Comprehensive Primary Health Care

Comprehensive Primary Health Care

PaRROT Learning objectives Understand the development of comprehensive primary health care Be aware of the components of comprehensive primary health care Understand the determinants of health and how they apply to practice

PaRROT WHO definition of health Health is . “a state of complete physical, mental and social wellbeing and not merely the absence of disease or infirmity”

PaRROT Defining primary health care Primary Health Care is not Primary care alone. Primary, secondary and tertiary are levels of care

PaRROT Declaration of the Alma Ata Released in 1978 and consisted of ten fundamental principles for effective comprehensive primary health care service delivery Principles were in response to the broader community and social issues leading to poor population health

PaRROT The Ottawa Charter Building healthy public policy Creating environments which support healthy living Strengthening community action Developing personal skills Reorientating health care

PaRROT Comprehensive primary health care Complete physical, mental and social wellbeing Addresses issues of equity and social justice Considers the impact of education, housing, food and income Acknowledges the value of community development Recognises the expertise of individuals over their own health Talbot and Verinder 2005

Comprehensive Primary Health Care PaRROT Acknowledges other factors that contribute to poor health including: social influences which look at the impacts of the key determinants of health which leads to the social determinants of health

PaRROT Social view of health Identifies aspects other than physical which can impact on health Includes social factors ranging from diet and activity to mental and social well being and from education to employment and living conditions Primary Health Care Resource Package, an Initiative of the South Australian Country Health Care Forum

PaRROT Social determinants of health Income and social status Stress – control over our life Early childhood development and education Employment and work conditions Social support Addiction Physical environment Exercise and transport Diet and lifestyle choices Smith, JD (2007)

PaRROT Factors affecting health gender parenting styles family dynamics age employabilit y HEALTH social resources culture family finances McMurray, A. (2003) pg.12 Slide 8 geographica l mobility biological factors

PaRROT Comprehensive primary health care Social justice and equity Community control Social change Manages factors that generate ill health Involves an approach to health care over a continuum from health promotion to illness treatment

PaRROT Models of primary health care Comprehensive Selective Medical model View of health Positive wellbeing Absence of disease Absence of Disease Locus of control over health Communities and individuals Health professionals Medical practitioners Major focus Health through equity and community development Health through medical interventions Disease eradication through medical interventions Health care providers Multidisciplinary teams Doctors plus other health professionals Doctors Strategies for health Multi-sectoral collaboration Medical interventions Medical interventions Rogers W. & Veale, B. (2000).

PaRROT The River Story Read the story in the presenter notes Demonstrates clearly what we must do Instead of responding to problems we need to identify and respond to the causes instead If we are to slow the growth of chronic disease, comprehensive primary health care is the most effective and efficient way to respond Slide 14

PaRROT Learning Activity Please complete the learning activity