HOW CAN YOU ACCESS PRIMARY HEALTHCARE IN YOUR CANDID OPINION AND WHAT PERCENTAGE WILL YOU SCORE THE PROPONENT OF PRIMARY HEALTHCARE
Primary health care (PHC) refers to “essential health care” that is based on scientifically sound and socially acceptable methods and technology, which make universal health care universally accessible to individuals and families in a community. It is through their full participation and at a cost that the community and the country can afford to maintain at every stage of their development in the spirit of self-reliance and self-determination”. In other words, PHC is an approach to health beyond the traditional health care system that focuses on health equity-producing social policy. PHC includes all areas that play a role in health, such as access to health services, environment and lifestyle. Thus, primary health care and public health measures, taken together, may be considered as the cornerstones of universal health systems.
This ideal model of health care was adopted in the declaration of the International Conference on Primary Health Care held in Alma Ata, Kazakhstan in 1978 (known as the “Alma Ata Declaration”), and became a core concept of the World Health Organization’s goal of Health for all. The Alma-Ata Conference mobilized a “Primary Health Care movement” of professionals and institutions, governments and civil society organizations, researchers and grassroots organizations that undertook to tackle the “politically, socially and economically unacceptable” health inequalities in all countries. There were many factors that inspired PHC; a prominent example is the Barefoot doctors of China.
GOALS AND PRINCIPLES
The ultimate goal of primary health care is the attainment of better health services for all. It is for this reason that World Health Organization (WHO, has identified five key elements to achieving this goal:
• reducing exclusion and social disparities in health (universal coverage reforms);
• organizing health services around people’s needs and expectations (service delivery reforms);
• integrating health into all sectors (public policy reforms);
• pursuing collaborative models of policy dialogue (leadership reforms); and
• increasing stakeholder participation.
ACCESS TO PRIMARY HEALTHCARE; MY CANDID OPINION.
Access to primary health care is a key policy issue in many countries, and is of particular importance in those countries committed to equitable access to primary health care as a strategy for addressing health inequity. Making sure primary health care systems are equitable and accessible to those who need them most is more complex than equal use by all people or population groups. Access can be defined as the opportunity or ease with which consumers or communities are able to use appropriate services in proportion to their need
Improving access is all about getting supply and demand in equilibrium, which means that there is no backlog of appointments and no delay between when the demand is initiated and when the service is delivered. The gap between supply and demand not only contributes to a delay in meeting patients’ needs, but it can also be expensive and generate waste in the system.
The experience of many health care organizations demonstrates that demand is not really insatiable, but actually predictable. In fact, the demand for any kind of service — appointment, advice, or message to a provider — can be predicted accurately based on the population, the scope of the provider practice and, over time, the particular practice style of each provider. Periods of high or low demand can be anticipated, based on an analysis of demand data collected on all requests coming into the system. An improved access system uses these predictions as the framework to match its supply to the needs of a population of patients for any specific service.
Thus one can access primary healthcare through the following means outline below;
1. Primary health care systems are equitable and accessible
2. It should not be discriminatory
3. It should touch the lives of the rural populace.
4. The Government’s policy direction should be to encourage a multi-disciplinary approach to improving access to health care through the establishment of district alliances to coordinate the provision of health services between secondary, primary and community-based health services.
WHAT PERCENTAGE WILL YOU SCORE THE PROPONENT OF PRIMARY HEALTHCARE
The manner in which nurses, physicians, patients, and administrators interact is crucial for the overall efficacy of a healthcare system. From the viewpoint of the patients, healthcare providers can be seen as being in a privileged position, whereby they have the power to alter the patients’ quality of life. And yet, there are strict divisions among healthcare providers that can sometimes lead to an overall decline in the quality of patient care. thus people like Hippocrates, the ancient Greek physician, considered the father of Western medicine, Aristotle, Dr Halfdan Mahler, Tommy Douglas’ (number one concern was the creation of Canadian Medicare in 1962), etc did their very best in the promotion of primary healthcare to all especially in the rural areas so I will score them 100%, for without them, humanity would have been wiped out by negligence and ignorance of the political class.
Primary health care relates to the professional health care provided in the community, usually from a general practitioner (GP), practice nurse, pharmacist or other health professional working within a general practice. Primary health care covers a broad range of health services, including diagnosis and treatment, health education, counselling, disease prevention and screening.
Introduction and Objective Primary health care (PHC) is the basic strategy towards national health development in Nigeria, and provision of its services has been devolved to the local government. However, the PHC system in Nigeria has been hampered by several factors which have produced a negative effect on quality. It is assumed that given the proper structure, quality medical care will follow.
• World Health Organization. Declaration of Alma-Ata. Adopted at the International Conference on Primary Health Care, Alma-Ata, USSR, 6–12 September 1978.
• • Starfield, Barbara. “Politics, primary healthcare and health.” J Epidemiol Community Health 2011;65:653–655 doi:10.1136/jech.2009.102780
• • Public Health Agency of Canada. About Primary Health Care. Accessed 12 July 2011.
• • Marcos, Cueto (2004). “The ORIGINS of Primary Health Care and SELECTIVE Primary Health Care.”. Am J Public Health. 22 94: 1864–1874. doi:10.2105/ajph.94.11.1864.
• White F. Primary health care and public health: foundations of universal health systems. Med Princ Pract 2015 doi:10.1159/000370197