A slide on out patient care for family physicians/GPs

1. Outpatient care
Seiyefa Brisibe

2. Outline
• Definition
• Illustration of biopsychosocial model
• Outpatient care-Definitions,issues of
outpatient care, Follow-up visits,home visits
• Factors to enable effective outpatient care
• Patient education in family medicine

3. Definition
• Biopsychosocial model is patient-centered
approach.
• This encompasses the first principles of family
medicine
• It entails attempts to understand the
complaints by patient, and signs found by
family physicians, not as mere expression of
the patient’s unique individuality

4. • It involves detailed history to include patients fears
about outcome of illness and effect of illness on person
• Detailed list of problems which include
-person problems
-emotional reaction to illness
-the family
-effect on relations
-work and leisure
-lifestyle
-the enviroment

5. Patient centred management
• Goals
• Psychological support
• Appropriate ressurance
• Patient education
• Empowering self-responsibility
• Anticipatory guidance/special hazards
• Prevention
• Health promotion-lifestyle recommendations and
modifications
• Family/social support
• Alternate option

6. Exploring the illness
• Ideas
• Fears
• Expectations
• Loss of function

7. •CASE ILLUSTRATION

8. OUTPATIENT CARE
• Involves intermittent desk consultation to
solve clinical problems.
• Main stay of primarycare /family medicine
• Involves

9. issues
• Treatment compliance
• Follow-up visit failures
• Family and society support
• Lack of supervision
• Finance

10. Enabling factors for effective
outpatient care
• Patient education
• Social support
• Socioeconomic status
• Communication-counseling
• Person-centred clinical model

11. Patient education

12. Is there a match between our readers and
our materials?
What is out there:
“Sometimes a sodium (salt) restricted diet is
recommended…because reduction of salt may also help
to lower blood pressure.”
What should be out there:
“If your blood pressure is high, eat less salt.”

13. Oral Language and
Other Pre-requisite Skills
Decoding
Can reader hear or read the words accurately?
Literal Comprehension
Can reader re-phrase in their own words?
Inference
Action – What + How
Critical Thinking
“Do I want to use this?”
Problem Solving
Information-Affective Response
Levels in the
Reading Process

14. Planning Your Brochure
Overview
• Identify resources
• Define the target audience
• Define goals and objectives
• Determine key concepts and messages
• Research the topic
• Develop an outline
• Involve the target audience and other experts
• Define the distribution plan
• Identify the look and design