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FCH > MODULE 2 health policy PHC in the hands of the people, FM&BPSA > Flashcards

MODULE 2 health policy PHC in the hands of the people, FM&BPSA Flashcards

1
Q

HEALTH POLICY SHOULD BE

A
  1. aligned with international commitments, national directives and health agenda
  2. evidence-based
  3. disseminated to stakeholders upon approval
  4. monitored in terms of implementation and performance
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2
Q

Forms of public health policies

A
  1. Laws
  2. Rules/Regulations
  3. Operational Decisions
  4. Judicial Decisions
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3
Q

Where do legislations, A.O.s, E.O.s emanate?

A
  1. Department of Health
  2. Office of the President and Cabinet
  3. The Senate and Lower House of Congress
  4. Civil Society Groups
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4
Q

Goal of Health policy

A

To provide access to quality care at an affordable cost

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5
Q

Steps in policy formulation

A
  1. Describe the problem
  2. Assess readiness for policy development
  3. Develop goals, objectives, and policy options
  4. Identify decision makers and influencers
  5. Build support for a policy
  6. Write and/or revise the policy
  7. Implement the policy 8. Evaluate and monitor the policy
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6
Q

Alma Ata Declaration

A

Health for All in 2000

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7
Q

Essential health care made universally accessible to individuals and families in the community by means acceptable to them, through their full participation and at a cost that the community and country can afford.

A

Phc

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8
Q

Practical approach to make health benefits within the reach of all

A

Primary Health Care

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9
Q

Approach to health development with the ultimate aim of continuous improvement and maintenance of the health status of the community

A

Primary Health Care

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10
Q

Essential Elements of Primary Health Care

A

Education concerning prevailing health problems and controlling them 
Promotion of food supply and proper nutrition Provision of safe water and basic sanitation Maternal and child health care 
Immunization against major infectious diseases Prevention and control of locally endemic diseases Appropriate treatment of common diseases and injuries 
Provision of essential drugs

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11
Q

Two-pronged goal of PHC

A

SOCIAL

DEVELOPMENTAL

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12
Q

improvement of QOL and maximum health benefits for all

A

SOCIAL

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13
Q

community as moving towards socio-economic prosperity through self-reliance

A

DEVELOPMENTAL

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14
Q

Basic Principles Of Primary Health Care

A

Equitable distribution Focus on prevention Community participation Multi-sectoral approach Appropriate technology

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15
Q

2 Types of Linkages

A

Intersectoral Linkages

Intrasectoral Linkages

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16
Q

Identify the health care system
Rural (local hospital) Services
Rural Health Units Village
Local health Stations

A

PHC

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17
Q

Intersectoral Linkages

A

Agriculture Education Public works Local governments Social welfare Population control Private sectors

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18
Q

APPROPRIATE TECHNOLOGY criteria

A

Effective and safe Complexity Cost Acceptable Scope of technology Feasibility

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19
Q

Types of Primary Health Care Workers

A

Intermediate level health workers
First Line Hospital Personnel
Village or grassroot health workers

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20
Q

First contacts of the community and the initial link in the health chain

A

Village or grassroot health workers

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21
Q

Trained community health workers, volunteers, traditional birth attendants or healers

A

Village or grassroot health workers

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22
Q

General medical practitioners, public health nurses, and midwives

A

Intermediate level health workers

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23
Q

Provide support to frontline HWs in terms of supervision, training, referral services, etc

A

Intermediate level health workers

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24
Q

Physicians with some specialty area, nurses, dentists, pharmacists, etc, working in primary hospitals

A

First Line Hospital Personnel

25
Q

Provide back up health services for cases that require hospitalization or diagnostic facilities not available in the health center

A

First Line Hospital Personnel

26
Q

Its objective is to improve the quality of life of people of the world through fostering and maintaining high standards of care in family medicine.

A

WONCA- World Organization of National Colleges, Academies and Academic Associations of Family Physicians, other wise known as World Organization of Family Doctors

27
Q

Discipline of Medicine with distinct core of knowledge and characteristics of care, which refers to individuals, family and community, and functions within economic, cultural and social environments and resources

A

FAMILY MEDICINE

28
Q

Centered on the Family as a basic social unit

A

FAMILY MEDICINE

29
Q

Not only disease-oriented but health- oriented which emphasizes on the importance of disease prevention, health maintence and curative medicine

A

FAMILY MEDICINE

30
Q

PRINCIPLES OF FAMILY MEDICINE

A
  1. The person, not the problem
  2. The patient’s context
  3. The preventive attitude
  4. The population at risk
  5. Community resources
  6. Integrating life
  7. Integrating work
  8. Subjective aspects of Medicine
  9. Resource management
31
Q

Family physicians are committed to the person rather than to a particular body of knowledge, group of diseases, or special technique

A

THE PERSON, NOT THE PROBLEM

32
Q

Principle of family med
Why did the patient come?; Why did the patient come at this time?; What does the patient think is wrong?; How does the patient illness fit with his life situation and stage of development?

A

THE PATIENT’S CONTEXT

33
Q

The family physician seeks to understand the context of the illness.

A

THE PATIENT’S CONTEXT

34
Q

The family physician sees every contact with his patients as an opportunity for prevention or health education.

A

THE PREVENTIVE ATTITUDE

35
Q

Principle of family med

What are this patient’s risk?; What can I do at this visit to promote his health or prevent disease?

A

THE PREVENTIVE ATTITUDE

36
Q

It implies a commitment to maintain health whether or not they happen to be attending the office/ clinic

A

THE POPULATION AT RISK

37
Q

The family physician sees himself as part of a community-wide network of supportive and health care agencies.

A

COMMUNITY RESOURCES

38
Q

Ideally, the family physician should share the same habitat as his patients.

A

INTEGRATING LIFE

39
Q

The Love Canal disaster in Niagara Falls provides a vivid illustration of what can happen when physicians are remote from the environment of their patients

A

INTEGRATING LIFE

40
Q

The family physician sees patients in their homes

A

INTEGRATING WORK

41
Q

It teach us how much background information can be obtained from patient and his family.

A

HOME VISITS/ HOME CARE:

42
Q

It can show how many illness can be satisfactorily diagnosed and managed at home using very simple methods

A

HOME VISITS/ HOME CARE:

43
Q

As generalists and first-contact physicians, they have control of large resources and are able to control admission to hospital, use of investigations, prescription of treatment, and referral to specialists.

A

RESOURCE MANAGEMENT

44
Q

THE FIVE- STAR PHYSICIAN

A

 Health Care Provider  Researcher  Educator  Social Mobilizer  Manager

45
Q

Characteristic of a 5 star physician

Considers the patient as an integral part of a family and the community

A

Healthcare provider

46
Q

Characteristic of a 5 star physician

Chooses which technologies to apply ethically and cost- effectively

A

Researcher

47
Q

Characteristic of a 5 star physician

Reconcile individual and community health requirements and initiate action on behalf of the community

A

Social mobilizer

48
Q

Characteristic of a 5 star physician

Providing high standard clinical care

A

Healthcare provider

49
Q

Characteristic of a 5 star physician
Promote healthy lifestyle by empathic explanation, thereby empowering individuals and group to enhance and protect their health

A

Educator

50
Q

Characteristic of a 5 star physician
Pre- patient education directed at non- patients or pre-patients by educating about disease prevention and health promotion through pamphlets, magazine, media and other reading materials while in the waiting area.

A

Educator clinical setting

51
Q

Characteristic of a 5 star physician

Community Project

A

Educator community setting

52
Q

Characteristic of a 5 star physician
The ultimate goal of health education is the improvement of the nation’s health and the reduction of preventable illness, disability, and death.

A

Educator

53
Q

Characteristic of a 5 star physician
Can work harmoniously with individuals and organizations, within and without the health care system, in order to meet his patients’ and communities’ needs

A

Manager

54
Q

Characteristic of a 5 star physician
Knowledgeable in coordinating the timely referral of their patient, networking and linkages to different sectors of the government.

A

Manager

55
Q

Characteristic of a 5 star physician

Utilize evidence based medicine in the practice of profession, e.g. Clinical Practice Guidelines (CPG)

A

Researcher

56
Q

Systematically considers biological, psychological, and social factors and their complex interactions in understanding health, illness, and health care delivery

A

BIOPSYCHOSOCIAL APPROACH

57
Q

clinical medicine focus on pathophysiology and other biological approaches to disease

A

Biomedical models

58
Q

emphasize the importance of understanding human health and illness in their fullest contexts.

A

biopsychosocial approach

FCH (13 decks)

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