You searched for subject:(primary health care).
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University of Namibia
1.
Iita, Hermine.
Strategies to support the utilisation of the nursing process by the registered nurses in local-level primaty health care practice in Namibia.
Degree: 2013, University of Namibia
URL: http://hdl.handle.net/11070/920 
► The purpose of this study was twofold. Firstly to explore and describe the utilization of the Nursing Process by registered nurses in local level Primary…
(more)
▼ The purpose of this study was twofold. Firstly to explore and describe the utilization of the Nursing Process by registered nurses in local level Primary health care practice in Namibia with regard to Primary health care delivery during their daily practices and secondly, to develop strategies that would support registered nurses in executing their role and function in this regard. These were prompted by the implementation of a Primary health care approach to health care delivery in the country. The objectives of the study were: To explore and describe the way in which registered nurses in clinics, healthcare centres and outreach posts in the health districts use the nursing process as regards PHC delivery; To determine how supervisors perceive the utilisation of the nursing process by registered nurses with regard to PHC; To identify the constraints that registered nurses are faced with when utilising the nursing process with regard to the
delivery of PHC; To develop a conceptual framework on which to base the formulation of relevant strategies, To incorporate the findings of this study into the development of strategies to support registered nurses in their utilisation of the nursing process with regard to the delivery of PHC; To validate the appropriateness of these strategies, a multi- phase, quantitative, exploratory, descriptive and contextual design was selected to provide a picture of how registered nurses fulfill their role and function concerning Primary health care (PHC) during their daily practices. The population consisted of two groups. The first group consisted of 239 registered nurses working in Clinics, health Centres and in Outreach Programmes. The second group consisted of 39 registered nurses supervisors, who supervised the registered nurses in these facilities. A survey was used to gather the data through self-report (questionnaire). Two questionnaires were developed, one for registered nurses
and the other for immediate supervisors. Quantitative, descriptive analysis was used to summarize and organize data using tables and figures as well as t-test and analysis of variance (ANOVA), where applicable. Five main areas where registered nurses needed support in execution of their roles and functions were revealed from the results. The areas were: Water and sanitation and other environmental health issues; health education and communication including outreach activities; Nutrition and food supply; Community diagnosis and care and Management support or administrative functions in Primary health Care, including research and education of health workers including fellow registered nurses. Strategies to support the utilization of the Nursing Process by registered nurse in local level Primary health care were developed based on the results of the conceptualization. The problem areas were first analysed and synthesized and three overarching strategies were formulated namely, Strategy
1: Addressing the contributing factors to challenges that hinder professional nurses to maximally utilise the…
Subjects/Keywords: Primary health care
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APA (6th Edition):
Iita, H. (2013). Strategies to support the utilisation of the nursing process by the registered nurses in local-level primaty health care practice in Namibia. (Thesis). University of Namibia. Retrieved from http://hdl.handle.net/11070/920
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Iita, Hermine. “Strategies to support the utilisation of the nursing process by the registered nurses in local-level primaty health care practice in Namibia.” 2013. Thesis, University of Namibia. Accessed January 22, 2021.
http://hdl.handle.net/11070/920.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Iita, Hermine. “Strategies to support the utilisation of the nursing process by the registered nurses in local-level primaty health care practice in Namibia.” 2013. Web. 22 Jan 2021.
Vancouver:
Iita H. Strategies to support the utilisation of the nursing process by the registered nurses in local-level primaty health care practice in Namibia. [Internet] [Thesis]. University of Namibia; 2013. [cited 2021 Jan 22].
Available from: http://hdl.handle.net/11070/920.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Iita H. Strategies to support the utilisation of the nursing process by the registered nurses in local-level primaty health care practice in Namibia. [Thesis]. University of Namibia; 2013. Available from: http://hdl.handle.net/11070/920
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Cape Town
2.
Hickson, Warren.
An interdisciplinary study exploring how health communication can most effectively explain Antiretroviral Medication (ART) and motivate adherence among young people.
Degree: Image, Paediatrics and Child Health, 2016, University of Cape Town
URL: http://hdl.handle.net/11427/23044
► The aim of this study was to explore factors contributing to the success of health communication strategies and supporting visual communication tool(s) designed to explain…
(more)
▼ The aim of this study was to explore factors contributing to the success of
health communication strategies and supporting visual communication tool(s) designed to explain antiretroviral medication (ART) adherence, and motivate young people who live with HIV to follow an adherence regime. The study drew from the social sciences, including psychology,
health sciences and communication. Currently there are an estimated 6.8 million people living with HIV in South Africa, making it the site of the largest HIV epidemic in the world (UNAIDS, 2014). Antiretroviral Therapy (ART) is the only effective treatment for HIV and is one of the most demanding medicine regimes, requiring a 90% compliance. Various studies have documented worryingly poor levels of adherence to ART, especially amongst adolescents and young adults in South Africa. The empirical research consisted of a qualitative case study in Khayelitsha, a periurban township on the edge of Cape Town. It focused on young people from Khayelitsha and
health care professionals - doctors, nurses, HIV counsellors and pharmacists. Using grounded theory data collection was carried out during two phases of fieldwork, interspersed with periods for data processing and analysis. The principal methods used were focus groups, semi-structured interviews and participant observation. Two key factors emerged from the data that form the basis of a new theoretical understanding: first, concerning how young people become motivated to learn about treatment and adhere to it, and second, concerning how information about treatment can best be communicated to them. In relation to the first of these, findings showed that young people were traumatised by an HIV diagnosis, fearing both that they would get sick and suffer an early death and also that they would be rejected by their belonging groups. This meant that they could not take in the factual information offered, and in addition, had no motivation to do so because the diagnosis resulted in a loss of hope for their present and future lives. According to young people, motivation was an outcome of re-connecting to one or more trusted significant other(s) from within their belonging group, who accepted and supported them. This in turn affirmed their prior belonging identities of son, daughter, cousin or close friend and then reconnected them to their present and future hopes. This renewed motivation to live was the basis for their becoming motivated to learn about treatment and adhere to it. In relation to the second factor, this study found that current communications about treatment were not effective. Specifically, the use of metaphors, which was seen among clinicians as a method of simplifying the complexity of ART adherence messages, was in fact creating confusion. Also, the use of printed information in isolation was not effective; communication was much more effective when it provided a space for discussion. These two key factors form the basis of a
health communication strategy for young people who live with HIV and need to adhere to ART.…
Advisors/Committee Members: Mayers, Pat (advisor), Newing, Helen (advisor).
Subjects/Keywords: Primary Health Care
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APA ·
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APA (6th Edition):
Hickson, W. (2016). An interdisciplinary study exploring how health communication can most effectively explain Antiretroviral Medication (ART) and motivate adherence among young people. (Thesis). University of Cape Town. Retrieved from http://hdl.handle.net/11427/23044
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Hickson, Warren. “An interdisciplinary study exploring how health communication can most effectively explain Antiretroviral Medication (ART) and motivate adherence among young people.” 2016. Thesis, University of Cape Town. Accessed January 22, 2021.
http://hdl.handle.net/11427/23044.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Hickson, Warren. “An interdisciplinary study exploring how health communication can most effectively explain Antiretroviral Medication (ART) and motivate adherence among young people.” 2016. Web. 22 Jan 2021.
Vancouver:
Hickson W. An interdisciplinary study exploring how health communication can most effectively explain Antiretroviral Medication (ART) and motivate adherence among young people. [Internet] [Thesis]. University of Cape Town; 2016. [cited 2021 Jan 22].
Available from: http://hdl.handle.net/11427/23044.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Hickson W. An interdisciplinary study exploring how health communication can most effectively explain Antiretroviral Medication (ART) and motivate adherence among young people. [Thesis]. University of Cape Town; 2016. Available from: http://hdl.handle.net/11427/23044
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Cape Town
3.
Daniels, Johann Alexander.
Assessing the impact of a waiting time survey on reducing waiting times in primary care clinics in Cape Town, South Africa.
Degree: Image, Public Health and Family Medicine, 2015, University of Cape Town
URL: http://hdl.handle.net/11427/16566
► Objective: A waiting time survey (WTS), conducted in 2007 at 94% of clinics in Cape Town, measured length of patient waiting times (WT) for services…
(more)
▼ Objective: A waiting time survey (WTS), conducted in 2007 at 94% of clinics in Cape Town, measured length of patient waiting times (WT) for services and provided recommendations to shorten waiting times. Whether subsequent implementation of these recommendations occurred was unknown, hence a study was conducted to assess the impact of the previous waiting time survey recommendations on stimulating efforts to reduce waiting times and whether waiting times had reduced. Methods: A cross-sectional analytical study design assessed the perceptions of 92% of clinic managers in Cape Town, regarding the 2007 survey, while a before and after study design assessed changes in waiting time between 2007 and 2011, using a random sample of 22 clinics. Results: The overall median waiting time of all clinics in the sample decreased by 21 minutes in 2011 (95% CI 11.77-30.23), a 28% decrease from 2007. This reduction was manifest at individual clinic level as well, with 55% of clinics reducing their median waiting time by at least 15 minutes. No specific factors, including whether recommendations to reduce waiting times were implemented, were associated with decreases in waiting times. Implementation of recommendations to reduce waiting times was 2.67 times (95% CI 1.33-5.40) more likely amongst those who received written recommendations and 2.3 times ) 95% CI 1.28-4.19) more likely amongst managers with 5 or more years' experience. Conclusion: The decrease in waiting times in
primary care urban clinics subsequent to a waiting time survey, demonstrates the utility of waiting times surveys, although no specific factors associated with the decrease in waiting time were identified.
Advisors/Committee Members: Zweigenthal, Virginia (advisor), Reagon Gavin (advisor).
Subjects/Keywords: Public Health; Primary Health Care
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APA (6th Edition):
Daniels, J. A. (2015). Assessing the impact of a waiting time survey on reducing waiting times in primary care clinics in Cape Town, South Africa. (Thesis). University of Cape Town. Retrieved from http://hdl.handle.net/11427/16566
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Daniels, Johann Alexander. “Assessing the impact of a waiting time survey on reducing waiting times in primary care clinics in Cape Town, South Africa.” 2015. Thesis, University of Cape Town. Accessed January 22, 2021.
http://hdl.handle.net/11427/16566.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Daniels, Johann Alexander. “Assessing the impact of a waiting time survey on reducing waiting times in primary care clinics in Cape Town, South Africa.” 2015. Web. 22 Jan 2021.
Vancouver:
Daniels JA. Assessing the impact of a waiting time survey on reducing waiting times in primary care clinics in Cape Town, South Africa. [Internet] [Thesis]. University of Cape Town; 2015. [cited 2021 Jan 22].
Available from: http://hdl.handle.net/11427/16566.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Daniels JA. Assessing the impact of a waiting time survey on reducing waiting times in primary care clinics in Cape Town, South Africa. [Thesis]. University of Cape Town; 2015. Available from: http://hdl.handle.net/11427/16566
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of the Western Cape
4.
Umunna, Zeluwa Ifeoma.
Exploring the factors that contribute to poor utilization of primary health care services: a study of two primary health care clinics in Nasarawa State, Nigeria
.
Degree: 2012, University of the Western Cape
URL: http://hdl.handle.net/11394/4536
► Introduction: Nigeria operates a three tiered health care delivery system with a large percentage of health care delivery vested at the primary care level. There…
(more)
▼ Introduction: Nigeria operates a three tiered
health care delivery system with a large percentage of
health care delivery vested at the
primary care level. There has been over the years a continued effort by the government to decentralize
health care service thereby increasing the range of services provided at the
primary care level. Despite all these efforts there is still low utilization of
primary health care services. This study therefore seeks to explore the factors that may be responsible for poor utilization of
primary health service in Nasarawa State, Nigeria using two
primary health clinics in Lafia local government area as case studies. Methodology: The study was carried out using the qualitative research methodology primarily using two data collection methods, the focus group discussions and individual interviews. A total of sixty participants were sampled, these consisted of ten members of staff, twenty non facility users and thirty facility users. Thirty individual interviews were conducted and four focus group
discussions held with staff and facility users at the two clinics. Facility users were randomly selected as they attended the clinic on the data collection days and were invited to participate in the study. Every second patient attending the clinic was selected for the focus group discussion and every third person for the interviews. The staff participants were randomly selected based on their availability while non-facility users were selected using snowballing. Data was analyzed using thematic analysis method. Findings: Two major themes emerged following data analysis; these were perception and experiences of facility users and barriers to utilization of
health services. Users had a good perception of the services they received and are reasonably satisfied but certain deficiencies in the
health care systems compromised the quality of service. Several factors were however hindering the utilization of these services and these include mainly institutional factors such as lack of infrastructure, equipment and staffing constraints; household factors such as cost of service and responsibility of decision making and other factors such as stigmatization and beliefs. Conclusion: Facility users of these clinics seem to have an overall good impression of services at the clinics; however there are certain fundamental deficiencies that need to be urgently addressed to improve the
care provided at these clinics as these constitute barriers to utilization. These deficiencies such as the absence of electricity and water, lack of basic work equipment and inappropriate staff composition need to be addressed by the local government
health department to ensure utilization and improved quality of service.
Advisors/Committee Members: Mathole, Thubelihle (advisor).
Subjects/Keywords: Primary health care;
Health services;
Antenatal care
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APA ·
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MLA ·
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Manager
APA (6th Edition):
Umunna, Z. I. (2012). Exploring the factors that contribute to poor utilization of primary health care services: a study of two primary health care clinics in Nasarawa State, Nigeria
. (Thesis). University of the Western Cape. Retrieved from http://hdl.handle.net/11394/4536
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Umunna, Zeluwa Ifeoma. “Exploring the factors that contribute to poor utilization of primary health care services: a study of two primary health care clinics in Nasarawa State, Nigeria
.” 2012. Thesis, University of the Western Cape. Accessed January 22, 2021.
http://hdl.handle.net/11394/4536.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Umunna, Zeluwa Ifeoma. “Exploring the factors that contribute to poor utilization of primary health care services: a study of two primary health care clinics in Nasarawa State, Nigeria
.” 2012. Web. 22 Jan 2021.
Vancouver:
Umunna ZI. Exploring the factors that contribute to poor utilization of primary health care services: a study of two primary health care clinics in Nasarawa State, Nigeria
. [Internet] [Thesis]. University of the Western Cape; 2012. [cited 2021 Jan 22].
Available from: http://hdl.handle.net/11394/4536.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Umunna ZI. Exploring the factors that contribute to poor utilization of primary health care services: a study of two primary health care clinics in Nasarawa State, Nigeria
. [Thesis]. University of the Western Cape; 2012. Available from: http://hdl.handle.net/11394/4536
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Zambia
5.
Shikabi, Penzi.
Factors hindering primary health care delivery in chibombo district
.
Degree: 2013, University of Zambia
URL: http://hdl.handle.net/123456789/2522
► The study investigated factors hindering primary health care delivery in Chibombo District. The Zambia government adopted the primary health care model as a strategy for…
(more)
▼ The study investigated factors hindering primary health care delivery in Chibombo District.
The Zambia government adopted the primary health care model as a strategy for improving the health of its population. The aim of primary health care is to provide efficient, cost effective and quality health services as close to the community as possible. However, despite the adoption of this model, primary health care delivery in rural areas of Zambia has continued to be a challenge. According to the Zambia Demographic and Health Survey (2007), rural areas in Zambia experience high level of mortality and morbidity due to preventable and treatable diseases.
The overall objective of this of this study was to investigate the factors which impede primary health care delivery in Chibombo District. The specific objectives of the study were; to identify primary health care facilities and services provided in Chibombo District; to identify the constraints faced by primary health care facilities in Chibombo District; to investigate the barriers which people face in accessing primary health care facilities in Chibombo District and; to examine the level of community participation in primary health care in Chibombo District.
The sample size of this study was 130 respondents. These consisted of 100 households, 20 staff in charge of health facilities, 4 chairpersons of Neighbourhood Health Committees (NHCs), 3 Community Health Workers (CHWs), 2 councillors and the District Medical Officer. Both primary and secondary data were used for this research.Qualitative and quantitative data was used for the study. Qualitative data was analysed by transcribing it into the major themes which emerged. Quantitative data was analysed using Statistical Packages for Social Sciences (SPSS).
The study found out that health facilities in Chibombo District were inadequate and existing one experienced shortages of personnel, lack of equipment, stock outs of drugs and low budgetary allocation which hampered delivery of primary health care. The study found out that physical and economic barriers were major obstacles which people faced in accessing primary health care facilities and services.
The study recommends that the number of primary health care facilities in Chibombo District be increased and human resources management and administration should be strengthened to avert staff shortages in health facilities. A contingency plan for the supply of drugs and equipment to health facilities should be developed. Budgetary allocation to health facilities should be increased as well as scaling up on community health system strengthening.
Subjects/Keywords: Primary Health Care – Zambia
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APA ·
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Manager
APA (6th Edition):
Shikabi, P. (2013). Factors hindering primary health care delivery in chibombo district
. (Thesis). University of Zambia. Retrieved from http://hdl.handle.net/123456789/2522
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Shikabi, Penzi. “Factors hindering primary health care delivery in chibombo district
.” 2013. Thesis, University of Zambia. Accessed January 22, 2021.
http://hdl.handle.net/123456789/2522.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Shikabi, Penzi. “Factors hindering primary health care delivery in chibombo district
.” 2013. Web. 22 Jan 2021.
Vancouver:
Shikabi P. Factors hindering primary health care delivery in chibombo district
. [Internet] [Thesis]. University of Zambia; 2013. [cited 2021 Jan 22].
Available from: http://hdl.handle.net/123456789/2522.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Shikabi P. Factors hindering primary health care delivery in chibombo district
. [Thesis]. University of Zambia; 2013. Available from: http://hdl.handle.net/123456789/2522
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Alberta
6.
Lainsbury, Ashley.
The Impact of Provider Characteristics on Selected Primary
Health Care Indicators.
Degree: MS, Department of Public Health Sciences, 2015, University of Alberta
URL: https://era.library.ualberta.ca/files/3n2041820
► While the physician population in Canada is growing at a higher rate that the overall population, there has been a noticeable decline in the comprehensiveness…
(more)
▼ While the physician population in Canada is growing at
a higher rate that the overall population, there has been a
noticeable decline in the comprehensiveness of primary health care
services provided by general practitioners/family physicians. This
study aims to assess the impacts of physician characteristics such
as physician age, gender and location (rural or urban practice) on
selected primary health care indicators including whether or not
physicians deliver babies, make home visits or are accepting new
patients. There were a total of 42 discrete studies included; they
addressed the impact of physician age, gender and location of
practice on the provision of home visits, obstetrical care and
access. The literature suggests that older physicians, male
physicians and rural physicians are more likely to provide home
visits, that younger physicians, female physicians and rural
physicians are more likely to provide obstetrical care and based on
the limited research to date, that younger physicians, male
physicians and rural physicians are more likely to be accepting new
patients. Statistical analysis was also performed on available data
to verify findings from the literature review on the Alberta
physician population. Information on physician characteristics was
obtained through the College of Physicians and Surgeons of Alberta
and Ministry of Health. A quantitative approach was taken to
analyze the physician data. Univariate and multivariate analyses
were performed using multiple logistic regression. The statistical
analysis found that in Alberta, although location and decades in
practice are both significant predictors of whether or not
physicians provide home visits, gender was not statistically
significant when all other variables were controlled for. This is
likely because of the relationship between gender and age,
considering that older physicians were more likely to be male. This
study has also confirmed that age, gender and location were all
significant predictors of whether physicians delivered babies.
Importantly physicians involved in Primary Care Networks (PCNs)
were 3.6 times more likely to deliver babies than their non-PCN
colleagues, even with all other variables adjusted for. Lastly,
this study has found that gender and location were significant
predictors of whether or not physicians were accepting new
patients, but that with all other variables considered, decades in
practice was no longer statistically significant. Again PCN
physicians were 1.6 times more likely to be accepting new patients
then their colleagues. The relationship between gender and age may
be the reason previous studies have concluded that older physicians
were more likely to be accepting new patients. As female physicians
are on average younger, and female physicians are less likely to be
accepting new patients, gender was acting as an effect modifier on
the relationship between age and the likelihood of a physician to
be accepting new patients. The most important finding of this study
is that compared to non-PCN physicians, PCN…
Subjects/Keywords: Alberta; Physician; Primary Health Care
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APA ·
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MLA ·
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Manager
APA (6th Edition):
Lainsbury, A. (2015). The Impact of Provider Characteristics on Selected Primary
Health Care Indicators. (Masters Thesis). University of Alberta. Retrieved from https://era.library.ualberta.ca/files/3n2041820
Chicago Manual of Style (16th Edition):
Lainsbury, Ashley. “The Impact of Provider Characteristics on Selected Primary
Health Care Indicators.” 2015. Masters Thesis, University of Alberta. Accessed January 22, 2021.
https://era.library.ualberta.ca/files/3n2041820.
MLA Handbook (7th Edition):
Lainsbury, Ashley. “The Impact of Provider Characteristics on Selected Primary
Health Care Indicators.” 2015. Web. 22 Jan 2021.
Vancouver:
Lainsbury A. The Impact of Provider Characteristics on Selected Primary
Health Care Indicators. [Internet] [Masters thesis]. University of Alberta; 2015. [cited 2021 Jan 22].
Available from: https://era.library.ualberta.ca/files/3n2041820.
Council of Science Editors:
Lainsbury A. The Impact of Provider Characteristics on Selected Primary
Health Care Indicators. [Masters Thesis]. University of Alberta; 2015. Available from: https://era.library.ualberta.ca/files/3n2041820
Universidade Nova
7.
Barbosa, Rafael Ribeiro.
Primary public health care and socioeconomic asymmetries in Portugal.
Degree: 2012, Universidade Nova
URL: http://www.rcaap.pt/detail.jsp?id=oai:run.unl.pt:10362/9566
A Work Project, presented as part of the requirements for the Award of a Masters Degree in Economics from the NOVA – School of Business and Economics
Advisors/Committee Members: Barros, Pedro Pita.Subjects/Keywords: Primary health care; Hospital
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Manager
APA (6th Edition):
Barbosa, R. R. (2012). Primary public health care and socioeconomic asymmetries in Portugal. (Thesis). Universidade Nova. Retrieved from http://www.rcaap.pt/detail.jsp?id=oai:run.unl.pt:10362/9566
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Barbosa, Rafael Ribeiro. “Primary public health care and socioeconomic asymmetries in Portugal.” 2012. Thesis, Universidade Nova. Accessed January 22, 2021.
http://www.rcaap.pt/detail.jsp?id=oai:run.unl.pt:10362/9566.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Barbosa, Rafael Ribeiro. “Primary public health care and socioeconomic asymmetries in Portugal.” 2012. Web. 22 Jan 2021.
Vancouver:
Barbosa RR. Primary public health care and socioeconomic asymmetries in Portugal. [Internet] [Thesis]. Universidade Nova; 2012. [cited 2021 Jan 22].
Available from: http://www.rcaap.pt/detail.jsp?id=oai:run.unl.pt:10362/9566.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Barbosa RR. Primary public health care and socioeconomic asymmetries in Portugal. [Thesis]. Universidade Nova; 2012. Available from: http://www.rcaap.pt/detail.jsp?id=oai:run.unl.pt:10362/9566
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Harvard University
8.
Townsend, Megan Jo.
Increasing Primary Care Spending in Massachusetts: A Path Forward.
Degree: Doctor of Medicine, 2019, Harvard University
URL: http://nrs.harvard.edu/urn-3:HUL.InstRepos:41971499
► Commercial insurers in Massachusetts spend less than 7% of all health spending on primary care. As the foundation of the health care system, primary care…
(more)
▼ Commercial insurers in Massachusetts spend less than 7% of all health spending on primary care. As the foundation of the health care system, primary care in Massachusetts is essential to supporting the state’s multiple experiments in cost control, payment reform, and delivery system reform.
Primary care practices need to invest to develop the teams they will need to tackle the evolving needs of the Commonwealth, and chronic underinvestment hurts their ability to serve Massachusetts’ patients and communities.
This report was prepared for the Harvard Center for Primary Care in order to help the Center think about primary care spending in the state of Massachusetts.
The report works to answer 2 central questions:
1) How can primary care spending be increased in the state of Massachusetts? Which approach might be best for the state?
2) What does the path forward look like? How should advocates begin the process of advocating for action on primary care spending in Massachusetts?
Scholarly Project
Subjects/Keywords: Primary care; health policy
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APA (6th Edition):
Townsend, M. J. (2019). Increasing Primary Care Spending in Massachusetts: A Path Forward. (Doctoral Dissertation). Harvard University. Retrieved from http://nrs.harvard.edu/urn-3:HUL.InstRepos:41971499
Chicago Manual of Style (16th Edition):
Townsend, Megan Jo. “Increasing Primary Care Spending in Massachusetts: A Path Forward.” 2019. Doctoral Dissertation, Harvard University. Accessed January 22, 2021.
http://nrs.harvard.edu/urn-3:HUL.InstRepos:41971499.
MLA Handbook (7th Edition):
Townsend, Megan Jo. “Increasing Primary Care Spending in Massachusetts: A Path Forward.” 2019. Web. 22 Jan 2021.
Vancouver:
Townsend MJ. Increasing Primary Care Spending in Massachusetts: A Path Forward. [Internet] [Doctoral dissertation]. Harvard University; 2019. [cited 2021 Jan 22].
Available from: http://nrs.harvard.edu/urn-3:HUL.InstRepos:41971499.
Council of Science Editors:
Townsend MJ. Increasing Primary Care Spending in Massachusetts: A Path Forward. [Doctoral Dissertation]. Harvard University; 2019. Available from: http://nrs.harvard.edu/urn-3:HUL.InstRepos:41971499
Queens University
9.
Dimitris, Michelle.
Predictors of Up-to-Date Colorectal Cancer Screening and Patient-Centred Care in Family Health Team Primary Care Practices
.
Degree: Community Health and Epidemiology, 2012, Queens University
URL: http://hdl.handle.net/1974/7550
► Introduction: The Family Health Team (FHT) is an Ontario-based initiative that aims to provide primary care through multidisciplinary teams of healthcare professionals. Little is known…
(more)
▼ Introduction: The Family Health Team (FHT) is an Ontario-based initiative that aims to provide primary care through multidisciplinary teams of healthcare professionals. Little is known about variability between and within teams, and whether certain organizational characteristics are associated with quality of patient care. Objectives: (1) To describe FHT-level organizational characteristics for seven FHTs in Southeastern Ontario. (2) To examine the role of physician-level organizational characteristics in predicting: (a) Up-to-date colorectal cancer screening and (b) episodic patient-centredness for patients within seven FHTs in Southeastern Ontario. Methods: This study employed linked datasets obtained from surveys of seven FHTs, 115 health care providers (including 41 family physicians) and 998 patients, as well as a chart abstraction. Statistical analyses included performing subject-specific multilevel multivariate modeling. Results: (1) FHTs varied on characteristics including length of time of practice operation, number of patients, existence of personnel policies, team makeup and team climate. (2) (a) Patient uptake of colorectal cancer screening was associated with average duration of regular routine visit OR=0.88 per minute (95% CI 0.83-0.94), patient gender male OR=2.00 (95% CI 1.22-3.28), general checkup in past 2 years OR=9.03 (95% CI 5.18-15.73), travel time less than or equal to 20 minutes OR=1.53 (95% CI 0.94-2.48), and usually see regular provider OR=0.40 (95% CI 0.19–0.87). Patient uptake or physician recommendation of colorectal cancer screening demonstrated similar associations, with the absence of travel time and the addition of team climate (family physician and nurses) OR=5.88 (95% CI 0.98-35.24), patient occupational status employed vs. retired OR=0.49 (95% CI 0.23–1.02), patient occupational status not employed vs. retired OR=0.42 (95% CI 0.16–1.13), and patient smoking status never vs. ever OR=0.59 (95% CI 0.37–0.96). (b) Episodic patient-centredness was associated with patient born in Canada 0.1119 (95% CI -0.0040-0.2278), seeing regular healthcare provider today 0.1449 (95% CI 0.0426-0.2472), physician-patient gender concordance 0.1019 (95% CI 0.0128-0.1910), and appointment length 0.006929 (95% CI 0.003554-0.010304). Discussion: Further research is needed to examine predictors of the quality of patient care at the practice, physician and patient levels.
Subjects/Keywords: Health Services Research
;
Primary Care
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APA (6th Edition):
Dimitris, M. (2012). Predictors of Up-to-Date Colorectal Cancer Screening and Patient-Centred Care in Family Health Team Primary Care Practices
. (Thesis). Queens University. Retrieved from http://hdl.handle.net/1974/7550
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Dimitris, Michelle. “Predictors of Up-to-Date Colorectal Cancer Screening and Patient-Centred Care in Family Health Team Primary Care Practices
.” 2012. Thesis, Queens University. Accessed January 22, 2021.
http://hdl.handle.net/1974/7550.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Dimitris, Michelle. “Predictors of Up-to-Date Colorectal Cancer Screening and Patient-Centred Care in Family Health Team Primary Care Practices
.” 2012. Web. 22 Jan 2021.
Vancouver:
Dimitris M. Predictors of Up-to-Date Colorectal Cancer Screening and Patient-Centred Care in Family Health Team Primary Care Practices
. [Internet] [Thesis]. Queens University; 2012. [cited 2021 Jan 22].
Available from: http://hdl.handle.net/1974/7550.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Dimitris M. Predictors of Up-to-Date Colorectal Cancer Screening and Patient-Centred Care in Family Health Team Primary Care Practices
. [Thesis]. Queens University; 2012. Available from: http://hdl.handle.net/1974/7550
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Queens University
10.
Al Zayadi, Amal.
Impact of Deprivation on the Management of Diabetes in Primary Health Care
.
Degree: Community Health and Epidemiology, 2013, Queens University
URL: http://hdl.handle.net/1974/8331
► Background: Socioeconomic factors and gender may influence the quality of care received by patients with diabetes. Millions of people are diagnosed with diabetes and rates…
(more)
▼ Background: Socioeconomic factors and gender may influence the quality of care received by patients with diabetes. Millions of people are diagnosed with diabetes and rates are expected to increase. The management of diabetes in primary care is important in optimizing health for all.
Objectives: To investigate whether the selected diabetes quality of care indicators (haemoglobin A1c, low-density lipoprotein, blood pressure, abumin to creatinine ratio (ACR), and prescribed medication) are significantly different between those persons living in least and most materially and socially deprived neighbourhoods.
Methods: A cross-sectional study design with a population sample of patients with diabetes from a primary care practice in Southeast Ontario. De- identified patient data from electronic medical records were retrieved from the Canadian Primary Care Sentinel Surveillance Network. Combined material and social deprivation scores were based on the Pampalon Deprivation Index.
Results: The patients with diabetes largely resided in either the most or the least deprived neighbourhoods. Patients with diabetes living in the most deprived neighbourhoods were less likely than patients with diabetes living in the least deprived neighbourhoods to have their low-density lipoproteins within normal range (RR=0.84; CIs 0.73-0.98; p-value=0.026). There was no difference in management of diabetes between least and most deprived patients with diabetes regarding haemoglobin A1c, blood pressure, ACR, and medication prescribed; these were positive result for the clinical practice. Women with diabetes were less likely than men with diabetes to have their low-density lipoproteins under control (RR=0.71; CIs 0.62-0.81; p-value <0.001) and be prescribed ACE inhibitors or ARBs (RR=0.79; CIs 0.69-0.90; p-value <0.001). However, women with diabetes were more likely to have their most recent haemoglobin A1c within normal range (RR=1.24; CIs 1.10-1.40; p-value <0.001) and have their most recent ACR within normal range (RR=1.25; CIs 1.05-1.50; p-value=0.015).
Conclusion: This study found that the quality of care for patients with diabetes was not influenced by whether a person lived in a deprived neighbourhood or not. However, the study identified some important gender differences related to whether a person’s diabetes was under control. The reason for these differences is unknown.
Subjects/Keywords: Primary Health Care
;
Deprivation
;
Diabetes
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Manager
APA (6th Edition):
Al Zayadi, A. (2013). Impact of Deprivation on the Management of Diabetes in Primary Health Care
. (Thesis). Queens University. Retrieved from http://hdl.handle.net/1974/8331
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Al Zayadi, Amal. “Impact of Deprivation on the Management of Diabetes in Primary Health Care
.” 2013. Thesis, Queens University. Accessed January 22, 2021.
http://hdl.handle.net/1974/8331.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Al Zayadi, Amal. “Impact of Deprivation on the Management of Diabetes in Primary Health Care
.” 2013. Web. 22 Jan 2021.
Vancouver:
Al Zayadi A. Impact of Deprivation on the Management of Diabetes in Primary Health Care
. [Internet] [Thesis]. Queens University; 2013. [cited 2021 Jan 22].
Available from: http://hdl.handle.net/1974/8331.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Al Zayadi A. Impact of Deprivation on the Management of Diabetes in Primary Health Care
. [Thesis]. Queens University; 2013. Available from: http://hdl.handle.net/1974/8331
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Nelson Mandela Metropolitan University
11.
Zambodla, Ayanda.
Experiences of community service nurses regarding supervision and support from professional nurses in primary health care clinics in Nelson Mandela Bay.
Degree: 2020, Nelson Mandela Metropolitan University
URL: http://hdl.handle.net/10948/46456
► Community servicenursesinSouthAfricaarenewly qualified nurses who have to undertake a one-year community service rotation in public healthcare facility. Recently qualified, they are not yet competent to…
(more)
▼ Community servicenursesinSouthAfricaarenewly qualified nurses who have to undertake a one-year community service rotation in public healthcare facility. Recently qualified, they are not yet competent to work alone and require supervision Theobjectiveofthisstudywastoexploreanddescribetheexperiencesofcommunity service nurses with regards to the supervision and support they received from professional nurses at primary healthcare clinics inNelsonMandelaBay.The researcher utilised a qualitative research approach, with an explorative, descriptive and contextual research design inorder to achieve the objectives of this study. The research population comprised community service nurses who had completed their one-year community serviceduringthe2016-2017cycleinaprimary healthcarefacilityinNelsonMandelaBay.Purposivesamplingwasusedtoselectthe research sample. Data collection was done by conducting 10semi-structured interviews. Descriptive field notes supplemented the data. Tesch’smethod of qualitative data analysis was employed to analyse the data. Ethical considerations were applied throughout the study. Trustworthiness of the study was maintained by applyingGuba’s criteria of credibility, transferability, dependability and confirmability. Two main themes emerged from the study. Theme1 focused on the participant's experiences regarding the diverse needs related to the community service placement at primary healthcare clinics. Theme2 related to the participants expressed experiences with regard to social interaction during community service at primary healthcare clinics. The findings of the study enabled recommendations to be made for nursing practice, education and research.
Subjects/Keywords: Primary health care – South Africa
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APA (6th Edition):
Zambodla, A. (2020). Experiences of community service nurses regarding supervision and support from professional nurses in primary health care clinics in Nelson Mandela Bay. (Thesis). Nelson Mandela Metropolitan University. Retrieved from http://hdl.handle.net/10948/46456
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Zambodla, Ayanda. “Experiences of community service nurses regarding supervision and support from professional nurses in primary health care clinics in Nelson Mandela Bay.” 2020. Thesis, Nelson Mandela Metropolitan University. Accessed January 22, 2021.
http://hdl.handle.net/10948/46456.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Zambodla, Ayanda. “Experiences of community service nurses regarding supervision and support from professional nurses in primary health care clinics in Nelson Mandela Bay.” 2020. Web. 22 Jan 2021.
Vancouver:
Zambodla A. Experiences of community service nurses regarding supervision and support from professional nurses in primary health care clinics in Nelson Mandela Bay. [Internet] [Thesis]. Nelson Mandela Metropolitan University; 2020. [cited 2021 Jan 22].
Available from: http://hdl.handle.net/10948/46456.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Zambodla A. Experiences of community service nurses regarding supervision and support from professional nurses in primary health care clinics in Nelson Mandela Bay. [Thesis]. Nelson Mandela Metropolitan University; 2020. Available from: http://hdl.handle.net/10948/46456
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Massey University
12.
Robertson, Heather Ruth.
A single case study : an evaluation of the impact of the implementation of the primary health Care strategy on the primary health care nursing workforce in Tairawhiti.
Degree: PhD, Nursing, 2014, Massey University
URL: http://hdl.handle.net/10179/5640
► In December 2000 the New Zealand Health Strategy was released closely followed by the Primary Health Care Strategy in February 2001. The Primary Health Care…
(more)
▼ In December 2000 the New Zealand Health Strategy was released closely followed by the Primary Health Care Strategy in February 2001. The Primary Health Care Strategy pledged a significant paradigm shift in health service funding and delivery and primary health care nurses were considered crucial to implementation. The intent of this study is to investigate the impact of implementation of the Strategy on primary health care nursing in Tairawhiti. Tairawhiti District Health Board (TDH) and the two Primary Health Organisations (PHOs) were central to the analysis.
For my overarching research framework I employed a qualitative interpretive design informed by constructionism. The diffusion of innovation theory seeks to explain how, why, and at what rate new ideas are spread through cultures and provided the theoretical lens to collect the data and analyse the findings. Using a single instrumental case study design, data were collected from multiple sources including relevant policy documents and strategic plans as available on the TDH, Ngati Porou Hauora and Turanganui PHO websites. Qualitative data were obtained using in-depth individual interviews with managers at middle and senior levels at TDH and the two PHOs. Focus groups were held with primary health care nurses.
The study concludes that investment in and the effective deployment of primary health care nurses in Tairawhiti did not occur as anticipated. A key finding was the lack of a whole of system strategic approach and poor diffusion processes meant widespread service change was undermined. The study also found that the Strategy met with multiple sources of resistance across the health sector, further exacerbated by existing structural barriers in the health system. This study brings together an increased understanding of the complexities that continue to disable a true primary health care approach and consequently restrict the potential gain the nursing workforce offers.
Subjects/Keywords: Primary Health Care Strategy;
Primary health care;
Nursing;
Tairawhiti;
Primary health care nurses;
Gisborne health care;
Government health policy
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APA (6th Edition):
Robertson, H. R. (2014). A single case study : an evaluation of the impact of the implementation of the primary health Care strategy on the primary health care nursing workforce in Tairawhiti. (Doctoral Dissertation). Massey University. Retrieved from http://hdl.handle.net/10179/5640
Chicago Manual of Style (16th Edition):
Robertson, Heather Ruth. “A single case study : an evaluation of the impact of the implementation of the primary health Care strategy on the primary health care nursing workforce in Tairawhiti.” 2014. Doctoral Dissertation, Massey University. Accessed January 22, 2021.
http://hdl.handle.net/10179/5640.
MLA Handbook (7th Edition):
Robertson, Heather Ruth. “A single case study : an evaluation of the impact of the implementation of the primary health Care strategy on the primary health care nursing workforce in Tairawhiti.” 2014. Web. 22 Jan 2021.
Vancouver:
Robertson HR. A single case study : an evaluation of the impact of the implementation of the primary health Care strategy on the primary health care nursing workforce in Tairawhiti. [Internet] [Doctoral dissertation]. Massey University; 2014. [cited 2021 Jan 22].
Available from: http://hdl.handle.net/10179/5640.
Council of Science Editors:
Robertson HR. A single case study : an evaluation of the impact of the implementation of the primary health Care strategy on the primary health care nursing workforce in Tairawhiti. [Doctoral Dissertation]. Massey University; 2014. Available from: http://hdl.handle.net/10179/5640
Harvard University
13.
Powers, Brian W.
Taking Mental Health-Primary Care Integration to Scale: Designing a System-Wide Program to Improve Care and Reduce Costs.
Degree: Doctor of Medicine, 2017, Harvard University
URL: http://nrs.harvard.edu/urn-3:HUL.InstRepos:40621139
► A quarter of American adults suffer from mental health disorders every year and primary care physicians manage between 40-80% of these patients. Rates of detection…
(more)
▼ A quarter of American adults suffer from mental health disorders every year and primary care physicians manage between 40-80% of these patients. Rates of detection and adequate treatment in the primary care settings are suboptimal, leading to poor outcomes and excess costs. Here we present a strategic plan for a new initiative that integrates mental health and primary care across the Partners HealthCare network with the goal of improving clinical outcomes and reducing medical expenditures for the target population. We describe a comprehensive clinical service model built around five core tactics: 1) enhanced detection 2) coordinated mental health and primary care services 3) evidence-based care protocols 4) streamlined access to specialty care and 5) comprehensive monitoring and follow-up. We also outline a staged implementation strategy, and describe an in-depth plan for monitoring and evaluation. Finally, we construct a detailed financial model that projects cost savings associated with program under alternative payment contracts. We find that the intervention should reduce total costs by 70.85 million over 3 years. At an estimated implementation cost of 18.19 million, this represents a net savings of 52.66 million—a return on investment of nearly 3 to 1.
Scholarly Project
Subjects/Keywords: Mental health; Behavioral Health; Primary Care; Health Care Reform; Mental Health Primary Care Integration
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Manager
APA (6th Edition):
Powers, B. W. (2017). Taking Mental Health-Primary Care Integration to Scale: Designing a System-Wide Program to Improve Care and Reduce Costs. (Doctoral Dissertation). Harvard University. Retrieved from http://nrs.harvard.edu/urn-3:HUL.InstRepos:40621139
Chicago Manual of Style (16th Edition):
Powers, Brian W. “Taking Mental Health-Primary Care Integration to Scale: Designing a System-Wide Program to Improve Care and Reduce Costs.” 2017. Doctoral Dissertation, Harvard University. Accessed January 22, 2021.
http://nrs.harvard.edu/urn-3:HUL.InstRepos:40621139.
MLA Handbook (7th Edition):
Powers, Brian W. “Taking Mental Health-Primary Care Integration to Scale: Designing a System-Wide Program to Improve Care and Reduce Costs.” 2017. Web. 22 Jan 2021.
Vancouver:
Powers BW. Taking Mental Health-Primary Care Integration to Scale: Designing a System-Wide Program to Improve Care and Reduce Costs. [Internet] [Doctoral dissertation]. Harvard University; 2017. [cited 2021 Jan 22].
Available from: http://nrs.harvard.edu/urn-3:HUL.InstRepos:40621139.
Council of Science Editors:
Powers BW. Taking Mental Health-Primary Care Integration to Scale: Designing a System-Wide Program to Improve Care and Reduce Costs. [Doctoral Dissertation]. Harvard University; 2017. Available from: http://nrs.harvard.edu/urn-3:HUL.InstRepos:40621139
Yale University
14.
Dubois, Elizabeth Marie.
Building A Primary Care Nurse Practitioner Fellowship.
Degree: DNP, Yale University School of Nursing, 2016, Yale University
URL: https://elischolar.library.yale.edu/ysndt/1059
► The primary care workforce is at a critical juncture where fewer physicians are choosing primary care careers and more patients are availing themselves of…
(more)
▼ The
primary care workforce is at a critical juncture where fewer physicians are choosing
primary care careers and more patients are availing themselves of outpatient
care, through increased insurance coverage among other forces. With the increasing number of graduating nurse practitioners, now is a crucial time to validate an educational model to ensure these clinicians are providing quality
care in the
primary care setting. This paper explores the current educational model of nurse practitioners and the increasing complexity of
care of medically underserved patients. This project illustrated a need for post-graduate training in this setting for nurse practitioners and validated the design and curriculum of a training model.
Advisors/Committee Members: Marianne Davies.
Subjects/Keywords: Health care education; Nurse Practitioner; Primary Care
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Manager
APA (6th Edition):
Dubois, E. M. (2016). Building A Primary Care Nurse Practitioner Fellowship. (Thesis). Yale University. Retrieved from https://elischolar.library.yale.edu/ysndt/1059
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Dubois, Elizabeth Marie. “Building A Primary Care Nurse Practitioner Fellowship.” 2016. Thesis, Yale University. Accessed January 22, 2021.
https://elischolar.library.yale.edu/ysndt/1059.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Dubois, Elizabeth Marie. “Building A Primary Care Nurse Practitioner Fellowship.” 2016. Web. 22 Jan 2021.
Vancouver:
Dubois EM. Building A Primary Care Nurse Practitioner Fellowship. [Internet] [Thesis]. Yale University; 2016. [cited 2021 Jan 22].
Available from: https://elischolar.library.yale.edu/ysndt/1059.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Dubois EM. Building A Primary Care Nurse Practitioner Fellowship. [Thesis]. Yale University; 2016. Available from: https://elischolar.library.yale.edu/ysndt/1059
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of KwaZulu-Natal
15.
Ukoha, Winifred Chinyere.
Exploring the knowledge, attitude and practices of PHC students regarding preconception care in a selected higher education institution in eThekwini district: a descriptive study.
Degree: 2018, University of KwaZulu-Natal
URL: http://hdl.handle.net/10413/15974
► Sub-Saharan African countries have been the worst affected by the HIV/AIDS pandemic and high incidence of maternal and child mortality rates, more than all other…
(more)
▼ Sub-Saharan African countries have been the worst affected by the HIV/AIDS pandemic and high incidence of maternal and child mortality rates, more than all other continents in the world. Preventive
care in nursing is the area that requires serious attention, as a lot of maternal and child morbidity and mortality can be averted through rendering a comprehensive holistic
care to women of child-bearing age. The ‘Draft Action Plan for the Prevention and Control of Non-Communicable Diseases 2013-2020’, that was discussed at the 66th World
Health Assembly in May 2013, urges governments to decrease the modifiable risk factors for non-communicable diseases and the underlying social determinants. Preconception
care as part of the national policy framework is recognised as an important contributor to prevention and control of noncommunicable disease, with the aim of intervening in the early life with the ultimate goal of improving maternal and child
health outcomes.
The purpose of this study was to explore and describe the knowledge, attitude, and practices of
Primary Health Care students regarding preconception
care in a selected institution in the eThekwini District.
A non-experimental, exploratory, descriptive, quantitative design was used for the study. The study population comprised of all the
primary health care nursing students of the selected higher education institute. The total population from the three sites selected, based on their geographical location, was 163 and all the nurses were invited to participate in the study. Only 138 participated in the study, giving a response rate of 85%. A self-administered questionnaire was used to collect the data and the data was entered and subsequently analysed using the Statistical Package for Social Sciences SPSS version 24.
The findings of the study revealed that although
primary health care nurses possessed high knowledge and a favourable attitude towards preconception
care, they were still lacking in implementation and 71.7% had never received any training on the provision of preconception
care.
Based on these findings, it is recommended that preconception
care is incorporated into the curriculum of
primary health care nurses.
Key terms: Preconception
care, PHC nurses.
Advisors/Committee Members: Dube, Barbara Makhosazane. (advisor), Mtshali, Ntombifikile Gloria. (advisor).
Subjects/Keywords: Primary Health Care nurses.; Preconception care.
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Manager
APA (6th Edition):
Ukoha, W. C. (2018). Exploring the knowledge, attitude and practices of PHC students regarding preconception care in a selected higher education institution in eThekwini district: a descriptive study. (Thesis). University of KwaZulu-Natal. Retrieved from http://hdl.handle.net/10413/15974
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Ukoha, Winifred Chinyere. “Exploring the knowledge, attitude and practices of PHC students regarding preconception care in a selected higher education institution in eThekwini district: a descriptive study.” 2018. Thesis, University of KwaZulu-Natal. Accessed January 22, 2021.
http://hdl.handle.net/10413/15974.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Ukoha, Winifred Chinyere. “Exploring the knowledge, attitude and practices of PHC students regarding preconception care in a selected higher education institution in eThekwini district: a descriptive study.” 2018. Web. 22 Jan 2021.
Vancouver:
Ukoha WC. Exploring the knowledge, attitude and practices of PHC students regarding preconception care in a selected higher education institution in eThekwini district: a descriptive study. [Internet] [Thesis]. University of KwaZulu-Natal; 2018. [cited 2021 Jan 22].
Available from: http://hdl.handle.net/10413/15974.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Ukoha WC. Exploring the knowledge, attitude and practices of PHC students regarding preconception care in a selected higher education institution in eThekwini district: a descriptive study. [Thesis]. University of KwaZulu-Natal; 2018. Available from: http://hdl.handle.net/10413/15974
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Boston University
16.
Read, Taylor Lynn.
Emerging needs in behavioral health and the integrated care model.
Degree: MS, Medical Sciences, 2016, Boston University
URL: http://hdl.handle.net/2144/17694
► Medically vulnerable populations are constantly at risk of having poor health related outcomes, low satisfaction in the healthcare system and increased mortality. Studies have shown…
(more)
▼ Medically vulnerable populations are constantly at risk of having poor health related outcomes, low satisfaction in the healthcare system and increased mortality. Studies have shown the increased prevalence rates of various medical comorbidities in patients with severe mental illness. These patients are obviously vulnerable because of their mental illness but they are also more likely to have severe cases of medical conditions commonly seen in the general population. Expenditures and utilization of resources is often inappropriate due to frequent visits for acute needs and low rates of preventative care and primary care appointments.
My proposed model focuses on the implementation of the integrated care model which encourages collaboration between mental health professionals and primary care physicians through referral programs or integrated clinic settings. This model is initiated with education to both current clinicians as well as future clinicians through medical schools and residency programs. Once the education component has begun, the next steps are formal exploration, preparation, implementation and evaluation of the model in clinics. The aim is to improve health outcomes by increasing preventative care and using behavioral techniques to assist with adherence, increase satisfaction in the healthcare system and contain expenditures by utilizing primary care services instead of emergency services when appropriate.
Subjects/Keywords: Mental health; Integrated care; Primary care
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APA (6th Edition):
Read, T. L. (2016). Emerging needs in behavioral health and the integrated care model. (Masters Thesis). Boston University. Retrieved from http://hdl.handle.net/2144/17694
Chicago Manual of Style (16th Edition):
Read, Taylor Lynn. “Emerging needs in behavioral health and the integrated care model.” 2016. Masters Thesis, Boston University. Accessed January 22, 2021.
http://hdl.handle.net/2144/17694.
MLA Handbook (7th Edition):
Read, Taylor Lynn. “Emerging needs in behavioral health and the integrated care model.” 2016. Web. 22 Jan 2021.
Vancouver:
Read TL. Emerging needs in behavioral health and the integrated care model. [Internet] [Masters thesis]. Boston University; 2016. [cited 2021 Jan 22].
Available from: http://hdl.handle.net/2144/17694.
Council of Science Editors:
Read TL. Emerging needs in behavioral health and the integrated care model. [Masters Thesis]. Boston University; 2016. Available from: http://hdl.handle.net/2144/17694
University of Delaware
17.
Rahmer, Brian M.
Integrative exploration of the primary care interaction: tensions and ideals in patient-centered care.
Degree: PhD, University of Delaware, School of Public Policy & Administration, 2014, University of Delaware
URL: http://udspace.udel.edu/handle/19716/13412
► Communication matters in medical encounters. Health care providers, patients, researchers and policy makers are well aware that good communication is the basis of an effective…
(more)
▼ Communication matters in medical encounters.
Health care providers, patients, researchers and policy makers are well aware that good communication is the basis of an effective relationship between
care providers and patients. In an era of dynamic
health care reform, institutional strategies emphasize re-organizing
health care system components and incentive structures around patient-centered
care as means to improve
health and lower cost. However, examination of the complexity of the association between elements of patient-centered communication and macro (policy), meso (institution), and micro (interaction) influences on such
care is still relatively novel. This exploratory research explains how and why dimensions related to patient-provider communication are critical to understanding and optimizing political, institutional, and individual goals of
health care reform efforts. I explored patient-provider interactions within
primary care practice using an integrative social analysis framework with a
primary objective of building on the theoretical understanding of how individual, organizational and political goals may produce tensions in patient-centered
care. These tensions were highlighted as potential points of innovation. Results generated by the proof-of-concept methodology used in this study reaffirm the need to account for both micro and macro level influences linking patient-provider communication to broad
health outcomes. Patient-centered
care was critically interpreted using a multi-level approach including interaction analysis of real conversations between
primary care physicians and diabetic patients as well as a novel video-elicitation method to account for context within a cultural-historical framework. Theoretical contributions include the integration of patient-centered communication patterns within
primary care interactions with the elicitation of barriers and facilitators of patient-centered
care. This analysis was used to recognize tensions, contradictions and ideals in patient-centered
care that can be used in critical analysis of healthy policy,
health system strategic planning, and practice level reforms. What does it mean to be "patient-centered" and what does this then mean about ways of improving
health care systems, communication and translation of knowledge? Putting a primacy on understanding the interaction between the patient and the provider may indeed be the only way in which the quality of
health care delivery is improved; especially in a reform-oriented
care delivery system which emphasizes and incentivizes patient-centeredness.
Advisors/Committee Members: Yanich, Danilo.
Subjects/Keywords: Primary health care.; Patient-centered health care.; Health care reform.
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APA (6th Edition):
Rahmer, B. M. (2014). Integrative exploration of the primary care interaction: tensions and ideals in patient-centered care. (Doctoral Dissertation). University of Delaware. Retrieved from http://udspace.udel.edu/handle/19716/13412
Chicago Manual of Style (16th Edition):
Rahmer, Brian M. “Integrative exploration of the primary care interaction: tensions and ideals in patient-centered care.” 2014. Doctoral Dissertation, University of Delaware. Accessed January 22, 2021.
http://udspace.udel.edu/handle/19716/13412.
MLA Handbook (7th Edition):
Rahmer, Brian M. “Integrative exploration of the primary care interaction: tensions and ideals in patient-centered care.” 2014. Web. 22 Jan 2021.
Vancouver:
Rahmer BM. Integrative exploration of the primary care interaction: tensions and ideals in patient-centered care. [Internet] [Doctoral dissertation]. University of Delaware; 2014. [cited 2021 Jan 22].
Available from: http://udspace.udel.edu/handle/19716/13412.
Council of Science Editors:
Rahmer BM. Integrative exploration of the primary care interaction: tensions and ideals in patient-centered care. [Doctoral Dissertation]. University of Delaware; 2014. Available from: http://udspace.udel.edu/handle/19716/13412
University of Otago
18.
Reidy, Johanna.
Working Together: Governance at the interface between primary care and public health
.
Degree: 2012, University of Otago
URL: http://hdl.handle.net/10523/2625
► This thesis investigates governance processes at the intersection between primary care and public health. The way in which primary care and public health work together…
(more)
▼ This thesis investigates governance processes at the intersection between
primary care and public
health. The way in which
primary care and public
health work together needs to change to respond to changing
health need, particularly the rise of non-communicable diseases where the traditional ‘command and control’ methods of governance are no longer suitable. Consequently, the way in which decisions are made about
health service design, development and implementation has to change to reflect the need for a joint approach to governance that steers activity between the two areas. This research looks at the governance processes in public
health initiatives delivered in the
primary care setting. Until now, these processes have been largely implicit. This research aims to make the governance processes explicit, by investigating two overarching questions:
• what is the nature of the governance processes that operate at the overlap between
primary care and public
health?
• what impacts on and shapes those governance processes?
The study aims to show that governance arrangements impact on the types of services that are delivered and how they are delivered, which ultimately impacts on the
health of populations.
Using grounded theory as a method of data collection and analysis, this two-phase study looked at governance processes in initiatives shared between
primary care and public
health. The first phase investigated patterns of activity in New Zealand through interviews with participants in all parts of the
health system (from Ministry of
Health to community level) who worked in
primary care and public
health. In the second phase, New Zealand results were discussed with UK and Netherlands experts to make comparisons with other jurisdictions to see whether phase one findings were applicable beyond New Zealand.
The study found that while policy and some literature assume a defined and agreed space of ‘the interface’ and ‘governance’, they are both concepts that are strongly contested and that remain uncertain.
This research shows that ‘the interface’ is more than a service overlap or a point on a continuum of services. It is at once a domain of service, a set of relationships, and a space where different value sets weigh against each other. In short, it is a ‘contested space’. At times there is more friction than synergy in the process of governing initiatives at the interface as different parts of the
health system work together. This energy is underpinned by less visible processes of building infrastructure and learning, challenging and renegotiating values.
Similarly, the research found that the concept of governance remains uncertain - who steers initiatives, using what information, and how? The interface between public
health and
primary care is a place where different professional norms, personal values and approaches to public
health are played out.
In practical terms, this research highlights the relational in making the interface work. The quality of the exchanges between the areas is the key, as…
Advisors/Committee Members: Crampton, Peter (advisor).
Subjects/Keywords: governance;
primary care;
public health;
health system
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APA (6th Edition):
Reidy, J. (2012). Working Together: Governance at the interface between primary care and public health
. (Doctoral Dissertation). University of Otago. Retrieved from http://hdl.handle.net/10523/2625
Chicago Manual of Style (16th Edition):
Reidy, Johanna. “Working Together: Governance at the interface between primary care and public health
.” 2012. Doctoral Dissertation, University of Otago. Accessed January 22, 2021.
http://hdl.handle.net/10523/2625.
MLA Handbook (7th Edition):
Reidy, Johanna. “Working Together: Governance at the interface between primary care and public health
.” 2012. Web. 22 Jan 2021.
Vancouver:
Reidy J. Working Together: Governance at the interface between primary care and public health
. [Internet] [Doctoral dissertation]. University of Otago; 2012. [cited 2021 Jan 22].
Available from: http://hdl.handle.net/10523/2625.
Council of Science Editors:
Reidy J. Working Together: Governance at the interface between primary care and public health
. [Doctoral Dissertation]. University of Otago; 2012. Available from: http://hdl.handle.net/10523/2625
University of Zambia
19.
Mukanu, Mulenga M.
Government's Health Policy Response to Non- Communicable Diseases in Zambia
.
Degree: 2016, University of Zambia
URL: http://dspace.unza.zm:8080/xmlui/handle/123456789/4789
► Non-communicable diseases (NCDs) are an emerging global health concern. Reports have shown that in Zambia NCDs are also an emerging problem and the government has…
(more)
▼ Non-communicable diseases (NCDs) are an emerging global health concern. Reports have shown that in Zambia NCDs are also an emerging problem and the government has begun initiating a policy response. The study explored the policy response to NCDs by the Ministry of Health in Zambia using the policy triangle framework of Walt and Gilson.
A qualitative approach was used for the study. Data collected through key informant interviews with stakeholders who were involved in the NCD health policy development process as well as review of key planning and policy documents were analysed using thematic analysis.
The government’s policy response was as a result of international pronouncements and resolutions from WHO on NCDs, evidence of increasing disease burden from NCDs and pressure from local interest groups. The government recently developed the NCD strategic plan based on the WHO Global Action Plan for NCDs 2013-2030 to provide direction on how the government intended to address these conditions. During the development of the NCD strategic plan, the government through the Ministry of Health set the agenda and adopted the final document. Stakeholders including government line ministries, cooperating partners and non-governmental organizations participated in the development of the first draft of the document. Analysis of the policy process for the development of the NCD strategic plan showed that the process had the recommended key elements of successful policy development such as stakeholder participation and consultation, strong political will from the government and use of international guidelines. On the other hand, a root cause analysis of the policy process revealed that inadequate domestication of international guidelines, weak inter-sector collaboration and political influence resulted in the NCD strategic plan having gaps in its contents which are possibly contributing to the current challenges in implementing the plan.
Contextual factors like international strategies and commitments are crucial catalysts to policy response. However there is need for adequate domestication of international guidelines according to available evidence to match the resources and capacities in the local context if policy measures are to be comprehensive, relevant and measurable.
Subjects/Keywords: Public health – Zambia;
Primary health care.
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to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Mukanu, M. M. (2016). Government's Health Policy Response to Non- Communicable Diseases in Zambia
. (Thesis). University of Zambia. Retrieved from http://dspace.unza.zm:8080/xmlui/handle/123456789/4789
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Mukanu, Mulenga M. “Government's Health Policy Response to Non- Communicable Diseases in Zambia
.” 2016. Thesis, University of Zambia. Accessed January 22, 2021.
http://dspace.unza.zm:8080/xmlui/handle/123456789/4789.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Mukanu, Mulenga M. “Government's Health Policy Response to Non- Communicable Diseases in Zambia
.” 2016. Web. 22 Jan 2021.
Vancouver:
Mukanu MM. Government's Health Policy Response to Non- Communicable Diseases in Zambia
. [Internet] [Thesis]. University of Zambia; 2016. [cited 2021 Jan 22].
Available from: http://dspace.unza.zm:8080/xmlui/handle/123456789/4789.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Mukanu MM. Government's Health Policy Response to Non- Communicable Diseases in Zambia
. [Thesis]. University of Zambia; 2016. Available from: http://dspace.unza.zm:8080/xmlui/handle/123456789/4789
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Nelson Mandela Metropolitan University
20.
Tsetswa, Mncedisi Patrick.
Assessment of the quality of primary health care services rendered at Moses Mabida Clinic.
Degree: MBA, Faculty of Business and Economic Sciences, 2009, Nelson Mandela Metropolitan University
URL: http://hdl.handle.net/10948/880
► Health is a basic human right enshrined in the South African Constitution. It is the responsibility of government to ensure that the nation is healthy…
(more)
▼ Health is a basic human right enshrined in the South African Constitution. It is the responsibility of government to ensure that the nation is healthy because good
health is a prerequisite for social and economic development as well as an outcome of that process. Special attention on the healthcare needs of rural communities should be given because these communities were the worst affected by the legacy of the apartheid regime. Moses Mabida community is no exception. Since the advent of democracy, work has been done to ensure that adequate
primary health care services are delivered to previously disadvantaged communities such as Moses Mabida. To monitor progress on
health care service delivery, evaluation of these services is needed. The evaluation of these services will help identify the strengths and weaknesses so as to come up with quality improvement strategies, hence this study. This study takes form of an assessment survey involving a literature review and a survey of members of the Moses Mabida community who depend on the clinic for their
health care needs. The literature identified best practice models of
primary health care and these were used as an analytic tool to determine to what extent the
primary health care services at Moses Mabida comply with national and international standards. It has been shown that the
primary health care services at Moses Mabida Clinic largely comply with national and international standards although several recommendations have been presented for consideration
Advisors/Committee Members: Cullen, M Dr.
Subjects/Keywords: Primary health care – South Africa; Health facilities
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APA (6th Edition):
Tsetswa, M. P. (2009). Assessment of the quality of primary health care services rendered at Moses Mabida Clinic. (Masters Thesis). Nelson Mandela Metropolitan University. Retrieved from http://hdl.handle.net/10948/880
Chicago Manual of Style (16th Edition):
Tsetswa, Mncedisi Patrick. “Assessment of the quality of primary health care services rendered at Moses Mabida Clinic.” 2009. Masters Thesis, Nelson Mandela Metropolitan University. Accessed January 22, 2021.
http://hdl.handle.net/10948/880.
MLA Handbook (7th Edition):
Tsetswa, Mncedisi Patrick. “Assessment of the quality of primary health care services rendered at Moses Mabida Clinic.” 2009. Web. 22 Jan 2021.
Vancouver:
Tsetswa MP. Assessment of the quality of primary health care services rendered at Moses Mabida Clinic. [Internet] [Masters thesis]. Nelson Mandela Metropolitan University; 2009. [cited 2021 Jan 22].
Available from: http://hdl.handle.net/10948/880.
Council of Science Editors:
Tsetswa MP. Assessment of the quality of primary health care services rendered at Moses Mabida Clinic. [Masters Thesis]. Nelson Mandela Metropolitan University; 2009. Available from: http://hdl.handle.net/10948/880
University of the Western Cape
21.
Tsawe, Mluleki.
Utilization of health care services and maternal education in South Africa
.
Degree: 2014, University of the Western Cape
URL: http://hdl.handle.net/11394/4358
► The importance of maternal health care services cannot be stressed enough. Maternal health services are important in reducing pregnancy-related complications as well as maternal and…
(more)
▼ The importance of maternal
health care services cannot be stressed enough. Maternal
health services are important in reducing pregnancy-related complications as well as maternal and infant deaths. This study was concerned with investigating the relationship between maternal education and maternal
health care utilization. Furthermore, the study aimed to investigate the rates of maternal
health care use, the reasons for non-use of maternal
health services, as well as the determinants of maternal
health care use.
Primary data was used from selected areas (Tsolo, Qumbu and Mqanduli), which fall within the O.R. Tambo district in the Eastern Cape Province. Simple random sampling was used (with a structured questionnaire) to study maternal
health care use among the sampled women. To analyse this data, univariate, bivariate, and multivariate techniques were employed. The results indicated that maternal education was not statistically significant with antenatal and postnatal services, but the percentages were important in explaining the use of maternal
health care services in relation to maternal education. Women with higher levels of education reported higher rates of antenatal and delivery
care utilization, while those with lower levels of education reported higher rates of postnatal
care use. Access factors, such as transport, payment and distance to
health facilities, also played an important role in the use of maternal
health care services. It was recommended that the Department of
Health implement mobile clinics and centralize
health care facilities as this will bring essential
health services closer to the communities. Women in the study area also need to be educated about the importance of these services, more particularly pertaining to postnatal
care.
Advisors/Committee Members: Susuman, Sathiya A (advisor).
Subjects/Keywords: Maternal health care;
Health facilities;
Primary health care;
Maternal health services
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APA (6th Edition):
Tsawe, M. (2014). Utilization of health care services and maternal education in South Africa
. (Thesis). University of the Western Cape. Retrieved from http://hdl.handle.net/11394/4358
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Tsawe, Mluleki. “Utilization of health care services and maternal education in South Africa
.” 2014. Thesis, University of the Western Cape. Accessed January 22, 2021.
http://hdl.handle.net/11394/4358.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Tsawe, Mluleki. “Utilization of health care services and maternal education in South Africa
.” 2014. Web. 22 Jan 2021.
Vancouver:
Tsawe M. Utilization of health care services and maternal education in South Africa
. [Internet] [Thesis]. University of the Western Cape; 2014. [cited 2021 Jan 22].
Available from: http://hdl.handle.net/11394/4358.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Tsawe M. Utilization of health care services and maternal education in South Africa
. [Thesis]. University of the Western Cape; 2014. Available from: http://hdl.handle.net/11394/4358
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Johannesburg
22.
Bence, Anna Francina.
Primêre gesondheidsorg as uitgangspunt in die samestelling van kurrikula.
Degree: 2012, University of Johannesburg
URL: http://hdl.handle.net/10210/6859
► M.Cur.
The aim with this study is to describe guidelines for curriculation, with primary health care as departure point. This study is based on the…
(more)
▼ M.Cur.
The aim with this study is to describe guidelines for curriculation, with primary health care as departure point. This study is based on the Judeo-Christian human and world premise and philosophy. The Nursing Theory for the Whole Person serves as meta-theoretic departure point, while the theoretic assumptions are based on: The Nursing Theory for the Whole Person (Oral Roberts University, Anna Vaughn School of Nursing, 1990). Van Niekerk's, Accompaniment Guidelines for Theory - Practice Correlation (1993). Curriculation Models of Malan & Jorrisen (1990) and Uys (1983). Klopper's Model for Accompanied selfstudy in Nursing Science (1994). The Botes's Model for Research in Nursing Science serves as methodological departure point (1991). Emphasis is placed on participative decision making regarding basic needs, including health care, within the ideology of the new Government of National unity (ANC, 1994:45) The Reconstruction and Development Programme, (RDP) accepted within the new political dispensation of South Africa, supports primary health care as total departure point, such as the National health Plan (ANC, 1994: 45). This, however, is not a new concept in health care services. The South African Nursing Council (SANC) has been supporting this principle for a considerable time. However there is little or no existing literature regarding the curriculation of the four year diploma programme, with primary health care as the departure point. This Qualitative study is executed in four phases. The first and second phase explore and describe the perceptions and interpretations of the share holders of the curriculum, in respect of primary health care as departure point, within curriculums, in terms of focus group interviews. The third phase describes a conceptual framework, according to a comprehensive literature study. Phase four describes guidelines for the facilitation of meso and micro curriculation, with primary health care as departure point, in respect of inferential data obtained from focus group interviews, the literature study and conceptual framework. The study's unique contribution, within the context of the Mpumalanga region is embodied in the manner in which the researcher succeeds to describe guidelines for curriculation for the four year diploma programme, that leads to registration as Professional Nurse (General-, Psychiatric-, and Community-) and Midwife, with primary health care as the departure point. This was achieved through inductive deliberation and cross triangulation in all four phases, which increases the trustworthiness of the study.
Subjects/Keywords: Primary health care; Primary health care - Research - Methodology; Community health nursing; Community health nursing - Curricula
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APA (6th Edition):
Bence, A. F. (2012). Primêre gesondheidsorg as uitgangspunt in die samestelling van kurrikula. (Thesis). University of Johannesburg. Retrieved from http://hdl.handle.net/10210/6859
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Bence, Anna Francina. “Primêre gesondheidsorg as uitgangspunt in die samestelling van kurrikula.” 2012. Thesis, University of Johannesburg. Accessed January 22, 2021.
http://hdl.handle.net/10210/6859.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Bence, Anna Francina. “Primêre gesondheidsorg as uitgangspunt in die samestelling van kurrikula.” 2012. Web. 22 Jan 2021.
Vancouver:
Bence AF. Primêre gesondheidsorg as uitgangspunt in die samestelling van kurrikula. [Internet] [Thesis]. University of Johannesburg; 2012. [cited 2021 Jan 22].
Available from: http://hdl.handle.net/10210/6859.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Bence AF. Primêre gesondheidsorg as uitgangspunt in die samestelling van kurrikula. [Thesis]. University of Johannesburg; 2012. Available from: http://hdl.handle.net/10210/6859
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Ottawa
23.
Batista, Ricardo.
Access and Enrollment of Immigrants in Primary Care in Ontario: Which Immigrants Are Getting in and Which Are Not?
.
Degree: 2017, University of Ottawa
URL: http://hdl.handle.net/10393/36571
► Research in Canada and abroad has shown that newcomers face multiple obstacles in their search for health care during their resettlement and integration to the…
(more)
▼ Research in Canada and abroad has shown that newcomers face multiple obstacles in their search for health care during their resettlement and integration to the host society. In Ontario, primary care services are organized in three main models based on the remuneration scheme to physicians: fee for service, capitation, and salaried. During the Primary Care reforms in early 2000s, the province introduced new models of primary care practices to enhance the quality of care through the expansion of comprehensive multidisciplinary care, applying more preventive measures and enhanced chronic disease management strategies. Along with these innovative reforms, the province promoted an enrollment system with a family doctor in the primary care practices. This research examined the access of immigrants to the enrollment system in Ontario. A review of the literature contrasting a PMC and PHC approaches showed that the latter has more potential to address social determinants of health of immigrant populations. Taking into account the organization of health services in the province, immigrants can receive primary care services mainly through PMC practices (FFS and capitation-based), but also through PHC-type of models, such as Community Health Centers. The analysis of enrollment in primary care was conducted using a secondary analysis of administrative data. The main findings have shown that immigrants’ enrollment in primary care services has increased over time, but the levels of enrollment remain lower compared to long-term residents. Moreover, compared to long-term residents, immigrants have less access to the most comprehensive models of care, which represents an important inequity. In exploring the perceptions of immigrants in two major cities of the province, most of the participants perceived that important factors, such as information, knowledge, language barriers, cultural issues; are affecting their capacity to understand and navigate the system. Hence, it takes a long time for them to make sense and learn how to connect and use the system.
Subjects/Keywords: Primary health care;
Enrollment in primary care;
Access to health care;
Immigrants and refugees;
Ontario
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Manager
APA (6th Edition):
Batista, R. (2017). Access and Enrollment of Immigrants in Primary Care in Ontario: Which Immigrants Are Getting in and Which Are Not?
. (Thesis). University of Ottawa. Retrieved from http://hdl.handle.net/10393/36571
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Batista, Ricardo. “Access and Enrollment of Immigrants in Primary Care in Ontario: Which Immigrants Are Getting in and Which Are Not?
.” 2017. Thesis, University of Ottawa. Accessed January 22, 2021.
http://hdl.handle.net/10393/36571.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Batista, Ricardo. “Access and Enrollment of Immigrants in Primary Care in Ontario: Which Immigrants Are Getting in and Which Are Not?
.” 2017. Web. 22 Jan 2021.
Vancouver:
Batista R. Access and Enrollment of Immigrants in Primary Care in Ontario: Which Immigrants Are Getting in and Which Are Not?
. [Internet] [Thesis]. University of Ottawa; 2017. [cited 2021 Jan 22].
Available from: http://hdl.handle.net/10393/36571.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Batista R. Access and Enrollment of Immigrants in Primary Care in Ontario: Which Immigrants Are Getting in and Which Are Not?
. [Thesis]. University of Ottawa; 2017. Available from: http://hdl.handle.net/10393/36571
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Alberta
24.
Greening, Stacy T.
Community Health Centres: Board Governanace and Stakeholder
Relations During Service Expansion.
Degree: MS, Centre for Health Promotion Studies, 2013, University of Alberta
URL: https://era.library.ualberta.ca/files/1544bp92x
► Despite a significant amount of literature on primary health care, little is understood about primary health care expansion. The current study examines community health centre…
(more)
▼ Despite a significant amount of literature on primary
health care, little is understood about primary health care
expansion. The current study examines community health centre (CHC)
board governance during a period of expansion. Participants (board
members) were identified through the publically available board
slate and sent an introductory e-mail. Six of the twelve identified
board members agreed to an in-person interview. Discourse analysis
identified several aspects of governance requiring enhancement for
future expansions. Study 1 focused on internal board processes and
relations while study 2 focused on external stakeholder relations.
Study 1 findings identified internal processes such as lack of
decision support tools, low availability of documentation, and
unevaluated historical decision making processes as expansion
barriers. Study 2 findings identified poorly defined relationships,
lack of stakeholder engagement, and poor conflict management as
expansion barriers. Suggestions are made to address each of these
barriers through adjustments to governance practices.
Subjects/Keywords: Primary Health Care; Primary Care; Strategic Planning; Governance; Expansion
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APA (6th Edition):
Greening, S. T. (2013). Community Health Centres: Board Governanace and Stakeholder
Relations During Service Expansion. (Masters Thesis). University of Alberta. Retrieved from https://era.library.ualberta.ca/files/1544bp92x
Chicago Manual of Style (16th Edition):
Greening, Stacy T. “Community Health Centres: Board Governanace and Stakeholder
Relations During Service Expansion.” 2013. Masters Thesis, University of Alberta. Accessed January 22, 2021.
https://era.library.ualberta.ca/files/1544bp92x.
MLA Handbook (7th Edition):
Greening, Stacy T. “Community Health Centres: Board Governanace and Stakeholder
Relations During Service Expansion.” 2013. Web. 22 Jan 2021.
Vancouver:
Greening ST. Community Health Centres: Board Governanace and Stakeholder
Relations During Service Expansion. [Internet] [Masters thesis]. University of Alberta; 2013. [cited 2021 Jan 22].
Available from: https://era.library.ualberta.ca/files/1544bp92x.
Council of Science Editors:
Greening ST. Community Health Centres: Board Governanace and Stakeholder
Relations During Service Expansion. [Masters Thesis]. University of Alberta; 2013. Available from: https://era.library.ualberta.ca/files/1544bp92x
Nelson Mandela Metropolitan University
25.
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.
Degree: Faculty of Arts, 2009, Nelson Mandela Metropolitan University
URL: http://hdl.handle.net/10948/860
► 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…
(more)
▼ 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…
Subjects/Keywords: Primary health care – South Africa – Port Elizabeth; Primary health care – Management; Health services accessibility
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APA ·
Chicago ·
MLA ·
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CSE |
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APA (6th Edition):
Tolom, A. W. (2009). 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. Retrieved from http://hdl.handle.net/10948/860
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
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.” 2009. Thesis, Nelson Mandela Metropolitan University. Accessed January 22, 2021.
http://hdl.handle.net/10948/860.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
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.” 2009. Web. 22 Jan 2021.
Vancouver:
Tolom AW. An analysis of the views of health practitioners with respect to location of primary health care within Nelson Mandela Bay municipality district. [Internet] [Thesis]. Nelson Mandela Metropolitan University; 2009. [cited 2021 Jan 22].
Available from: http://hdl.handle.net/10948/860.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Tolom AW. 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. Available from: http://hdl.handle.net/10948/860
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Technology, Sydney
26.
Setiawan, A.
Understanding the implementation of community case management of childhood illness in Indonesia families' and primary health care workers' perspectives.
Degree: 2014, University of Technology, Sydney
URL: http://hdl.handle.net/10453/29241
► Indonesia is striving to achieve the Millennium Development Goal 4 target of less than 23 infant deaths per 1000 live births by 2015. In order…
(more)
▼ Indonesia is striving to achieve the Millennium Development Goal 4 target of less than 23 infant deaths per 1000 live births by 2015. In order to reach this target, a community case management (CCM) model, was introduced by the American funded Maternal and Child Health Integrated Program (MCHIP) and the Indonesian Ministry of Health (MoH) in 2011. Little is known about how CCM has been delivered and there is no research that examines the factors that contribute to the successful implementation of CCM in Indonesia. The aim of this research was to gain insight into how CCM was implemented in the Kutai Timur district, East Kalimantan, Indonesia from the perspective of primary health care workers (PHCWs): community nurses, midwives and community health workers; and from the families who received care.
Interpretive description was used to gain insight into participants’ perceptions and experiences. This method allowed me to generate knowledge about the implementation of CCM and to gain an understanding of the experience of the participants involved and the impact on health and health care practice. Data were collected following PHCWs training and the initial phase of implementation. Interviews were conducted with six key informants from MCHIP, MoH, the district health office and Puskesmas (community health centres), three program supervisors, 15 PHCWs and seven mothers. PHCWs were observed while delivering interventions to families. One focus group discussion was conducted with PHCWs and documents related to the CCM implementation were analysed.
Five main themes emerged: improved family wellbeing; enhanced PHCWs’ practice; barriers to CCM implementation; enablers of CCM implementation; and cultural influences. It was reported that families’ access to care improved, along with the family’s satisfaction of care, compliance with care plans and health literacy. In addition, it was found that the program had increased PHCWs’ family and child health knowledge and professional confidence to deliver evidenced-based practice, in conjunction with improved clinical reasoning and more structured clinical intervention.
Despite the reported success of the CCM program, a number of barriers and concerns highlight the need for programs to be better tailored to the socio-cultural context. An integrated model of community child health delivery that emphasises the importance of health system strengthening; the improved alignment of child health programs with maternal, newborn and reproductive programs; PHCWs support; and community participation is proposed. This model can be used to guide the implementation of community case management models in the rural Indonesian context.
Subjects/Keywords: Children.; Diseases.; Primary health care.; Community health nursing.; Primary health care workers.; Kutai Timur, Indonesia
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APA ·
Chicago ·
MLA ·
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CSE |
Export
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APA (6th Edition):
Setiawan, A. (2014). Understanding the implementation of community case management of childhood illness in Indonesia families' and primary health care workers' perspectives. (Thesis). University of Technology, Sydney. Retrieved from http://hdl.handle.net/10453/29241
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Setiawan, A. “Understanding the implementation of community case management of childhood illness in Indonesia families' and primary health care workers' perspectives.” 2014. Thesis, University of Technology, Sydney. Accessed January 22, 2021.
http://hdl.handle.net/10453/29241.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Setiawan, A. “Understanding the implementation of community case management of childhood illness in Indonesia families' and primary health care workers' perspectives.” 2014. Web. 22 Jan 2021.
Vancouver:
Setiawan A. Understanding the implementation of community case management of childhood illness in Indonesia families' and primary health care workers' perspectives. [Internet] [Thesis]. University of Technology, Sydney; 2014. [cited 2021 Jan 22].
Available from: http://hdl.handle.net/10453/29241.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Setiawan A. Understanding the implementation of community case management of childhood illness in Indonesia families' and primary health care workers' perspectives. [Thesis]. University of Technology, Sydney; 2014. Available from: http://hdl.handle.net/10453/29241
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Arkansas
27.
Gomez, Debbie.
Assessing the Long-Term Effects of Brief Behavioral Health Treatment in Primary Care Patients.
Degree: PhD, 2017, University of Arkansas
URL: https://scholarworks.uark.edu/etd/2516
► Although increasingly studies show brief behavioral health services are effective for primary care patients (Bridges et al., 2013; Bryan, Morrow, & Appolonio, 2009; Corso…
(more)
▼ Although increasingly studies show brief behavioral
health services are effective for
primary care patients (Bridges et al., 2013; Bryan, Morrow, & Appolonio, 2009; Corso et al., 2012; Gomez et al., 2014), there is a paucity of research exploring the long-term effects of these interventions (e.g., Ray-Sannerud, 2012). The
primary aim of the current study was to explore long-term effectiveness. Specifically, the current study 1) examined whether reductions in patient global distress following brief behavioral
health care services were maintained long-term, 2) evaluated whether improvements were reliable and not due to regression to the mean effects, and 3) explored medical cost offset via reductions in medical visits. A secondary aim was to gather qualitative information about patient recall of their visits. Participants were 83 adults (Mage = 42.55 years, 79.5% female, 61.4% White) who were recruited from a pool of 454 patients seen at three integrated
care clinics between August 2014 and June 2016. Patients were seen for a variety of presenting concerns such as anxiety, depression, sleep, and
health related conditions. Results demonstrated that, on average, participants evidenced statistically significant declines in global distress at long-term follow up as compared to global distress following their first visit. Over half of the sample evidenced reliable change above and beyond what was expected due to measurement error and regression to the mean effects. Patients did not illustrate significant reductions in medical cost offset, such that they did not have a reduction in medical service utilization in the 12 months following receipt of BH services as compared to the 12 months prior. Qualitative data revealed that a majority of patients remembered detailed information about their BH visits (e.g., recommendations received) and were largely satisfied with BH services. Interpretations, limitations, and future directions are also discussed.
Advisors/Committee Members: Ana Bridges, Ellen Leen-Feldner, Timothy Cavell.
Subjects/Keywords: Integrated Behavioral Health Care; Long-term Outcomes; Primary Care; Behavioral Disciplines and Activities; Primary Care
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APA ·
Chicago ·
MLA ·
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CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Gomez, D. (2017). Assessing the Long-Term Effects of Brief Behavioral Health Treatment in Primary Care Patients. (Doctoral Dissertation). University of Arkansas. Retrieved from https://scholarworks.uark.edu/etd/2516
Chicago Manual of Style (16th Edition):
Gomez, Debbie. “Assessing the Long-Term Effects of Brief Behavioral Health Treatment in Primary Care Patients.” 2017. Doctoral Dissertation, University of Arkansas. Accessed January 22, 2021.
https://scholarworks.uark.edu/etd/2516.
MLA Handbook (7th Edition):
Gomez, Debbie. “Assessing the Long-Term Effects of Brief Behavioral Health Treatment in Primary Care Patients.” 2017. Web. 22 Jan 2021.
Vancouver:
Gomez D. Assessing the Long-Term Effects of Brief Behavioral Health Treatment in Primary Care Patients. [Internet] [Doctoral dissertation]. University of Arkansas; 2017. [cited 2021 Jan 22].
Available from: https://scholarworks.uark.edu/etd/2516.
Council of Science Editors:
Gomez D. Assessing the Long-Term Effects of Brief Behavioral Health Treatment in Primary Care Patients. [Doctoral Dissertation]. University of Arkansas; 2017. Available from: https://scholarworks.uark.edu/etd/2516
University of Zambia
28.
Moonga, Astridah.
Factors impeding ability of health care providers from detecting mental health related problems at primary health care level in Lusaka
.
Degree: 2015, University of Zambia
URL: http://dspace.unza.zm:8080/xmlui/handle/123456789/4372
► Introduction: Mental health problems such as stress related conditions, substance abuse related problems, lead to difficulties in social, occupational and marital problems. Failure to detect…
(more)
▼ Introduction: Mental health problems such as stress related conditions, substance abuse related problems, lead to difficulties in social, occupational and marital problems. Failure to detect mental health problems denies patients potentially effective management. The objective of the study was to explore factors impeding health care providers to detect mental health problems at PHC level in Lusaka.
Methods: This was a mixed method study involving primary health care providers. The study used simple random and purposive sampling methods. Quantitative and qualitative data was collected using a structured interview schedule and focus group discussion guide respectively. Quantitative data was analyzed using SPSS version 20 software computer packages. Qualitative data was analyzed using content analysis. Chi-square test was used for evaluation of data, with the confidence interval set at 95%, and the P value was equal or less than 0.05.
Results: A total of 134 participants took part in the structured interview and 20 in the FGD. Participants’ age ranged from 25 – 55 years with a mean age of 43. One hundred and five (78.4%) were females with a profession ratio of 1:4 (Clinical officer and Nurses). A total of 58(100%) of the participants had high knowledge level in mental health and were able to use the mental health standardized guidelines, 41(53.4%) had low knowledge level and 39(51.3%) were unable to use the guidelines. Chi–square results on knowledge in mental health and use of mental health standardized guidelines showed a statistically significant relationship with p-value = 0.000, X2 = 45.968 and p-value = 0.000, X2 = 41.982 respectively. FGD revealed that health care providers have inadequate knowledge in mental health, have high work-load, have reduced patient contact time 5 – 10 minutes and no available standardized guidelines in mental health.
Conclusion: There is low ability to detect mental health problems. Knowledge level and use of mental health standardized guidelines are some of the factors impeding the ability of health care providers to detect mental problems early. Primary health care providers need regular in-service training in mental health and should use standardized guidelines to detect mental health early
Subjects/Keywords: Primary care (Medicine);
Patients – Mental health;
Psychiatry
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APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Moonga, A. (2015). Factors impeding ability of health care providers from detecting mental health related problems at primary health care level in Lusaka
. (Thesis). University of Zambia. Retrieved from http://dspace.unza.zm:8080/xmlui/handle/123456789/4372
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Chicago Manual of Style (16th Edition):
Moonga, Astridah. “Factors impeding ability of health care providers from detecting mental health related problems at primary health care level in Lusaka
.” 2015. Thesis, University of Zambia. Accessed January 22, 2021.
http://dspace.unza.zm:8080/xmlui/handle/123456789/4372.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
MLA Handbook (7th Edition):
Moonga, Astridah. “Factors impeding ability of health care providers from detecting mental health related problems at primary health care level in Lusaka
.” 2015. Web. 22 Jan 2021.
Vancouver:
Moonga A. Factors impeding ability of health care providers from detecting mental health related problems at primary health care level in Lusaka
. [Internet] [Thesis]. University of Zambia; 2015. [cited 2021 Jan 22].
Available from: http://dspace.unza.zm:8080/xmlui/handle/123456789/4372.
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
Council of Science Editors:
Moonga A. Factors impeding ability of health care providers from detecting mental health related problems at primary health care level in Lusaka
. [Thesis]. University of Zambia; 2015. Available from: http://dspace.unza.zm:8080/xmlui/handle/123456789/4372
Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation
University of Pretoria
29.
[No author].
Identification and evaluation of patient satisfaction
determinants in medical service delivery systems within the South
African private healthcare industry
.
Degree: 2010, University of Pretoria
URL: http://upetd.up.ac.za/thesis/available/etd-03102010-155423/
► The aim of the study was to identify, evaluate and compare the determinants of patient satisfaction in fee-for-service, and health maintenance organisation (HMO), medical service…
(more)
▼ The aim of the study was to identify, evaluate and
compare the determinants of patient satisfaction in
fee-for-service, and
health maintenance organisation (HMO), medical
service delivery centres. Staff at both centres, who were also
patients, were surveyed to determine the congruence with patients’
quality improvement priorities. The survey was conducted using a
questionnaire consisting of closed questions given to patients as
they departed from the medical centres. The questionnaire was
tested for convergent and divergent validity, content analysis and
reliability. A rating scale was then applied to yield the scores
for each determinant. The unique Patient Satisfaction Priority
Index was determined using determinants that were rated low on
satisfaction but high on importance. The results revealed that
patients at the fee- for- service medical centre were significantly
more satisfied than patients at the HMO. The priority index for
patients were found to be different to that of the staff at both
medical centres, proving that staff and patient priorities were
incongruent. Accordingly, the recommendations were that patient
satisfaction be continuously evaluated at medical service delivery
centres, in order to achieve a competitive advantage,
sustainability and growth in South Africa’s highly competitive
private healthcare industry. Copyright
Advisors/Committee Members: Goldman, M (advisor).
Subjects/Keywords: UCTD;
Patient satisfaction;
Primary health care (PHC)
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APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
author], [. (2010). Identification and evaluation of patient satisfaction
determinants in medical service delivery systems within the South
African private healthcare industry
. (Masters Thesis). University of Pretoria. Retrieved from http://upetd.up.ac.za/thesis/available/etd-03102010-155423/
Chicago Manual of Style (16th Edition):
author], [No. “Identification and evaluation of patient satisfaction
determinants in medical service delivery systems within the South
African private healthcare industry
.” 2010. Masters Thesis, University of Pretoria. Accessed January 22, 2021.
http://upetd.up.ac.za/thesis/available/etd-03102010-155423/.
MLA Handbook (7th Edition):
author], [No. “Identification and evaluation of patient satisfaction
determinants in medical service delivery systems within the South
African private healthcare industry
.” 2010. Web. 22 Jan 2021.
Vancouver:
author] [. Identification and evaluation of patient satisfaction
determinants in medical service delivery systems within the South
African private healthcare industry
. [Internet] [Masters thesis]. University of Pretoria; 2010. [cited 2021 Jan 22].
Available from: http://upetd.up.ac.za/thesis/available/etd-03102010-155423/.
Council of Science Editors:
author] [. Identification and evaluation of patient satisfaction
determinants in medical service delivery systems within the South
African private healthcare industry
. [Masters Thesis]. University of Pretoria; 2010. Available from: http://upetd.up.ac.za/thesis/available/etd-03102010-155423/
University of Pretoria
30.
Coovadia, Mohamed
Yusuf.
Identification
and evaluation of patient satisfaction determinants in medical
service delivery systems within the South African private
healthcare industry.
Degree: Gordon Institute of Business
Science (GIBS), 2010, University of Pretoria
URL: http://hdl.handle.net/2263/23094
► The aim of the study was to identify, evaluate and compare the determinants of patient satisfaction in fee-for-service, and health maintenance organisation (HMO), medical service…
(more)
▼ The aim of the study was to identify, evaluate and
compare the determinants of patient satisfaction in
fee-for-service, and
health maintenance organisation (HMO), medical
service delivery centres. Staff at both centres, who were also
patients, were surveyed to determine the congruence with patients’
quality improvement priorities. The survey was conducted using a
questionnaire consisting of closed questions given to patients as
they departed from the medical centres. The questionnaire was
tested for convergent and divergent validity, content analysis and
reliability. A rating scale was then applied to yield the scores
for each determinant. The unique Patient Satisfaction Priority
Index was determined using determinants that were rated low on
satisfaction but high on importance. The results revealed that
patients at the fee- for- service medical centre were significantly
more satisfied than patients at the HMO. The priority index for
patients were found to be different to that of the staff at both
medical centres, proving that staff and patient priorities were
incongruent. Accordingly, the recommendations were that patient
satisfaction be continuously evaluated at medical service delivery
centres, in order to achieve a competitive advantage,
sustainability and growth in South Africa’s highly competitive
private healthcare industry. Copyright
Advisors/Committee Members: Goldman, M. (advisor).
Subjects/Keywords: UCTD; Patient
satisfaction; Primary health
care (PHC)
Record Details
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Share »
Record Details
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Cite
« Share
❌
APA ·
Chicago ·
MLA ·
Vancouver ·
CSE |
Export
to Zotero / EndNote / Reference
Manager
APA (6th Edition):
Coovadia, M. (2010). Identification
and evaluation of patient satisfaction determinants in medical
service delivery systems within the South African private
healthcare industry. (Masters Thesis). University of Pretoria. Retrieved from http://hdl.handle.net/2263/23094
Chicago Manual of Style (16th Edition):
Coovadia, Mohamed. “Identification
and evaluation of patient satisfaction determinants in medical
service delivery systems within the South African private
healthcare industry.” 2010. Masters Thesis, University of Pretoria. Accessed January 22, 2021.
http://hdl.handle.net/2263/23094.
MLA Handbook (7th Edition):
Coovadia, Mohamed. “Identification
and evaluation of patient satisfaction determinants in medical
service delivery systems within the South African private
healthcare industry.” 2010. Web. 22 Jan 2021.
Vancouver:
Coovadia M. Identification
and evaluation of patient satisfaction determinants in medical
service delivery systems within the South African private
healthcare industry. [Internet] [Masters thesis]. University of Pretoria; 2010. [cited 2021 Jan 22].
Available from: http://hdl.handle.net/2263/23094.
Council of Science Editors:
Coovadia M. Identification
and evaluation of patient satisfaction determinants in medical
service delivery systems within the South African private
healthcare industry. [Masters Thesis]. University of Pretoria; 2010. Available from: http://hdl.handle.net/2263/23094
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Open Access Theses and Dissertations