Contemporary Health Care Flashcards
It is the totality of services offered by all health disciplines
HEALTH CARE DELIVERY SYSTEM
TYPES OF HEALTH CARE SERVICES
PRIMARY PREVENTION: HEALTH PROMOTION AND ILLNESS PREVENTION
SECONDARY PREVENTION: DIAGNOSIS AND TREATMENT
TERTIARY PREVENTION: REHABILITATION, HEALTH RESTORATION, AND PALLIATIVE CARE
PRIMARY PREVENTION:
HEALTH PROMOTION AND ILLNESS PREVENTION
SECONDARY PREVENTION:
DIAGNOSIS AND TREATMENT
TERTIARY PREVENTION:
REHABILITATION, HEALTH RESTORATION, AND PALLIATIVE CARE
HEALTH PROMOTION AND ILLNESS PREVENTION
PRIMARY PREVENTION:
DIAGNOSIS AND TREATMENT
SECONDARY PREVENTION:
REHABILITATION, HEALTH RESTORATION, AND PALLIATIVE CARE
TERTIARY PREVENTION:
Examples of PRIMARY PREVENTION: HEALTH PROMOTION AND ILLNESS PREVENTION
Promoting adequate nutrition, weight control and exercise, and stress reduction.
Stresses on the involvement of the clients in maintaining their health
Illness prevention programs involve immunization,
campaigns against smoking, etc.
Promoting adequate nutrition, weight control and exercise, and stress reduction.
Stresses on the involvement of the clients in maintaining their health
Illness prevention programs involve immunization,
campaigns against smoking, etc.
PRIMARY PREVENTION: HEALTH PROMOTION AND ILLNESS PREVENTION
Examples of SECONDARY PREVENTION: DIAGNOSIS AND TREATMENT
Largest segment of health care services
Diagnostic and Treatment facilities have evolved
Hospitals and Physician Clinics
Largest segment of health care services
Diagnostic and Treatment facilities have evolved
Hospitals and Physician Clinics
SECONDARY PREVENTION: DIAGNOSIS AND TREATMENT
Examples of TERTIARY PREVENTION: REHABILITATION, HEALTH RESTORATION, AND PALLIATIVE CARE
Focuses on the importance of assisting clients to function given their current health status
Palliative Care focuses on providing comfort and treatment for symptoms.
End-of-life care
Focuses on the importance of assisting clients to function given their current health status
Palliative Care focuses on providing comfort and treatment for symptoms.
End-of-life care
TERTIARY PREVENTION: REHABILITATION, HEALTH RESTORATION, AND PALLIATIVE CARE
In the Philippines, the ___ is the executive department in the country that ensures the availability of public health to all Filipinos.
PUBLIC HEALTH
Department of Health
TYPES OF HEALTHCARE AGENCIES
PHYSICIAN CLINICS
AMBULATORY CARE CENTERS
OCCUPATIONAL HEALTH CLINICS
HOSPITALS
SUBACUTE CARE FACILITIES
EXTENDED CARE FACILITIES
ASSISTED LIVING CENTERS
Home Health Care Agencies
Day Care Centers
Rural Care
Hospice Services
Crisis Centers
Support Groups In the Philippines
Baranggay Health Stations
Rural Health Units
PROVIDERS OF HEALTHCARE
Nurse
Case Manger
Dentist
Nutritionist
Emergency Medical Personnel
Occupational Therapist
Physical Therapist
Pharmacist
Physician
Social Worker
Spiritual Support Personnel
FACTORS AFFECTING HEALTHCARE DELIVERY SYSTEM
Increasing Number of Older Adults
Advances in Technology
Economics
Women’s Health
Uneven Distribution of Services
Access to Health Insurance
The Homeless and the Poor
Health Insurance Portability and Accountability Act
Demographic Changes
THE CHALLENGES OF THE PHILIPPINE HEALTH CARE DELIVERY SYSTEM IN THE PHILIPPINES
- fragmented
- many do not get access to basic care
- diseases such as Tuberculosis, Dengue, Malaria, and HIV/AIDS paired with protein-energy malnutrition and micronutrient deficiencies
- high prevalence of obesity
- shortage of human medical resources, especially doctors
- Public facilities have fewer medical staff and inferior supplies.
- Only 30 percent of health professionals employed by the government address the health needs of the majority.
- a program called Doctors to the Barrios and its private sectors decided to build medical centers
- Doctors to the Barrios included Public-Private Partnerships in a plan to modernize the government-owned hospitals
- More than 3,500 public health facilities were updated across the country.
FRAMEWORKS FOR CARE
MANAGED CARE
CASE MANAGEMENT
CASE METHOD
DIFFERENTIATED PRACTICE
FUNCTIONAL METHOD
TEAM NURSING
PRIMARY NURSING
Goals are to provide cost-effective, quality care that focuses on decreased
costs and improved outcomes for groups of clients.
Denotes on cost control and customer satisfaction
MANAGED CARE
multidisciplinary teams that assume collaborative responsibility for
planning, assessing, coordinating, implementing, and evaluating groups of
clients from preadmission to discharge or transfer.
Cost-containment
Uses critical pathways to track the client’s progress
Critical Pathway is an interdisciplinary tool used
CASE MANAGEMENT
focuses on the jobs to be completed
task-oriented approach, personnel with less preparation
based on production and efficiency
disadvantage: fragmentation
FUNCTIONAL NURSING
One of the earliest nursing models
client-centered method
pre-cursor of primary nursing
CASE METHOD
Delivery of care to individual clients by a group of providers led by a professional nurse
TEAM NURSING
One nurse is responsible for overseeing the total care of a number of
hospitalized patients for 24 hours, 7 days a week
Provides comprehensive, individualized, and consistent care
PRIMARY NURSING
Registered nurses are educated and practice within a holistic framework that views the
individual, family, and community as an interconnected system that can keep us well and
help us heal.
AFFORDABLE CARE ACT
2 Components of ACA:
preventing insurance companies from denying coverage to those
with previous illnesses
expansion of the criteria for persons to be eligible for federal
and state insurance
Health Resource and Services Administration focuses on the poor with the following aims:
1.Improve access to Health care
2.Improve Health Outcomes
3.Improve the quality of healthcare
4.Eliminate Health disparities
5.Improve public health and healthcare systems
6.Enhance the ability of the health care system
7. Achieve excellence
Essential health care based on practical, scientifically sound, and socially acceptable methods
and technology made universally accessible to individuals and families in the community
through their full participation and at a cost that the community and country can afford to maintain at every stage of their development in the spirit of self-reliance and self-determination
PRIMARY HEALTH based on WHO 1978
The provision of integrated, accessible healthcare services by clinicians who are accountable for addressing a large majority of personal health services, developing a sustained partnership
with clients, and practicing in the context of family and community
PRIMARY HEALTH based on (Institute of Medicine)
a system that provides health-related services within the context of people’s daily lives- that
is, in a place where people spend their time
COMMUNITY-BASED HEALTH CARE
is a collection of people who share some attributes of their lives and interact
with each other in some way
Community
The provision of integrated, accessible healthcare services by clinicians who are accountable for addressing a large majority of personal health services, developing a sustained partnership
with clients, and practicing in the context of family and community
COMMUNITY-BASED HEALTH CARE according to (Institute of Medicine)
BASIC PRINCIPLES OF CHN
✓ The community is the patient in CHN, the family is the unit of care and there are four levels of clientele: individual, family, population group (those who share common characteristics, developmental stages, and common exposure to health problems - e.g. children, elderly), and the community.
✓ In CHN, the client is considered as an ACTIVE partner NOT a PASSIVE recipient of care
The ___ is the patient in CHN
community
the ___ is the unit of care and there are four levels of clientele:
family
individual
family
population group
community.
OBJECTIVES OF PUBLIC HEALTH: CODES
CODES
C ontrol of Communicable Diseases
O rganization of Medical and Nursing Services
D evelopment of Social Machineries
E ducation of IFC on personal Hygiene→ Health Education is the essential task of every health worker
S anitation of the environment
TYPES OF HOME CARE
HOME HEALTH NURSING
HOSPICE NURSING
HOME HEALTH CARE SYSTEM
Includes nursing services and products provided to clients in their homes that are needed to
maintain, restore, or promote their physical or psychological health
Focuses on the individual and the family
Care is provided in the presence of the family members
HOME HEALTH NURSING
support and care for the dying person and the family
a subspecialty of home health nursing
HOSPICE NURSING
Utilizes the referral process
HOME HEALTH CARE SYSTEM
ROLES OF THE HOME HEALTH NURSE
ADVOCATE
CAREGIVER
EDUCATOR
CASE MANAGER OR COORDINATOR
DIMENSIONS OF HOME HEALTH NURSING
CLIENT SAFETY
NURSE SAFETY
INFECTION PREVENTION
CAREGIVER SUPPORT
