Planning primary health care provision : assessment of development work at a health centre
At the Primary Health Care Centre in Vännäs (VPHCC), northern Sweden, a development work was implemented in 1976-1980. The overall purpose was to enhance primary health care planning. In trying to improve health care delivery cooperation with community members was initiated and some organizational c...
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Umeå universitet, Socialmedicin
1986
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ftumeauniv:oai:DiVA.org:umu-100557 2023-10-09T21:54:39+02:00 Planning primary health care provision : assessment of development work at a health centre Westman, Göran 1986 application/pdf http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-100557 eng eng Umeå universitet, Socialmedicin Umeå : Umeå universitet Umeå University medical dissertations, 0346-6612 180 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-100557 urn:isbn:91-7174-267-0 info:eu-repo/semantics/openAccess Primary health care planning quality of care evaluation ambulatory care assessment health centre management Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Health Care Service and Management Health Policy and Services and Health Economy Hälso- och sjukvårdsorganisation hälsopolitik och hälsoekonomi Doctoral thesis, comprehensive summary info:eu-repo/semantics/doctoralThesis text 1986 ftumeauniv 2023-09-22T13:48:38Z At the Primary Health Care Centre in Vännäs (VPHCC), northern Sweden, a development work was implemented in 1976-1980. The overall purpose was to enhance primary health care planning. In trying to improve health care delivery cooperation with community members was initiated and some organizational changes like a new appointment system, a new medical record and local care programs for some common diseases were introduced. Official statistics were also used for comparative purposes. The aims of the work were postulated (increased accessibility, higher continuity, more equitable distribution and enhanced cooperation) and suitable methods were designed. From postal surveys, chartreviews and administrative data (from hospitals, out-patient clinics and health centres) figures and information were collected. Accessibility was studied by waiting room time which was reduced and continuity, analyzed with a new concept - visit based provider continuity - was improved. The question of equitable distribution was studied by the consultation rates at different out-patient clinics. It seemed as if the local development work changed the patterns of utilization but some important issues were not decisively answered. Repeated postal surveys reflected the question of equitable distribution and the cooperation between the VPHCC and the community members. Positive responses were recorded in aspects like telephone accessibility and health care information. In a tracer study of diabetes the quality of care was studied. The local care program was actually implemented in the daily practice but the question of care quality needs further penetration. Within the frames of the development work new methods in the health care planning were introduced. Our work started from the prerequisits of the VPHCC and other health centres might find other ways of planning for care provision. On a general level, however, the structure of our work - defining aims, means and evaluation methods - can be used by others. Diss. (sammanfattning) Umeå : Umeå ... Doctoral or Postdoctoral Thesis Northern Sweden Umeå University: Publications (DiVA) |
institution |
Open Polar |
collection |
Umeå University: Publications (DiVA) |
op_collection_id |
ftumeauniv |
language |
English |
topic |
Primary health care planning quality of care evaluation ambulatory care assessment health centre management Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Health Care Service and Management Health Policy and Services and Health Economy Hälso- och sjukvårdsorganisation hälsopolitik och hälsoekonomi |
spellingShingle |
Primary health care planning quality of care evaluation ambulatory care assessment health centre management Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Health Care Service and Management Health Policy and Services and Health Economy Hälso- och sjukvårdsorganisation hälsopolitik och hälsoekonomi Westman, Göran Planning primary health care provision : assessment of development work at a health centre |
topic_facet |
Primary health care planning quality of care evaluation ambulatory care assessment health centre management Public Health Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Health Care Service and Management Health Policy and Services and Health Economy Hälso- och sjukvårdsorganisation hälsopolitik och hälsoekonomi |
description |
At the Primary Health Care Centre in Vännäs (VPHCC), northern Sweden, a development work was implemented in 1976-1980. The overall purpose was to enhance primary health care planning. In trying to improve health care delivery cooperation with community members was initiated and some organizational changes like a new appointment system, a new medical record and local care programs for some common diseases were introduced. Official statistics were also used for comparative purposes. The aims of the work were postulated (increased accessibility, higher continuity, more equitable distribution and enhanced cooperation) and suitable methods were designed. From postal surveys, chartreviews and administrative data (from hospitals, out-patient clinics and health centres) figures and information were collected. Accessibility was studied by waiting room time which was reduced and continuity, analyzed with a new concept - visit based provider continuity - was improved. The question of equitable distribution was studied by the consultation rates at different out-patient clinics. It seemed as if the local development work changed the patterns of utilization but some important issues were not decisively answered. Repeated postal surveys reflected the question of equitable distribution and the cooperation between the VPHCC and the community members. Positive responses were recorded in aspects like telephone accessibility and health care information. In a tracer study of diabetes the quality of care was studied. The local care program was actually implemented in the daily practice but the question of care quality needs further penetration. Within the frames of the development work new methods in the health care planning were introduced. Our work started from the prerequisits of the VPHCC and other health centres might find other ways of planning for care provision. On a general level, however, the structure of our work - defining aims, means and evaluation methods - can be used by others. Diss. (sammanfattning) Umeå : Umeå ... |
format |
Doctoral or Postdoctoral Thesis |
author |
Westman, Göran |
author_facet |
Westman, Göran |
author_sort |
Westman, Göran |
title |
Planning primary health care provision : assessment of development work at a health centre |
title_short |
Planning primary health care provision : assessment of development work at a health centre |
title_full |
Planning primary health care provision : assessment of development work at a health centre |
title_fullStr |
Planning primary health care provision : assessment of development work at a health centre |
title_full_unstemmed |
Planning primary health care provision : assessment of development work at a health centre |
title_sort |
planning primary health care provision : assessment of development work at a health centre |
publisher |
Umeå universitet, Socialmedicin |
publishDate |
1986 |
url |
http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-100557 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_relation |
Umeå University medical dissertations, 0346-6612 180 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-100557 urn:isbn:91-7174-267-0 |
op_rights |
info:eu-repo/semantics/openAccess |
_version_ |
1779318317966688256 |