当前位置： SCI文献检索 > FAMILY PRACTICE期刊下所有文献 > Mapping primary health care renewal in South America.

Mapping primary health care renewal in South America.

Abstract：

BACKGROUND:Primary health care (PHC) renewal processes are currently ongoing in South America (SA), but their characteristics have not been systematically described. OBJECTIVE:The study aimed to describe and contrast the PHC approaches being implemented in SA to provide knowledge of current conceptions, models and challenges. METHODS:This multiple case study used a qualitative approach with technical visits to health ministries in order to apply key-informant interviews of 129 PHC national policy makers and 53 local managers, as well as field observation of 57 selected PHC providers and document analysis, using a common matrix for data collection and analysis. PHC approaches were analysed by triangulating sources using the following categories: PHC philosophy and conception, service provision organization, intersectoral collaboration and social participation. RESULTS:Primary health care models were identified in association with existing health system types and the dynamics of PHC renewal in each country. A neo-selective model was found in three countries where coverage is segmented by private and public regimes; here, individual and collective care are separated. A comprehensive approach similar to the Alma-Ata model was found in seven countries where the public sector predominates and individual, family and community care are coordinated under the responsibility of the same health care team. CONCLUSIONS:The process of implementing a renewed PHC approach is affected by how health systems are funded and organized. Both models face many obstacles. In addition, care system organization, intersectoral coordination and social participation are weak in most of the countries.

journal_name

Fam Pract

journal_title

Family practice

authors

Acosta Ramírez N,Giovanella L,Vega Romero R,Tejerina Silva H,de Almeida PF,Ríos G,Goede H,Oliveira S

doi

10.1093/fampra/cmw013

subject

Has Abstract

pub_date

2016-06-01 00:00:00

pages

261-7

issue

3

eissn

0263-2136

issn

1460-2229

pii

cmw013

journal_volume

33

pub_type

杂志文章

相关文献

FAMILY PRACTICE文献大全
  • Disability and quality of life in heart failure patients: a cross-sectional study.

    abstract：BACKGROUND:Although both hospitalization and mortality due to heart failure (HF) have been widely studied, less is known about the impact of HF on disability and quality of life. AIM:To assess the degree of disability and quality of life in HF patients attended at family medicine centres. DESIGN AND SETTING:Cross-sec...

    journal_title：Family practice

    pub_type： 杂志文章,多中心研究

    doi：10.1093/fampra/cmz017

    authors： García-Olmos L,Batlle M,Aguilar R,Porro C,Carmona M,Alberquilla A,Sánchez-Gómez LM,Monge E,López-Rodríguez AB,Benito L,Baños N,Simón A,Martínez-Álvarez MA,Luque EM,García-Benito C

    更新日期：2019-11-18 00:00:00

  • Non-steroids anti-inflammatory drugs and risk of peritonsillar abscess in pharyngitis: a French longitudinal study in primary care†.

    abstract：BACKGROUND:The safety of non-steroids anti-inflammatory drugs (NSAIDs) in the context of pharyngitis is doubtful with contradictory results in the literature. OBJECTIVE:To evaluate the risk of peritonsillar abscess (PTA) associated to NSAIDs consumption during a pharyngitis episode observed in primary care. METHOD:A ...

    journal_title：Family practice

    pub_type： 杂志文章

    doi：10.1093/fampra/cmy111

    authors： Piroulas C,Devillers L,Souty C,Sicsic J,Boisnault P,François M

    更新日期：2019-07-31 00:00:00

  • Patient loneliness in an urban, underserved family medicine residency clinic: prevalence and relationship to health care utilization.

    abstract：BACKGROUND:Mounting evidence suggests that loneliness increases the risk of poor health outcomes, including cardiovascular disease and premature mortality.Objective: This study examined the prevalence of loneliness in an urban, underserved family medicine residency clinic and the association of loneliness with health c...

    journal_title：Family practice

    pub_type： 杂志文章

    doi：10.1093/fampra/cmaa065

    authors： Hooker SA,Stadem P,Sherman MD,Ricco J

    更新日期：2020-11-28 00:00:00

  • The General Practitioner Experiences Questionnaire (GPEQ): validity and reliability following the inclusion of new accessibility items.

    abstract：BACKGROUND:The General Practitioner Experiences Questionnaire (GPEQ) measures community mental health centres from the perspective of GP but lacked accessibility scales and documentation of centre level reliability. OBJECTIVES:To assess the psychometric properties of the GPEQ following the inclusion of four new access...

    journal_title：Family practice

    pub_type： 杂志文章

    doi：10.1093/fampra/cmq042

    authors： Bjertnaes OA,Garratt A,Ruud T,Hunskaar S

    更新日期：2010-10-01 00:00:00

  • Who do we discharge from renal clinic and what does it mean for primary care?

    abstract：BACKGROUND:It is unclear whether discharging patients from renal clinic to primary care is safe. AIM:To determine the characteristics, primary care monitoring and renal outcomes of patients discharged from renal clinic. DESIGN AND SETTING:A retrospective study of 2236 adults discharged from a tertiary renal clinic be...

    journal_title：Family practice

    pub_type： 杂志文章

    doi：10.1093/fampra/cmz055

    authors： Pyart R,Lim S,Hussein B,Riley S,Roberts G

    更新日期：2020-03-25 00:00:00

  • Arrhythmias in general practice: diagnostic value of patient characteristics, medical history and symptoms.

    abstract：BACKGROUND:Complaints possibly caused by arrhythmias are frequently seen in general practice. It is unclear to what extent such complaints can differentiate between arrhythmias and other pathology in general practice. OBJECTIVES:We aimed to assess the value of symptoms (a) in diagnosing arrhythmias in general practice...

    journal_title：Family practice

    pub_type： 杂志文章

    doi：10.1093/fampra/15.4.343

    authors： Zwietering PJ,Knottnerus JA,Rinkens PE,Kleijne MA,Gorgels AP

    更新日期：1998-08-01 00:00:00

  • Statin use and its association with musculoskeletal symptoms--a cross-sectional study in primary care settings.

    abstract：INTRODUCTION:Musculoskeletal complaints are very common in primary care settings. Lipid-lowering drugs are one of several causes of musculoskeletal symptoms. However, data showing an association of lipid-lowering drug therapy and increased odds of musculoskeletal complaints in primary care patients are lacking. OBJECT...

    journal_title：Family practice

    pub_type： 杂志文章

    doi：10.1093/fampra/cmp006

    authors： Mosshammer D,Lorenz G,Meznaric S,Schwarz J,Muche R,Mörike K

    更新日期：2009-04-01 00:00:00

  • Annual visits to patients over the age of 75--who is missed?

    abstract：BACKGROUND:In the UK, the GP contract requires annual consultations and offers of home visits to the elderly. However, as many as 50% of elderly people refuse the offer of a health screen. OBJECTIVE:To describe the characteristics of elderly people who declined the offer of an annual home visit. METHOD:All elderly pe...

    journal_title：Family practice

    pub_type： 杂志文章

    doi：10.1093/fampra/13.1.22

    authors： Jagger C,Clarke M,O'Shea C,Gannon M

    更新日期：1996-02-01 00:00:00

  • The differential blood pressure sign in general practice: prevalence and prognostic value.

    abstract：BACKGROUND:Patients sometimes have differences of > or =20/10 mmHg in their blood pressure depending on which arm is measured. The prevalence and prognostic value of this finding in general practice are unknown. If these differences are due to peripheral vascular disease, these patients may be at increased risk of card...

    journal_title：Family practice

    pub_type： 杂志文章

    doi：10.1093/fampra/19.5.439

    authors： Clark CE,Powell RJ

    更新日期：2002-10-01 00:00:00

  • Change in frequency of patient requests for diagnostic screening and interventions during primary care encounters from 1985 to 2014.

    abstract：Background:The reason why patients contact a care provider, the reason for encounter (RFE), reflects patients' personal needs and expectations regarding medical care. RFEs can be symptoms or complaints, but can also be requests for diagnostic or therapeutic interventions. Objectives:Over the past 30 years, we aim to a...

    journal_title：Family practice

    pub_type： 杂志文章

    doi：10.1093/fampra/cmy031

    authors： van den Broek J,van Boven K,Bor H,Uijen AA

    更新日期：2018-12-12 00:00:00

  • Diagnosing acute coronary syndrome in primary care: comparison of the physicians' risk estimation and a clinical decision rule.

    abstract：BACKGROUND:Diagnosing acute coronary syndrome (ACS) in a primary care setting poses a diagnostic dilemma for physicians. OBJECTIVE:We directly compared the diagnostic accuracy of a clinical decision rule (CDR) based on history taking and physical examination in suspected ACS with the risk estimates of the attending GP...

    journal_title：Family practice

    pub_type： 杂志文章,多中心研究

    doi：10.1093/fampra/cmq116

    authors： Bruins Slot MH,Rutten FH,van der Heijden GJ,Geersing GJ,Glatz JF,Hoes AW

    更新日期：2011-06-01 00:00:00

  • Decreasing the number of consultations for minor illnesses of Turkish and Dutch inhabitants of a deprived area in The Netherlands: an intervention study.

    abstract：OBJECTIVE:The purpose of this study was to assess the effectiveness of GPs personally handing out to their patients booklets about minor ailments and self-limiting health problems (minor illnesses). METHODS:The study was a pre-test-post-test, control group design and took place in seven general practices. The particip...

    journal_title：Family practice

    pub_type： 杂志文章,多中心研究

    doi：10.1093/fampra/cmh703

    authors： Plass AM,Timmermans DR,van der Wal G

    更新日期：2005-02-01 00:00:00

  • Relationship among team dynamics, care coordination and perception of safety culture in primary care.

    abstract：Background:There remains a need to improve patient safety in primary care settings. Studies have demonstrated that creating high-performing teams can improve patient safety and encourage a safety culture within hospital settings, but little is known about this relationship in primary care. Objective:To examine how tea...

    journal_title：Family practice

    pub_type： 杂志文章

    doi：10.1093/fampra/cmy029

    authors： Blumenthal KJ,Chien AT,Singer SJ

    更新日期：2018-12-12 00:00:00

  • Long-term prognosis of acute otitis media in infancy: determinants of recurrent acute otitis media and persistent middle ear effusion.

    abstract：OBJECTIVES:Children under 2 years of age with acute otitis media are known to have a relatively poor prognosis. The objective of this study was to assess whether known determinants for recurrent acute otitis media and persistent middle ear effusion after an episode of acute otitis media during childhood also apply to c...

    journal_title：Family practice

    pub_type： 杂志文章,随机对照试验

    doi：10.1093/fampra/cmi083

    authors： Damoiseaux RA,Rovers MM,Van Balen FA,Hoes AW,de Melker RA

    更新日期：2006-02-01 00:00:00

  • The BeweegKuur programme: a qualitative study of promoting and impeding factors for successful implementation of a primary health care lifestyle intervention for overweight and obese people.

    abstract：BACKGROUND:The aim of the study was to identify promoting and impeding factors for successful implementation of a Dutch primary health care-based lifestyle programme called 'BeweegKuur'. BeweegKuur aims to increase the physical activity and change the diet of people at increased health risk due to overweight or obesity...

    journal_title：Family practice

    pub_type： 杂志文章

    doi：10.1093/fampra/cmr056

    authors： Helmink JH,Kremers SP,Van Boekel LC,Van Brussel-Visser FN,Preller L,De Vries NK

    更新日期：2012-04-01 00:00:00

  • Shared care in gastroenterology: GPs' views of open access to out-patient follow-up for patients with inflammatory bowel disease.

    abstract：OBJECTIVE:The aim of this study was to ascertain GPs' views about open access to out-patient follow-up for patients with inflammatory bowel disease (IBD). METHODS:Semi-structured interviews and a postal survey were carried out in general practices in West Glamorgan UK, each with at least one IBD patient taking part in...

    journal_title：Family practice

    pub_type： 杂志文章

    doi：10.1093/fampra/19.1.53

    authors： Cheung WY,Dove J,Lervy B,Russell IT,Williams JG

    更新日期：2002-02-01 00:00:00

  • The effectiveness of local adaptation of nationally produced clinical practice guidelines.

    abstract：BACKGROUND:Local adaptation is often reported in the literature to be an important strategy in achieving local ownership and relevance of guidelines in order to increase the likelihood of their uptake and implementation. However, the process is also potentially time-consuming and costly. OBJECTIVE:The aim of this stud...

    journal_title：Family practice

    pub_type： 杂志文章

    doi：10.1093/fampra/19.3.223

    authors： Silagy CA,Weller DP,Lapsley H,Middleton P,Shelby-James T,Fazekas B

    更新日期：2002-06-01 00:00:00

  • Clinic staff attitudes towards the use of mHealth technology to conduct perinatal depression screenings: a qualitative study.

    abstract：BACKGROUND:The use of mHealth technology is an innovative approach for screening low-income mothers for depression. Past studies show that the use of technology removes barriers such as literacy issues, language challenges, concerns about privacy and lack of transportation and can also increase reliability. However, li...

    journal_title：Family practice

    pub_type： 杂志文章

    doi：10.1093/fampra/cmu083

    authors： Pineros-Leano M,Tabb KM,Sears H,Meline B,Huang H

    更新日期：2015-04-01 00:00:00

  • Focus on early-career GPs: qualitative evaluation of a multi-faceted educational intervention to improve antibiotic prescribing.

    abstract：Background:We conducted an educational intervention emphasizing rational antibiotic prescribing in early-career General Practitioners (GP) in vocational training (trainees). The intervention consisted of an online introduction module, an online communication training module, face-to-face workshops, and cases to be disc...

    journal_title：Family practice

    pub_type： 杂志文章

    doi：10.1093/fampra/cmx074

    authors： Deckx L,Anthierens S,Magin PJ,Morgan S,McArthur L,Yardley L,Dallas A,Little P,van Driel ML

    更新日期：2018-01-16 00:00:00

  • What can doctors do to achieve a successful consultation? Videotaped interviews analysed by the 'consultation map' method.

    abstract：:Positive consultations, where both the GP and the patient had a positive impression, were compared with negative consultations, where both the GP and the patient had a negative impression. The consultations were compared with respect to tasks listed by Pendelton et al. in their 'consultation map', constituting satisfy...

    journal_title：Family practice

    pub_type： 杂志文章

    doi：10.1093/fampra/9.1.61

    authors： Arborelius E,Bremberg S

    更新日期：1992-03-01 00:00:00

  • Selections from current literature: treatment of hypertension.

    abstract：:The three papers reviewed for this issue deal with unrelated aspects of hypertension, illustrating the broad range of questions that still exist about optimal diagnosis and management. Physicians have for years been unsure about the efficacy, safety, and impact on morbidity of treating ISH. The result of these concern...

    journal_title：Family practice

    pub_type： 杂志文章,评审

    doi：10.1093/fampra/9.1.104

    authors： Kelly R

    更新日期：1992-03-01 00:00:00

  • Who gets mental health treatment from the GP? Results from the Israel National Epidemiological Mental Health Survey.

    abstract：BACKGROUND:In view of the pending mental health (MH) reform, an increase in demand of MH services is expected. Primary care physicians will presumably be involved in meeting this expected increased demand. OBJECTIVES:To identify the preferable route of service use of populations with MH problems based on data from the...

    journal_title：Family practice

    pub_type： 杂志文章

    doi：10.1093/fampra/cms017

    authors： Lerner Y,Levinson D

    更新日期：2012-10-01 00:00:00

  • Is COPD a rare disease? Prevalence and identification rates in smokers aged 40 years and over within general practice in Germany.

    abstract：BACKGROUND:According to literature, COPD rates are high in spite of decreasing rates of main risk factors smoking and air pollution in developed countries. general practice is a good place to survey unbiased prevalence rates. Ten studies done in general practice over the last 20 years found prevalence rates among smoke...

    journal_title：Family practice

    pub_type： 杂志文章

    doi：10.1093/fampra/cmn084

    authors： Gingter C,Wilm S,Abholz HH

    更新日期：2009-02-01 00:00:00

  • Understanding risk: women's perceived risk of menopause-related disease and the value they place on preventive hormone replacement therapy.

    abstract：OBJECTIVES:The aims of this study were to determine women's perceived risk of menopause-related disease and to understand how this shapes their decisions about taking hormone replacement therapy (HRT) for disease prevention. METHODS:A qualitative study based on analysis of audio-taped semi-structured interviews. The s...

    journal_title：Family practice

    pub_type： 杂志文章

    doi：10.1093/fampra/19.6.591

    authors： Ballard K

    更新日期：2002-12-01 00:00:00

  • Promoting influenza vaccination of elderly patients in primary care.

    abstract：BACKGROUND:Though influenza is a serious health problem for elderly people, their influenza vaccination rate remains low in Switzerland. OBJECTIVE:Our aim was to assess the impact of an intervention combining multiple strategies to promote influenza vaccination of elderly patients in primary care. METHODS:We conducte...

    journal_title：Family practice

    pub_type： 杂志文章

    doi：10.1093/fampra/19.4.383

    authors： Humair JP,Buchs CR,Stalder H

    更新日期：2002-08-01 00:00:00

  • Development and validation of a concise scale for assessing patient experience of primary care for adults in Japan.

    abstract：BACKGROUND:The existing scales to measure patient experience of primary care for adults tend to be with many items and difficult to use outside of the research setting. OBJECTIVE:To develop a Japanese version of Primary Care Assessment Tool Short Form as a concise scale for assessing patient experience of primary care...

    journal_title：Family practice

    pub_type： 杂志文章

    doi：10.1093/fampra/cmz038

    authors： Aoki T,Fukuhara S,Yamamoto Y

    更新日期：2020-02-19 00:00:00

  • Knowledge, opinions and attitudes of primary care physicians about generic drugs: a cross-sectional study.

    abstract：BACKGROUND:Generic drug (GD) use is affected by many factors, including physicians' approach. OBJECTIVE:This study aimed to investigate the knowledge, opinions and attitudes of primary care physicians (PCPs) about GDs and potentially associated factors. METHODS:An adequately representative sample (n = 354) of PCPs wa...

    journal_title：Family practice

    pub_type： 杂志文章

    doi：10.1093/fampra/cmaa138

    authors： Oncu S,Bayram D,Aydin V,Isli F,Aksoy M,Akici A,Ucku R,Gelal A

    更新日期：2020-12-19 00:00:00

  • Management of urinary tract infections in female general practice patients.

    abstract：BACKGROUND:Though guidelines for the management of urinary tract infections (UTI) exist in several European countries, little is known about GPs' adherence, and the appropriateness of their management with regard to antibiotic resistance. OBJECTIVES:To describe German GPs' management of female patients with symptoms o...

    journal_title：Family practice

    pub_type： 杂志文章

    doi：10.1093/fampra/cmh720

    authors： Hummers-Pradier E,Ohse AM,Koch M,Heizmann WR,Kochen MM

    更新日期：2005-02-01 00:00:00

  • Parental experiences and attitudes regarding the management of acute otitis media--a comparative questionnaire between Finland and The Netherlands.

    abstract：BACKGROUND:Both treatment guidelines and the amount of antibiotics used for acute otitis media (AOM) vary across western countries. Parental expectations and their awareness of antimicrobial use and resistance, which may also be influenced by the guidelines, are not yet completely known. OBJECTIVE:To compare parental ...

    journal_title：Family practice

    pub_type： 杂志文章

    doi：10.1093/fampra/cmp055

    authors： Tähtinen PA,Boonacker CW,Rovers MM,Schilder AG,Huovinen P,Liuksila PR,Ruuskanen O,Ruohola A

    更新日期：2009-12-01 00:00:00

  • Measuring general practitioners' attitudes towards medical care.

    abstract：:The construction and development of a questionnaire which measures the attitudes of general practitioners towards their role in the medical care system is described. Factor analytic procedures identified seven reliable factor-based subscales. The subscales measured attitudes towards: a psychological orientation to pat...

    journal_title：Family practice

    pub_type： 杂志文章

    doi：10.1093/fampra/4.3.192

    authors： Cockburn J,Killer D,Campbell E,Sanson-Fisher RW

    更新日期：1987-09-01 00:00:00