FCM-1.2 Family and Community Oriented Primary Care.pdf

FAMILY AND COMMUNITY ORIENTED work with many different patients and have PRIMARY CARE broad knowledge about various physical, psychological and soci...

FAMILY AND COMMUNITY ORIENTED work with many different patients and have PRIMARY CARE broad knowledge about various physical, psychological and social ailments that may Family Oriented Primary Care - holistic medical affect their patients. approach that focuses the family. The main purpose of primary care is to improve the health of the public by providing - Helps individuals in that certain family easy access to medical care. It also focuses function as a very good functional unit of the on the whole individual rather than on the community at the same time being happy illness of a specific organ, system or and free from diseases. disease. It aims to improve their entire - Each member of the family will be involved health and well- being by preventing or in your treatment plan. solving any health problems that may be present or potentially present. Community Oriented Primary Care - going and immersing to the community, then assessing Primary care - how you deliver your services to diagnosing, and providing interventions necessary your patients; our responsibility as a Doctor via the for the group members of the community mandate of the system of primary health care. - Target your management on the whole Primary healthcare - the healthcare system itself; community and not on certain family alone implemented by LGU and Provincial Government - You will be assigned to a certain barangay wherein you will function as a primary care Key Roles of Primary Care Practitioners Doctor. According to the WHO, there are several key roles - that primary care practitioners fulfill in their pursuit (Example, There is a TB in a brgy., what will be your of this goal. These include: plan of management?) 1. Understand the problem 1. providing a wider coverage of health care 2. Identify risk factors 2. preventing social disparities in health care 3. Perform a lay forum. 3. organizing health services to meet health needs Lay forum - a common example of community 4. helping to make health and health care a intervention; a barangay discussion on the part of public policy in every sphere identified community problem 5. helping to train leaders in effective health care Primary Care 6. increasing the level of participation by all It is a model of care that supports first those who have a stake in health, whether contact, accessible, continuous, patients, physicians, public health workers, comprehensive and coordinated person- or those in the allied health services. focused care. It aims to optimize population health and reduce disparities across the Allied health services - these are our support population by ensuring that subgroups have groups. (Occupational Therapists, Medtechs, equal access to services. Pharmacist) It is the initial point of contact between a patient and the healthcare system that When implemented correctly, primary care is very provides individuals with access to the beneficial for the health of patients and also information and resources they need for reduces the financial burden on the public health optimal health outcomes. The role of system. This is partly because of fewer primary healthcare professionals typically 1 Dr PERCY P. CATEDRILLA SLIDES Notes: hospitalizations and less need for secondary and Family Oriented Primary Care tertiary healthcare services. This approach involves thinking about a Other benefits of Primary Care include: symptom or problem in the context of the 1. Increased access to healthcare services whole person and the person’s significant 2. Improved quality of healthcare others. It incorporates and expands upon a 3. Focus on preventive health traditional biomedical approach 4. Early interventions to prevent health It does not mean that the physician or nurse conditions form developing practitioner always sees the entire 5. Improved patient relationships household together. 6. Reduced need for specialist care Evidence is beginning to support that 7. Economic benefit in the form of several planned and purposeful family participation linked jobs in healthcare can be useful to the patient, the family, and the clinician. However, there are also several barriers that inhibit the benefits of primary care. A shortage of primary Basic Premises of FOPC care physicians is a significant challenge and the Premise 1: demand for new practitioners is currently growing at Family Oriented Healthcare is Based on a a faster rate than the supply. Additionally, the Biopsychosocial Systems Approach quality of care is variable between different practitioners, regions and countries. Premise 2: The Primary Focus of Healthcare is the Patient Barriers inhibiting the benefits of primary care: in the Context of the Family A shortage of primary care physicians is a significant challenge, and the demand for To think of the patient in the context of the family as new practitioners is currently growing at a the “focus” rather than the “unit” of medical care. faster rate than the supply. The quality of care is variable between The physician is reminded of the importance of the different practitioners, regions and person and the significance of the family’s influence countries. on the individual Geographically Isolated and Disadvantaged Premise 3: Areas (GIDA) The Patient, Family, and Clinician Are partners refers to communities with marginalized in HealthCare population physically and socio- economically separated from the Family-oriented healthcare providers make use of mainstream society the patient and his/ her family as a resource to gain the most significant information for understanding Doctors to the Barrio Program symptoms and planning treatment. a medical doctor is assigned to the far flung area to render medical service Premise 4: implemented by the late Senator Juan The Family-Oriented Clinician is part of the Flavier (Former Secretary of Health of Treatment System Philippines) Patient’s level of comprehension basic factor that influences patient’s behavior towards medical intervention 2 Notes: Community Oriented Primary Care (COPC) A blending of public health practice and clinical medicine A system approach to the practice of medicine in the community built on principles of epidemiology and community organizing COPC Blends: a. Public health and personal health care b. Epidemiology and primary care A systematic process for identifying and addressing the health problems of a defined population. It can be implemented with the resources available in most communities Addresses the environmental and social causes of poor health within a community with the assistance of a primary care physician 5 attributes that are essential to the practice of good primary care are: Accessibility Comprehensiveness Coordination Continuity Accountability 3