PFC Matrix 1.2
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
🩺 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.
🏥 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
💡Care coordination
💡Population-based health services
💡Primary care provider
💡Psychosocial issues
💡Family dynamics
💡Community-oriented care
💡Social determinants of health
💡International Classification of Diseases (ICD)
💡Health promotion
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
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