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Health care delevery

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  • 1. SEMINAR ON PREVENTIVE, CURATIVE AND RESTORATIVE CARE IN HEALTH CARE DELIVERY SYSTEM Presented by S.Sivabanu I Year M.Sc (N)
  • 2. DEFINITION AND OBJECTIVES DEFENITION The term health care delivery system refers to a multilevel industry transforms various resources into essential services designed to meet the health care needs of a population OBJECTIVES OF HEALTH CARE DELIVERY SYSTEM  To increase the lifespan of healthy people  To reduce health disparities and  To provide all people with access to prevention  Decrease the race-based disparity in life expectancy
  • 3. MODELS OF HEALTH CARE DELIVERY Tertiary level (District hospitals, medical college hospitals) Secondary level (community health center taluka hospital) Primary level (PHC, Sub centers)
  • 4. 1. PUBLIC HEALTH SECTOR  PRIMARY HEALTH CARE Primary health centre Sub – centers  HOSPITALS/HOSPITAL CENTERS Community health centers Rural hospitals District hospitals / health centre Specialist hospitals Teaching hospitals  HEALTH INSURANCE SCHEMES Employees state insurance Central Government Health scheme  OTHERS AGENCIES Defense services Railways HEALTH CARE SYSTEM
  • 5. 2. PRIVATE SECTOR  Private hospitals, polyclinics, nursing homes and dispensaries  General practitioners and clinics 2. INDIGENEOUS SYSTEM OF MEDICINE Ayurveda and siddha Unani Homeopathy Unregistered practitioners 2. VOLUNTARY HEALTH AGENCIES 3. NATIONAL HEALTH PROGRAMMES
  • 6. PRIMARY HEALTH CARE VILLAGE LEVEL  Village – health Guide scheme (VHG – scheme)  Training of local dais  ICDS scheme SUB CENTRE LEVEL PRIMARY HEALTH CENTER LEVEL
  • 7. Staff pattern of PHC Medical officer - 1 Pharmacist - 1 Staff nurse - 1 Health worker female (ANM) - 1 Block extension Educator - 1 Health Assistant male - 1 Health assistant female - 1 Upper division clerk - 1 Lower division clerk - 1 Lab technician - 1 Ophthalmic Assistant - 1 Driver - 1 class IV staff (peon/sweeper) - 4 Total - 16
  • 8. FUNCTIONS OF THE PHC Medical care MCH services including family planning Improvement of environmental sanitation with safe water supply Prevention and control of communicable diseases Collection and reporting of vital statistics Health education Implementation of relevant National Health programs Basic lab services Referral services Training programs for health workers. Health assistants, local dais etc..
  • 9. MEDICAL OFFICERS  General  Curative  Preventive work  Promotive work  Training  Administration JOB RESPONSIBILITIES OF PHC STAFF
  • 10. FEMALE HEALTH WORKER  Maternal and child health  Family planning  Nutrition  Communicable disease  Immunization  Training  Vital events  Record keeping  Primary medical care  Team activities
  • 11. MALE HEATH WORKER  Malaria  Communicable disease  Environmental sanitation  Immunization  Family planning  Maternal and child health  Nutrition  Vital events  Team activities
  • 12. MALE HEALTH ASSISTANT  Supervision and guidance  Team work  Maintain regular supplies and equipments  Scrutinize and maintain records  Radical treatment and insecticidal spray  Communicable disease control  Environmental sanitation  Conduct, supervise immunization sessions  Ensure family planning  Nutrition  Report vital events  Primary medical care  Health education FEMALE HEALTH ASSISTANT
  • 13. COMMUNITY HEALTH CENTRE By upgrading primary health centers Covers population of 80,000-1.2 lakhs 30 beds And specialists in medicine, surgery, OBG and pediatrics X-ray and lab facilities available STAFF PATTERN OF CHC SERVICES PROVIDED Inpatient and out patient services Services of speacialists Emergency care Specialized diagnostic services
  • 14. HOSPITALS •Rural hospitals •District hospitals HEALTH INSURANCE •Employees state insurance scheme •Central government health scheme OTHER AGENCIES •Defence medical services •Health care of railway employees PRIVATE AGENCIES •Nursing homes •Poly clinics •Private hospitals •General practioners
  • 15. INDIGENEOUS SYSTEM OF MEDICINE Ayurveda Yoga Unani Siddha homeopathy… VOLUNTARY HEALTH AGENCIES Supplementing the work of government agencies Pioneering Education Demonstration Guarding the work of government agencies Advancing health legislation HEALTH PROGRAMMES
  • 16. SUMMARY CONCLUSION ASSIGNMENT THEORY APPLICATION BIBLIOGRAPHY

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