Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
Challenges in primary health care
Component Of What Is Primary Health Care
Component Of What Is Primary Health Care
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Recommended: Challenges in primary health care
ACCESSIBILITY
Primary health care was established to cater to the needs of everyone. In 1978 Alma Ata declaration was signed by the members of world health organisation (WHO), to ensure that everyone gets access to good primary health care. The importance of primary health care is having an essential approach to health and the community’s development, and to reduce differences and to improve the people 's well-being (Alma Ata, 1978). The health care service should be accessible, closer and able to cater to individuals, families and the community using the New Zealand healthcare system. New Zealand healthcare system policy states that Primary health organisations (PHOs) are funded by district health boards (DHBs) to ensure the provision of essential
…show more content…
Alma Ata 1978 states that Primary health care is essential to the people living in communities and should be accessible to the members of the community, their families and individuals, and at a cost that the given country can afford. This is why healthy village action zone (HVAZ) is funded by the Auckland district health board (ADHB), 3 primary health organisations (PHO) and the Tongan health society. The funds from the DHB goes through the PHO to pay for the salaries of the nurses, the nutritionists, health care workers and the community co-ordinator (Kai Tiaki, 2010). Healthy village action zone (HVAZ) is an organisation created in 2008 to cater to the rising health issues of the pacific island people. They deal with clients in 5 zones and are working together with 42 parishes around Auckland. The pacific people being obese or overweight, this causes them a lot of health issues and most of them cannot afford to go to the doctors, so their health issues stay undiagnosed. The outcomes of HVAZ were to be able to give free checkups, nutrition information, and exercise to all the participating parishes. The nurses are flexible, and this organization is “run by the people …show more content…
This was divided into 3 parts, Better this was to ensure that primary (based in the community) and secondary (based in the hospital), working professionally together by sharing the patient’s information and to ensure that the patients get good service (Ministry of Health, 2011). Sooner, this was to create less waiting time for patients by ensuring the service given to the community by their (GP) general practitioners ran smoothly between different health services and also working as part of a team (Ministry of Health, 2011). A More Convenient way to cater to patients needs by sharing their information and working together and to ensure that their needs are taken care of, and moving more services closer to the communities (Ministry of Health, 2011). New Zealand initiative was to launch a number of health and primary health care systems which were based in the communities, that included general practitioner, nurses and other health groups (Ministry of Health, 2011). Alma Ata (1978) states that health care centres should be closer to where people live and work, that’s what HVAZ had achieved by being able to go to assess the community where they will be socially comfortable. HVAZ nurses provided better, sooner and more convenient services by getting to the community and assessing their health issues through their churches a place that was closer to them. They have been able to get
...rofiles of Health Care Systems, The Commonwealth Fund, June 2010. Retrieved April 20th, 2011 from website: http://www.commonwealthfund.org/~/media/Files/Publications/Fund%20Report/2010/Jun/1417_Squires_Intl_Profiles_622.pdf
Nirit Sharam and his wife, two kids, and elderly mother were looking to find a primary care physicians and community support to help with his child that had diabetes and his mother who had multiple health difficulties. They found a local hospital called Uniontown general hospital, The hospital operated Health and Wellness Centre that included both hospital run clinics and physician/specialist offices and a range of other health-related services (Case study in integration, 2014). The hospital Had different types of integration services such as vertical, clinical, and physician
The regionalized model organizes levels of care into primary care, secondary care, and tertiary care (Bodenheimer & Grumbach, 2012). Primary care would be general practitioners, who make up the majority of physicians in Great Britain, secondary care would be physicians specializing in areas like internal medicine, pediatrics, obstetrics and gynecology and general surgeries (Bodenheimer & Grumbach, 2012). Tertiary care specialists include cardiac surgeons, immunologists, and pediatric hematologists, and they work at a few highly specialized medical centers (Bodenheimer & Grumbach, 2012). Hospitals are also organized in a similar fashion, with district hospitals serving local communities, and regional tertiary care medical centers providing highly specialized care services (Bodenheimer & Grumbach, 2012). While some think that dispersed model of care provides flexibility and convenience, others find the regionalized model of care to be more organized and less expensive (Bodenheimer & Grumbach, 2012). I have to agree with the supporters of the regionalized model of care because I would rather have a few different doctors look at me and decide on the best course of action than go straight to the cardiac surgeon. Care should be planned for a patient in a way that the patient only receives services that he or she requires, and organizing our health care delivery model in a different way can help us attain cost containment and ensure that the patient does not get unnecessary
National Health Service (NHS) is the provider of healthcare to all citizens in England. At present many centres in the England are developing and conducting programmes to promote a multi-professional approach to working (Barr, 2002; Whittington, 2003). The NHS is steered by sequences of policies that are outlined by the Department of Health from time to time and has set up care trust which are partnerships with the NHS and the local council.
As of April 1, 2010, many changes in the health care structure is changing. Many of these changes are reorganizing the responsibilities of who makes the decisions on how services are commissioned, the way money is spent and issuing more involvement from local authorities and opening up comp...
The second key point focuses on primary care. To be able to have health care that is functional and effective it starts with primary care. “A robust primary care system is the cornerstone for a more equitable health care system” (Fiscella, 2011). Restructuring of this program in certain areas is important “payment reform, enhancing the training pipeline, transforming practice, and buttressing the primary care safety net” (Fiscella, 2011).
The NHQDR 2012 is a comprehensive report that implies there are changes that need to occur at multiple levels within the health care system and public policy. The report implies that the health care system needs to become more accessible to all populations, and the disparities in quality of care need to decrease. Health care providers need to evaluate access to care, treatment quality and its effectiveness. Meanwhile public policy needs to support funded programs that will improve access to care and support preventative services.
Primary health care is the essential step to the Canadian health system. It is often associated with other specialized health care sectors, and community services. Many patients visit various services under primary health care such as family doctors' offices, mental health facilities, nurse practitioners' offices; they make phone calls to health information lines, for example, Tele-health; and receive suggestions from physicians and pharmacists (First Ministers; meeting on healthcare, n.d.). This service can prevent patients from visiting the emergency department, when all that is required is some guidance and advice. Having primary care services can reduce the consumption of acute beds, where only seriously ill patients can use the acute beds when it is available. Primary care not only deals with sickness care, but it helps patients receive preventable measures; it promotes healthy choices (Primary health care, n.d.). The focus on appropriate health care services, when and where they are needed, enhanced the ability of individuals to access primary care in various settings: at home, in a hospital or any number of family health care venues, such as Family Health Teams (FHTs), Community Health Centres (CHCs), or Nurse Practitioner- led clinics. This paper will look at the litigious heated argument in the Romanow Report concerning primary care. It will begin with a discussion of the outcome of the Accord on Health Care Renewal (2003) and The First Ministers' Meeting on the Future of Health in Canada (2004), both referring to primary care, which will then be followed with an assessment and analysis of the different ways in which the accords have been addressed in support of primary care. Followed by a discussion about the changes on ...
In conclusion, the public health nursing profession is an effective tool for providing primary care to the community. The practice existed since the 19th century; however, its significance emerged in the 21st century as a result of changing demographics and global environment. It compliments health care policies through comprehensive nursing assessment, monitoring and intervention through referrals and social support services such as education to promote self-reliance among people at risk. As a result, it is community-based intervention program that involve everyone at risk. It guides assessment of the community’s health status through an elaborate process. For example, the practice develops and prioritizes plans in accordance with research and analysis of health status such as risk factors and assets within the community.
In the contrary, governments have the responsibility of ensuring all the citizens access quality health care, more so in public health facilities (Duckett, 2008). Despite the various forms taken by health care systems in the world, they seem to have common goals. These goals include the good health of their populations, equity and equality in health care funding among others. To achieve these goals, the functions to be executed include the generation of more resources, delivery of health services, and good leadership/management. This paper explores the Australian health care system, particularly its challenges, strengths, weaknesses, and the proposed reforms.
As a result of the importance placed on preventive services there is no shortage of studies examining preventive service utilization among various groups. Many studies have examined the factors affecting preventive service use with the most important including age5,6, race/ethnicity7-10, marital status11, and income. 6-8,11-13 The literature has documented disparities by race/ethnicity and socioeconomic status in use of preventive services and shown that minorities are generally not as likely as Whites to receive services such as blood pressure checks, cervical cancer screening, and blood cholesterol screening. 14 Other studies have looked at the effects of education 9,15,16, usual source of care 15, and insurance 17-20 on the utilization of preventive services. While still other studies have sought to explore the role of health status 15, health beliefs 19, region of United States and whether a person lives in an urban or rural environment. 8
...nts of Health and the Prevention of Health Inequities. Retrieved 2014, from Australian Medical Association: https://ama.com.au/position-statement/social-determinants-health-and-prevention-health-inequities-2007
This assignment aims to define and discuss how communication and teamwork influences the quality health care given to patients by health care practitioners. The essay will look at each of these factors separately but also discusses how they influence each other and the positive and negative impact they have on the patients’ quality of care.
This article explain how healthcare providers should treat people as individuals, not to discriminate and act as an advocate for individuals receiving care. Also, how nurses should provide individual holistic care by playing an active role in ensuring that services within the hospital or community reflect the diverse needs of every individual irrespective of their background and also highlight the purpose of the Equality Act 2010 to healthcare providers and who it protects as far as discrimination is concern.
- Organisation and Management of Health Care, April 2002, Version 2.0 , Main Contributor: Katie Enock, Public Health Specialist, Harrow Primary Care Trust www.healthknowledge.org.uk