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Cost containment in Finnish health care
Published in Elias Mossialos, Julian Le Grand, Health Care and Cost Containment in the European Union, 2019
Primary health care is provided mainly by the public health centres, which anyone can contact for ambulatory medical services. Preventive care of communicable and non-communicable diseases, ambulatory, medical and dental care, an increasing number of out-patient specialized services and various public health programmes (e.g. maternity and school care and care for the elderly) are provided by the health centres. They are also responsible for occupational health services (e.g. for farmers). Moreover, there are specific services for particular patient groups, e.g. diabetes and hypertension clinics.
Saudi Arabia
Published in Hassan Salah, Michael Kidd, Ahmed Mandil, Family Practice in the Eastern Mediterranean Region, 2019
Noha Dashash, Lubna A. Al-Ansary, Ibrahim El-Ziq
Patient satisfaction studies with PHCCs have had conflicting results. A study in Riyadh5 showed that about 30% of the participants perceive PHCC services as weak or ineffective. With regard to the likelihood of choosing PHCCs as the first choice of health-care service, 75% of the participants admitted that PHCCs are not their first choice. Rural coverage remains a challenge in Saudi Arabia. One of the main challenges in providing optimal primary health-care services, is the lack of certified family physicians. This shortage is not only a local shortage, it is a regional one.
What have we learned and what are the next priorities?
Published in Chris van Weel, Amanda Howe, Primary Health Care Around the World, 2018
Amanda Howe, Felicity Goodyear‑Smith, Chris van Weel
This book presents a snapshot of primary health care development around the globe and highlights common challenges that are encountered. It confirms that health reforms and capacity building of primary health care are taking place in all regions of the world. It stresses that the journey towards primary health care in many countries is in its early days, and will continue over the coming years. As a consequence, the experience we present is directed towards the processes of primary health care reforms – the journey – more than its final destination. This book demonstrates the usefulness of international comparisons in supporting the ‘bottom-up’ development process of primary health care: applying general values and principles under local socio-economic, political and health system conditions. Experiences from other jurisdictions will hardly ever be implementable on a one-to-one basis; they need to be redesigned to fit the local context. Critical appraisal of experiences from elsewhere, through comparative studies, can help us gain a deeper understanding of the nature of primary health care.
Physiotherapists´ experiences with older adults´ rehabilitation trajectory after hip fracture: A qualitative study in Western Norway
Published in Physiotherapy Theory and Practice, 2023
Heidi Borgund Hordvik, Ingrid Hjohlman Reed, Susanne Tenden, Graziella Van den Bergh
In Norway, the welfare state is responsible for providing health care to the population (Dahl et al., 2012), and physiotherapy is a statutory service (Norwegian Government, 2020). Services are provided at two main levels. Primary health care is provided at the municipal level, while specialist health care is provided in hospitals and specialist centers, at the secondary and tertiary level. Primary health care is mainly financed by the municipality, with additional governmental funding, while specialist health care is financed by the Norwegian health authorities (Romøren, Torjesen, and Landmark, 2011). The increased need for long-term care services, with lengthening queues, called for a more efficient use of resources, and the government introduced the Coordination Reform in 2012, with the goal to offer adequate treatment, “At the Right Place and Right Time” (Norwegian Ministry of Health and Care Services, 2009). The reform thus gave larger responsibility to the municipalities for meeting the growing demand for primary health care services whereof rehabilitation and long-term care.
Perspectives of health workers on annual performance appraisal: A study in primary health care
Published in International Journal of Healthcare Management, 2021
Soheila Majidi, Abbas Daneshkohan, Ehsan Zarei, Tahereh Ashktorab
Primary health care is vital for achieving universal health coverage and ensuring equity in health and social justice [29]. Motivation of PHC workers plays an important role in the health system performance [30], whereas they usually benefit less rewards (in terms of prestige and money) than other health workers. In spite of important role of PHC in achieving UHC, unfortunately PHC services has been paid less attention as compared to curative and rehabilitative services in Iran, as well as in many other countries. PHC workers salary and benefit and their motivation is low. A study conducted by Tabrizi et al. on the status of Iran’s PHC system showed inadequate financial resources and low motivation of human resources as some weaknesses of the system [31]. Furthermore, Nekoei Moghadam et al. in a qualitative study on human resources in Iran’s primary health care system found that poor employee performance evaluation was one of four cause of demotivation among health workers [21]. In such conditions and given economic constraints, intervention in areas such as performance appraisal and supportive supervision are low cost and cost-effective strategies for increasing motivation and improving performance of PHC workers. Studying performance management system and finding areas for improvement is a prerequisite for any intervention in this field.
Awareness of parental illness: a grounded theory of upholding family equilibrium in parents on long-term sick-leave in primary health care
Published in Scandinavian Journal of Primary Health Care, 2021
Charlotte Oja, Tobias Edbom, Anna Nager, Jörgen Månsson, Solvig Ekblad
Primary health care is a specific discipline with a need for specific research because it has unique epidemiology, the context of care is important, and it has a strong link and responsibility to the community [18]. According to the Health and Medical Care Act [19] primary care specifically provides health and medical care services for both common physical and mental health care needs. In 2020 there were 159,000 ongoing sick leave cases in Sweden, 103,000 women and 56,000 men. Benefits were given due to mostly psychiatric diagnosis (51%) (including stress 22%), injuries (13%) and musculoskeletal illness (10%) [20]. Many of these patients are cared for in primary health care where more than half of all visits in Swedish health care are done [21]. The primary health care focus on prevention (of illness in the children), detection and treatment of the ill parent (and perhaps the children) and family and everyday life, may provide an opportune arena for assisting to mitigate the effect of parental illness on children.