Primary Health Care

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Primary Health Care

• Working together for better health

March 22, 2005
Arlene WilgoshDeputy Minister of Health
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What is Primary Health Care ?
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Primary Health Care Definition

• Primary Health Care is the first level of contact
  with the health system to promote health, prevent
  illness, care for common illnesses, and manage
  ongoing health problems.

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Primary Health Care- Definition
Primary Health Care extends beyond the
traditional health sector and includes all human
services which play a part in addressing the
inter-related determinants of health.
Social Environments
Income Social Status
Employment / Working Conditions
Physical Factors
Culture
Social Support Networks
Prenatal / Early Childhood Experiences
Level of Education
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Primary Health Care- Definition

• Primary Health Care includes
• Primary Care (physicians, midwives nurses)
• Health promotion, illness prevention
• Health maintenance home support
• Community rehabilitation
• Pre-hospital emergency medical services
• Coordination and referral to other areas of
  health care.

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Primary Health Care Definition

• Services are generally provided in the community
• Some services are also provided in hospitals

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Primary Health Care Definition

• Primary Health Care is different in each
  community depending upon
• Needs of the residents
• Availability of health care providers
• The communities geographic location
• Proximity to other health care services in the
  area.

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Principles of Primary Health Care
Appropriateness
Accessibility
Intersectoral / Interdisciplinary
Population Health
Continuity of Care
Community Participation
Efficiency
Affordable Sustainable
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Primary Health Care - Benefits

• PHC focuses on keeping people healthy
  addressing illness early so as to increase
  probability of cure
• PHC is client focused
• Individuals have access to appropriate care
• Services are matched to community needs
• Targeted services will have a positive impact on
  the utilization of health and social services
• Healthy communities with healthy people
  contribute to a vibrant stable economy.

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Primary Health Care Reform
Medical model Primary Health Care
? Treatment ? Health promotion
? Illness ? Health
? Cure ? Prevention, care, cure
? Episodic care ? Continuous care
? Specific problems ? Comprehensive care
? Individual practitioners ? Teams of
practitioners
? Health sector alone ? Intersectoral
collaboration
? Professional dominance ? Community
participation
? Passive reception ? Joint responsibility
Barbara Starfield, Johns Hopkins University
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AdvancingPrimary Health Carein Manitoba

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Primary Health Care Policy Framework

• Approved April 4, 2002
• Framework guides the development of PHC within
  the province
• The goals are
• Promote the development of PHC organizations
  delivering service to Manitobans based upon the
  principles of PHC.
• Enable PHC service providers to deliver services
  in ways that reflect PHC principles.
• Improve the ability of PHC organizations to
  deliver services in accordance with the
  principles of PHC.

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The Delivery of Health Programs Servicesto
Northern Residents (Discussion paper)

• Paper completed by the Aboriginal Human Resources
  Strategy Committee in May 2002.
• Goals
• To provide an overview of the challenges facing
  health service delivery system in the North and
• To suggest a strategy to address these
  challenges, including the processes required to
  achieve the objectives.

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Office of Rural Northern Health

• Operational in September 2002.
• Offices in Dauphin Winkler.
• Goal To increase the number of graduating
  physicians other health care professionals who
  choose rural and northern Manitoba as a place to
  live and practice their professions.

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Chronic Diseases Priority Initiatives

• Regional Diabetes Program
• Chronic Disease Prevention Initiative

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Primary Health Care Transition Fund
Primary Health Care Transition Fund
Official Languages/ Minority Communities
Aboriginal
Multi- Jurisdictional
Provincial/Territorial
National
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Primary Health Care Transition Fund Initiatives
contd

• Northern Aboriginal Population Health
  Wellness Institute (NAPHWI)
• Community driven project
• Aboriginal communities identified to NAPHWI 3
  health issues of importance to northern
  communities.
• Integration of Traditional Medicine Primary
  Health Care
• Mental Health Youth Suicide
• Chronic Disease Management Diabetes.
• Focus is to identify jurisdictional issues that
  affect the delivery of health services in these 3
  areas.

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Aboriginal Midwifery Education Program (AMEP)

• Impetus of program Aboriginal communities
  identified the need to train more Aboriginal
  midwives.
• Community involvement in Steering Committee
  the development of the curriculum.
• Program
• 4-year degree University College of the North
• Blend of traditional Aboriginal western
  midwifery knowledge practice
• Competency-based curriculum, delivered in
  modules
• Readiness component
• Tutorial, social financial support
• Prior learning assessment recognition.

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Primary Health Care Transition Fund Initiatives

• Health Links /Info Santé
• Community Service Integrated System
• Public Awareness
• Community Health Centres Wabowden, Waterhen,
  Camperville, Thompson
• Technology information sharing Churchill
  Telehealth

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Conclusion

• Primary Health Care
• Working Together for Better Health