Exploring training needs of nursing staff in rural Cretan primary care settings

Markaki, Adelais; Alegakis, Athanasios; Antonakis, Nikos; Kalokerinou-Anagnostopoulou, Athena; Lionis, Christos

doi:10.1016/j.apnr.2008.12.002

Cited by 14 publications

(28 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Highly cost-effective interventions are available and have been tested in other countries, as well as in Greece, which should be implemented as part of the national primary care system [40]. Likewise, the role of primary care and public health nurses must be urgently discussed and there is evidence that the capacity of nurses serving in the Greek primary care is underutilized [41–43]. Finally, the development of quality standards in PHC services which are informed by patient-centered models of care are particularly important during the present austerity period in Greece.…”

Section: Discussionmentioning

confidence: 99%

Informing primary care reform in Greece: patient expectations and experiences (the QUALICOPC study)

Lionis

Papadakis

Tatsi

et al. 2017

BMC Health Serv Res

Self Cite

View full text Add to dashboard Cite

BackgroundPrimary health care is the cornerstone of a high quality health care system. Greece has been actively attempting to reform health care services in order to improve heath outcomes and reduce health care spending. Patient-centered approaches to health care delivery have been increasingly acknowledged for their value informing quality improvement activities. This paper reports the quality of primary health care services in Greece as perceived by patients and aspects of health care delivery that are valued by patients.MethodsThis study was conducted as part of the Quality and Costs of Primary Care in Europe (QUALICOPC) study. A cross-sectional sample of patients were recruited from general practitioner’s offices in Greece and surveyed. Patients rated five features of person-focused primary care: accessibility; continuity and coordination; comprehensiveness; patient activation; and doctor–patient communication. One tenth of the patients ranked the importance of each feature on a scale of one to four, and nine tenths of patients scored their experiences of care received. Comparisons were made between patients with and without chronic disease.ResultsThe sample included 220 general practitioners from both public and private sector. A total of 1964 patients that completed the experience questionnaire and 219 patients that completed the patient values questionnaire were analyzed. Patients overall report a positive experiences with the general practice they visited. Several gaps were identified in particular in terms of wait times for appointments, general practitioner access to patient medical history, delivery of preventative services, patient involvement in decision-making. Patients with chronic disease report better experience than respondents without a chronic condition, however these patient groups report the same values in terms of qualities of the primary care system that are important to them.ConclusionsData gathered may be used to improve the quality of primary health care services in Greece through an increased focus on patient-centered approaches. Our study has identified several gaps as well as factors within the primary care health system that patient’s perceive as most important which can be used to prioritize quality improvement activities, especially within the austerity period. Study findings may also have application to other countries with similar context and infrastructure.

show abstract

Section: Discussionmentioning

confidence: 99%

Informing primary care reform in Greece: patient expectations and experiences (the QUALICOPC study)

Lionis

Papadakis

Tatsi

et al. 2017

BMC Health Serv Res

Self Cite

View full text Add to dashboard Cite

show abstract

“…Primary care nursing has a restricted role and nurses that serve rural populations clearly seek for training and recognition of their role [11][12][13]. All the above contribute to the reasons why Greece ranked low when quality and performance in PHC was mapped by European comparative studies [14].…”

mentioning

confidence: 99%

Financial crisis and primary health care in Greece. Is it time for family medicine?

Lionis¹

2015

fmpcr

Self Cite

View full text Add to dashboard Cite

The austerity period in Greece over the past few years has impacted the Greek health care system and more specifically primary care, with the ongoing budget cuts directly affecting the health care sector. This period has impacted access to healthcare services and a great proportion of the population does not receive continuous and personalized care. Primary care is known to be a fragmented system with a lack of integration; the Greek National Health Health System has attempted to improve with clear outcomes; yet there is still room for criticism. A focus of improvements will be considered in the current review. The Greek health care system is unstable and General Practice/Family Medicine still requires further recognition to enhance Primary Care to the general population, although many efforts have been undertaken. The current situation will be explained in this review, examining the tailoring that is required to enhance General Practice/Family Medicine in Greece and if it is necessary. In addition, approaches will be discussed on how to increase the populations' health status and above all to reduce health inequalities; as they are evident in the current health care setting. It is a subject that is receiving prompt attention during this difficult period in Greece. Key words: performance, development, Greece, general practice, quality improvement.Okres oszczędzania w Grecji w ciągu kilku ostatnich lat wpłynął na grecki system opieki medycznej, zwłaszcza na podstawową opiekę medyczną, z powodu powtarzanych cięć budżetowych mających bezpośredni wpływ na sektor opieki zdrowotnej. Okres ten wpłynął na dostęp do świadczeń opieki zdrowotnej, a spora część ludności nie jest objęta stałą i indywidualną opieką. Podstawowa opieka medyczna jest systemem rozdrobnionym i brakuje mu integracji. Grecki NFZ próbował go poprawić, osiągając niewątpliwe rezultaty; jednak jest jeszcze miejsce na krytykę. Działania mające na celu usprawnienie systemu będą rozpatrywane w ramach bieżącej pracy. Grecki system ochrony zdrowia jest niestabilny i podstawowa opieka medyczna/medycyna rodzinna wciąż wymagają uznania, że należy zwiększyć dostęp populacji ogólnej do podstawowej opieki zdrowotnej, choć podejmowano już działania w tym celu. Obecna sytuacja jest opisana w bieżącej pracy, w tym działania, które są wymagane w celu wzmocnienia podstawowej opieki medycznej/medycyny rodzinnej w Grecji, i ocena, czy jest to konieczne. Ponadto zostaną omówio-ne strategie na rzecz poprawy stanu zdrowia ludności, a przede wszystkim w celu zmniejszenia nierówności dotyczą-cych zdrowia; są one widoczne w bieżącym działaniu opieki zdrowotnej. To jest temat, który wymaga natychmiastowej uwagi w tym trudnym czasie w Grecji.

show abstract

“…The staff comprises Registered Nurses (RN) and nurse assistants (Markaki et al. ). The staff shortage is a result of the economic crisis (Kaitelidou & Kouli ).…”

Section: The Manpower Staffing Hhc Servicesmentioning

confidence: 99%

“…Despite the increased home care education needs of health professionals (Markaki et al. ; Pierrakos et al. ), there are only a few continuing educational programmes on home nursing in operation, probably in relation to the fact that HHC services are still developing.…”

Section: The Manpower Staffing Hhc Servicesmentioning

confidence: 99%