McWhinney Principles of Family Medicine in Primary Health Care
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Questions and Answers

What type of care involves advanced specialist care, often associated with academic institutions?

  • Primary Care
  • Tertiary Care (correct)
  • Secondary Care
  • Quarternary Care
  • What aspect of patient care is emphasized by the family physician according to the text?

  • Subjective aspects of medicine (correct)
  • Population health
  • Community-wide network
  • Specialized disease knowledge
  • What does Primary Health Care emphasize in its philosophy?

  • Specialist care
  • Curative approach
  • Equity and community empowerment (correct)
  • Organ transplants
  • In which setting does the family physician see every contact with patients as an opportunity for prevention or health education?

    <p>Office</p> Signup and view all the answers

    What is one function of family physicians within a public health system from a public health perspective?

    <p>Serving as the front line of the surveillance system</p> Signup and view all the answers

    What does the family physician consider themselves to be in relation to health care agencies?

    <p>Community-wide network member</p> Signup and view all the answers

    Which of the following best describes the family physician's commitment according to the text?

    <p>Person-focused</p> Signup and view all the answers

    Which level of care within a public health system provides basic promotion, prevention, and curative care?

    <p>Primary Care</p> Signup and view all the answers

    What is a key characteristic of a family physician's approach to practice?

    <p>Preventive care focus</p> Signup and view all the answers

    Which level of care is most associated with organ transplants?

    <p>Quarternary Care</p> Signup and view all the answers

    How does the family physician view their practice according to the text?

    <p>As a population at risk</p> Signup and view all the answers

    What distinguishes the concepts of Primary Care and 'Primary Health Care' according to the text?

    <p>'Primary Health Care' is based on the concept of equity and community empowerment.</p> Signup and view all the answers

    What is the main focus of Primary Health Care (PHC) according to the text?

    <p>Guiding principles governing all aspects of health care provision</p> Signup and view all the answers

    Which of the following is NOT a characteristic of Primary Health Care (PHC) as described in the text?

    <p>Primary medical care</p> Signup and view all the answers

    Who does the 'practice population' in the context of PHC mainly include?

    <p>People who present themselves for care</p> Signup and view all the answers

    What is the main difference between 'The practice population' and 'The population at risk' in the context of PHC?

    <p>'The practice population' includes people who present themselves for care, while 'The population at risk' includes those who are likely to become ill.</p> Signup and view all the answers

    What defines Community Orientated Primary Care (COPC) according to the text?

    <p>A continuous process based on assessed health needs of a community</p> Signup and view all the answers

    Which of the following is a misconception about Primary Health Care (PHC) as stated in the text?

    <p>'Providing only quaternary care'</p> Signup and view all the answers

    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

    • 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
    • Family Medicine recognizes the difference between primary care and Primary Health Care

    • 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.

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