Term
| five principles of primary care |
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Definition
| accessibility, public participation, health promotion, appropriate technology, intersectoral cooperation |
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Term
| goals of primary care: continuity of care in three areas |
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Definition
relational continuity - see the same doc
informational continuity
management continuity - care from one level is connected to other |
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Term
| what is a problem with the current family physician system in terms of continuity |
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Definition
1. a quarter of them work alone without contact with other HCP
2. more than half take vacations without providing their pt coverage
3. more than half not available during off hours |
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Term
| why shouldnt patients access specialist directly? |
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Definition
1. very few specialist around, may clug up the system
2. specialist focus on one area only
3. specialists will disrupt information continuity, needs GP to coordinate information |
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Term
| four types of payment methods for physicians |
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Definition
1. fee for service
2. capitation (regardless of service, payment based on patient registered)
3. blended (part capitation part extra service)
4. salary |
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Term
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Definition
| incentive for physicians to do more than necessary |
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Term
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Definition
| limits physician's effort and restrict access to care to other professionals |
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Term
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Definition
| no one wants to take the hard cases |
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Term
| deos canadians have a easier time acessing primary care? |
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Definition
| no. harder to find them on weekends/evenings/holidays, also harder to get appointment when sick |
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Term
| patients feel communication/attitude/wait time were better in GP>Walk in>ED, does that correlate with quality of care? |
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Definition
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Term
| how does alternative payment methods contrast with FFS in terms of quality of care? |
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Definition
| alternative payment methods in CHC and HSO (health service organizations) are not based on FFS, they are paid a flat rate no matter how many times you visit them. they focus more on prevention unlike GP |
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Term
| contrast primary care and primary health care |
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Definition
primary care: physician focused, focus on curative of disease, episodic, and passive patients
primary HEALTH care: primary care plus... health promotion, involves a team of practitioners, empower patients to taken an active role, also get the community involved. It encompass not only health services but also social and community services. <--romanow |
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