Experiences of primary healthcare professionals and patients from an area of urban disadvantage: a qualitative study
| العنوان: | Experiences of primary healthcare professionals and patients from an area of urban disadvantage: a qualitative study |
|---|---|
| المؤلفون: | Walter Kmet, Ron Brooker, Tim Usherwood, Michael Burke, Jennifer Reath, Diana O'Halloran, Hani Bittar, Diana Aspinall, Thava Seelan, Marlee B King |
| المصدر: | BJGP Open BJGP Open, Vol 3, Iss 4 (2019) |
| بيانات النشر: | Royal College of General Practitioners, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | socioeconomic factors, 03 medical and health sciences, 0302 clinical medicine, Nursing, general practitioners, Health care, Remuneration, 030212 general & internal medicine, Socioeconomic status, Disadvantage, Primary health care, lcsh:R5-920, business.industry, Research, 030503 health policy & services, Stakeholder, Health equity, Disadvantaged, delivery of healthcare, lcsh:Medicine (General), 0305 other medical science, Family Practice, business, Psychology, qualitative research, Qualitative research |
| الوصف: | BackgroundThe health disadvantage in socioeconomically marginalised urban settings can be challenging for health professionals, but strong primary health care improves health equity and outcomes.AimTo understand challenges and identify needs in general practices in a socioeconomically marginalised Australian setting.Design & settingQualitative methodology with general practices in a disadvantaged area of western Sydney.MethodSemi-structured interviews with healthcare professionals and their patients were transcribed and analysed thematically under the guidance of a reference group of stakeholder representatives.ResultsA total of 57 participants from 17 practices (comprising 16 GPs, five GP registrars [GPRs], 15 practice staff, 10 patients, and 11 allied health professionals [AHPs]), provided a rich description of local communities and patients, and highlighted areas of satisfaction and challenges of providing high quality health care in this setting. Interviewees identified issues with health systems impacting on patients and healthcare professionals, and recommended healthcare reform. Team-based, patient-centred models of primary health care with remuneration for quality of care rather than patient throughput were strongly advocated, along with strategies to improve patient access to specialist care.ConclusionThe needs of healthcare professionals and patients working and living in urban areas of disadvantage are not adequately addressed by the Australian health system. The authors recommend the implementation of local trials aimed at improving primary health care in areas of need, and wider health system reform in order to improve the health of those at socioeconomic and health disadvantage. |
| تدمد: | 2398-3795 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::cdb423a197f9e6fc5cee4601f64994f0 https://doi.org/10.3399/bjgpopen19x101676 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....cdb423a197f9e6fc5cee4601f64994f0 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 23983795 |
|---|