Primary Prevention as a Health Practice in Cuba (original) (raw)
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2020
Background To improve care for patients with chronic diseases, a recent policy initiative in Thailand focuses on strengthening primary care including training of the team to deliver healthcare based on the concept of Chronic Care Model (CCM). This study aimed to assess the perception of patients on the health care services after the implementation. Methods We conducted a cross-sectional survey of 4,071 patients with hypertension and/or diabetes registered to 27 primary care units and 11 hospital Non-communicable diseases (NCDs) clinics in 11 provinces.The patients were interviewed at home using a validated questionnaire of the Patient Assessment of Chronic Illness Care (PACIC+). It contains 20 items from the original PACIC, which measure different parts of the CCM, and an additional 6 items assess the 5A Model including assess, advise, agree, assist, and arrange subscales. Upgraded primary care unit (PCUs) were ordinary PCUs with the multi-professional team including a physician. Tr...
Delivering a patient-focused health service: the views of physicians in Barbados
Heath Sociology Review, 2007
The primary aim of this study is the exploration of the views of physicians in Barbados on the provision of a patient-focused health service. Qualitative interviews were conducted with fifteen physicians based at a teaching hospital in Barbados. The data was analysed in relation to literature on the physician-patient relationship with particular reference to 'patient-focused' versus 'provider-focused' approaches to health care delivery. Results were first, that while the concept of patient-focused care has gained some recognition in Barbados over the last five years, several respondents considered health care delivery was in general not patient-focused. Secondly, with regard to the sample of physicians interviewed, there were different approaches to health care delivery and varying extents to which physicians were 'patient-focused' in relation to different issues. Three broad approaches were identified: 'patient-focused', 'provider-focused' and 'intermediate'. Thirdly, physicians could also be grouped into three 'types' consistent with these three broad approaches; that is, patient-focused, provider-focused, and intermediate.