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Wien Med Wochenschr ; 167(13-14): 293-305, 2017 Oct.
Artigo em Alemão | MEDLINE | ID: mdl-27878397

RESUMO

The primary health care in rural areas in Austria is currently determined by challenges such as ageing of the population, the shift towards chronic and age-related illnesses, the specialist medical and hospital-related education and training of physicians' as well growing widespread difficulty of staffing doctor's office. The objective is to realize a general practitioner centered and team-oriented primary health care (PHC) approach by establishing networked primary health care in rural areas of Austria. Using literature research, online survey, expert interviews and expert workshops, we identified different challenges in terms of primary health care in rural areas. Further, current resources and capacities of primary health care in rural areas were identified using the example of the district of Rohrbach. Twelve design dimensions and 51 relevant measurement indicators of a PHC network were delineated and described. Based on this, 12 design approaches of PHC concept for the GP-centered and team-oriented primary health care in rural areas have been developed.


Assuntos
Equipe de Assistência ao Paciente/organização & administração , Atenção Primária à Saúde/organização & administração , Serviços de Saúde Rural/organização & administração , Áustria , Doença Crônica/epidemiologia , Doença Crônica/terapia , Estudos Transversais , Atenção à Saúde/organização & administração , Humanos , Comunicação Interdisciplinar , Colaboração Intersetorial , Assistência Centrada no Paciente/organização & administração , Dinâmica Populacional , Indicadores de Qualidade em Assistência à Saúde/organização & administração
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