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Primary Health Care


									Primary Health Care
Working together for better health

Arlene Wilgosh Deputy Minister of Health

March 22, 2005

What is Primary Health Care ?

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.

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.

Income & Social Status

Social Environments

Employment / Working Conditions


Physical Factors

Social Support Networks

Prenatal / Early Childhood Experiences

Level of Education

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.

Primary Health Care – Definition
• Services are generally provided in the community • Some services are also provided in hospitals

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.

Principles of Primary Health Care
Accessibility Appropriateness Intersectoral / Interdisciplinary

Continuity of Care

Population Health

Community Participation


Affordable & Sustainable

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.

Primary Health Care Reform
Medical model
 Treatment
 Illness  Cure  Episodic care  Specific problems

Primary Health Care
 Health promotion  Health  Prevention, care, cure  Continuous care  Comprehensive care

 Individual practitioners
 Health sector alone

 Teams of practitioners
 Intersectoral collaboration

 Professional dominance
 Passive reception

 Community participation
 Joint responsibility
Barbara Starfield, Johns Hopkins University

Advancing Primary Health Care in Manitoba

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.

The Delivery of Health Programs & Services to 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.

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.

Chronic Diseases Priority Initiatives

Regional Diabetes Program Chronic Disease Prevention Initiative

Primary Health Care Transition Fund

Official Languages/ Minority Communities

Primary Health Care Transition Fund Aboriginal

MultiJurisdictional National


Primary Health Care Transition Fund Initiatives cont’d
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.

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.

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

Primary Health Care: Working Together for Better Health

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