PFC Matrix 1.2

jon lawrence apilan
21 Jul 202408:16

Summary

TLDRThe 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.

Mindmap

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

play00:03

now in Republic in our age 11

play00:06

22 3

play00:07

universal healthcare

play00:09

there are two kinds of health services delivered

play00:13

individual base and population base

play00:17

in individual ways

play00:18

care coordination and navigation is happening

play00:22

and as primary care provider

play00:24

we need to know how to navigate

play00:27

how to coordinate

play00:29

patient that we have referred to the hospital

play00:37

in in the UK no

play00:39

they have universal healthcare

play00:41

no to the National Health Service

play00:44

and a patient who is going to deliver

play00:49

um usually

play00:51

the prenatal care is given by the general practitioner

play00:55

but um

play00:56

they are already required no for

play01:01

to to the hospital where they are going to deliver

play01:05

and when the patient is due to deliver

play01:11

the

play01:12

the primary care position of the GP

play01:14

will call the hospital

play01:17

informing them about the patient

play01:20

and when the patient is discharged from the hospital

play01:25

the

play01:27

obstetrician who deliver the baby will have

play01:32

will send a letter to the general

play01:35

petitioner in charge of the mother

play01:38

your patient has delivered

play01:41

uh

play01:42

by our normal delivery or whatever

play01:44

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

play01:48

uh please uh

play01:50

see the mother and the baby

play01:53

make your initial physical examination

play01:56

and inform us whether you have done this

play02:00

and if there are any problems

play02:03

you have to inform us also

play02:06

just we need to follow up

play02:09

the post natal care for the mother and the baby

play02:13

and they need to make sure that they will come

play02:16

for immunication

play02:19

anything population base health

play02:23

health service

play02:24

is for the implement of health literacy of the people

play02:30

intervention such as health promotion

play02:32

disease surveillance

play02:33

and vector control are under this population boost yeah

play02:39

so if she made tricks to complete

play02:47

we have the relevant clinical history

play02:50

at the patient level for the data

play02:53

physical findings contexts of psychosocial issues

play02:59

for the analysis we have salient clinical features

play03:02

and psychosocial and bioethical issues

play03:06

so therefore when you diagnose

play03:09

you make the conclusion and Assumption

play03:12

you make the medical diagnosis

play03:14

and the psychosocial diagnosis

play03:17

it is ICD

play03:18

in the International Classification of diseases

play03:22

you look at the V to C code

play03:25

and identify what is the psychosocial diagnosis

play03:30

so when you make your management and intervention

play03:34

it should be appropriate comprehensive medical

play03:40

care and individual

play03:42

psychosocial intervention should be included

play03:46

for the family we have the Family History

play03:50

Assessment of Family Psychodynamics

play03:53

using Families Assessment Tool

play03:55

so you have the Family Structure

play03:57

Family Psychodynamics and Family Systems Assessment

play04:03

for the analysis of the family

play04:04

the salient pictures of the family dynamics

play04:07

and our family assistant assessment

play04:10

and you identify are the enablers or buyers to care

play04:17

and the intervention will depend on us to whether

play04:24

uh the dynamics and the system are

play04:32

enablers or buyers and they should be addressed

play04:36

no both medical and psychosocial issues

play04:40

are addressed on the family level

play04:43

in the community oriented care

play04:45

so we have PFC the community oriented

play04:51

when we study the place of

play04:56

the location of precedence

play04:58

and the location of the workplace

play05:02

we need to look into the social determinant repair

play05:08

and the six building drops of the health system

play05:12

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

play05:17

what are the social determinants of health

play05:22

social cultural

play05:25

financial

play05:28

governance leadership and governance

play05:34

availability of drugs

play05:37

and laboratory procedure

play05:41

and if you have the six

play05:44

building routes of the health system

play05:46

then you can see

play05:47

how you can address the social determinant Japan

play05:52

so analysis Arian

play05:54

pictures of the assessment on the

play05:56

social determiners for health

play05:58

and the health system

play06:01

and uh

play06:04

for the management and intervention

play06:06

we had the community oriented primary care

play06:10

uh based no to underestiations

play06:13

identified an existing perimeter

play06:16

this is the timeline

play06:18

milestone of the universal healthcare

play06:21

we are now in 2024

play06:25

actually

play06:26

the registration should have been completed at the

play06:28

end of 22 but if this is still ongoing

play06:32

so I think it is very important for all the

play06:34

accredited programs

play06:37

to assess

play06:40

many of the families in their adopted communities

play06:44

are already enrolled in the

play06:48

care program

play06:50

and then 2029 is the full implementation

play06:57

we have vision in 1994

play07:00

it's family position for every Filipino family

play07:04

and in 2022

play07:08

the division is that all

play07:12

the position of choice by Filipino family

play07:16

will be family decisions

play07:20

the there was a study done

play07:23

you know by the DSWD another and they asked

play07:28

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

play07:34

they want life no matter thug they're together

play07:39

they have time with plans worth like

play07:41

balance in a strong sense of community

play07:43

majinhawa free from hunger and poverty

play07:47

secure home ownership good transport

play07:51

travel in vacation to Hindi

play07:53

abroad guide you to man lungs

play07:54

a Filipinas banana bag and up

play07:58

resources for day to day needs and unexpected expenses

play08:02

peace and security

play08:04

long and healthy life and comfortable with timing

play08:10

so remember that

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Related Tags
Universal HealthcareHealth ServicesCare CoordinationPrimary CarePatient NavigationFamily HealthCommunity CareHealth SystemSocial Determinants2024 Milestone