Primary health care in Estonia

Põlluste, Kaja; Lember, Margus

doi:10.5114/fmpcr/58608

Cited by 6 publications

(5 citation statements)

References 14 publications

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“…None of the interviewed patients mentioned receiving support from their primary health care nurse. The primary health care team in Estonia comprises 1-2 nurses working with one GP; furthermore, the primary health care team is the first contact point for any health problem, serving as gatekeepers for the health and wellness needs of a unique patient panel (Põlluste and Lember, 2016). The restructuring of health care delivery relies on a team approach to serving the needs of patients, a shift that is described in a recent 'Position Paper on Mental Health' which mentions the importance of teamwork in primary care to meet the complex needs of patients struggling with suicide bereavement (Smit et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

Coping with suicide loss: a qualitative study in primary health care

Suija

Rooväli²,

Aksen³

et al. 2022

Prim Health Care Res Dev

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Aim: To analyze how people cope with suicide loss and the implications for primary health care. Background: Previous studies have shown that primary health care will often be an initial source of support for those bereaved by suicide. Methods: We included adult persons who were ready to talk about a suicide completed by a person they knew well (family member or close friend). Participants were recruited via mixed media (television, radio, print, social media, etc.). Altogether, we conducted 37 individual interviews, which were recorded using a dictaphone and lasted from 46 to 158 min. The interviews were transcribed verbatim and analyzed using a content analysis method. The interviewees were mostly women (n = 27) and family members (n = 28) of a person who had died by suicide during the years 2012–2018. Findings: We identified two main themes in the data: supporters and barriers in support. Coping with suicide takes time, and support was mostly found among friends and family. Support from GPs was mentioned in the context of diagnosing medical problems and prescribing medicines. Respondents indicated that feeling ashamed and a lack of trust impeded their willingness to seek help from their GP. Unmet needs among the bereaved may increase their risk of diminished mental health outcomes. Thus, primary health care practitioners may have a substantial opportunity to support those who are bereaved by suicide. Conclusion: Primary care providers have an opportunity to provide bereavement support among their patients. Continuing medical education regarding the needs of the bereaved and a coordinated approach among primary care practitioners may be useful to proactively identifying and supporting those in need.

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Section: Discussionmentioning

confidence: 99%

Coping with suicide loss: a qualitative study in primary health care

Suija

Rooväli²,

Aksen³

et al. 2022

Prim Health Care Res Dev

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“…Since the beginning of the 1990s, major changes in the organization of health services were related to the implementation of modern primary health care (Phc) systems, which was supposed to provide more patient-oriented services and to bring the necessary health services closer to the patient [8], as well as to bring together the health and social welfare systems [9]. development of Phc is well studied in both countries [10,11]. however, information about the implementation of social care services is very limited, focusing only on specific aspects in Poland [12] or specific user groups in Estonia [13].…”

Section: Discussionmentioning

confidence: 99%

Is home care an issue for primary health care? Expert views from Poland and Estonia

Põlluste¹,

Marcinowicz²,

Chlabicz³

2016

fmpcr

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“…Therefore, it seems that a gate-keeping system which has various applications in europe (e.g. partial gate-keeping system in estonia [39]) deserves special attention in this research area.…”

Section: Interpretation Of the Studymentioning

confidence: 99%

Job satisfaction of family physicians in European countries with different strengths of care coordination

Şahin¹,

Serap²,

Ünalan³

2022

fmpcr

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Background. Job satisfaction of family physicians (FPs) is vitally important not only for the well-being of physicians but also for the quality of health services. Coordination of care is one of the core dimensions of strong primary care. however, studies focused on the association between care coordination and the job satisfaction of FPs is scarce. Objectives. To explore whether the factors influencing the job satisfaction of FPs differ in countries with different strengths of coordination. Material and methods. a cross-sectional study was conducted among FPs in ten european countries which were divided into three groups in terms of care coordination. an online questionnaire was disseminated by e-mail to groups of FPs. Socio-demographic, working conditions and workload features were included as independent variables. Job satisfaction as the outcome variable was measured with one question. The Chi-square test was used for comparative analysis. Results. 278 FPs (72% of the targeted sample size) participated. The job satisfaction of FPs in strong and medium-level care coordination groups was higher than their counterparts in the weak-level care coordination group (p < 0.001). no association was found between the socio-demographics and workload features with job satisfaction. Only the non-existence of a gate-keeping system was associated with the increased job satisfaction of FPs in the medium-level care coordination group (p = 0.01). Conclusions. Primary health care is responsible for the coordination of care within the gigantic healthcare system, and FPs play a role in guiding patients. Studying the association between care coordination and the job satisfaction of FPs might help to build better healthcare systems. The gate-keeping system deserves special attention in this research area.

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Primary health care in Estonia

Cited by 6 publications

References 14 publications

Coping with suicide loss: a qualitative study in primary health care

Coping with suicide loss: a qualitative study in primary health care

Is home care an issue for primary health care? Expert views from Poland and Estonia

Job satisfaction of family physicians in European countries with different strengths of care coordination

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