HSCI 305 Lecture Notes - Lecture 2: Emergency Medical Services, Colorectal Cancer, Cervical Cancer
28 Feb 2020
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More specialized consultative care usually in-hospital (e. g cancer treatment, neurosurgery, cardiac surgery) Services provided by medical specialists (e. g. cardiologists, urologists), and acute care for brief but serious conditions - injury, childbirth) 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 departments. Primary care in bc: first-dollar coverage by provincial insurer (msp, gatekeeper model, patient choice of physician . up to a point, no rostering / empanelment , usually (but not always) a family doctor, mostly fee-for-service. Primary care: family doctor-type services delivered to individuals (muldoon, first-contact access, long-term continuity, coordination, comprehensiveness (starfield 1998) Public health: public health programs and policies generally target populations rather than individuals. Epidemic response: primary care has role in individual-level prevention, cancer agencies oversee dedicated screening programs, breast cancer, cervical cancer, colorectal cancer, phac has a coordinating role, disease surveillance, reports back to who.
