The principle of operation of Primary Health Care

Specialty: Public Health

Work-out

Theme: The principle of operation of Primary Health Care

Course: IV

Complied by: Mezgilbayeva Z.M.

A senior teacher

Almaty, 2015

Work-out

Theme:«The principle of operation of Primary Health Care»

Aims:

Didactic aims: to form the following components of competence in students:

· Educational (cognitive)component:

a) to form student’s knowledge on mastering special terms of pharmacy;

b) to develop students habits on enlarging lexical minimum ;

· Practical (operational) component:

a) to form students’ skills on listening translating the text with a help or without help of a dictionary

b) to form skills on extracting necessary information from the text, summarizing and rendering it for communication.

• Communicative component:

to form listening, reading, speaking, writing skills.

· Self-studying component:

a) to form students’ habits on studying professional medical supplementary literature in informative sources.

Urgency of the theme:Students of the pharmaceutical faculty should know professional terms connected with their future speciality.

Tasks:

a) to teach students to read the text with making comments.

b) to teach students to give definitions to the terms

Methods of teaching: Verbal-graphic method, roleplays, creative tasks.

Means of teaching: cards, tables, schemes.

Literature:

1) Materials of internet resources

Control:

Tests, questions.

Work-out

Theme:«The principle of operation of Primary Health Care»

Pre-reading task. Speaking.

1) What do you know about primary health care?

2) What does primary health care include?

3) What medical specialists provide medical care?

List of new words

Affordable preventive direction

Door-to-door ongoing basis

Exacerbation survey

Impact medical devices

Priority collaborate

Latent insurance

Subordinate staff disability of patients

Evaluate expenditure

Reading. Text “The principle of operation of Primary Health Care”

The principle of operation of Primary Health Care

Primary health care as the most affordable, economically and socially most acceptable form of medical care, is the core of the entire health system, as 80% of patients start and end their treatment within primary care. The first level of contact of individuals, families, society with the national health system allows you to bring medical care closer to the place of residence. A strong system of primary care produces better health outcomes at lower costs and higher public satisfaction with medical care.

Primary health care includes all types of outpatient care, emergency and urgent care, obstetrics, sanitary and anti-epidemic agencies and represents a totally of health improving, security, preventive, diagnostic, therapeutic and rehabilitation measures.

In the framework of health sector reforming in the Republic of Kazakhstan each site has 1 general practice doctor, 2 nurses, 1 midwife, who are responsible for conducting all medical and preventive measures for the fixed site.

The mode of work of outpatient care in the framework of guaranteed size of free medical aid is installed from 08.00 to 20.00 hours on a rolling basis for all professionals and departments with ensuring work of doctors on duty on weekends and holidays. Duration of working hours of primary care physician (general practitioner, doctor therapist/pediatrician) at the reception is not less than 5 hours per day. The call service at home by a doctor or healthcare worker is coordinated by the head of precinct general doctor service, and in his absence by the local doctor (general practice doctor). Calls acceptance ends 2 hours before the end of the work of the organization of primary health care (up to 18.00 o`clock).

Indications for the call service at home are:

1) Acute painful conditions that do not allow the patient to visit the PHC organization independently;

· Fever about 38 degrees C;

· Increased blood pressure with evident disorder of health state;

· Multiple liquid stool;

· Severe pain in the spine and joints of the lower limbs with reduced mobility;

· Dizziness, severe nausea, vomiting;

2) Chronic painful conditions that do not allow the patient to visit the clinic (severe cancer, disabilities (I –II group), paralysis, paresis of extremities);

3) Acute infectious diseases that pose a danger to others;

4) Nontransportable patients;

5) Call service passed from the ambulance station, in hours of organization of primary health care work.

Active visiting of the patient at home by medical worker of PHC organization, including through door-to-door (apartment) ward rounds is carried out when:

1) Acute illness, exacerbation of chronic diseases with the purpose of monitoring its condition, disease and timely assignment (correction) of necessary examinations and/or treatment;

2) The patronage of certain population groups (pregnant women, newborns) or at identifying patients with infectious diseases, persons which had a contact with these people and persons suspected for infectious disease

The specificity of professional activity of a family doctor is determined by several parameters:

· By integration of administered medical care, professional activity of a family doctor accumulates several types of care (diagnostic, therapeutic, rehabilitative, preventive, health education, medico-social, advisory and organizational)

· By focus on the family as the unit of health (family doctor decides all questions of medical impact on the family),

· By priority of preventive direction in doctor`s professional activity,

· By administering medical care to multi-age group of patient on an ongoing basis, importance of the profession

· By high effectiveness of family doctor`s activity in social, economic and organizational sense.

Date: 2016-04-22; view: 851