The Initiatives Of Primary Care

Primary health care is the first level of care in the community, patients can visit the general practitioner at the clinic. At some of the modern super clinics they provide other services that cover a range of Allied health professionals. These can include, but not limited to: Nurse, Pharmacist, Dentist (not usually covered by Medicare), physiotherapistand dieticians

The specialty area selected by this author among the Advanced Practice Registered Nurse (APRN) roles was that of the Family Nurse Practitioner (FNP). High among the list of reasons for choosing the FNP specialty track was the ability to care for patients who lack healthcare insurance, are of limited financial resources, or are stigmatized. The type of organization that would allow me to provide high-quality, patient-centered care in a manner consistent with my professional aspirations would be a Primary Care Organization (PCO). Being part of a PCO would allow me to implement clinical skills that are distinctive of the care provided by the FNP, such as to educate patients regarding management of chronic conditions as well as counseling on disease prevention and health promotion strategies. These skills would be provided in addition to the well-established responsibilities shared with other healthcare providers; such as performing examinations, making diagnoses, prescribing medications

Ideas and reforms for an improved access to high quality primary health care in Ontario: AOHC’s perspective

The impact of the IOM report on nursing practice particularly in primary care reports that the need for patient-centered care be evaluated. This including more community care rather than acute care, more primary care then specialty care, and enabling all health care professionals to practice to their full educational backgrounds. The IOM reported that nurses were able to develop a stronger relationship with the client, being able to take better care of them during and after their care increasing a better outcome for their health needs. The need for nurses be able to practice in the primary care setting grew with the shortage of medical students and residents not wanting to enter the primary care facilities. The end results of nurses entering the primary care setting will provide higher-quality care, reduce errors, and increase patient safety.

(a) Primary care is the most used health system in Australia. It is the first point of care delivered to people living in the community, and is designed to keep people well and out of hospital. Primary care includes many services provided by health professionals. Physiotherapists, practice nurses, general practitioners, community health care workers and psychologists are but a few who are working in the community. The Australian Government is improving primary health care by the introduction of GP Super Clinics, Medicare Locals (primary health care organisations), delivery and treatment of Diabetes in the general practice and making GP after hour services more accessible to the public. 24 hour helplines are also available. A functional primary health care system means health conditions can be managed in the community, freeing up hospital beds for people who need hospital based care. (Primary Healthcare Research &

“Patient-centered care is a quality of personal, professional, and organizational relationships”. (Epstein & Street, 2011, p. 100). There is a general agreement that the current healthcare delivery system will not be able to meet the needs of the chronic health conditions of the increasing baby boomer population. Research has shown that there will be primary care “physician shortage of 45,400 expected by the year 2020”. (Corso & Gage, 2016, p. 192) Due to the challenges faced by the primary care workers in relation to the needs of this age group, the patient- centered medical home model was adopted (Carver & Jessie, 2011). Patients who receive care through a medical home model will have the same provider, and have access to this provider 24

Clinical studies support that Direct Primary Care (DPC) is a necessary financial model to impact the escalation of health care expenses not only today, but into the future. As the foundation by which the Health Care Delivery System is established, it must be redesigned and rebuilt to support other Quality Care Measures.

Healthcare spending in the United States is higher than that found in many comparable high income countries, while health outcomes within the U.S. have not kept up with these expenses. In 2008, as the national and global economy plummeted and the United States’ GDP subsequently declined, spending in healthcare still continued to grow and reached $2.5 trillion in 2009 (Shi 2014). Between 2010 and 2019, it is predicted that healthcare spending will grow at a rate of 6.1% annually, accounting for $4.5 trillion in 2019 and 19.3% of the GDP (Shi 2014). As our spending continues to go unchecked, a larger proportion of our GDP is displaced and there is less money to put towards other areas of investment. With the passage of the Affordable Care Act

My healthcare experiences—both in the classroom and clinical settings—have opened my eyes to the importance of primary care and the value of educating patients in preventative medicine. Contrary to popular belief, primary care physicians do much more than perform physicals, order vaccines, and write referrals. In reality, the role of PCPs is much more inclusive; they are a patient’s first line of defense. They provide preventative care, diagnose minor illnesses before they become life threatening, and, importantly, attempt to piece together a patient’s complicated health puzzle, all this in the environment of an ongoing, caring relationship. Today, our nation is facing a primary care crisis. There is a shortage of primary care physicians, and

1. What are primary care and the related concept of gatekeeping? How does that model work for the United States health care delivery system?

The history of primary care as a distinct division of medicine is a recent development, when considering the whole of the timeline of human medicine. In fact, the widespread differentiation of such divisions as Family Medicine, Pediatric Medicine, and Geriatric Medicine, to name but a few, have largely only taken place in the latter half of the 20th century. However, to assume that there is little left to discuss regarding primary care medicine before that time would be facile- indeed, for most of recorded medical history, the "primary care specialty" encompassed nearly all of medicine.

Primary care innovations have led to the expansion of specialized neonatal intensive care units. For instance, the simultaneous increase in the use of technology and clinical sophistication in managing neonatal patients has led to improvements in the survival of preterm neonates with associated decrease in the morbidity from lung diseases, eye problems and neurologic deficits that result from the nature of their birth. These innovations have also been helpful in the management of patients with asthma and attention deficit hyperactivity disorder (ADHD).11

The populations of Canada and most industrialized countries are aging. In Canada, the number of adults aged sixty-five and over was estimated to be five million as of 2011 (Government of Canada 2014, par. 2). In 2005, the Government of Canada identified focal points and future directions for the Canadian health system to increase efficiency and effective service delivery, as well as sustainability, in the face of these changing population demographics (Health Council of Canada 2005). As in other countries, including France, Germany, Australia and the United States, there is currently a shift in resource allocation and policy towards primary health care (Schoen et al., 2012). The reason for this shift is related to the unique healthcare needs

Primary care is delivered through family physicians and associated professions working either in solo or in groups, on a fee-for-service basis. Access to primary care for low-income, uninsured, and minority populations are provided by Non-profit community health centers. This system also provide in addition clinics for the military, prisons, and centers for migrants and the

Melanie is an almost 34-year-old female here today to establish care. She would like to talk about her health history and has a primary care doctor. The patient tells me she is pregnant. She is a now G2, P1, with a 16-month-old son named Braden at home. She is being followed by Dr. Turer in Exeter. No issues thus far. She is having some nausea and some fatigue, but otherwise no new or unusual symptoms, including no belly pain, cramping, bleeding, or spotting.