Dr Brian O'Doherty, GP Gorey

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Better Outcomes with Scarce Resources

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Dr Brian O'Doherty, GP Gorey

  1. 1. Primary Care Centre State:Better Outcome with Scarce Resources Dr. Brian O’Doherty Conal House Primary Care Centre
  2. 2. R PRIMARYE CARE PatientSO PatientURC SECONDARYE CARES
  3. 3. Patient ExpectationPublic Expectation
  4. 4. MEDICAL INFLATION
  5. 5. Medical Advances HaveDeveloped At A Level That is Ahead of Society’s Willingness to Pay for Them
  6. 6. Primary Care Centres -Stadium Without A Team
  7. 7. Primary Care Centres
  8. 8. Vocationally Trained GPGP’s with Special Interests Joint Injections Mirena Minor Surgery Chronic Disease Phlebotomy
  9. 9. OPEN ACCESS RADIOLOGY PHLEBOTOMY STRESS REST HOLTER/ECHO/24 HR BP MONITORING ENDOSCOPY
  10. 10. Patient Education
  11. 11. HEALTH EDUCATION LIFESTYLE MODIFICATION SMOKING CESSATION DIET PATIENT SELF HELP MEDIA CAMPAIGN SCHOOLS
  12. 12. IT DIFFERENT SOFTWARE COMMUNICATION PATHWAYS SMART CARD - DUPLICATION
  13. 13. INFRASTRUCTURE IT REFERAL PATHWAYS ROADS AMBULANCE SERVICE
  14. 14. Non – Medical TherapiesGroup EducationPhysioDiabetes
  15. 15. Patient Self HelpEducationSchools
  16. 16. CIT EarlyDischarge
  17. 17. Geographical BordersMoney Follows Patient
  18. 18. Reduce Hospital WorkloadDublin Teaching Hospital 1984
  19. 19. 2nd Care Can’t Be Reduced Without Primary Care
  20. 20. He Who Shouts Loudest Is HeardWhat about Marginalised
  21. 21. Secondary CareCan’t Be ReducedWithout Primary Care Backup

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