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Advances in Primary Health Care and Community Health
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Advances in Primary Health Care and Community Health

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Health Care Sciences".

Deadline for manuscript submissions: 25 June 2025 | Viewed by 6327

Special Issue Editors

Prof. Dr. Francisco Javier Pérez-Rivas

E-Mail Website
Guest Editor
Nursing Department, School of Nursing, Physiotherapy and Podiatry, Complutense University, 28040 Madrid, Spain
Interests: public health; community health care; primary health care; lifestyle; nursing care; vaccines; nursing process; nursing education research
Special Issues, Collections and Topics in MDPI journals
Prof. Dr. María Julia Ajejas Bazán

E-Mail Website
Guest Editor
Nursing Department, School of Nursing, Physiotherapy and Podiatry, Complutense University, 28040 Madrid, Spain
Interests: public health; community health care; vaccines; epidemiology; biostatistics; nursing
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Since the beginning of the global health emergency generated by the COVID-19 pandemic in early 2020, numerous research groups have focused their work on evaluating aspects related to the pandemic itself (vaccines, transmission mechanisms, detection tests, symptom control, etc.). As a result of this research work, a large number of publications related to the pandemic have been produced in recent times. Although this new research focus has been necessary and positive, the priority of researching aspects related to the current emergency should not make us forget the importance of continuing research into other relevant areas of knowledge, as is the case here, in health sciences and public health protection, with the aim of continuing to generate scientific advances in this field. In this sense, many research groups have continued to develop, in many cases with significant limitations and difficulties, but with the required scientific rigor, their lines of research during this period of pandemic. This Special Issue focuses on this research. Specifically, we want to make visible the research carried out in aspects related to community health during the pandemic period, so we welcome original articles and critical reviews developed with this approach, in this period.

You may choose our Joint Special Issue in Healthcare.

Prof. Dr. Francisco Javier Pérez-Rivas
Prof. Dr. María Julia Ajejas Bazán
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • public health
  • community health care
  • primary health care
  • health promotion
  • lifestyle
  • environmental health
  • health care sciences and services
  • chronic disease

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Published Papers (4 papers)

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Research

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15 pages, 364 KiB  
Article
Factors Associated with Communities’ Satisfaction with Receiving Curative Care Administered by Community Health Workers in the Health Districts of Bousse and Boussouma in Burkina Faso, 2024
by Hamed Sidwaya Ouedraogo, Abdoul-Guaniyi Sawadogo, Ahmed Kabore, Badra Ali Traore, Mamadou Traore, Massoudou Harouna Maiga, Marcella Valerie Zombre Sanon and Maxime Koine Drabo
Int. J. Environ. Res. Public Health 2024, 21(9), 1151; https://doi.org/10.3390/ijerph21091151 - 30 Aug 2024
Viewed by 505
Abstract
Background: Since 2010, Burkina Faso has developed and initiated community-based management of childhood illnesses. Following the increased presence of community health workers and the adoption of free community health care, this study aims to assess community satisfaction with curative care administered by community [...] Read more.
Background: Since 2010, Burkina Faso has developed and initiated community-based management of childhood illnesses. Following the increased presence of community health workers and the adoption of free community health care, this study aims to assess community satisfaction with curative care administered by community health workers. Methodology: This was a descriptive and analytical cross-sectional study. Data were collected in the health districts of Boussé and Boussouma from 20 February to 30 March 2023 for quantitative data and from 12 to 30 January 2024 for qualitative data using a questionnaire (household survey) and an interview grid (focus groups). Analyses were conducted using SPSS IBM 25 and Nvivo 14. Results: Households benefit from oral curative care when using Community health workers, but are not satisfied with the temporal accessibility of these community health workers. Temporal accessibility and awareness during care have a significant influence on household satisfaction. Conclusions: Curative care by community health workers is effective, but its use could be improved by addressing the unavailability of community health workers, inputs and better communication during care. Full article
(This article belongs to the Special Issue Advances in Primary Health Care and Community Health)
13 pages, 754 KiB  
Article
Factors Influencing eHealth Literacy among Spanish Primary Healthcare Users: Cross-Sectional Study
by David García-García, María Julia Ajejas Bazán and Francisco Javier Pérez-Rivas
Int. J. Environ. Res. Public Health 2022, 19(23), 15497; https://doi.org/10.3390/ijerph192315497 - 23 Nov 2022
Cited by 3 | Viewed by 1978
Abstract
Background: Adequate eHealth literacy levels empower people to make informed decisions, enhancing their autonomy. The current study assessed a group using primary care services for their eHealth literacy and examined its relationship with sociodemographic characteristics. Methods: Adult patients in need of primary care [...] Read more.
Background: Adequate eHealth literacy levels empower people to make informed decisions, enhancing their autonomy. The current study assessed a group using primary care services for their eHealth literacy and examined its relationship with sociodemographic characteristics. Methods: Adult patients in need of primary care nursing services participated in this cross-sectional study, which was carried out in a healthcare center in the Madrid region of Spain. Through systematic random sampling, 166 participants were chosen for the study. The eHealth Literacy Questionnaire was used to assess eHealth literacy (eHLQ). Results: The studied population showed higher eHealth literacy scores in dimensions 2 (“understanding of health concepts and language”) and 4 (“feel safe and in control”); the lowest scores were recorded for dimensions 1 (“using technology to process health information”), 3 (“ability to actively engage with digital services”), and 7 (“digital services that suit individual needs”). People with completed secondary education and a better-perceived health status who were younger and employed showed a higher level of eHealth literacy. Conclusions: The findings advance our knowledge of the variables affecting eHealth literacy. We may be able to understand patients’ needs and provide them with greater support if we can pinpoint the areas where they demonstrate the lowest eHealth literacy. Full article
(This article belongs to the Special Issue Advances in Primary Health Care and Community Health)
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14 pages, 457 KiB  
Article
Health Literacy and Its Sociodemographic Predictors: A Cross-Sectional Study of a Population in Madrid (Spain)
by David García-García and Francisco Javier Pérez-Rivas
Int. J. Environ. Res. Public Health 2022, 19(18), 11815; https://doi.org/10.3390/ijerph191811815 - 19 Sep 2022
Cited by 6 | Viewed by 2204
Abstract
Background: Health literacy enhances a population’s self-care capacity and helps to reduce health inequalities. This work examines the health literacy of a population attending primary care services and explores its relationship with sociodemographic factors. Methods: This cross-sectional study, conducted at a healthcare center [...] Read more.
Background: Health literacy enhances a population’s self-care capacity and helps to reduce health inequalities. This work examines the health literacy of a population attending primary care services and explores its relationship with sociodemographic factors. Methods: This cross-sectional study, conducted at a healthcare center in the Madrid region (Spain), involved adult patients requiring primary care nursing services. One hundred and sixty-six participants were recruited via systematic random sampling. Health literacy was measured using the Health Literacy Questionnaire (HLQ). Results: The studied population showed higher health literacy scores for literacy dimensions 1 (feeling understood and supported by healthcare providers) and 4 (social support for health); the lowest scores were recorded for dimensions 5 (appraisal of health information) and 8 (ability to find good health information). People with a better perceived health status showed a higher level of health literacy. People over 65 years of age, those with an incomplete secondary education, and those who were unemployed returned lower scores for several literacy dimensions. Conclusions: The results contribute to our understanding of the factors that influence health literacy. Identifying the areas in which patients show the poorest health literacy may help us comprehend their needs and better support them. Full article
(This article belongs to the Special Issue Advances in Primary Health Care and Community Health)
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Other

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28 pages, 729 KiB  
Systematic Review
What Interventions Work to Reduce Cost Barriers to Primary Healthcare in High-Income Countries? A Systematic Review
by Bailey Yee, Nisa Mohan, Fiona McKenzie and Mona Jeffreys
Int. J. Environ. Res. Public Health 2024, 21(8), 1029; https://doi.org/10.3390/ijerph21081029 - 5 Aug 2024
Viewed by 849
Abstract
High-income countries like Aotearoa New Zealand are grappling with inequitable access to healthcare services. Out-of-pocket payments can lead to the reduced use of appropriate healthcare services, poorer health outcomes, and catastrophic health expenses. To advance our knowledge, this systematic review asks, “What interventions [...] Read more.
High-income countries like Aotearoa New Zealand are grappling with inequitable access to healthcare services. Out-of-pocket payments can lead to the reduced use of appropriate healthcare services, poorer health outcomes, and catastrophic health expenses. To advance our knowledge, this systematic review asks, “What interventions aim to reduce cost barriers for health users when accessing primary healthcare in high-income countries?” The search strategy comprised three bibliographic databases (Dimensions, Embase, and Medline Web of Science). Two authors selected studies for inclusion; discrepancies were resolved by a third reviewer. All articles published in English from 2000 to May 2022 and that reported on outcomes of interventions that aimed to reduce cost barriers for health users to access primary healthcare in high-income countries were eligible for inclusion. Two blinded authors independently assessed article quality using the Critical Appraisal Skills Program. Relevant data were extracted and analyzed in a narrative synthesis. Forty-three publications involving 18,861,890 participants and 6831 practices (or physicians) met the inclusion criteria. Interventions reported in the literature included removing out-of-pocket costs, implementing nonprofit organizations and community programs, additional workforce, and alternative payment methods. Interventions that involved eliminating or reducing out-of-pocket costs substantially increased healthcare utilization. Where reported, initiatives generally found financial savings at the system level. Health system initiatives generally, but not consistently, were associated with improved access to healthcare services. Full article
(This article belongs to the Special Issue Advances in Primary Health Care and Community Health)
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