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Primary Care Medicine

Primary Care Medicine. Dr. Abdul Sattar Khan MBBS, MPH, MCPS, DCHM, MRCGP (UK), FRIPH (UK) Assistant Professor Family Medicine Department drsattarkhan@gmail.com. At the end of this course participants will be able to; Explain the concepts of family medicine

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Primary Care Medicine

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  1. Primary Care Medicine Dr. Abdul Sattar Khan MBBS, MPH, MCPS, DCHM, MRCGP (UK), FRIPH (UK) Assistant Professor Family Medicine Department drsattarkhan@gmail.com

  2. At the end of this course participants will be able to; • Explain the concepts of family medicine • Count the basic features of family medicine • Explain the short history of family medicine • Describe the characteristics of family physician • Explain what is family in family medicine Objectives ASK

  3. Primary Health Care is the first level of • contact with the health system to • promote health, prevent illness, care for • common illnesses, and manage ongoing • health problems. • WHO: www.who.int Definition ASK

  4. Primary health care is 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. Declaration of Alma-Ata-WHOInternational Conference on Primary Health Care, Alma-Ata, USSR, 6-12 September 1978 ASK

  5. Primary Health Care includes: • Primary Care (physicians, midwives, nurses, social workers etc); • Health promotion, illness prevention; • Health maintenance & home support; • Community rehabilitation; • Pre-hospital emergency medical services; & • Coordination and referral to other areas of health care. Concept of Primary care medicine ASK

  6. Primary Health Care is different in each community depending upon: • Needs of the residents; • Availability of health care providers; • The communities geographic location; & • Proximity to other health care services in the area. Different for different community? ASK

  7. An association of two or more individuals, companies, organizations or governments Concept in nutshell ASK

  8. Primary Health Care Reform Medical model Primary Health Care  Treatment  Health promotion  Illness  Health  Cure  Prevention, care, cure  Episodic care  Continuous care  Specific problems  Comprehensive care  Individual practitioners  Teams of practitioners  Health sector alone  Intersectoral collaboration  Professional dominance  Community participation  Passive reception  Joint responsibility ASK Barbara Starfield, Johns Hopkins University

  9. Primary Health Care in Turkey ASK Late Ottoman Period… 1827 First modern medical school 1871 Memleket Tabibi (Country physicians): First primary care tasks...

  10. Primary Health Care in Turkey ASK Act# 224 (May 1961)Prof. Dr. Nusret Fişek Primary care based health services 17 years before Alma-Ata

  11. New Patient-Centered Medical Home (PCMH) ASK www.aafp.org

  12. Patient-Centered Medical Home (PCMH) ASK www.aafp.org

  13. Primary Care ASK

  14. For thousands of years, physicians were true “generalists,” providing care for men and women, children and adults through the entire spectrum of life. History of Family Medicine www.aafpfoundation.org ASK

  15. History of Family Medicine (FM) ASK 1823 the term of general practitioners mentioned by lancet . The American Academy of General Practice (AAGP) was established in 1947 1960 ,specialty of family medicine started in USA 1969, American Board of Family Medicine was Founded.

  16. History of Family Medicine in Turkey ASK 1983 Regulation basis completed... 1985 Training began in 9 teaching hospitals Turkish Association of Family Physiciansestablished in 1990 Departments in Universities (1993) 1st National Congress of Family Medicine (İstanbul, 1993)

  17. What Is Family Medicine? ASK According to American Academy of Family Physicians AAFP(USA), Family Medicine is defined as the medical speciality which provides continuing and comprehensive health care for individuals and family. It is the speciality which integrate the biological, clinical and behavioural sciences. • The scope of family practice includes (all ages, both sexes, all organs , all systems and all diseases. FAME

  18. According to the World Organization of Family Doctors (Wonca), the aim of family medicine is to provide personal, comprehensive and continuing care for the individual in the context of the family and the community. What Is Family Medicine? ASK

  19. Family Practice ASK Family Practice: is used to indicate the services part of the specialty ( practical more than the academic aspect). Family physician :is the specialist trained to practice in the front line of the health care system and to take initial and continuing care for healthy & ill persons. FAME

  20. 7 - principles of Family Medicine? ASK Continuity of care. Comprehensive care. Coordinated care. Community & family based care. Central Patient doctor relationship. Care as Evidence based. Care for ALL. FAME

  21. Competencies of Family Physician ASK Ability to: manage acute health problems. manage chronic health problems. provide health promotion services. provide emergency services. provide counselling services. provide home care services. provide preventive care services. provide terminal and palliative care

  22. Where to practice Family Medicine? ASK OPD/Clinics . PHCC. Family Practice Centres. Hospitals.

  23. Characteristics of Competent Family Physician (FP) ASK • Competency in (Dx ,Rx )of common health problems. • Improving quality of care. • Rationalized utilization of health facilities. • Motivation of community to practice healthy behaviours. • Identify the needs of community . • Working within health team as member and leader

  24. Characteristics of Competent FP ASK Ability to: • communicate efficiently. • carry out studies and research. • plan and implement action plan. • educate and train his/her colleagues . • refer patients when it is needed. • activate community participation. • coordinate with other sectors. • update himself regularly

  25. How does Family Physicians differ from other physicians ? ASK The first contact and gate of health care system. Provide continuity of care. Provides comprehensive care. Use holistic approach. Shared care. Patient centred approach FAME

  26. Community leader Care provider Communi- cator Decision maker KHAN’s 7-star doctor Manager Learner Motivator ASK Dr. Khan

  27. Family ( functions & structures) ASK Family is defined as the structural & functional unit of the community. Two related persons live together for> 6 months. Nuclear family= parents +- children. Extended family= couples + parents + children. FAME

  28. Family in Family Practice ASK Family is the unit of health care in FP. Family could be source of health. Family could be the source of illnesses. FAME

  29. Wake up call ASK What is Declaration of Alma-Ata-WHO? Define Family Medicine? Tell me 7-prinicples of Family Medicine. How does Family Physicians differ from other physicians ? FAME

  30. Are you ready to fly with us as Family Physician? 31

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