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Questions and Answers
What type of care involves advanced specialist care, often associated with academic institutions?
What type of care involves advanced specialist care, often associated with academic institutions?
What aspect of patient care is emphasized by the family physician according to the text?
What aspect of patient care is emphasized by the family physician according to the text?
What does Primary Health Care emphasize in its philosophy?
What does Primary Health Care emphasize in its philosophy?
In which setting does the family physician see every contact with patients as an opportunity for prevention or health education?
In which setting does the family physician see every contact with patients as an opportunity for prevention or health education?
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What is one function of family physicians within a public health system from a public health perspective?
What is one function of family physicians within a public health system from a public health perspective?
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What does the family physician consider themselves to be in relation to health care agencies?
What does the family physician consider themselves to be in relation to health care agencies?
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Which of the following best describes the family physician's commitment according to the text?
Which of the following best describes the family physician's commitment according to the text?
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Which level of care within a public health system provides basic promotion, prevention, and curative care?
Which level of care within a public health system provides basic promotion, prevention, and curative care?
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What is a key characteristic of a family physician's approach to practice?
What is a key characteristic of a family physician's approach to practice?
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Which level of care is most associated with organ transplants?
Which level of care is most associated with organ transplants?
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How does the family physician view their practice according to the text?
How does the family physician view their practice according to the text?
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What distinguishes the concepts of Primary Care and 'Primary Health Care' according to the text?
What distinguishes the concepts of Primary Care and 'Primary Health Care' according to the text?
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What is the main focus of Primary Health Care (PHC) according to the text?
What is the main focus of Primary Health Care (PHC) according to the text?
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Which of the following is NOT a characteristic of Primary Health Care (PHC) as described in the text?
Which of the following is NOT a characteristic of Primary Health Care (PHC) as described in the text?
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Who does the 'practice population' in the context of PHC mainly include?
Who does the 'practice population' in the context of PHC mainly include?
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What is the main difference between 'The practice population' and 'The population at risk' in the context of PHC?
What is the main difference between 'The practice population' and 'The population at risk' in the context of PHC?
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What defines Community Orientated Primary Care (COPC) according to the text?
What defines Community Orientated Primary Care (COPC) according to the text?
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Which of the following is a misconception about Primary Health Care (PHC) as stated in the text?
Which of the following is a misconception about Primary Health Care (PHC) as stated in the text?
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Study Notes
Public Health Systems
- Multiple levels of care within a public health system:
- Primary care: first level of contact with the health system, provides basic promotion/prevention/curative care
- Secondary care: general hospitals, curative approach, some general specialist care
- Tertiary care: advanced specialist care, often associated with academic institutions
- Quarternary care: most advanced specialist care (e.g., organ transplants)
Primary Health Care
- Involves the first level of care in the public health system
- Guided by a philosophy of social development that emphasizes equity and community empowerment
- Seeks to include all elements that play a role in health
- Goes beyond the usual healthcare system
Family Medicine and Public Health
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5 functions of family physicians within a public health system:
- Implementing recommended preventive service guidelines
- Serving as the front line of the surveillance system
- Appropriately referring to the Public Health Department
- Accepting referrals from the Public Health Department
- Interacting constructively with the local health department
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Family Medicine recognizes the difference between primary care and Primary Health Care
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Aims to integrate the systems contributing to the health of the community and individual care
McWhinney Principles of Family Medicine
- 10 principles:
- Committed to the person rather than to a particular body of knowledge
- Seeks to understand the context of the illness
- Attaches importance to the subjective aspects of medicine
- Sees every contact with patients as an opportunity for prevention or health education
- Views practice as a population at risk
- Sees herself as part of a community-wide network of supportive and healthcare agencies
- Able to perform most common procedures and operations appropriate to the district health system
- Sees patients at the office, at their homes, and in hospital
- Manages resources
- Is a lifelong learner
Health for All – Principles of Primary Health Care
- 14 principles:
- Holistic (Biopsychosocial approach)
- Equity and equality
- Accessibility
- Listening to, and learning from, communities
- Teamwork (Multi-disciplinary)
- Health promotion
- Funding and resources (Affordability)
- Other sectors (Intersectoral collaboration)
- Rights (Human Rights) and responsibilities
- Acceptability and appropriateness
- Literature (Evidence-based practice)
- Levels of care and referral
Primary Health Care vs. Practice Population
- Primary Health Care is not defined by:
- Site or level of care delivered
- Qualifications of the healthcare worker
- Primary medical care
- A "package" of cheap interventions for the poor
- Health education
- Disease prevention
- "Touchy-feely" medicine
Practice Population and Population at Risk
- Practice population: patients who present themselves for care
- Population at risk: people who are not yet ill but are likely to become so, or those who do not present themselves for care
Community-Oriented Primary Care (COPC)
- A continuous process by which primary health care is provided to a defined community on the basis of its assessed health needs
- Planned integration of primary care practice and public health
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Description
Test your knowledge of the principles of Family Medicine in Primary Health Care based on the teachings of McWhinney. Topics include patient-centered clinical method, family-oriented primary care, subjective aspects of medicine, and three-stage assessment.