The need for integrated primary health care to enhance the effectiveness of health services.

Abstract:

:With the increasing prevalence of chronic illnesses and health compromising behaviours, health care expenditure is escalating with the expansion of hospital services. Integrated primary health care would enhance the cost effectiveness of health care delivery. Recent studies on primary care health services research in Hong Kong indicated that there is a high level of inappropriate utilisation of hospital emergency services, a high prevalence of youth health risk behaviours particularly mental health which would lead to a heavy burden on health services in the future. The community based rehabilitation provided a better quality of life for chronic illness patients, better drug compliance for chronic illness patients in family practice, and a disproportionate amount of budget is spent on law reinforcement and treatment for drug abuse rather than on prevention and education. The findings strongly indicate the need to have a strong primary health care team with well trained family physicians and trained health professionals as primary care practitioners to provide services on health promotion; curative; rehabilitation and supporting services; supporting self help activities of individuals, families and groups. This would minimize compartmentalisation in health care delivery, and is also a cost effective way of providing high quality holistic and comprehensive care that meets the needs of the majority of the population.

authors

Lee A

doi

10.1177/101053950301500111

keywords:

subject

Has Abstract

pub_date

2003-01-01 00:00:00

pages

62-7

issue

1

eissn

1010-5395

issn

1941-2479

journal_volume

15

pub_type

杂志文章
  • Developing a tool for assessing public health law in countries.

    abstract::At present, the World Health Organization (WHO) is in the process of developing a tool designed to assess the status of public health legislation in a given country. An Expert Consultation on Public Health Law was convened in Manila, Philippines, in May 2011. The participants agreed that the tool could serve as a guid...

    journal_title:Asia-Pacific journal of public health

    pub_type: 杂志文章

    doi:10.1177/1010539512462502

    authors: Kim SY,Lee Y,Sohn M,Hahm KH

    更新日期:2012-09-01 00:00:00

  • Induced abortion in eight provinces of China.

    abstract::A survey of 12,000 women in eight provinces of China was carried out in 1988. One urban and one rural area were selected purposely in each province; data on lifetime and recent pregnancies were collected from married women aged 20-44. Data on abortions included reasons, gestational age, and complications. During the f...

    journal_title:Asia-Pacific journal of public health

    pub_type: 杂志文章

    doi:10.1177/101053959100500109

    authors: Wang Y,Becker S,Chow LP,Wang SX

    更新日期:1991-01-01 00:00:00

  • Serological Survey of Humans Exposed to Burkholderia mallei-Infected Equids: A Public Health Approach.

    abstract::Glanders is a fatal bacterial infection of equids caused by Burkholderia mallei. The infection can be transmitted to humans through prolonged direct contact with glanderous equids. Recently, reemergence of equine glanders has been reported in many countries. To investigate zoonotic transmission of B mallei infection, ...

    journal_title:Asia-Pacific journal of public health

    pub_type: 杂志文章

    doi:10.1177/1010539520930500

    authors: Singha H,Shanmugasundaram K,Saini S,Tripathi BN

    更新日期:2020-07-01 00:00:00

  • Mental Health Indicators of Suicide in Cambodian Women.

    abstract::Global suicide rates are steadily increasing, and suicide completions in Asia outnumber those in Western countries. Young females are especially at risk, with higher rates of completion and lack of suicide support because of familial and cultural stigma and constraints. Lack of infrastructure to systematically record ...

    journal_title:Asia-Pacific journal of public health

    pub_type: 杂志文章

    doi:10.1177/1010539517751349

    authors: Armes SE,Somo CM,Khann S,Seponski DM,Lahar CJ,Kao S,Schunert T

    更新日期:2018-01-01 00:00:00

  • Determinants of community capacity influencing residents' health status in Seoul, South Korea.

    abstract::The effect of community capacity on health was evaluated by assessing the community via a questionnaire that included a capacity index in the social capital scale. The impact of the length of residence and the size and solidarity of networking on community capacity was also explored. The authors used logistic regressi...

    journal_title:Asia-Pacific journal of public health

    pub_type: 杂志文章

    doi:10.1177/1010539512441819

    authors: Jung M,Rhee HS

    更新日期:2013-03-01 00:00:00

  • Out-of-Pocket Health Expenditures Among Insured and Uninsured Patients in Vietnam.

    abstract::Out-of-pocket expenditure/payment (OOP) is one of the indicators measuring the achievement of Universal Health Coverage. This article aimed to compare OOP among the insured and uninsured for their outpatient and inpatient health care services. The data of 6710 individuals using outpatient care and 924 individuals usin...

    journal_title:Asia-Pacific journal of public health

    pub_type: 杂志文章

    doi:10.1177/1010539519833549

    authors: Thanh ND,Anh BTM,Xiem CH,Van Minh H

    更新日期:2019-04-01 00:00:00

  • Socioeconomic Determinants of the Utilization of Antenatal Care and Child Vaccination in India.

    abstract::Antenatal care and child vaccination services are adopted worldwide to reduce the risk of child mortality, maternal mortality, and burden of infectious diseases. This article examines the effect of socioeconomic factors on the utilization of antenatal care and child vaccination services in India. The generalized linea...

    journal_title:Asia-Pacific journal of public health

    pub_type: 杂志文章

    doi:10.1177/1010539517747071

    authors: Zuhair M,Roy RB

    更新日期:2017-11-01 00:00:00

  • Analysis of the prevalence rate and correlative risk factors of chronic kidney disease in physical checkups of adults in Henan area.

    abstract::This paper reports the results of physical examination data of a population aged 19 years and above in the Henan area. The prevalence of Chronic Kidney Disease (CKD) in adults in a healthy population and associations with potential risk factors are described. There were 556 cases with albuminuria, a prevalence rate of...

    journal_title:Asia-Pacific journal of public health

    pub_type: 杂志文章

    doi:10.1177/1010539513495270

    authors: Liang Y

    更新日期:2013-07-01 00:00:00

  • The role of Third World universities in health development.

    abstract::The need for a pro-active role for universities in the Third World in health development is identified as one of the important frontiers of international health. The questions of how to combine scientific objectivity with involvement in social problems are examined, using the experience of the Aga Khan University in K...

    journal_title:Asia-Pacific journal of public health

    pub_type: 杂志文章

    doi:10.1177/101053959100500206

    authors: Bryant JH

    更新日期:1991-01-01 00:00:00

  • Does ethnicity contribute to the control of cardiovascular risk factors among patients with type 2 diabetes?

    abstract::This study aimed to examine the control of cardiovascular risk factors among the ethnic groups with type 2 diabetes in Malaysia. The authors analyzed the data of 70 092 adults from the Malaysian diabetes registry database. Malays had the worst achievement of target for most of the risk factors. Indians had poor achiev...

    journal_title:Asia-Pacific journal of public health

    pub_type: 杂志文章

    doi:10.1177/1010539511430521

    authors: Lee PY,Cheong AT,Zaiton A,Mastura I,Chew BH,Sazlina SG,Adam BM,Syed Alwi SA,Jamaiyah H,Sriwahyu T

    更新日期:2013-07-01 00:00:00

  • The introduction of Norplant in Cambodia through the private sector.

    abstract::The objectives of this study are to determine whether Norplant would be an acceptable contraceptive method for Cambodian women, given its technology and the socio-cultural context, and whether it can be delivered by a private sector clinic with good quality care. This is a prospective cohort study of the first 966 acc...

    journal_title:Asia-Pacific journal of public health

    pub_type: 杂志文章

    doi:10.1177/101053950201400204

    authors: van der Velden T,Ping C

    更新日期:2002-01-01 00:00:00

  • A longitudinal study on the catch-up growth of preterm and term infants of low, appropriate, and high birth weight.

    abstract::The purpose of present study was to explore the trajectories of growth of preterm and term infants of low, high, and appropriate birth weight. A total of 2465 infants were recruited from 2005 to 2007. Infants' length and weight were measured at 12 points: birth, 42 days, and monthly from 3 to 12 months. The catch-up g...

    journal_title:Asia-Pacific journal of public health

    pub_type: 杂志文章

    doi:10.1177/1010539513489129

    authors: Gong YH,Ji CY,Shan JP

    更新日期:2015-03-01 00:00:00

  • Why do Bangladeshi people use smokeless tobacco products?

    abstract::Despite scientific evidence about the harmful effects of smokeless tobacco (SLT), it is widely used in Bangladesh. This study explored perceptions about health effects of SLT use. Semistructured interviews were conducted with 1812 nonsmoking adults. About 40% of the participants were current SLT users or had used SLT ...

    journal_title:Asia-Pacific journal of public health

    pub_type: 杂志文章

    doi:10.1177/1010539512446957

    authors: Rahman MA,Mahmood MA,Spurrier N,Rahman M,Choudhury SR,Leeder S

    更新日期:2015-03-01 00:00:00

  • Trauma-related symptoms in Sri Lankan adult survivors after the tsunami: pretraumatic and peritraumatic factors.

    abstract::Limited research has addressed factors associated with psychological distress following disasters among non-Western populations. The 2004 tsunami affected 1.7 million people across South Asia and Africa, with considerable variations in trauma-related outcomes. Pretraumatic and peritraumatic conditions associated with ...

    journal_title:Asia-Pacific journal of public health

    pub_type: 杂志文章

    doi:10.1177/1010539513500337

    authors: Gunaratne CD,Kremer PJ,Clarke V,Lewis AJ

    更新日期:2014-07-01 00:00:00

  • Self-medication among university students in Hong Kong.

    abstract::Five hundred and sixty-three university students were interviewed to survey the practice of self-medication which was found to be very prevalent (94.0%). The most commonly used items included remedies for cough and cold, antipyretics and analgesics. Topical preparations and Chinese herbal medicines were also frequentl...

    journal_title:Asia-Pacific journal of public health

    pub_type: 杂志文章

    doi:10.1177/101053959500800301

    authors: Lau GS,Lee KK,Luk CT

    更新日期:1995-01-01 00:00:00

  • Study on the factors related with intention of cancer screening among Korean residents: application of information-motivation-behavioral skills model.

    abstract::This study investigated the relationship between intention of undergoing cancer screening and information, motivation, and behavioral skills using an information-motivation-behavioral skills model. The authors performed a telephone survey of a random sample of 2030 residents aged 30 to 69 years from 6 counties of Gang...

    journal_title:Asia-Pacific journal of public health

    pub_type: 杂志文章

    doi:10.1177/1010539511422374

    authors: Kim BK,Jo HS,Lee HJ

    更新日期:2015-03-01 00:00:00

  • Rolling Tobacco in Banana Leaves, Newspaper, or Copybook Paper Associated With Significant Reduction in Lung Function in Vanuatu.

    abstract::In addition to the widespread availability of packaged cigarettes, the inhabitants of island nations of the Southwest Pacific frequently smoke commercially available loose tobacco using manufactured rolling papers, as well as locally grown tobacco rolled in manufactured rolling paper or wrapped in leaves, copybook pap...

    journal_title:Asia-Pacific journal of public health

    pub_type: 杂志文章

    doi:10.1177/1010539517696552

    authors: Weitz CA,Olszowy KM,Dancause KN,Sun C,Pomer A,Silverman H,Lee G,Tarivonda L,Chan CW,Kaneko A,Lum JK,Garruto RM

    更新日期:2017-04-01 00:00:00

  • The discovery of an unusual cause of indoor radiation pollution.

    abstract::The objective of our study is to investigate the reasons why 21 persons suffered erythema and other skin changes, and conjunctivae infection after staying in a closed room for three hours. A multi-disciplinary case study including interviews, building and ventilation inspections, was performed by a multidisciplinary t...

    journal_title:Asia-Pacific journal of public health

    pub_type: 杂志文章

    doi:10.1177/10105395060180020801

    authors: Chaiear N,Saejiw N,Dithisawatwet S,Polpila P,Paratako K,Chuntum K

    更新日期:2006-01-01 00:00:00

  • Serum TSH, FT3, and FT4 levels in inhabitants of an endemic goiter area in China supplied iodized salt for twenty-five years.

    abstract::The thyroid function and TSH concentration of villagers in an endemic goiter area in China where iodized salt had been supplied for twenty-five years were surveyed. We found that the serum FT3 and TSH (IRMA) levels of villagers were higher and the FT4 levels was lower than those of the controls, which suggested that t...

    journal_title:Asia-Pacific journal of public health

    pub_type: 杂志文章

    doi:10.1177/101053958900300410

    authors: An OY,Su TS,Pang XP,Hershman JM

    更新日期:1989-01-01 00:00:00

  • Diversity in genes responsible for lifestyle-related diseases in Asia-Pacific region.

    abstract::In Asia-Pacific countries, both environmental modernization and hereditary traits of Mongoloid reported to cause rapid increase in lifestyle-related diseases (LRD). However, reproducibility of reported responsive-factors is low. To examine this, a decision-tree method of complexity-model was applied to select LRD-resp...

    journal_title:Asia-Pacific journal of public health

    pub_type: 杂志文章

    doi:

    authors: Yanagisawa Y,Munkhtulga L,Nakayama K,Iwamoto S,Charupoonphol P,Supannnatas S,Kuartei S,Chimedregzen U,Kawabata T,Kaneko Y,Watanabe S,Sakuma M,Komatsu F,Hasegawa K,Kagawa Y

    更新日期:2008-10-01 00:00:00

  • Dengue vector surveillance programs: a review of methodological diversity in some endemic and epidemic countries.

    abstract::Vector surveillance is a cornerstone of dengue management yet there is a diversity of surveillance programs evident internationally. Such diversity is described in this review to enable a broader assessment of dengue vector surveillance methods. This review describes the diversity of surveillance programs for dengue v...

    journal_title:Asia-Pacific journal of public health

    pub_type: 杂志文章,评审

    doi:10.1177/1010539511426595

    authors: Azil AH,Li M,Williams CR

    更新日期:2011-11-01 00:00:00

  • The optimal scaling combination of age and body mass index as an index of metabolic syndrome for postmenopausal Taiwanese women.

    abstract::The aim of this study was to combine as a new index age with an anthropometric indicator of obesity that is more closely associated with metabolic syndrome (MS) risk than other anthropometric indicators for postmenopausal Taiwanese women. In this cross-sectional study, data were collected from 1128 postmenopausal wome...

    journal_title:Asia-Pacific journal of public health

    pub_type: 杂志文章

    doi:10.1177/1010539512441198

    authors: Ho C,Chang CH,Yen CH

    更新日期:2015-03-01 00:00:00

  • Factors Influencing Changes in Eating Patterns Among Hong Kong Young Adults Transitioning to Tertiary Education.

    abstract::Transitioning to tertiary education is a significant life course event that has the potential to influence lifelong eating patterns. This study used a theoretic model developed from a life course perspective to examine factors influencing the change of food choices among 31 young adults in Hong Kong after they moved o...

    journal_title:Asia-Pacific journal of public health

    pub_type: 杂志文章

    doi:10.1177/1010539516641500

    authors: Kwok ST,Capra S,Leveritt M

    更新日期:2016-05-01 00:00:00

  • Failed development and vulnerability to climate change in central Asia: implications for food security and health.

    abstract::This article presents results of research undertaken to identify factors that affect the vulnerability of rural Mongolian herders to climate change. Findings suggest that models of market development instituted since 1990 have failed to recognize and support key elements of the pastoralist adaptive strategy. A retreat...

    journal_title:Asia-Pacific journal of public health

    pub_type: 杂志文章

    doi:10.1177/1010539510373008

    authors: Janes CR

    更新日期:2010-07-01 00:00:00

  • Disease Burden, Characteristics, and Outcomes of Methicillin-Resistant Staphylococcus aureus Bloodstream Infection in Hong Kong.

    abstract::We aimed to describe disease burden, characteristics, and outcomes of methicillin-resistant Staphylococcus aureus (MRSA) bloodstream infection (BSI) in Hong Kong. A retrospective, observational study was conducted in 26 Hong Kong public hospitals between January 2010 and December 2012. The primary outcome measures wer...

    journal_title:Asia-Pacific journal of public health

    pub_type: 杂志文章

    doi:10.1177/1010539517717365

    authors: You JHS,Choi KW,Wong TY,Ip M,Ming WK,Wong RY,Chan SN,Tse HT,Chau CTS,Lee NLS

    更新日期:2017-07-01 00:00:00

  • Regional differences of maternal health care utilization in China.

    abstract:OBJECTIVE:To describe regional differences in maternal health care (MHC) utilization in China. STUDY DESIGN:Cross-sectional comparisons of 4 MHC utilization indicators, namely, early (13 weeks within pregnancy) examinations rate (EER), prenatal examination (>4 times) rate (PER), hospital delivery rate (HDR), and postn...

    journal_title:Asia-Pacific journal of public health

    pub_type: 杂志文章

    doi:10.1177/1010539513487011

    authors: Tang M,Wang D,Hu H,Wang G,Li R

    更新日期:2015-03-01 00:00:00

  • Prevalence of hepatitis B surface antigen and antibody among health care employees in Negri Sembilan, Malaysia, 1989.

    abstract::This study was based on a hepatitis B screening program conducted in one of the states in Malaysia in 1989. The majority (84.6%) of the 2986 health employees were screened. One quarter (25%) was found to have serological markers for the Hepatitis B Virus (HBV); 2.1% had Hepatitis B surface Antigen (HBsAg) and 22.8% ha...

    journal_title:Asia-Pacific journal of public health

    pub_type: 杂志文章

    doi:10.1177/101053959200600303

    authors: Tan TC,Vadivale M,Ong CN

    更新日期:1992-01-01 00:00:00

  • Prevalence of primary infertility in the Islamic Republic of Iran in 2004-2005.

    abstract::This study aimed to determine the prevalence of lifetime and current primary infertility in Iran. The study was conducted in 2004-5 in all the 28 provinces of Iran. A cluster sampling method was used to select 10 783 women aged 19 to 49 years for the survey. Lifetime primary infertility was defined based on 1 of 2 con...

    journal_title:Asia-Pacific journal of public health

    pub_type: 杂志文章

    doi:10.1177/1010539509336009

    authors: Vahidi S,Ardalan A,Mohammad K

    更新日期:2009-07-01 00:00:00

  • A survey of food hygiene knowledge and attitudes among Chinese food handlers in Fong Song Tong district.

    abstract::The purpose of this study was to find out the knowledge and attitudes concerning food hygiene among Chinese food handlers in Fong Song Tong district, and to analyze the impact of variables on the degree of knowledge and attitudes. Face-to-face interviews were conducted within Chinese food handlers in Fong Song Tong di...

    journal_title:Asia-Pacific journal of public health

    pub_type: 杂志文章

    doi:10.1177/101053950401600208

    authors: Tang CH,Fong UW

    更新日期:2004-01-01 00:00:00

  • Socioeconomic inequities in health care utilization in China.

    abstract::The study assessed the present degree of inequity in health care utilization as well as the contributions of the main determinants in the context of expending health insurance coverage in China. Data were obtained from the 2008 National Health Services Survey (NHSS) in China. A concentration index was used to quantify...

    journal_title:Asia-Pacific journal of public health

    pub_type: 杂志文章

    doi:10.1177/1010539514565446

    authors: Zhang X,Wu Q,Shao Y,Fu W,Liu G,Coyte PC

    更新日期:2015-05-01 00:00:00