2. *HEALTH CARE SERVICES IS DEFINED AS “ A MULTIPLE OF SERVICES
RENDERED TO INDIVIDUALS , FAMILIES OR COMMUNITIES BY AGENTS
OF HEALTH CARE PERSONAL OR PROFESSIONAL FOR THE PURPOSE OF
PROMOTING, MAINTAINING, MONITORING OR RESTORING HEALTH.
*THE HEALTH CARE SERVICES ARE DESIGNED TO MEET THE HELTH NEEDS OF
COMMUNITY THROUGH HOSPITAL AND COMMUNITY HEALTH AGENCIES.
*HEALTH HAS BEES DECLARED AS FUNDAMENTAL HUMAN RIGHTS.THIS IMPLIES
THAT THE STATE HAS A RESPONSIBILITY FOR HEALTHOF ITS PEOPLE.
3. 1) BE ORGANIZED TO MEET THE HEALTH NEEDS
OF ENTIRE POPULATION.
2) COVER FULL RANGE OF PREVENTIVE ,
PROMOTIVE , CURATIVE AND REHABILITIVE
SERVICES.
3) BE SUPPORTIVE BY REFFERAL SYSTEM
4) BE BASED ON POLICY OBJECTIVES OF HEALTH
FOR ALL.
* Delivery of health care services should :-
4. CHARACTERISTICS OF HEALTH CARE SERVICES.
1) RELEVANCE :- WHETHER THE SERVICES PROVIDED , IN ACCORDANCE WITH NEEDS ARE A
PRIORITY FOR HUMAN RACE .
2) COMPREHENSIVENESS :- IT DEALS WITH FIVE LEVELS OF HEALTH , I.E. PROMOTING OF HEALTH,
SPECIFIC PROTECTION , EARLY DIAGNOSIS AND TREATMENT, LIMITATION OF DISABILITY AND
REHABILITATION.
3) ADEQUACY :- THE SERVICES ARE PROPORTIONATE TO REQUIREMENT .
4) AVAILABILITY :- SERVICES ARE AVAILABLE TO THE WHOLE POPULATION, I.E. RATIO BETWEEN
POPULATION AND HEALTH CARE PERSONNEL, NURSE- PATIENT RATIO, DOCTOR- PATIENT
RATIO ETC.
5) ACCESSIBILITY :- SERVICES SHOULD BE GEOGRAPHICALLY ACCESSIBILE, ECONOMICALLY AND
CULTURALLY ACCESSIBLE AS FAR AS POSSIBLE.
6) AFFORDABILITY :- COST OF THE SERVICES SHOULD BE WITHIN THE MEANS OF THE INDIVIDUAL
AND STATE SERVICES SHOULD BE FREE.
5. 7) FEASIBILITY :-HEALTH SEVICES HOULD BE FEASIBLE IN CERTAIN PROCEDURES ,
MANPOWER AND MATERIAL RESOURCES.
8) INTEGRATED :- SERVICES SHOULD BE COMBINED AND INTEGRATED AND AVAILABLE AT THE
SAME PLACE AND THROUGH SIMPLE AND EASY REFERENCE.
9) CONTINUITY :- ALL SERVICES ONCE STARTED SHOULD CONTINUE TO BE AVAILABLE
WITH MAN , MONEY AND RESOURCES
10) UP-TO-DATE :- ALL SERVICES SHOULD BE BASED ON LATEST TECHNOLOGY AND
INCLUDE PREVENTIVE, PROMOTIVE AND REHABILITIVE SERVICES
11)HOLISTIC :- THE SERVICES SHOULD COVER THE TOTAL ENVIRONMENT AT HOME ,
SCHOOL, WORKPLSCE ETC.
6. HEALTH PROMOTION AND PREVENTION
*HEALTH PROMOTION IS THE PROCESS OF EMPOWERING PEOPLE TO INCREASE
CONTROL OVER THEIR HEALTH AND ITS DETERMINANTS THROUGH HEALTH
LITERACY EFFORTS AND MULTISECTORAL ACTION TO INCREASE HEALTHY
BEHAVIORS.
*THIS PROCESS INCLUDES ACTIVITIES FOR THE COMMUNITY-AT-LARGE OR FOR
POPULATIONS AT INCREASED RISK OF NEGATIVE HEALTH OUTCOMES.
* HEALTH PROMOTION USUALLY ADDRESSES BEHAVIORAL RISK FACTORS SUCH AS
TOBACCO USE, OBESITY, DIET AND PHYSICAL INACTIVITY, AS WELL AS THE AREAS
OF MENTAL HEALTH, INJURY PREVENTION, DRUG ABUSE CONTROL, ALCOHOL
CONTROL, HEALTH BEHAVIOR RELATED TO HIV, AND SEXUAL HEALTH.
7. DISEASE PREVENTION
*DISEASE PREVENTION, UNDERSTOOD AS SPECIFIC, POPULATION-BASED AND INDIVIDUAL-BASED
INTERVENTIONS FOR PRIMARY AND SECONDARY (EARLY DETECTION) PREVENTION, AIMING TO
MINIMIZE THE BURDEN OF DISEASES AND ASSOCIATED RISK FACTORS.
1) PRIMARY PREVENTION REFERS TO ACTIONS AIMED AT AVOIDING THE MANIFESTATION OF A
DISEASE(THIS MAY INCLUDE ACTIONS TO IMPROVE HEALTH THROUGH CHANGING THE IMPACT
OF SOCIAL AND ECONOMIC DETERMINANTS ON HEALTH; THE PROVISION OF INFORMATION ON
BEHAVIORAL AND MEDICAL HEALTH RISKS).
2) SECONDARY PREVENTION DEALS WITH EARLY DETECTION WHEN THIS IMPROVES THE CHANCES
FOR POSITIVE HEALTH OUTCOMES (THIS COMPRISES ACTIVITIES SUCH AS EVIDENCE-BASED
SCREENING PROGRAMS FOR EARLY DETECTION OF DISEASES OR FOR PREVENTION OF
CONGENITAL MALFORMATIONS; AND PREVENTIVE DRUG THERAPIES OF PROVEN EFFECTIVENESS
WHEN ADMINISTERED AT AN EARLY STAGE OF THE DISEASE).
IT SHOULD BE NOTED THAT WHILE PRIMARY PREVENTION ACTIVITIES MAY BE IMPLEMENTED
INDEPENDENTLY OF CAPACITY-BUILDING IN OTHER HEALTH CARE SERVICES, THIS IS NOT THE CASE
FOR SECONDARY PREVENTION.
8. DIAGNOSTIC SERVICES
Diagnostic Services facilitates the provision of timely, cost-effective, and high
quality diagnostic care in safe and secure environments. It includes the clinical
services of Pathology and Laboratory Medicine, Radiology, and Nuclear
Medicine .
These services function in the settings of ambulatory care, acute care, mental
health, geriatric and rehabilitative care.
Facility based diagnostic service employees include physicians, nurses,
technicians, technologists, administrators, as well as program assistants and
analysts.
Combining these diagnostic services and employees into an interdisciplinary
group facilitates the sharing of knowledge and permits uniformity of practices
and policies.
9. TREATMENT SERVICES
TREATMENT SERVIES ARE PROVIDED BY VARIOUS CATEGORIES OF HEALTH
INSTITUTIONS . THERE ARE GENERAL HOSPITALS, SPECIALISED HOSPITALS ,
TEACHING HOSPITALS, DISTRICT HOSPITALS , TOWNSHIP HOSPITALS IN URBAN
AREA, RURAL HEALTH CENTRES AND SUB- RURAL HEALTH CENTRES ARE
PROVIDING COMPRENSHIVE HEALTH CARE SERVICES.
AS POPULTION CONTINUE TO GROW AND AGE, THERE WILL BE INCREASING
DEMAND FOR ACUTE CURATIVE SERVICES. EMERGENCY INTERVENTIONS AND
SERVICES SHOULD BE INTEGRATED WITH PRIMARY CARE AND PUBLIC HEALTH
MEASURES TO COMPLETE AND STRENGTHEN HEALTH SYSTEMS.
TREATMENT SERVICES WOULD INCLUDE THE MOST TIME-SENSITIVE ,
INDIVIDUALLY ORIENTED DIAGNOSITC AND CURATIVE ACTIONS WHOSE
PRIMARY PURPOSE IS TO IMPROVE HEALTH.
10. Rehabilitation is defined as “a set of interventions designed to optimize functioning and reduce
disability in individuals with health conditions in interaction with their environment”.
Rehabilitation is highly person-centered, meaning that the interventions and approach selected for
each individual depends on their goals and preferences. Rehabilitation can be provided in many
settings, from inpatient or outpatient hospital settings, to private clinics, or community settings
such as an individual’s home.
Rehabilitation helps to minimize or slow down the disabling effects of chronic health conditions,
such as cardiovascular disease, cancer and diabetes by equipping people with self-management
strategies and the assistive products they require, or by addressing pain or other complications.
Rehabilitation can reduce the impact of a broad range of health conditions, including diseases
(acute or chronic), illnesses or injuries. It can also complement other health interventions, such as
medical and surgical interventions, helping to achieve the best outcome possible.
REHABILITATION
11. Some examples of rehabilitation include:
Exercises to improve a person’s speech, language and communication after a brain
injury.
Modifying an older person’s home environment to improve their safety and
independence at home and to reduce their risk of falls.
Exercise training and education on healthy living for a person with a heart disease.
Making, fitting and educating an individual to use a prosthesis after a leg
amputation.
Positioning and splinting techniques to assist with skin healing, reduce swelling,
and to regain movement after burn surgery.
Prescribing medicine to reduce muscle stiffness for a child with cerebral palsy.
Psychological support for a person with depression.
Training in the use of a white cane, for a person with vision loss.
12. CONTINUING CARE
CONTINUING CARE IS A MULTI-DISCIPLINARY WORKING TO PROVIDE QUALITY OF
CARE. IT CONCEPTUALLY RELATES TO PATIENT SATISFICATION. IT IS A CONTINOUS
HEALTH RELATIONSHIP BETWEEN PATIENT AND IDENTIFIED HEALTH CARE
PROFESIONAL.
PATIENTS WITH CHRONIC ILLNESS OR WHO DO NOT REQUIRE HOSPITALIZATION
CAN RECEIVE HEALTH CARE WITH ALTERNATIVE WAYS TO INCREASE THE
FUNCTIONAL ACTIVITIES OF THE PATIENT .
CONTINUING CARE HAS BEEN DEFINED AS THE CARE PROVIDED TO PATIENT
ACCORDING TO HIS NEEDS IN AN APPROPRIATE CONTINOUS AND DYANIC
PATTERN .
GOAL OF CONTINUING CARE IS TO EXTEND THE HEALTH CARE SERVICES TO
ANOTHER SETTINGS LIKE HOME. CONTNUIG CARE SERVICES OFFER THE PATIENTS
ONGOING SUPPORTIVE FOR CHRONIC BUT ALSO FOR MENTAL ILLNESS.