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Principles of PHC There are 4 main principles of Primary health care. They are Equity, community participation, Intersect oral collaboration, and appropriate technology. Equitable distribution is the first principle of health services. The principles is about the health services that must be shared equally by all people rich and poor without any discrimination i.e., color, ethnic group gender etc, all should have access to the health service. The second principle community participation says about the responsibility of the state, the involvement of individuals, families, and communities in promotion of their own health and welfare that is an important part of primary health care. PHC cannot be achieved without the community participation …show more content…
Obstacles for implementing PHC Approach. The goal of Primary Health Care is better health for all but most of the countries do not have the proper comprehensiveness in planning allocating proper resources for Primary Health Care. For a continuous process of better care it requires an extensive network of functional health infrastructure with referral networks. Following are a few obstacles that are faced by the government or the health sector in the implementation of Primary health …show more content…
When it alters negatively it creates a negative impact on the implementation. In spite of the feasibility and the useful process, challenges are faced by many health sectors. The health sector has expectations from others sectors which may not be essential to contribute a shared responsibility for health improvement but the public has the expectation of “health” form the health sector. It is a challenge for the health sector to organize all the stakeholders for inter-sectoral collaboration through advocacy and programming. Yet, the health sector rarely takes on initiatives in that direction. The sector is challenged to organize all stakeholders for inter-sectoral collaboration through advocacy and programming (Adeleye & Ofili, 2010). Economic factors Berkman and Epstein (2008) have stated that the link between socioeconomic disadvantages and poor health has been observed but they lack data that permits them to make constant evaluations of the linkages across many countries. For example if the GDP of the country is low the funding for the health sector also will be low, this will alter a negative impact on the health of the community (Berkman & Epstein,
Rabinowitz, P., (2014). Work Group for Community Health and Developmen Retrieved January 25, 2014 from Internet http://ctb.ku.edu/en/table-of-contents/participation/encouraging-involvement/identify-stakeholders/powerpoint
Social determinants of health have attracted the attention of governments, policy makers and international health organisations over the last three decades (Hankivsky & Christoffersen 2008). This is because social conditions which people are born in, live and work play an important role in their health outcomes (WHO 2015). According to Kibesh (1200) social determinants drive health disparities, disrupts the human developmental process and undermine the quality of life and opportunities for people and families (ref). Thus, several theories have been developed over the years to provide in-depth understanding of the social determinants of health and to reduce health inequalities (Hankivsky & Christoffersen, 2008). However, there is still significant
Ingram, R., Scutchfield, F. D., & Costich, J. F. (2015). Government, law, and public health practice: Public Health Departments and Accountable Care Organizations: Finding common ground in Population Health. American Journal of Public Health, 105(5), 840-846 7p. doi:10.2105/AJPH.2014.302483
State and local public health departments throughout the country have the responsibility for improving health in workplaces, schools, and communities through identifying top health problems within society and developing a plan to improve. Barriers the public health system has encountered over the years include: changes in the overall health system that support cost containment and improved health, and an increase in the number of individuals with insurance coverage for direct preventive services; reduction of qualified public health professional and funding at all levels of government; increasing focus on accountability, with higher expectations for demonstrating a return on investment in terms of cost and health improvement (Trust, 2013). In the near future, health departments ...
Wilkinson, R.G. & Marmot, M.G. 2003, Social determinants of health: the solid facts, World Health Organization.
The demand of a constantly developing health service has required each professional to become highly specialised within their own field. Despite the focus for all professionals being on the delivery high quality care (Darzi, 2008); no one profession is able to deliver a complete, tailored package. This illustrates the importance of using inter-professional collaboration in delivering health care. Patient centric care is further highlighted in policies, emphasising the concept that treating the illness alone whilst ignoring sociological and psychological requirements on an individual is no longer acceptable. Kenny (2002) states that at the core of healthcare is an agreement amongst all the health professionals enabling them to evolve as the patient health requirements become more challenging but there are hurdles for these coalitions to be effective: for example the variation in culture of health divisions and hierarchy of roles. Here Hall (2005) illustrates this point by stating that physicians ignore the mundane problems of patients, and if they feel undervalued they do not fully participate with a multidisciplinary team.
Starfield, B., Shi, L., & Macinko, J. (2005). Contribution of Primary Care to Health Systems and Health. Milbank Quarterly, 83(3), 457-502. Retrieved from http://www.commonwealthfund.org/usr_doc/starfield_milbank.pdf
...e crucial change needed in health services delivery, with the aim of transforming the current deteriorated system into a true “health care” system. (ANA, 2010)
There are several drivers that affect the functionality of health care systems. These entities or controllers move medical services in different directions and substantiate the need for change in organizations around the world. One pressing issue that has caused concern for the United States and other nations is demographics (Drivers of change). Demographics is defined by the growth and age of the people, as well as the diversity of the community (Drivers of change). In the U.S., the average age of the public has increased substantially due to longer life spans (Buchbinder & Shanks, 2012). This results in a maximization of hospital visits and cost to society (Shi & Singh, 2012). Unlike other countries, our health practices do not offer the best care at free or manageable cost (Reid, 2008). This nation is expected to continue to expand by 25% at the end of 2025 (Drivers of change). As a result, health disparities will require diversification of access, utilization, quality, and the health environment (Buchbinder & Shanks, 2012). A need for cultural integrity must be instituted for all people based on race, ethnic background, religion, and class (Buchbinder & Shanks, 2012).
Marmot in his famous article titled Social Determinants of Health Inequalities firmly stated that actions targeted to improve healthcare access should not be focused only on healthcare system but rather on the social determinants of health. Marmot reiterated that health inequalities, disparities and social determinants of health are totally preventable through more inclusive wider social policies. He insists that inequalities of health between and within geographical areas can be reduced through positive actions.3 And such actions should be focused towards improving the social determinants of health in all areas to give everyone equal access to healthcare services.2-3 Explaining that lack of healthcare access are driven by SDOH, Marmot further argues that health cannot be improved by itself alone, but by enhancing those factors that determine health.
Some of the reasons for the increase in the cost of health care are: third party payments; imperfect market; technology growth, increase in the number of elderly population; current medical model of health care delivery; multi payer system and administrative cost; defensive medicine. One societal issue that healthcare organizations must respond is the high healthcare cost. The high healthcare cost is the reason of increasing burdens of many Americans. A survey was done by Henry Kaiser Family Foundation and learned that 58 percent of people did not seek treatment that they needed because of the rising healthcare cost (Huff/Post50, 2012). Healthcare organization can help with the issue by supporting their community thru social support, education of preventive benefits, health promotion, health management, counseling, and person centered planning. The second societal issue is the healthcare availability. Disparities in healthcare access remain a problem in America. Healthcare organization can help people in the community thru education and behavioral healthcare. According to Wyland (2014), chronic conditions such as diabetes, obesity, heart disease, and substance use disorders are behaviorally based, necessitating recurring instead of acute intervention to be treated successfully. Educational and community based programs play an important role in preventing disease and injury, improving health, and enhancing quality of life. Everyone have personal responsibility in one’s own health through active participation, education, and lifestyle change (Harkness & DeMarco, 2016). The third issue is the healthcare equity. The reason of gaps in the quality of care is due to the inability of healthcare organizations to integrate improvement measures into the process of care (Mayberry, Nicewander, Qin, & Ballard, 2006). It is important to ensure that care is accessible and
Schmeer, K. (1999). GUIDELINES FOR CONDUCTING - A Stakeholder Analysis : A Partnerships for Health Reform Publication. Retrieved from Abt Associates Inc. website: http://www.who.int/management/partnerships/overall/GuidelinesConductingStakeholderAnalysis.pdf
Hacker, K. K. (2013). Achieving Population Health in Accountable Care Organizations. American Journal Of Public Health, 103(7), 1163. doi:10.2105/AJPH.2013.301254
There are six principals of Primary health care. To begin with, the first principles are Accessibility Equality and Social Justice. It is the first and most important key to primary health care. Health care service must be equally distributed and shared by all people of the community irrespect...
Both public health and clinical medicine is important and mutually dependent to increase individual and public health. Ready access to high quality health care services is a right of the population and a requirement of good public health. This requires the accessibility of high quality providers of clinical and preventive care.