HEALTH CARE DELIVERY SYSTEM BY NIDA FAREEN

LEVEL OF DISEASE PREVENTION, LEVEL OF HEALTH CARE & HOSPITAL.

1. TOPIC PRESENTATION ON HEALTH CARE DELIVERY SYSTEM PRESENTED BY MS NIDA FAREEN NURSING TUTOR MAX HEALTHCARE, LUCKNOW .

2. LEVEL OF DISEASE PREVENTION Level of prevention are the actions aimed at eradicating, eliminating or minimizing the impact of disease and disability or if none of none of these are feasible, retarding the progress of the disease and disability. The disease prevention is described in terms of health activities on Premordial , primary, secondary and tertiary levels.

3. Premordial Prevention: Premordial prevention consists of action and measures that inhibit the emergence of risk factors in the form of environmental, economical, social and behavioral condition and cultural patterns of living. 2. Primary Prevention: Primary prevention can be defined as the action taken prior to the onset of diseases, which removes the possibilities that the disease will ever occur.

4. 1. Primary level health care Basic and initial health care services to person or population. 2. Secondary level health care Consultative, short term and disease oriented services. 3. Tertiary level health care Usually highly specialized services. 3. Tertiary level health care Usually highly specialized services.

5. Primary Prevention Health promotion Specific Protection 1.Health education i . Immunization 2. environmental modifications ii . Chemoprophylaxis 3. Nutritional intervention iii. Use of specific nutrients 4. Nutritional interventions. iv. Protection against occupation hazard

6. 3. Secondary Prevention: It is defined as action which halts the progress of a disease at its incipient (early) stage and prevents complications. Early diagnosis Treatment 4. Tertiary prevention Disability limitation Rehabilitation

7. Level of Health care Health care is a multitude of services rendered to individuals, families or communities by the professionals and the organized health care services for the purpose of promoting, maintaining, monitoring or restoring health.

8. Characteristics of Health care Health care services in a community must be: Relevant Comprehensive Adequate and available to all Accessible Affordable Feasible Standardize

9. Primary Level Health Care As the name implies it refers to the primary care focuses on the basic health care services that address the health issue faced by individual. Village health guide Dai /Traditional birth attendant Anganwadi worker

10. Secondary level Health care The community centers at block and district hospitals are the centers for providing secondary level care. The community health nursing centers serves as referral levels.

11. Tertiary Level Health Care This is highly specialized level of health care that is provided at state, regional or central level institutions. This is the care which is provided to a patient after a referral is made for patients by the primary and secondary health care providers.

12. Types of health care services Clinic Ambulatory clinic or ambulatory centres Extended care agencies Hospice care Rehabilitation centers

13. Clinic The term clinic may be used to designate all the activities of a general clinic or a only a particular division of the work, e.g. the psychiatric clinic.

14. Ambulatory clinics or ambulatory centers They are medical facilities that perform procedures that do not requires care facility an overnight stay in a hospital. They may include preventive, diagnostic or treatment services.

15. Extended care agencies These are variety of individualized and well coordinated total care services that promote the maximum possible independence for people with functional limitation and that are provided over an extended period of time.

16. Hospice Care Hospice care focuses on support and care of dying person and family with goal of facilitating a peaceful dignified death.

17. Rehabilitation centres Rehabilitation centres can reduce the impact of a board range of health conditions, including diseases (acute & chronic), illness or injury.

18. WHAT IS HOSPITAL? Hospital is an integral part of a social and medical organization, the function is to provide complete health care of people. According to WHO, “ A hospital is the integral part of a social and medical organization, the function of which is to provide for a population complete health care, both preventive and curative and whose outpatient services reach out to the family and its home environment. The hospital is also a centre for a training of health workers and biosocial research”.

19. Types According to size or bed capacity and bed strength: 100 or less bed capacity: Small hospital 101 to 300 bed capacity: medium size hospital 301 to 1000 bed capacity: large hospital 500 and above: Teaching Hospital/referral hospital 200 to 300 beds: District hospital 50 to 200 beds: Taluka hospital 30 to 50 beds: community health centre 6-10 beds beds : Primary health centre

20. 2. According to ownership or control: Government or public hospitals are run by central/state government or local bodies on non commercial line. Non governmental hospital supported by patient’s fees, gifts, endowments and are further classified as proprietary organizations such as: Voluntary hospital Private nursing home / hospital Corporate Hospital.

21. 3. According to objectives: Teaching cum research hospital like- medical college. General hospitals for treatment for common disorders. Specialized hospital for specific disease condition like heart centre . Isolation hospital- for communicable diseases. Rural hospital for emergency and preventive measures. Corporate hospital.

22. 4. According to system of medicine: Long term care hospital or chronic care hospitals like- Leprosy, cancer. Short term care hospital or acute care hospital for acute diseases conditions like pneumonia, gastroenteritis.

23. 5. According to management: Hospital run by union government/government of India like railways, military, defence . Hospitals run by state government. Hospital run by local bodies- like municipalities. Hospital run by autonomous bodies like AIIMS-New delhi , NIMHANS Bangalore. Private hospitals: MAHE, Manipal, Hinduja hospital hospital Bombay. Voluntary hospitals, e.g. CMC vellore .

24. Organization of hospital departments In the hospital various departments are maintained and organized. The main objective of all the departments is to provide quality services to all patients. Medical departments includes: Outpatient department Medical department Nursing department

25. Paramedical departments Pharmacy department Radiology department Non-medical departments include: MRD (Medical record department) Central sterile supply department(CSSD) Dietary department Housekeeping

26. Functions of hospitals Diagnostic and therapeutic services Emergency and critical care Education and training Prevention of disease Research Rehabilitation

27. Health care team in hospital Health team comprises the group of members who coordinate in order to provide comprehensive care to the patients. The health care personnel commonly included in health team are: Physician Cardiology Neurology Obstetric and gynecology Pediatrics Psychology Radiology and surgery

28. 2. Registered nurse 3. Dietitian 4. Physician assistant 5. Licensed practical nurse 6. Pharmacist 7. Allied health practitioners 8. Ward clerk 9. Social workers 10. Spiritual and religious personnel

29. Thank You