HSCI 305 Lecture Notes - Lecture 7: Colorectal Cancer, Cervical Cancer, Palliative Care
28 Nov 2017
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Document Summary
Health canada knew of massive gaps in first nations child health care, documents show. Primary care: first point of consultation, often with a general practitioner or family physician. This could also include walk-in clinics and some services in emergency department. Secondary care: services provided by medical specialists and acute care for brief but serious conditions: e. g. , cardiologists, urologists, e. g. , injury, childbirth. Tertiary care: more specialized consultative care usually in-hospital: e. g. , cancer treatment, neurosurgery, cardiac surgery. Access: first-contact care for each health concern. Continuity: patient-focused (rather than disease focused) care over time. Coordination: follow-up when services are needed elsewhere. Comprehensive: broad range of services, referral to other services where needed. Referrals/coordination with other levels of care: hospital and specialist. Including some individual-level public health and health promotion services: both family physicians and public health offices play roles in immunization. Gatekeeper function decided about diagnostic tests, prescription drugs, and referral to specialist. Usually (but not always) a family doctor.
