Журнал общей практики

Although the advantages of population-based breast cancer screening are now widely acknowledged, programmes frequently fall short of their full potential in practise. In order to comprehend the elements that affect screening programmes' results, we present a conceptual model in this study that places screening programmes within the context of the larger health system. In our opinion, the overall screening system consists of several sub-systems that work together to identify at-risk populations, produce knowledge about how well they work, increase uptake, run the programme, and optimise follow-up and treatment assurance. We created the Barriers to Effective Screening Tool (BEST) based on this paradigm to analyse population-based screening programmes run by the government from the viewpoint of health systems. We tested the tool, which was designed as a self-assessment tool.

Primary healthcare management of chronic diseases affecting Aboriginal and Torres Strait Islander peoples calls for systems that promote improved team-based care and meet healthcare quality and equity requirements. Although elements that facilitate or impede integration within these contexts need to be better explored, non-dispensing pharmacists (NDPs) integrated within primary healthcare settings can improve the quality of patient care. A new comprehensive approach to disaster management (DM) has been established in recent years, stressing prevention and preparedness measures as well as effective resource and information coordination. The World Health Organization (WHO) released the Health Emergency and Disaster Risk Management (H-EDRM) Framework in 2019 to highlight the crucial role that health plays in disaster preparedness (DM) and to provide detailed instructions for creating resilient health infrastructures and lowering the risks and effects of emergencies and disasters on human health. The Sendai Framework for Disaster Risk Reduction 2015–2030, the International Health Regulations, the Paris Agreement on Climate Change, and other prior international instruments with the goal of improving health disaster preparedness are all incorporated into the H-EDRM framework.

Introduction: Substance use disorders (SUDs) have an impact on physicians' health and quality of life, as well as possibly on the care they provide. Despite the existence of efficient particular Physician Health Programs (PHPs), physicians with SUD frequently encounter obstacles when attempting to get professional assistance. Therefore, using a multi-perspective approach, we looked at the facilitators and barriers to physicians getting care for SUD. Methods: For two sub studies, a qualitative design was chosen. First, responses to two open-ended questionnaire items (regarding predicted barriers and facilitators) were examined. 1,685 general practitioners responded to this survey (47% response rate). These open-ended questions responses were inductively coded. Second, 21 semi-structured interviews with physician SUD patients, their partners, and PHP staff members were conducted (regarding experienced barriers and facilitators).