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ICS: CATALONIAN HEALTH INSTITUTE

ICS: CATALONIAN HEALTH INSTITUTE. INTRODUCTION. Spanish Health System: National Health System Reformed in 1984 to become the current Primary Health System Federal type government where each region manages its own budget. Catalonia since 1981. CATALONIAN HEALTH CARE.

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ICS: CATALONIAN HEALTH INSTITUTE

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  1. ICS: CATALONIAN HEALTH INSTITUTE

  2. INTRODUCTION • Spanish Health System: National Health System • Reformed in 1984 to become the current Primary Health System • Federal type government where each region manages its own budget. Catalonia since 1981

  3. CATALONIAN HEALTH CARE • CATSALUT: acts like a public insurance company. It is directly dependent on the Catalan Government. • Integrates all resources (public or private) into the Public Health Offer.

  4. Contrac. PHC services’ suppliers EBAs ICS Town Hall Primary Health Care in Catalonia CatSalut

  5. ICS: CATALONIAN HEALTH INSTITUTE • It’s the “biggest” primary health care supplier (with approximately 85% of the services)

  6. ICS: ORGANIZATION Management PHC division 7 PHC Subdivision Barcelona City Dreta 4 PHC Services Congrés 10 PHC Centres

  7. 1. Who are we?

  8. SAP DRETA PRIMARY CARE SERVICES • 10 PHC Centres • Support Units: • Radiology • Laboratory • Special units: • Mental Health • Paliative Home Care • Phisiotherapy

  9. CONGRÉS 9C

  10. CONGRÉS PRIMARY CARE CENTRE • Created in 1997 • Population: 32.648 inhabitants • 27% older than 65 • > 15 years old • The PHC with the oldest population in Barcelona

  11. CONGRÉS: STAFF • Director 1 • Head of nursing 1 • Medical staff 20 • Pediatricians 2 • Nursing staff 17 • Social worker 1 • Dentist 1 • Head of admin. 1 • Admin. staff 17 • Women´s health 3 gynae, 3midw. • Mental Health 2 psych.

  12. PERSONNEL FEATURES • Personnel size decided by the institution • Jobs entry by public competition (there is no free personnel selection) (1800 –3000 Euros / month) x 14 doctor (1200-1800 Euros/ month ) x 14 nurse • Salary payment, with incentives related to quantity/quality work and also years worked • Work hours: 7 hours x 5 days (plus saturdays on rota)

  13. 2. Who do we care for?

  14. POPULATION FEATURES • Aged population • High morbimortality

  15. 3. How do we organize?

  16. GENERAL ORGANIZATION • Each Basic Unit of Care (doctor and nurse) does 4 surgery based sessions and 1 home visit session per week • Each doctor and nurse have a population of 2000 clients under their care

  17. 3.1. Access

  18. CONTACT OUR SERVICES • Appointments: directly requested by the patient or requested by the health team • Number of visits per day: limited to 35 ( 7 -10 minutes/visit) • Urgent visits handled by 1 member of the team every day • On call hours carried out by a different team

  19. 3.2. Surgery Sessions

  20. TEAM ACTIVITY Office/ Home visits 9 - 14 h. Team sessions 14 - 15 h. Office/ Home visits 15-20 h.

  21. 3.3. Home Care

  22. HOME CARE • Scheduled Acute and Chronic home visits: ATDOM Programme • Support teams (PADES): Paliative Home Care

  23. 3.4. Specialized Care

  24. The specialist in the centre The hospital specialist comes to the centre to: Visit Provide consultancy services To teach Hours of work adjusted to Primary Care Team needs

  25. 3.5.Community

  26. TALKS TO THE COMMUNITY • Talks on Health • One per month • Based on topics that the clients find interesting

  27. 4. Teaching

  28. TEACHING • Teaching scheme started in 1978 • Specialists in Family Medicine • Four years of formation • Every Registrar has its own tutor in Primary Care • Acreditation needed for tutors and teaching centres

  29. 5. Research

  30. RESEARCH • Important role in the professional curriculum • Foundation that supports research in primary care: Goll i Gurina. • Different research lines depending on preferences

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