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Development and validation of the Vietnamese primary care assessment tool

. Author Contributions Conceptualization: Nguyen Thi Hoa, Nguyen Minh Tam, Wim Peersman, Anselme Derese, Jeffrey F. Markuns. Data curation: Nguyen Thi Hoa, Wim Peersman. Formal analysis: Nguyen Thi Hoa ... , Wim Peersman, Jeffrey F. Markuns. Funding acquisition: Nguyen Minh Tam, Anselme Derese, Jeffrey F. Markuns. Investigation: Nguyen Thi Hoa, Nguyen Minh Tam. Methodology: Nguyen Thi Hoa, Wim Peersman

Insights of health district managers on the implementation of primary health care outreach teams in Johannesburg, South Africa: a descriptive study with focus group discussions

Background Primary health care (PHC) outreach teams are part of a policy of PHC re-engineering in South Africa. It attempts to move the deployment of community health workers (CHWs) from vertical programmes into an integrated generalised team-based approach to care for defined populations in municipal wards. There has little evaluation of PHC outreach teams. Managers’ insights are ...

The views of migrant health workers living in Austria and Belgium on return migration to sub-Saharan Africa

Background The negative consequences of the brain drain of sub-Saharan African health workers for source countries are well documented and include understaffed facilities, decreased standards of care and higher workloads. However, studies suggest that, if migrated health workers eventually return to their home countries, this may lead to beneficial effects following the transfer of ...

How Competent Are Healthcare Professionals in Working According to a Bio-Psycho-Social Model in Healthcare? The Current Status and Validation of a Scale

Background Over the past decades, there has been a paradigm shift from a purely biomedical towards a bio-psycho-social (BPS) conception of disability and illness, which has led to a change in contemporary healthcare. However, there seems to be a gap between the rhetoric and reality of working within a BPS model. It is not clear whether healthcare professionals show the necessary ...

Associations and Synergistic Effects for Psychological Distress and Chronic Back Pain on the Utilization of Different Levels of Ambulatory Health Care. A Cross-Sectional Study from Austria

The aim of this analysis was to assess the impact of chronic back pain and psychological distress on the utilization of primary and secondary levels of care in the ambulatory health care sector in Austria - a country without a gatekeeping system. Additionally, we aimed to determine if the joint effect of chronic back pain and psychological distress was higher than the impact of the ...

African Female Physicians and Nurses in the Global Care Chain: Qualitative Explorations from Five Destination Countries

). Individuals wishing to access the full transcripts may submit requests to the following individuals in each country: South Africa - Stephen Pentz ( ), Austria - Ruth Kutalek ( ), Belgium Wim Peersman

The views of key leaders in South Africa on implementation of family medicine: critical role in the district health system

Background Integrated team-based primary care is an international imperative. This is required more so in Africa, where fragmented verticalised care dominates. South Africa is trying to address this with health reforms, including Primary Health Care Re-engineering. Family physicians are already contributing to primary care despite family medicine being only fully registered as a ...

What, how and from whom do health care professionals learn during collaboration in palliative home care: a cross-sectional study in primary palliative care

Background Palliative care often requires inter-professional collaboration, offering opportunities to learn from each other. General practitioners often collaborate with specialized palliative home care teams. This study seeks to identify what, how and from whom health care professionals learn during this collaboration. Methods Cross-sectional survey in Belgium. All palliative home ...

A practice-based analysis of combinations of diseases in patients aged 65 or older in primary care

Background Most evidence on chronic diseases has been collected for single diseases whereas in reality, patients often suffer from more than one condition. There is a growing need for evidence-based answers to multimorbidity, especially in primary care settings where family doctors (FD’s) provide comprehensive care for a high variety of chronic conditions. This study aimed to ...

How equal is the relationship between individual social capital and psychological distress? A gendered analysis using cross-sectional data from Ghent (Belgium)

Background Social capital has been related to various aspects of health. While literature suggests that men and women differently access and mobilize social capital, gender has received little attention within social capital research. This study examines whether the association between individual social capital and psychological distress is different for men and women. Methods We ...

Portrayal of the Human Resource Crisis and Accountability in Healthcare: A Qualitative Analysis of Ugandan Newspapers

Background Uganda is one of the 57 countries with a critical shortage of health workers. The aim of this study was to determine how the human resources and health service crisis was covered in Ugandan newspapers and, in particular, how the newspapers attributed accountability for problems in the health services. Methods We collected all articles related to health workers and health ...

Human resources for primary health care in sub-Saharan Africa: progress or stagnation?

Background The World Health Organization defines a “critical shortage” of health workers as being fewer than 2.28 health workers per 1000 population and failing to attain 80% coverage for deliveries by skilled birth attendants. We aimed to quantify the number of health workers in five African countries and the proportion of these currently working in primary health care facilities, ...

The impact of neighborhood deprivation on patients’ unscheduled out-of-hours healthcare seeking behavior: a cross-sectional study

Background The use of unscheduled out of hours medical care is related to the social status of the patient. However, the social variance in the patient’s preference for a hospital based versus a primary care based facility, and the impact of specific patient characteristics such as the travel distance to both types of facilities is unclear. This study aims to determine the social ...

Patient satisfaction with availability of general practice: an international comparison

Objective. To identify associations between the characteristics of general practitioners and practices, and patients’ evaluations of the availability of general practice. Design. Written surveys completed by patients. Setting. General practice care in nine European countries: Denmark, Germany, The Netherlands, Norway, UK, Belgium (Flanders and Wallonia), Switzerland, Slovenia, and ...