasie van gesondheidsdienste soos dit tans daaruit sien, gegrond op die beginsels van Primêre Gesondheidsorg, vereis dat die ongelykhede van die verlede aangespreek word. Die integrasie van die twee gesondheidsdiensowerhede sal die beginsels van die Gesondheidsdistrik-stelsel verwesenlik, wat daartoe sal aanleiding gee dat omvattende Primêre Gesondheidsorg 'n werklikheid word.
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Chan, Domin. "Depression and comorbid PTSD in veterans : evaluation of collaborative care programs and impact on utilization and costs /." Thesis, Connect to this title online; UW restricted, 2007. http://hdl.handle.net/1773/5403.

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Odufuwa, Oluwatoyin Aliu. "Referral of patients between Primary and Secondary levels of health care in the Port Elizabeth Metropole." Thesis, Stellenbosch : Stellenbosch University, 2010. http://hdl.handle.net/10019.1/20454.

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Research report (MMed) -- Interdisciplinary Health Sciences, Stellenbosch, 2010.
ENGLISH ABSTRACT: Background The referral system is an important component of the health care system. In public health facilities, a high number of patients’ attendance has lead to a huge burden on the secondary and tertiary level of the care system in terms of manpower, equipments and resources. Public health in South Africa consumes around 11% of the government's total budget. The state contributes about 40% of all expenditure on health; the public health sector is under pressure to deliver services to about 80% of the population. Despite the huge spending on health care in most developing countries, health outcomes and services remain poor. Few studies are available to give insights into reasons for this disparity. Therefore the findings of this may help to explain some of the reasons for this overburden of public health facilities and further to make recommendations on how health service delivery may be improve on. The results of this study can be useful in future planning; this may lead to a reduction in huge health expenditure incurred by most developing countries. Methods A cross sectional survey of three different groups of people which comprises of 273 patients, 28 referral centre participants and 19 referring centre participants was carried out. All patients referred from Motherwell community health centre to Dora Nginza hospital were eligible for the study. Questionnaires were interview administered to patients after they had finished consultations in Dora Nginza Hospital. Health professionals from both facilities were also interviewed with the use of self administered questionnaires. Results Three out of every four patients interviewed were of the opinion that their referral to hospital was appropriate which is consistent with the results from referring health professionals, eighteen of nineteen respondents. However, only one-quarter (7) of the referral centre health professionals felt the referrals from referring centre to hospital were appropriate p<0.01.The majority of the patients were satisfied with the level of service received at the referral centre. 77% (210) reported that the staff at the referral centre was friendly and 84% (230) were happy with the explanation given for their illness. However, a source of concern is that, in most of the referred patients 58% (215), there was no formal response back to their primary care. In the referring centre, participants identified transportation of patients to referral centre as the major problem encountered when referring patients 68 % (13), whereas 32 % (6) felt it is communication. In addition, 73 % (14) were of the opinion that transportation was inadequate and 89 % (17) reported the response rate of transport was unsatisfactory. In the referral centre, results showed participants were more concerned about the adequacy of information provided in the referral letters with 78% (22) reporting they were often not adequate information on the referral letters. However, half of the respondents agreed that they do not have clear referral guidelines. Conclusion Primary care health professionals and patients in this study view the referrals to higher levels of care as appropriate. However, the referral centres health professionals were of the opinion that most referrals were inappropriate. The opinion of the referral centre can be attributed to their negative attitudes towards referrals. The referral centres needs to provide more support to primary care for a more efficient referral system .They also need to improve on the continuity of care by providing feedback to referrals. On the other hand, the primary health care needs to be strengthened in terms of resource allocation in order to gain more confidence from both patients and referral centres.
AFRIKAANSE OPSOMMING: geen opsomming
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Madyibi, Nwabisa. "The sustainability of health committees in the Nelson Mandela Bay health district." Thesis, Nelson Mandela Metropolitan University, 2013.

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Purpose of this treatise- This Paper aims to investigate the Sustainability of Health Facility Committees in the Nelson Mandela Bay Health District. Design/methodology/approach – This study consists of a literature review and a pilot study. Qualitative research approach was used in order to obtain descriptive data from the targeted group. The primary sources of data collection the researcher used were from the members of the committee, health facility manager, chairperson and the health promoter who are members of the health committees. Focus group discussions with health committees were conducted to provide rich in-depth data. Literature and journal articles were also used to provide secondary data to corroborate findings. Research limitations- A major limitation to this study is that due to the nature of the nature of the research report it was not possible to assess the sustainability of health Facility Committees from other areas in the Nelson Mandela Bay Health District. Findings-The study has revealed that Community Health committees are sustained by the commitment and passion members have for the work done in the facilities and health committees. The study also revealed that social cohesion plays a major part in the sustainability of Community Health Committees (CHC). Lack of involvement by ward councilors, support from the Health Department, uncertainty of responsibilities by the health committees and limited skills were indicated as major setbacks threatening the sustainability of Community Health Committees. It can thus be concluded that these limitations must be properly addressed in order to enable and uphold the sustainability of Community Health Committees. Original/value -So far, there has been limited research which has been undertaken with regards to the subject of Sustainability of Health Facility Committees in Nelson Mandela Bay Health District. This study will aid in enabling a better understanding of what sustains Community Health Committees and the Challenges facing such communities in order to enable individuals and the parties involved to better formulate solutions to overcome these challenges in Nelson Mandela Bay.
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Books on the topic "Primary health care post"

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Per, Eklund. Prepaid financing of primary health care in Guinea-Bissau: An assessment of 18 village health posts. Washington, DC (1818 H St. NW, Washington 20433): Africa Technical Dept., World Bank, 1990.

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Social Democratic Party. Working Party on Health and Personal Social Services. Primary health care. London: SDP, 1986.

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Bergerhoff, Petra, Dieter Lehmann, and Peter Novak, eds. Primary Health Care. Berlin, Heidelberg: Springer Berlin Heidelberg, 1990. http://dx.doi.org/10.1007/978-3-642-83240-6.

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Greenhalgh, Trisha, ed. Primary Health Care. Oxford, UK: Blackwell Publishing Ltd, 2007. http://dx.doi.org/10.1002/9780470691779.

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Great Britain. Parliament. House of Commons. Social Services Committee. Primary health care. London: H.M.S.O., 1986.

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Primary care mental health. London: RCPsych Publications, 2009.

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Save the Children (U.S.), ed. Sustaining primary health care. New York: St. Martin's Press, 1995.

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Cohen, Alan. Primary care mental health. Edited by Hill Alison. London: Emap Public Sector Management, 2000.

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Tanzania. Primary health care strategy. [Dar es Salaam]: Govt. of the United Republic of Tanzania, Ministry of Health, 1992.

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Health information for primary health care. Nairobi, Kenya: African Medical and Research Foundation, 1991.

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Book chapters on the topic "Primary health care post"

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Ciotti, Emanuele, Daniele Irmici, and Marco Menchetti. "Primary Care." In Health and Gender, 269–75. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-15038-9_28.

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Baggott, Rob. "Primary Health Care." In Health and Health Care in Britain, 245–74. London: Macmillan Education UK, 2004. http://dx.doi.org/10.1007/978-1-137-11638-3_10.

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Baggott, Rob. "Primary Health Care." In Health and Health Care in Britain, 210–27. London: Macmillan Education UK, 1998. http://dx.doi.org/10.1007/978-1-349-14492-1_9.

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Rogers, Anne, and David Pilgrim. "Primary Care." In Mental Health Policy in Britain, 143–56. London: Macmillan Education UK, 2001. http://dx.doi.org/10.1007/978-1-137-03963-7_8.

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Knowles, Ann-Marie, Vaithehy Shanmugam, and Ross Lorimer. "Primary Health Care." In Social Psychology in Sport and Exercise, 169–90. London: Macmillan Education UK, 2015. http://dx.doi.org/10.1007/978-1-137-30629-6_9.

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Laverack, Glenn. "Primary Health Care." In A–Z of Health Promotion, 163–64. London: Macmillan Education UK, 2014. http://dx.doi.org/10.1007/978-1-137-35049-7_62.

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Jefferys, Margot. "Primary health care." In Interprofessional issues in community and primary health care, 185–201. London: Macmillan Education UK, 1995. http://dx.doi.org/10.1007/978-1-349-13236-2_10.

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Salter, Brian. "Primary Health Care." In The Politics of Change in the Health Service, 75–97. London: Macmillan Education UK, 1998. http://dx.doi.org/10.1007/978-1-349-26224-3_5.

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Purves, Geoffrey. "Primary Health Care." In Metric Handbook, 603–21. Sixth edition. | New York: Routledge, 2018.: Routledge, 2018. http://dx.doi.org/10.4324/9781315230726-33.

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Binder, James. "Mental Health." In Primary Care Interviewing, 167–79. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4614-7224-7_14.

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Conference papers on the topic "Primary health care post"

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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 & bridge the back between the hospital and women. They have been instrumental in the success of the family planning programme & polio eradication program in India. Materials and Methods: A questionnaire about educational status, awareness about breast & 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 & motivational sessions for ASHA workers could help in cancer prevention programs.
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Fitrianti, Y. "“I AM NOT FULLY MEDICALIZED.”: A QUALITATIVE STUDY OF POST-NATAL CARE AMONG MALAYSIAN CHILD-BIRTHING WOMEN IN THE UNITED KINGDOM." In Global Public Health Conference. The International Institute of Knowledge Management, 2021. http://dx.doi.org/10.17501/26138417.2021.4102.

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Obstetric medicine and reproductive technology have been spread out worldwide and become the symbol of modernization. Its expansion might displace the traditional treatments which mostly are practiced by the people in developing countries. However, the Malaysian women who lived in a Western country and had a well-educated background still practiced the traditional treatments after giving birth. The study was conducted in 2016 at Durham, a county in the United Kingdom, and it utilized qualitative research by interviewing five Malaysian women who had a birth experience in the United Kingdom. The result of the study revealed that heating the body with hot stone has still mostly practiced by Malaysian women even living in the United Kingdom, where there were optional sophisticated technology and qualified medical professional. In addition, some of them still obeyed the recommended and prohibited foods ruled by the origin culture during the postpartum period. The treatment was conducted at home supported by the family and colleagues whose the same ethnicity and nationality. In conclusion, the national boundaries, high education, and the existence of sophisticated health technology and qualified medical professional are irrelated to why people still undertake traditional treatments. The treatment was primarily chosen because of its health effects on the body after treatments. Therefore, health policymakers have to know and consider the migrant‟s cultural values in order to make the health system convenient and appropriate to either the migrants‟ health. In addition, the study needs further research to find the effectiveness and efficacy of traditional treatments to women‟s health. Keywords: traditional treatments, postpartum period, humoral system, heat therapy, cultural value, Malaysian culture
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Goktepe, Serdar, Joseph P. Ulerich, and Ellen Kuhl. "How to Treat the Loss of Beat: Modeling and Simulation of Ventricular Growth and Remodeling and Novel Post-Infarction Therapies." In ASME 2008 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2008. http://dx.doi.org/10.1115/sbc2008-193159.

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Heart disease is the primary cause of death in industrialized nations. In 2007 alone, an estimated 79 million adults in the U.S., one in three, had one or more types of cardiovascular disease, generating health care costs in excess of $430 billion. A leading cause of congestive heart failure is myocardial infarction. Within the first few hours after the infarct, a complex cascade of events is initiated in the myocardium manifesting itself clinically in disproportionate thinning and dilation of the infarct region accompanied by distortion in form and function of the entire heart, figure 1. As remodeling progresses, volume-overloaded hypertrophy and further deterioration of cardiac function are common natural consequences. Historically, therapies for myocardial infarction have been developed by trial and error methods, as opposed to therapy design and development through scientific understanding of the functional and structural changes in the infarcted tissue. Continuum theories, in combination with modern computer simulation technologies, offer the potential to provide greater insight into the complex pathways of myocardial infarction, and thereby guide the design of successful post-infarction therapies such as direct cell injection into the damaged myocardium1 and implantation of tissue engineered vascular grafts2 as sketched in figure 1.
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Wang, Na, and Jinguo Wang. "How to Improve Primary Health Care and the Meaning of Primary Health Care." In 2016 International Conference on Education, Management Science and Economics. Paris, France: Atlantis Press, 2016. http://dx.doi.org/10.2991/icemse-16.2016.70.

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Garcia, Saulo Jose Argenta, Rubia Alves da Luz Santos, Priscila Sousa de Avelar, Renato Zaniboni, and Renato Garcia. "Health care technology management applied to public primary care health." In 2011 Pan American Health Care Exchanges (PAHCE 2011). IEEE, 2011. http://dx.doi.org/10.1109/pahce.2011.5871898.

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Manning, Garth, Frank van Dijk, and Peter Buijs. "1701 Scaling up workers’ health coverage through primary health care." In 32nd Triennial Congress of the International Commission on Occupational Health (ICOH), Dublin, Ireland, 29th April to 4th May 2018. BMJ Publishing Group Ltd, 2018. http://dx.doi.org/10.1136/oemed-2018-icohabstracts.1186.

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Iluyemi, A., and R. E. Croucher. "E-health as an appropriate technology in primary health care." In 4th IET Seminar on Appropriate Healthcare Technologies for Developing Countries. IET, 2006. http://dx.doi.org/10.1049/ic.2006.0665.

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Azzam, Nawras. "54 Primary health care education and antibiotics overuse." In Preventing Overdiagnosis, Abstracts, August 2018, Copenhagen. BMJ Publishing Group Ltd, 2018. http://dx.doi.org/10.1136/bmjebm-2018-111070.54.

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Intolo, S., and W. Sritanyarat. "DEVELOPMENT OF STROKE PREVENTIVE CARE MODEL FOR OLDER PERSONS IN A PRIMARY CARE CONTEXT." In International Conference on Public Health. The International Institute of Knowledge Management (TIIKM), 2017. http://dx.doi.org/10.17501/icoph.2017.3112.

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"Health Policy Reform Poor Rural Primary Health Care Delivery in Australia." In 2018 International Conference on Education, Psychology, and Management Science. Francis Academic Press, 2018. http://dx.doi.org/10.25236/icepms.2018.175.

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Reports on the topic "Primary health care post"

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Schnabel, Filipina, and Danielle Aldridge. Effectiveness of EHR-Depression Screening Among Adult Diabetics in an Urban Primary Care Clinic. University of Tennessee Health Science Center, April 2021. http://dx.doi.org/10.21007/con.dnp.2021.0003.

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Background Diabetes mellitus (DM) and depression are important comorbid conditions that can lead to more serious health outcomes. The American Diabetes Association (ADA) supports routine screening for depression as part of standard diabetes management. The PHQ2 and PHQ9 questionnaires are good diagnostic screening tools used for major depressive disorders in Type 2 diabetes mellitus (DM2). This quality improvement study aims to compare the rate of depression screening, treatment, and referral to behavioral health in adult patients with DM2 pre and post-integration of depression screening tools into the electronic health record (EHR). Methods We conducted a retrospective chart review on patients aged 18 years and above with a diagnosis of DM2 and no initial diagnosis of depression or other mental illnesses. Chart reviews included those from 2018 or prior for before integration data and 2020 to present for after integration. Sixty subjects were randomly selected from a pool of 33,695 patients in the clinic with DM2 from the year 2013-2021. Thirty of the patients were prior to the integration of depression screening tools PHQ2 and PHQ9 into the EHR, while the other half were post-integration. The study population ranged from 18-83 years old. Results All subjects (100%) were screened using PHQ2 before integration and after integration. Twenty percent of patients screened had a positive PHQ2 among subjects before integration, while 10% had a positive PHQ2 after integration. Twenty percent of patients were screened with a PHQ9 pre-integration which accounted for 100% of those subjects with a positive PHQ2. However, of the 10% of patients with a positive PHQ2 post-integration, only 6.7 % of subjects were screened, which means not all patients with a positive PHQ2 were adequately screened post-integration. Interestingly, 10% of patients were treated with antidepressants before integration, while none were treated with medications in the post-integration group. There were no referrals made to the behavior team in either group. Conclusion There is no difference between the prevalence of depression screening before or after integration of depression screening tools in the EHR. The study noted that there is a decrease in the treatment using antidepressants after integration. However, other undetermined conditions could have influenced this. Furthermore, not all patients with positive PHQ2 in the after-integration group were screened with PHQ9. The authors are unsure if the integration of the depression screens influenced this change. In both groups, there is no difference between referrals to the behavior team. Implications to Nursing Practice This quality improvement study shows that providers are good at screening their DM2 patients for depression whether the screening tools were incorporated in the EHR or not. However, future studies regarding providers, support staff, and patient convenience relating to accessibility and availability of the tool should be made. Additional issues to consider are documentation reliability, hours of work to scan documents in the chart, risk of documentation getting lost, and the use of paper that requires shredding to comply with privacy.
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Baker, Timothy. Oregon Primary Care Physicians' Support for Health Care Reform. Portland State University Library, January 2000. http://dx.doi.org/10.15760/etd.6635.

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Baker, Robin. Primary Care and Mental Health Integration in Coordinated Care Organizations. Portland State University Library, January 2000. http://dx.doi.org/10.15760/etd.5508.

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Basinga, Paulin, Paul Gertler, Agnes Binagwaho, Agnes Soucat, Jennifer Sturdy, and Christel Vermeersch. Paying Primary Health Care Centers for Performance in Rwanda. Unknown, 2010. http://dx.doi.org/10.35648/20.500.12413/11781/ii202.

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Thieschafer, Cheryl L. Definition of Roles and Responsibilities of Health Care Team Members in a Population-Based Model of Primary Health Care Delivery. Fort Belvoir, VA: Defense Technical Information Center, June 1997. http://dx.doi.org/10.21236/ada372084.

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Bradley, Cathy, David Neumark, and Lauryn Saxe Walker. The Effect of Primary Care Visits on Health Care Utilization: Findings from a Randomized Controlled Trial. Cambridge, MA: National Bureau of Economic Research, December 2017. http://dx.doi.org/10.3386/w24100.

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Abrams, Melinda Abrams, Mollyann Brodie Brodie, Jamie Ryan Ryan, Michelle Doty Doty, Liz Hamel Hamel, and Mira Norton Norton. Primary Care Providers' Views of Recent Trends in Health Care Delivery and Payment:Findings from the Commonwealth Fund/Kaiser Family Foundation 2015 National Survey of Primary Care Providers. New York, NY United States: Commonwealth Fund, August 2015. http://dx.doi.org/10.15868/socialsector.25044.

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Jigjidsuren, Altantuya, Bayar Oyun, and Najibullah Habib. Supporting Primary Health Care in Mongolia: Experiences, Lessons Learned, and Future Directions. Asian Development Bank, January 2021. http://dx.doi.org/10.22617/wps210020-2.

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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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Kelley, Susan D., Leonard Bickman, and Stephanie Boyd. Improving Deployment-Related Primary Care Provider Assessments of PTSD and Mental Health Conditions. Fort Belvoir, VA: Defense Technical Information Center, October 2013. http://dx.doi.org/10.21236/ada612362.

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Kelley, Susan D., Leonard Bickman, Stephanie Boyd, Ryan Hargraves, and Melanie Leslie. Improving Deployment-Related Primary Care Provider Assessments of PTSD and Mental Health Conditions. Fort Belvoir, VA: Defense Technical Information Center, October 2010. http://dx.doi.org/10.21236/ada612979.

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