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Primary healthcare premises are increasingly becoming more sophisticated offering health promotion minor surgery and specialist services. The acquisition of new premises expansion or investment in traditional surgeries can be the greatest financial commitment and also one of the most daunting. This book is specifically written to enable development with minimal disruption to the daily medical routine. The book contains viewpoints of specialists with many years' experience gained from working in their individual fields. It is essential reading for GPs trainees practice managers and professional advisers to general practice. Specialist architects solicitors financial advisors accountants and health authority managers will also achieve a better understanding of this complex subject.
Ask for a definition of primary care, and you are likely to hear as many answers as there are health care professionals in your survey. Primary Care fills this gap with a detailed definition already adopted by professional organizations and praised at recent conferences. This volume makes recommendations for improving primary care, building its organization, financing, infrastructure, and knowledge baseâ€"as well as developing a way of thinking and acting for primary care clinicians. Are there enough primary care doctors? Are they merely gatekeepers? Is the traditional relationship between patient and doctor outmoded? The committee draws conclusions about these and other controversies in a comprehensive and up-to-date discussion that covers: The scope of primary care. Its philosophical underpinnings. Its value to the patient and the community. Its impact on cost, access, and quality. This volume discusses the needs of special populations, the role of the capitation method of payment, and more. Recommendations are offered for achieving a more multidisciplinary education for primary care clinicians. Research priorities are identified. Primary Care provides a forward-thinking view of primary care as it should be practiced in the new integrated health care delivery systemsâ€"important to health care clinicians and those who train and employ them, policymakers at all levels, health care managers, payers, and interested individuals.
Primary Care Centres explores the process of planning and designing buildings for frontline medical practice. Taking as a starting point the concept that good design contributes directly to healthy living, the book shows beneficial effects that a good design brief can bring to the staff, patients and visitors of health care facilities. It outlines principles for designs that are both practical and useful. International case studies of healthcare facilities in the UK, US, Japan and South Africa provide technical detail and give best practice examples of well-designed healthy living centres, with an emphasis on building performance and catering for the latest government policy developments. This new edition provides trusted guidance on investing in effective architecture for architects and project managers involved in the design of healthcare facilities. Dr Geoffrey Purves is Chairman of Purves Ash LLP, a firm of Architects in Newcastle upon Tyne. He has held a range of professional appointments with the Royal Institute of British Architects and is an Honorary Research Associate at Durham University.
The global health community is broadly in agreement that achievement of the health-related Sustainable Development Goals (SDGs) hinges upon both an escalation of the financial resources dedicated to primary health care (PHC) and a more effective use of those resources: more money, better spent. This book introduces and explicates the end-to-end resource tracking and management (RTM) framework, which includes five components that determine effective and efficient financing for PHC: resource mobilization, allocation, utilization, productivity, and targeting.In addition, this book compiles detailed results from the most recent RTM-based resource tracking efforts for PHC in selected countries. This is to demonstrate how the RTM framework can be used to bring a set of separate resource tracking efforts at different stages of flow of funds into a comprehensive process with an end-to-end 'storyline'. In order to build a functional PHC system that addresses access, quality, and equity issues, this book highlights the key (public) financing issues that researchers, technical advisors, and policy makers would need to address in addition to more resources.
From the Foreword by Rob Smith, Director of Estates andFacilities (NHS England), Department of Health ‘The built environment for the delivery of Healthcare willcontinue to change as it responds to new technologies andmodalities of care, different expectations and requirements ofproviders and consumers of care. It is vital that built environmentstudents and practitioners alike avail themselves of the bestpossible information to guide them in their studies, continuingprofessional development and the delivery of their tasks. The rangeis enormous from the assessment of need, planning the servicedelivery to design, construction, commissioning, maintenance andoperation of the healthcare environment. The book that follows addresses these areas from a blend ofcontributions of experienced practitioners to the descriptions ofthe output from recent research that moves forward the frontiers ofknowledge and practice in the many areas of the healthcare builtenvironment. I happily commend this book to all engaged in the excitingfields of planning, delivering, maintaining and operatinghealthcare environments. When we get it right, we are able to doimmeasurable good.’ This book helps academic researchers as well as practitioners tounderstand how the healthcare infrastructure sector works byaddressing the crucial issue of healthcare delivery from a builtenvironment perspective. It explains the trends in healthcare, models of healthcaredelivery; healthcare planning; the NHS building and investmentprogrammes; the procurement process; and facilities management;financial models – including PFI and LIFT; risk allocationand partnering. Past investigations in the area of healthcare delivery haveconcentrated on either the medical aspects or the design issues ofbuildings but Improving Healthcare through Built EnvironmentInfrastructure is unique in considering the ‘meetingspace’ of built environment technologies and modern methodsof procurement with the medical and operational needs of healthcaresettings. The authors have brought together key industrialists andacademics, all heavily involved in the formulation and delivery ofnew practices. Case studies illustrate how policies and healthcaremodels are implemented in practice and help identify the keychallenges for the future.
The planning and design of healthcare facilities has evolved over the previous decades from "function follows design" to "design follows function." Facilities stressed the functions of healthcare providers but patient experience was not fully considered. The design process has now crucially evolved, and currently, the impression a hospital conveys to its patients and community is the primary concern. The facilities must be welcoming, comfortable, and exude a commitment to patient well-being. Rapid changes and burgeoning technologies are now major considerations in facility design. Without flexibility, hospitals face quicker obsolescence if designs are not forward-thinking. Planning and Designing Healthcare Facilities: A Lean, Innovative, and Evidence-Based Approach explores recent developments in hospital design. Medical facilities have been adapted to the requirements of clinical functions. Recently, the needs of patients and clinical pathways have been recognized. With the patient at the center of the process, the flow of tasks becomes the guiding principle as hospital design must employ evidence-based thinking, and process management methods such as Lean become central. The authors explain new concepts to reduce healthcare delivery cost, but keep quality the primary consideration. Concepts such as sustainability (i.e., Green Hospitals) and the use of new tools and technologies, such as information and communication technology (ICT), Lean, and evidence-based planning and innovations are fully explained.
For many citizens primary health care is the first point of contact with their health care system, where most of their health needs are satisfied but also acting as the gate to the rest of the system. In that respect primary care plays a crucial role in how patients value health systems as responsive to their needs and expectations. This volume analyses the way how primary are is organized and delivered across European countries, looking at governance, financing and workforce aspects and the breadth of the service profiles. It describes wide national variations in terms of accessibility, continuity and coordination. Relating these differences to health system outcomes the authors suggest some priority areas for reducing the gap between the ideal and current realities.
Good leadership and governance at all levels of the healthcare system is necessary for better performance of the system and health outcomes. Lack of good leadership and governance practices can lead to misuse of health system inputs such as human resources, health commodities and financial resources hence lowering the quality of services delivered. Thus, this guide was developed through collaborative efforts envisioned to respond to the needs of improving good governance practices at the primary healthcare level in resource-limited healthcare systems. Key Features: Improves the management of primary health facilities Helps the health facility managers and teams at primary healthcare level to effectively and efficiently lead and manage the facilities Enumerates practical scenarios on health issues that commonly occur in health facilities and provides alternative ways of addressing the issues raised in the scenarios