PFC Matrix 1.2

Summary

The transcript discusses universal healthcare, focusing on individual and population-based services. It highlights the roles of primary care providers and the coordination of care between general practitioners and hospitals, particularly in prenatal and postnatal care. The importance of both medical and psychosocial interventions at individual, family, and community levels is emphasized. The transcript also covers the assessment of social determinants of health and the six building blocks of health systems. Finally, it outlines the timeline for universal healthcare implementation in the Philippines, aiming for full adoption by 2029.

Takeaways

• 🏥 Universal healthcare includes both individual and population-based services.
• 🔄 Care coordination and navigation are essential roles for primary care providers.
• 👶 In the UK, prenatal care is provided by general practitioners, with coordination during delivery and postnatal care.
• ✉️ After delivery, obstetricians communicate with general practitioners to ensure follow-up care.
• 📊 Population-based health services include health promotion, disease surveillance, and vector control.
• 📋 Comprehensive medical care should address both medical and psychosocial diagnoses.
• 👨‍👩‍👦 Family health assessments involve understanding family dynamics and systems to identify enablers or barriers to care.
• 🏠 Community-oriented care looks at social determinants of health and the health system's six building blocks.
• 📅 Universal healthcare implementation is ongoing, with full implementation aimed for 2029.
• 🎯 The vision for Filipino families includes accessible healthcare, balanced lives, and strong community ties.

Q & A

What are the two kinds of health services delivered in the universal healthcare system?

The two kinds of health services delivered are individual-based and population-based services.

What is the role of primary care providers in individual-based health services?

Primary care providers need to navigate and coordinate the care of patients they refer to hospitals.

How is prenatal care typically managed in the UK under the National Health Service?

In the UK, prenatal care is usually given by the general practitioner (GP), who coordinates with the hospital where the patient will deliver. The GP informs the hospital when the patient is due, and the hospital informs the GP after the baby is delivered.

What happens after a patient delivers a baby in the UK?

The obstetrician sends a letter to the general practitioner, informing them about the delivery details and asking the GP to conduct an initial physical examination of the mother and baby and to follow up on postnatal care.

What are the components of population-based health services?

Population-based health services include health promotion, disease surveillance, and vector control to improve health literacy and implement health interventions.

What factors are considered when analyzing a patient's clinical history?

Factors include relevant clinical history, physical findings, psychosocial issues, salient clinical features, and bioethical issues.

What diagnoses are made when analyzing a patient?

Medical and psychosocial diagnoses are made, including identifying psychosocial diagnoses using the International Classification of Diseases (ICD) codes.

What aspects are assessed in a Family History Assessment?

The assessment includes Family Structure, Family Psychodynamics, and Family Systems Assessment using the Families Assessment Tool.

What are social determinants of health considered in community-oriented care?

Social determinants include socio-cultural, financial, governance leadership, availability of drugs, and laboratory procedures.

What is the timeline for the implementation of universal healthcare?

The registration should have been completed by the end of 2022, and the full implementation is expected by 2029.

What vision was set for Filipino family physicians in 1994 and 2022?

In 1994, the vision was for every Filipino family to have a family physician. By 2022, the goal was for the family physician to be the physician of choice for Filipino families.

What did the DSWD study reveal about Filipino families' aspirations in 2014?

The study revealed that Filipinos aspire to live together, have a balanced life, a strong sense of community, be free from hunger and poverty, secure home ownership, good transport, the ability to travel and vacation, resources for daily needs and unexpected expenses, peace and security, and a long, healthy, and comfortable life.

Outlines

00:00

🩺 Individual and Population-Based Health Services

In the current age of universal healthcare, health services are delivered in two primary ways: individual-based and population-based. For individual care, coordination and navigation are key, particularly for primary care providers managing patient referrals to hospitals. The UK’s National Health Service provides a model where general practitioners handle prenatal care and coordinate with hospitals for delivery. Post-discharge, the obstetrician informs the general practitioner about the delivery and requests follow-up care. Population-based health services focus on health literacy, health promotion, disease surveillance, and vector control. Effective healthcare requires comprehensive medical and psychosocial interventions, considering clinical history, family dynamics, and social determinants of health.

05:02

🏥 Building Blocks of a Health System

The health system is built on six essential elements: governance, financial support, cultural and social factors, availability of drugs, laboratory procedures, and leadership. Addressing these factors is crucial for understanding and managing social determinants of health. The goal is to achieve universal healthcare, with a vision of having a family physician for every Filipino family by 2029. Studies indicate that Filipinos desire a balanced life, free from hunger and poverty, with access to secure housing, good transportation, and health services. These aspirations highlight the importance of community-oriented primary care and the need to address both medical and social determinants to improve overall well-being.

Keywords

💡Universal healthcare

Universal healthcare refers to a health care system that provides health services to all individuals, regardless of their income, social status, or any other factor. In the video, universal healthcare is highlighted as a system that includes both individual and population-based services, such as care coordination and health promotion. The example given is the National Health Service (NHS) in the UK.

💡Care coordination

Care coordination involves organizing patient care activities and sharing information among all participants concerned with a patient's care to achieve safer and more effective care. In the script, care coordination is mentioned as a responsibility of the primary care provider to ensure the referred patient receives appropriate care at the hospital and during follow-up.

💡Population-based health services

Population-based health services focus on health outcomes for groups of people rather than individuals. This includes health promotion, disease surveillance, and vector control. In the video, these services are discussed in the context of improving health literacy and implementing interventions at a community level.

💡Primary care provider

A primary care provider (PCP) is a health professional who manages a patient's overall care, including preventive care, treatment of common illnesses, and coordination of specialized services. The video emphasizes the role of the PCP in coordinating care for patients, such as informing hospitals about impending deliveries and following up post-discharge.

💡Psychosocial issues

Psychosocial issues refer to problems that involve both psychological and social aspects, affecting mental health and social functioning. The video discusses the need for comprehensive medical care that includes addressing psychosocial issues at both the individual and family levels, such as using the International Classification of Diseases (ICD) to identify psychosocial diagnoses.

💡Family dynamics

Family dynamics are the patterns of interactions and relationships within a family that influence the health and well-being of its members. In the script, assessing family dynamics is part of the Family Assessment Tool, which helps identify enablers and barriers to care, informing appropriate interventions.

💡Community-oriented care

Community-oriented care focuses on health care practices that consider the health needs of the community as a whole, integrating public health principles with primary care. The video outlines the importance of understanding the social determinants of health and addressing these through community-oriented primary care.

💡Social determinants of health

Social determinants of health are the conditions in which people are born, grow, live, work, and age, influencing their health status. The script highlights various social determinants, such as socio-cultural, financial, and governance factors, that need to be considered for effective health system interventions.

💡International Classification of Diseases (ICD)

The International Classification of Diseases (ICD) is a globally used diagnostic tool for epidemiology, health management, and clinical purposes. It provides codes for diseases, signs and symptoms, and social circumstances. The video mentions using ICD codes to identify psychosocial diagnoses and guide comprehensive care management.

💡Health promotion

Health promotion involves activities aimed at improving health and preventing disease by enabling individuals and communities to increase control over their health. In the video, health promotion is part of population-based health services designed to enhance health literacy and encourage healthy behaviors within the community.

Highlights

In the Republic's universal healthcare, two types of services are delivered: individual-based and population-based.

Care coordination and navigation are crucial in individual-based services.

Primary care providers must navigate and coordinate patient referrals to hospitals.

In the UK, prenatal care is usually provided by general practitioners, and they coordinate with hospitals for deliveries.

Upon a patient's discharge, obstetricians inform the general practitioner about the delivery and necessary follow-up care.

Population-based health services focus on improving health literacy, health promotion, disease surveillance, and vector control.

For individual patients, clinical history, physical findings, and psychosocial issues are analyzed for diagnosis and management.

Medical and psychosocial diagnoses are made using the International Classification of Diseases (ICD).

Family history and dynamics are assessed using the Family Assessment Tool for comprehensive care.

Interventions at the family level address both medical and psychosocial issues.

Community-oriented care considers social determinants of health and the six building blocks of the health system.

Assessment of community health involves social, cultural, financial, and governance factors.

Universal healthcare milestones include ongoing registration and the goal for full implementation by 2029.

The vision for Filipino families includes having a family physician as their primary healthcare provider.

A study in 2014 revealed that Filipinos aspire for a balanced life with strong community ties and economic security.

Transcripts

now in Republic in our age 11

22 3

universal healthcare

there are two kinds of health services delivered

individual base and population base

in individual ways

care coordination and navigation is happening

and as primary care provider

we need to know how to navigate

how to coordinate

patient that we have referred to the hospital

in in the UK no

they have universal healthcare

no to the National Health Service

and a patient who is going to deliver

um usually

the prenatal care is given by the general practitioner

but um

they are already required no for

to to the hospital where they are going to deliver

and when the patient is due to deliver

the

the primary care position of the GP

will call the hospital

informing them about the patient

and when the patient is discharged from the hospital

the

obstetrician who deliver the baby will have

will send a letter to the general

petitioner in charge of the mother

your patient has delivered

uh

by our normal delivery or whatever

and she's now what's wrong with you breathing

uh please uh

see the mother and the baby

make your initial physical examination

and inform us whether you have done this

and if there are any problems

you have to inform us also

just we need to follow up

the post natal care for the mother and the baby

and they need to make sure that they will come

for immunication

anything population base health

health service

is for the implement of health literacy of the people

intervention such as health promotion

disease surveillance

and vector control are under this population boost yeah

so if she made tricks to complete

we have the relevant clinical history

at the patient level for the data

physical findings contexts of psychosocial issues

for the analysis we have salient clinical features

and psychosocial and bioethical issues

so therefore when you diagnose

you make the conclusion and Assumption

you make the medical diagnosis

and the psychosocial diagnosis

it is ICD

in the International Classification of diseases

you look at the V to C code

and identify what is the psychosocial diagnosis

so when you make your management and intervention

it should be appropriate comprehensive medical

care and individual

psychosocial intervention should be included

for the family we have the Family History

Assessment of Family Psychodynamics

using Families Assessment Tool

so you have the Family Structure

Family Psychodynamics and Family Systems Assessment

for the analysis of the family

the salient pictures of the family dynamics

and our family assistant assessment

and you identify are the enablers or buyers to care

and the intervention will depend on us to whether

uh the dynamics and the system are

enablers or buyers and they should be addressed

no both medical and psychosocial issues

are addressed on the family level

in the community oriented care

so we have PFC the community oriented

when we study the place of

the location of precedence

and the location of the workplace

we need to look into the social determinant repair

and the six building drops of the health system

we need to look at the world history and end the music

what are the social determinants of health

social cultural

financial

governance leadership and governance

availability of drugs

and laboratory procedure

and if you have the six

building routes of the health system

then you can see

how you can address the social determinant Japan

so analysis Arian

pictures of the assessment on the

social determiners for health

and the health system

and uh

for the management and intervention

we had the community oriented primary care

uh based no to underestiations

identified an existing perimeter

this is the timeline

milestone of the universal healthcare

we are now in 2024

actually

the registration should have been completed at the

end of 22 but if this is still ongoing

so I think it is very important for all the

accredited programs

to assess

many of the families in their adopted communities

are already enrolled in the

care program

and then 2029 is the full implementation

we have vision in 1994

it's family position for every Filipino family

and in 2022

the division is that all

the position of choice by Filipino family

will be family decisions

the there was a study done

you know by the DSWD another and they asked

I know I'm ambition I'm a Filipino so 2014 they live

they want life no matter thug they're together

they have time with plans worth like

balance in a strong sense of community

majinhawa free from hunger and poverty

secure home ownership good transport

travel in vacation to Hindi

abroad guide you to man lungs

a Filipinas banana bag and up

resources for day to day needs and unexpected expenses

peace and security

long and healthy life and comfortable with timing

so remember that