Integrative literature review: access to primary healthcare services

Abstract

The access to services is a challenge in many countries and some strategies and policies are implemented to solve and improve primary health care.

Impact of self‐care programmes in type 2 diabetes mellitus population in primary health care: Systematic review and meta‐analysis

“…However, certain segments of the population are not regular users of primary health care and it is difficult to improve their health outcomes. On the other hand, the accessibility to primary healthcare services is not guaranteed in some countries or population groups (socioeconomically disadvantaged people) (Figueira, Silva, & Silva, ; Ford, Wong, Jones, & Steel, ). Alternatives such as the use of tele‐coaching (Yu‐Mei Chen, Wu, Chan, & Goh, ) or mobile phone text messages (Haider, Sudini, Chow, & Cheung, ) for improving metabolic and CVRF control have shown hopeful results, although they are not available in all healthcare systems.…”

Social representations of nursing students on the rights of health users

“…In this analysis, the minimum frequency was 5 and the mid frequency was 11, as shown in Chart 2. The upper left quadrant is the possible central core of SR; it contains the words that are highlighted in the discourses and that were the most cited by the students, consisting of the following evocations: humanization (16), good service (16) and access (14). The peripheral elements, which are close to the reality of the subjects, are located around the central core and divided into first periphery and second periphery.…”

“…The evocation "laws" appeared in the discourse; however, it appears in the contrast zone, in a tie with the evocations words "quality" and "precariousness". These terms that are within the The first periphery contains the words cited with a high frequency, greater than or equal to 11, and high AOE, namely: values (16), equality (12), hospital (11). On the other hand, the second periphery contains evocations with low frequency and high AOE: quality (8), knowledge (8), neglect (6), training (5) and care (5 evaluative dimension evoke the idea of opposition, as they are sometimes positive, sometimes negative, such as "good" and "good service" as opposed to "neglect", "bad service" and "precariousness".…”

“…On the other hand, the second periphery contains evocations with low frequency and high AOE: quality (8), knowledge (8), neglect (6), training (5) and care (5 evaluative dimension evoke the idea of opposition, as they are sometimes positive, sometimes negative, such as "good" and "good service" as opposed to "neglect", "bad service" and "precariousness". This conflict in the evaluation of health services in Brazil is found especially when it comes to the evaluation of the SUS (13)(14)(15)(16)(17)(18) . In the conceptual dimension, the term "laws" also appeared.…”

Continuity of Hospital Discharge Care for Primary Health Care: Spanish Practice

“…In this context, the relevance of the role of nurses in constructing longitudinal care stands out through their work with users in embracement, nursing consultation, home visits or assistance and the development of educational and health promotion actions. [27][28][29] In Barcelona, care coordination has been a priority objective of the health system to improve the quality and efficiency of chronic conditions, which require the intervention of several professionals and services. According to managers and health professionals, care coordination is an agreement between care levels that avoids duplication of services, loss of time and unnecessary displacement of patients.…”