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Primary Health Care

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Title: Primary Health Care


1
Primary Health Care
  • Working together for better health

March 22, 2005
Arlene WilgoshDeputy Minister of Health
2
What is Primary Health Care ?
3
Primary Health Care Definition
  • Primary Health Care is the first level of contact
    with the health system to promote health, prevent
    illness, care for common illnesses, and manage
    ongoing health problems.

4
Primary Health Care- Definition
Primary Health Care extends beyond the
traditional health sector and includes all human
services which play a part in addressing the
inter-related determinants of health.
Social Environments
Income Social Status
Employment / Working Conditions
Physical Factors
Culture
Social Support Networks
Prenatal / Early Childhood Experiences
Level of Education
5
Primary Health Care- Definition
  • Primary Health Care includes
  • Primary Care (physicians, midwives nurses)
  • Health promotion, illness prevention
  • Health maintenance home support
  • Community rehabilitation
  • Pre-hospital emergency medical services
  • Coordination and referral to other areas of
    health care.

6
Primary Health Care Definition
  • Services are generally provided in the community
  • Some services are also provided in hospitals

7
Primary Health Care Definition
  • Primary Health Care is different in each
    community depending upon
  • Needs of the residents
  • Availability of health care providers
  • The communities geographic location
  • Proximity to other health care services in the
    area.

8
Principles of Primary Health Care
Appropriateness
Accessibility
Intersectoral / Interdisciplinary
Population Health
Continuity of Care
Community Participation
Efficiency
Affordable Sustainable
9
Primary Health Care - Benefits
  • PHC focuses on keeping people healthy
    addressing illness early so as to increase
    probability of cure
  • PHC is client focused
  • Individuals have access to appropriate care
  • Services are matched to community needs
  • Targeted services will have a positive impact on
    the utilization of health and social services
  • Healthy communities with healthy people
    contribute to a vibrant stable economy.

10
Primary Health Care Reform
Medical model Primary Health Care
? Treatment ? Health promotion
? Illness ? Health
? Cure ? Prevention, care, cure
? Episodic care ? Continuous care
? Specific problems ? Comprehensive care
? Individual practitioners ? Teams of
practitioners
? Health sector alone ? Intersectoral
collaboration
? Professional dominance ? Community
participation
? Passive reception ? Joint responsibility
Barbara Starfield, Johns Hopkins University
11
AdvancingPrimary Health Carein Manitoba

12
Primary Health Care Policy Framework
  • Approved April 4, 2002
  • Framework guides the development of PHC within
    the province
  • The goals are
  • Promote the development of PHC organizations
    delivering service to Manitobans based upon the
    principles of PHC.
  • Enable PHC service providers to deliver services
    in ways that reflect PHC principles.
  • Improve the ability of PHC organizations to
    deliver services in accordance with the
    principles of PHC.

13
The Delivery of Health Programs Servicesto
Northern Residents (Discussion paper)
  • Paper completed by the Aboriginal Human Resources
    Strategy Committee in May 2002.
  • Goals
  • To provide an overview of the challenges facing
    health service delivery system in the North and
  • To suggest a strategy to address these
    challenges, including the processes required to
    achieve the objectives.

14
Office of Rural Northern Health
  • Operational in September 2002.
  • Offices in Dauphin Winkler.
  • Goal To increase the number of graduating
    physicians other health care professionals who
    choose rural and northern Manitoba as a place to
    live and practice their professions.

15
Chronic Diseases Priority Initiatives
  • Regional Diabetes Program
  • Chronic Disease Prevention Initiative

16
Primary Health Care Transition Fund
Primary Health Care Transition Fund
Official Languages/ Minority Communities
Aboriginal
Multi- Jurisdictional
Provincial/Territorial
National
17
Primary Health Care Transition Fund Initiatives
contd
  • Northern Aboriginal Population Health
    Wellness Institute (NAPHWI)
  • Community driven project
  • Aboriginal communities identified to NAPHWI 3
    health issues of importance to northern
    communities.
  • Integration of Traditional Medicine Primary
    Health Care
  • Mental Health Youth Suicide
  • Chronic Disease Management Diabetes.
  • Focus is to identify jurisdictional issues that
    affect the delivery of health services in these 3
    areas.

18
Aboriginal Midwifery Education Program (AMEP)
  • Impetus of program Aboriginal communities
    identified the need to train more Aboriginal
    midwives.
  • Community involvement in Steering Committee
    the development of the curriculum.
  • Program
  • 4-year degree University College of the North
  • Blend of traditional Aboriginal western
    midwifery knowledge practice
  • Competency-based curriculum, delivered in
    modules
  • Readiness component
  • Tutorial, social financial support
  • Prior learning assessment recognition.

19
Primary Health Care Transition Fund Initiatives
  • Health Links /Info SantĂ©
  • Community Service Integrated System
  • Public Awareness
  • Community Health Centres Wabowden, Waterhen,
    Camperville, Thompson
  • Technology information sharing Churchill
    Telehealth

20
Conclusion
  • Primary Health Care
  • Working Together for Better Health
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