HSCI 305 Lecture Notes - Lecture 7: Colorectal Cancer, Cervical Cancer, Palliative Care

73 views6 pages

For unlimited access to Class Notes, a Class+ subscription is required.

HSCI 305
DAY 7
October 26, 2017
Health Services Provision
- HealthyDebate use for paper???
- Health Canada knew of massive gaps in First Nations child health care, documents show
ARTICLE
- Were being ignored
- Health Canada wasn’t doing much
Health Services Provision
- 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
o E.g., cardiologists, urologists
o E.g., injury, childbirth
- Tertiary Care: More specialized consultative care usually in-hospital
o E.g., cancer treatment, neurosurgery, cardiac surgery
Primary Care
- Access
o First-contact care for each health concern
- Continuity
o Patient-focused (rather than disease focused) care over time
- Coordination
o Follow-up when services are needed elsewhere
- Comprehensive
o Broad range of services, referral to other services where needed
May include:
- Prevention and treatment of common diseases/injuries
- Basic emergency services
- Referrals/coordination with other levels of care: hospital and specialist
- Primary mental health care
- Palliative and end-of-life
- Healthy child development
- Primary maternity care
- Rehabilitation services
find more resources at oneclass.com
find more resources at oneclass.com
Unlock document

This preview shows pages 1-2 of the document.
Unlock all 6 pages and 3 million more documents.

Already have an account? Log in
- Including some individual-level public health and health promotion services
o 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
- ** Specialists want referrals from doctors so they can get more money **
Public Health
- Public health programs and policies generally target populations rather than individuals
o Population health assessment
o Health promotion
o Disease and injury control and prevention
o Health protection
o Surveillance and emergency preparedness
o Epidemic response
- Primary care has role in individual-level prevention
- Cancer agencies oversee dedicated screening programs
o Breast cancer, cervical cancer, colorectal cancer
- PHAC has a coordinating role
o Disease surveillance, report back to WHO
Emergency Care
- Emergency department
o Staffed by specialist Royal College of Physicians and surgeons of Canada
(RCPSC) fellow or specialist family physicians
o RNs may also be certified as emergency nurses
- Emergency medical services (EMS)
o Transportation (road or air ambulance)
o Pre-hospital or inter-hospital patient care
- ED overcrowding and wait times perennial issues
- ED also serves as primary care (especially after hours) for many patients
Specialists and Hospital Care (Secondary and Tertiary Care)
- Specialized ambulatory services also generally provided in outpatient departments of
hospitals
o Some provided in private doctors offices
o Some specialized ambulatory and diagnostic services may be provided in profit-
making clinics
- Remember, hospitals may be public or non-profit
o Directed by regional health authorities
Rehabilitation/Intermediate Care
- Inpatient rehabilitation
o Orthopedics e.g, joint replacement surgery, amputations
o Stroke, brain dysfunction, spinal cord injury
- Outpatient rehabilitation (often physiotherapy) and occupational therapy)
find more resources at oneclass.com
find more resources at oneclass.com
Unlock document

This preview shows pages 1-2 of the document.
Unlock all 6 pages and 3 million more documents.

Already have an account? Log in

Get access

Grade+
$10 USD/m
Billed $120 USD annually
Homework Help
Class Notes
Textbook Notes
40 Verified Answers
Study Guides
1 Booster Class
Class+
$8 USD/m
Billed $96 USD annually
Homework Help
Class Notes
Textbook Notes
30 Verified Answers
Study Guides
1 Booster Class