Day 1 :
Keynote Forum
John J Macdonald
Western Sydney University, Australia
Keynote: Title: The social determinants of men’s health
Time : 10:00-10:40
Biography:
Before Professor Macdonald came to Western Sydney University in 1996 he had taught Primary Health Care in Manchester and Bristol universities in the UK as well as in French at INSERM in Paris. He worked in Zambia for ten years, and has worked for shorter periods of time in many countries, such as Nicaragua, Chile, India, Pakistan, Bangladesh, Tanzania, Botswana, South Africa and Hong Kong. He has been on three occasions a consultant to the World Health Organisation in Geneva, most recently in January- February of 2016. He was a consultant to the Male Health Policy of Australia (2010). This work is represented in some of the publications listed below.
He is committed to the social determinants of health, applied also to men and boys. He is a leader of men’s health not only in Australia but overseas and has been an invited speaker on men’s health in many countries.
Abstract:
Title: The social determinants of men’s health
Globally there has been a growth in interest in men’s health in the past two decades. At the time of writing there are three countries with national male health policies: Ireland, Brazil and Australia. The thinking and research on men’s health can (of course in a necessarily oversimplified but nevertheless accurate manner) be seen to revolve around three themes which are to some extent reflected in these policies and other current work on men’s health. These themes are:
- Urological concerns: diseases of the prostate and erectile dysfunction. This strand has considerable support from the medical profession and the pharmaceutical industry
- Men’s behaviour: medical and health sociologists and health promotion professionals draw attention to men’s health threatening behaviour, often ascribed to “masculinity”, seen as a propensity to violence and competition and negative lifestyle choices like smoking and alcohol consumption
- The social determinants of health approach: this strand of thinking draws on the World Health Organization’s promotion of the social determinants of health (the enormous influence of life context on people’s health, like work, the social gradient and social support).
The presentation will overview these approaches to men’s health policies and suggest that the third one (social determinants) can include the other two while providing a way forward, globally, towards an evidence-based approach in the formulation of global men’s health policies.
Recent Publications:
Macdonald, J., Scholes. T, & Powell. K, (2016), Listening to Australian Indigenous men: stories of incarceration and hope, Primary Health Care Research & Development, 17 (6), 568-577
Macdonald J., (2016), A Different Framework for Looking at Men’s Health
International Journal of Men’s Health, Vol 15, NO. 3, Winter, 283-295.
Pirkis, J., Macdonald, J. & English., D.R. (eds) (2016) Expanding the knowledge on male health: findings from the Australian Longitudinal Study on Male Health (Ten to Men) BMC Public Health 2016 16 (Suppl 3)
Macdonald John (2014). Men’s health and wellbeing: Learning through the lifecourse, in Men learning through Life, B Golding, Robert Mark and Annette Foley (Eds), Niace (National Institute of Continuing Education)Leicester pp 34-48.
Macdonald, J. J., Sliwka, G., Smith, A., & Trezise, E. (2014). Pathways to Despair: A Study of Male Suicide (aged 25-44) Public Health Research, 4(2): 62-70
Keynote Forum
Rachel Nissanholtz-Gannot
Ariel University, Israel
Keynote: How do primary care physicians perceive the role of nurses in quality measurement and improvement? The Israeli story
Time : 10:40-11:20
Biography:
Rachel Nissanholtz-Gannot is a Lawyer and serves as the Head of the Department of Health System Management at Ariel University. She is also a Researcher at Myers-JDC-Brookdale Institute in Jerusalem. Her fields of interests are law, health and medical ethics. Her studies include issues such as implementation of the dying patient law, physician-pharma relationship, quality indicators in primary health system and changing role of community nurses.
Abstract:
Abstract
Nurses have become key partners to the medical profession in promoting and monitoring the quality of community-based health services. Israel has had a highly effective national quality monitoring program for community-based health services since 2004. The objective of this study is to analyze Israeli primary care physicians' (PCP's) perceptions of nurses’ roles in that program and their contributions to the monitoring and improvement of healthcare quality. A representative sample of 1000 PCPs in Israel was surveyed using a 73-item questionnaire. Altogether, responses were received from 605 of the 884 physicians (69%) who met the study criteria, for a response rate of 69%. Descriptive analyses were performed. Most respondents (74%) agreed that nurses shared responsibility for improving the quality measures and that nurses contributed to practice quality. Physician characteristics typically had a minor impact on their perceptions as to whether the nurses contributed to quality improvement. Physicians who felt that measurement improved care quality and those supporting program continuations were likelier to perceive nurses to share responsibility. However, in open ended-questions about the changes they had made in their practice as a result of the program, they made minimal reference to nurses’ importance and contributions in improvement of quality indicators. There was a disparity between the closed-ended and open-ended questions regarding the way physicians depicted the roles of nurses in quality monitoring and improvement. This disparity suggests that the nurses’ growing involvement in quality have not yet been fully internalized or appreciated by the physicians.
Keynote Forum
Rachel Nissanholtz-Gannot
Ariel University, Israel
Keynote: How do primary care physicians perceive the role of nurses in quality measurement and improvement? The Israeli story
Time : 10:40-11:20
Biography:
Rachel Nissanholtz-Gannot is a Lawyer and serves as the Head of the Department of Health System Management at Ariel University. She is also a Researcher at Myers-JDC-Brookdale Institute in Jerusalem. Her fields of interests are law, health and medical ethics. Her studies include issues such as implementation of the dying patient law, physician-pharma relationship, quality indicators in primary health system and changing role of community nurses.
Abstract:
Abstract
Nurses have become key partners to the medical profession in promoting and monitoring the quality of community-based health services. Israel has had a highly effective national quality monitoring program for community-based health services since 2004. The objective of this study is to analyze Israeli primary care physicians' (PCP's) perceptions of nurses’ roles in that program and their contributions to the monitoring and improvement of healthcare quality. A representative sample of 1000 PCPs in Israel was surveyed using a 73-item questionnaire. Altogether, responses were received from 605 of the 884 physicians (69%) who met the study criteria, for a response rate of 69%. Descriptive analyses were performed. Most respondents (74%) agreed that nurses shared responsibility for improving the quality measures and that nurses contributed to practice quality. Physician characteristics typically had a minor impact on their perceptions as to whether the nurses contributed to quality improvement. Physicians who felt that measurement improved care quality and those supporting program continuations were likelier to perceive nurses to share responsibility. However, in open ended-questions about the changes they had made in their practice as a result of the program, they made minimal reference to nurses’ importance and contributions in improvement of quality indicators. There was a disparity between the closed-ended and open-ended questions regarding the way physicians depicted the roles of nurses in quality monitoring and improvement. This disparity suggests that the nurses’ growing involvement in quality have not yet been fully internalized or appreciated by the physicians.
- Primary Healthcare | Primary Care Services | Public Health
Location: tokyo
Session Introduction
Rafia Rahman
University of Dhaka, Bangladesh
Title: Substation reduced Health work force syndrome: A way forward for developing countries
Time : 11:40-12:10
Biography:
Rafia Rahman (Assistant Professor) has worked with national and international NGOs for around nine years and then as an Academician , currently working in Institute of Health Economics, University of Dhaka, Bangladesh. She is interested in area of Health Economics, capacity building and sustainability. She take classes on public health, health science, epidemeology, Medical Sociology,Health System and Management in Health Sector.
Abstract:
Worldwide, there were 59.8 million health workers. About two third of them (39.5 million) provide health services. Worlds 57 countries are facing an acute shortage. Different countries of the world address the problem with different strategies. None of strategy is established as accurate solution. The purpose of this study is to describe among the changes, if substitution in the mainstream of health systems, people will get services at very low cost. A structured questioner was taken for in-depth interviews and focus groups. A hypothetical framework was utilized to focus on the changes, crisis and policy implication. Managers and community people suggested if service provide at locality, it will ensure the accessibility, availability and continuity of services. Local people were prepared to adjust quality in terms of waiting time and privacy with ensure referral at higher facility. Non-doctor health care provider having pre-existing medical training, receive top-up training undertake placement for experience and skill. Recommendation is for many diseases effective, cost-efficient interventions would exist.
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Wei Zhu
Sichuan University, China
Title: The research progress of the transitional care model in patients with hemorrhagic stroke
Time : 12:10-12:40
Biography:
Wei Zhu has completed his Bachelor’s degree in Nursing at West China School of Nursing, China. Presently, he is graduated student (Registered Nurse) in West China School of Nursing, majoring in hemorrhagic stroke disease
Abstract:
World health organization reported that stroke was the second leading cause of death in 2015, killed more than 6 million people in 2015 and remained the biggest killer with ischemic heart disease in last 15 years. In China, stroke is the first leading cause of death and disability, causing great demands for post-discharge care form communities and other institutions. The transitional care model was regarded as the first choice to solve this problem. The purpose of this study is to analysis the link and difference in different transitional care model and to describe the use of them in patients with hemorrhagic stroke. Methodology used was searching the online database including PubMed, Medline, Ovid-Embase and so on and review the articles. There were some mature transitional care models all over the world. However, the concept, framework, interventions and evaluation of the models differed greatly. The use of transitional care model in patients with hemorrhagic stroke was effective in reducing the cost of medical care, increasing the quality of life of patients and caregivers. The transitional care model was effective in stroke patients. It was a connection between the hospital and primary health care institutions. More research is needed to build a transitional care model, which is suitable for the health care system, individually.
Disa Dahlma and Eva Ekstrom
Lund University, Sweden
Title: Integrating psychiatry and primary healthcare: Clinical strategies at a primary healthcare clinic in Malmo, Sweden
Time : 13:30-14:30
Biography:
Disa Dahlman has her research concerns in physical health and unmet healthcare needs among people who inject drugs and patients receiving opioid substitution treatment (OST). Her clinical work is focused on easy-accessible primary care for patients’ groups having difficulties overcoming barriers towards primary health care, such as patients in OST.
Abstract:
Symptoms of anxiety and depression are increasing in the Swedish population. Also, patients with severe psychiatric disorders such as psychosis and heroin addiction are over-represented for physical illness such as blood-borne infections, cardiovascular disease and diseases related to tobacco use. Unmet healthcare needs are common in these patient groups. Our primary healthcare clinic aims to integrate psychiatry and primary healthcare. We present a clinical triage model of diagnosing and treating patients with psychiatric illness at primary healthcare level and a model of offering easy-accessible, low-threshold primary healthcare for patients receiving outpatient psychiatric care. Strategy for improving psychiatric care at primary healthcare level: Triage by psychiatric nurse, according to Figure-1; nurse led Antabuse and prescription drug distribution for patients with substance use disorders; patients with complex psychiatric problems are discussed in team with physician, psychiatric nurse, psychologist and counselor and on-site consultations with psychiatrist/psychologist for complex patients. Close collaboration with Addiction Centre Malmö. Strategy for improving access to primary healthcare for patients receiving treatment at psychiatric outpatient clinics: On-site primary healthcare for patients in opioid substitution treatment and yearly on-site health examinations for patients with psychosis.
- Primary Care | Quality in Primary Care
Location: tokyo
Session Introduction
Takafumi Atarashi
Open Medical Consulting of AKT Consulting Group KK, Japan
Title: Generic innovative products
Time : 14:30-15:00
Biography:
Takafumi Atarashi is President of Open Medical Consulting/AKT Consulting Group K.K. After graduating from KEIO University. Takeda experienced MR, marketing, overseas sales, afterwards MBA were acquired in Ashridge, City University in UK, and he was Director of Marketing Division at Roche, BD, Mylan and B+M. He established Open Medical Consulting (OMC) in 2011, and as President of AKT Consulting Group K.K., currently consults life science companies and healthcare organizations using IT technology.
Abstract:
In the past ten years, Japan has taken the form of giving benefits to medical institutions and dispensing pharmacies for dissemination of generic drugs. Among the medicines for which patent wants to break now, generic drugs have nearly 70% market share, but the country aims at something more than 80%.
Meanwhile, long-term listed drugs from the year when the patent expired in 10 to 12 years, will be as the same price as generic drugs. For generic pharmaceutical companies and original drug companies that are not going to develop new drugs are also in a very difficult situation.
In order to overcome competition in the long-listed items and generic drug market, it is necessary not only to price strategy, but also generic innovative product such as
Tablet size changes, DDS change and package changes, have been requested. Japan is required to have value-added generics than other countries.
Panarat Chenchob
Ban Tak Hospital, Thailand
Title: Using a Community - Based Participatory (CBPR) for fortify community nurses competency to enhance district health system
Time : 15:00-15:30
Biography:
Panarat Chenchob has completed her PhD in Nursing (Health-Promotion) from Michigan State University, College of Nursing, USA and Postdoctoral studies from University of Michigan, USA. She is presently working as the Head of the Division of Human Resource Management at Boromarajonani College of Nursing, Buddhachinaraj, Thailand. As a Researcher, she serves in Thailand Primary Care Unit as a Principal Investigator (PI). Her research studies focuses on behavior change in preventing NCDs (The Strengthen Community Nurses’ Competency to enhance District Health System in Northern, Thailand).
Abstract:
The purpose of this participatory action research was to enhance the community nurses performance and heath care providers in primary health care system and community health networks in order to support and develop District Health System (DHS). This study involved the primary health care and community health network in DHS at the 1st, 2nd and 3rd public health region was carried out during June 2015 to June 2017. The result showed that 12 districts achieved to develop a community health and promote health-promotion behaviors, including 40 community nurses, 106 participants in 16 interdisciplinary teams and 72 community health networks. The result of this study suggest that the approach to primary care system development and health, community, which contained important elements were: (1) The development of the potential of primary care nurses in the participant of health- promotion; (2) The encouragement for health-promotion based on the community context learning; (3) The development process with tools “four main and three sub-components” in order to analyze the problem, foundation and communication of community; (4) The encouragement of the local government and public sector for integration in the common goal; and (5) Facilitator for sharing and learning in the health care provider between community health networks. This result can inform health care providers and researchers interested in enhancing the community nurses competency. The encouragement for nurses and health care providers and community health networks should be supported based on the context based of community in order to create a sustainable health system.
Marilia Silva-Paulo
Institute of Public Health, United Arab Emirates
Title: The pathway towards chronic care integration in Abu Dhabi, United Arab Emirates: A mixed method study to explore perspectives of healthcare workers
Time : 15:50-16:30
Biography:
Marilia Silva Paulo is currently finishing her PhD in International Health with specialization in Health Polices and Development. Her field of study is in Health Services Research, more specifically she has been working on how to improve quality in primary health care and delivery of care to chronic patients. Her passion is on improving health systems quality and empowering people to manage their own diseases. She is been working at the Institute of Public Health, College of Medicine and Health Sciences, United Arab Emirates University.
Abstract:
The Chronic Care Model (CCM) is a multicomponent model with an organizational approach that addresses how to deliver care for all individuals with chronic diseases and has its own assessment tools, like the Assessment Chronic Illness Care (ACIC)1,2. Objectives: To explore healthcare workers perception of the level of integration of the Chronic Care Model (CCM) in the daily care of chronic patients. Methodology & Theoretical Orientation: A purposive sample of 14 healthcare workers from Abu Dhabi’s health system was interviewed using a semi-structured topic guide based on the ACIC instrument. A mixed-methods approach was used, as interviews were recorded, transcribed verbatim, and subject to content analysis using words as the unit. Following each question on the topic guide, participants scored the corresponding ACIC subscale from 0 (limited support) to 11 (fully developed). Findings: Delivery system design was the element with the highest score 8.5 and the only fully developed element to support chronic illness care. All the other elements were rated as reasonably good with scores between 6.3 (community) and 8.1 (health system). Participants awarded high scores for some components; however, the qualitative findings did not always support the quantitative data indicating that the transition from doctor-centered to patient-centered is still in process. Conclusion & Significance: Abu Dhabi’s health system currently provides good support for chronic illness care. Strategies have been implemented to create a pathway towards the full development of the CCM best practices and healthcare excellence.
Retno Asti Werdhani
Medical Education coordinator in department of community medicine
Title: How community medicine implicates the design and delivery of future medical education?
Biography:
Retno Asti Werdhani, born in Jakarta, August 25, 1975. Graduated School of Medicine University of Indonesia in 2000 and joined the faculty of medicine since 2001 in the department of community medicine. She has been a member of Medical Education Unit Faculty of Medicine University of Indonesia since 2010. She earned her master in clinical epidemiology in 2006 and graduated from doctoral of medicine in 2016. Currently she works as medical education coordinator in department of community medicine since 2014 and continue developing the role of community medicine in undergraduate medical curriculum.
Abstract:
Abstract (300 word limit)
It was observed that teaching of the Community Medicine/Public Health subjects have already existed, but without links among departments. Primary Care Doctors are usually considered one of the leaders of health system and they should provide leadership in healthcare delivery as well as health system reform. Therefore, fresh graduate doctors who, in our country, will work in primary care (at least 1 year after graduation), need to understand various aspects of socio-demographic phenomenon to create a bridge between population and health. To create the bridge between population and health, there is a necessity of community medicine in medical education. Medical graduates have limited awareness of ongoing health challenges that health systems are facing. There are also lacks of effective teamwork and leadership as well as low interest in public health/community health among undergraduate students.1
Community Oriented Medical Education (COME) is an approach to medical education, which is focused on population groups and individual persons as well as all aspects of priority of health problems.2There are Five keys strategic direction according to WHO strategic framework for strengthening undergraduate medical education in addressing current health challenges.3Faculty of Medicine Universitas Indonesia has experience on implementing those strategies, one of which is a multi-department (community and clinical medicine) longitudinal and integrated clerkship module.4The module consist of many field practices (hospital and primary care based), and multidepartment personnel (committee and tutors), as well as medical education unit as our advisor.5
Shaimaa abdel Ati
Faculty of Vet. Med. Moshtohor, Benha University
Title: Chemopreventive effect of anovel nanoomposite against Benzo[a]pyrene induced lung carcinogenesis
Biography:
Coming Soon
Abstract:
Rachel Nissanholtz-Gannot
Head of the department of Health System Management at Ariel University
Title: How do primary care physicians perceive the role of nurses in quality measurement and improvement? The Israeli story
Biography:
Dr Rachel Nissanholtz-Gannot is a lawyer and serves as the head of the department of Health System Management at Ariel University. She is also a researcher at Myers-JDC-Brookdale Institute in Jerusalem. Her fields of interests are law, health and medical ethics. Her studies include issues, such as: Implementation of the Dying Patient Law; Physician – Pharma Relationship; Quality Indicators in Primary Health System; Changing Role of Community Nurses. The current study was published and Rachel is planning to continue another research on this issue.
Abstract:
Nurses have become key partners to the medical profession in promoting and monitoring the quality of community-based health services. Israel has had a highly effective national quality monitoring programme for community-based health services since 2004. The objective of this study is to analyse Israeli primary care physicians' (PCP's) perceptions of nurses’ roles in that program and their contributions to the monitoring and improvement of healthcare quality.
A representative sample of 1000 PCPs in Israel were surveyed using a 73-item questionnaire. . Altogether, responses were received from 605 of the 884 physicians (69%) who met the study criteria, for a response rate of 69%. Descriptive analyses were performed.
Most respondents (74%) agreed that nurses shared responsibility for improving the quality measures and that nurses contributed to practice quality. Physician characteristics typically had a minor impact on their perceptions as to whether the nurses contributed to quality improvement. Physicians who felt that measurement improved care quality and those supporting programme continuation were likelier to perceive nurses to share responsibility. However, in open ended-questions about the changes they had made in their practice as a result of the programme, they made minimal reference to nurses’ importance and contributions in improvement of quality indicators
There was a disparity between the closed-ended and open-ended questions regarding the way physicians depicted the roles of nurses in quality monitoring and improvement. This disparity suggests that the nurses’ growing involvement in quality have not yet been fully internalised or appreciated by the physicians
Rachel Nissanholtz-Gannot
Head of the department of Health System Management at Ariel University
Title: How do primary care physicians perceive the role of nurses in quality measurement and improvement? The Israeli story
Biography:
Dr Rachel Nissanholtz-Gannot is a lawyer and serves as the head of the department of Health System Management at Ariel University. She is also a researcher at Myers-JDC-Brookdale Institute in Jerusalem. Her fields of interests are law, health and medical ethics. Her studies include issues, such as: Implementation of the Dying Patient Law; Physician – Pharma Relationship; Quality Indicators in Primary Health System; Changing Role of Community Nurses. The current study was published and Rachel is planning to continue another research on this issue.
Abstract:
Nurses have become key partners to the medical profession in promoting and monitoring the quality of community-based health services. Israel has had a highly effective national quality monitoring programme for community-based health services since 2004. The objective of this study is to analyse Israeli primary care physicians' (PCP's) perceptions of nurses’ roles in that program and their contributions to the monitoring and improvement of healthcare quality.
A representative sample of 1000 PCPs in Israel were surveyed using a 73-item questionnaire. . Altogether, responses were received from 605 of the 884 physicians (69%) who met the study criteria, for a response rate of 69%. Descriptive analyses were performed.
Most respondents (74%) agreed that nurses shared responsibility for improving the quality measures and that nurses contributed to practice quality. Physician characteristics typically had a minor impact on their perceptions as to whether the nurses contributed to quality improvement. Physicians who felt that measurement improved care quality and those supporting programme continuation were likelier to perceive nurses to share responsibility. However, in open ended-questions about the changes they had made in their practice as a result of the programme, they made minimal reference to nurses’ importance and contributions in improvement of quality indicators
There was a disparity between the closed-ended and open-ended questions regarding the way physicians depicted the roles of nurses in quality monitoring and improvement. This disparity suggests that the nurses’ growing involvement in quality have not yet been fully internalised or appreciated by the physicians