What Is Primary Care and preventative care?
A well-trained professional doctor prepared to give quality primary care as their entry point to the framework. Such essential primary doctors give:
- first-contact care for persons with any undiagnosed sign, symptom, or health concern;
- comprehensive care for the person which is not organ- or problem-specific;
- longitudinal or continuous care for the patient;
- responsibility for coordinating other health services as they relate to the patient's care.
Physicians who deliver comprehensive primary medical care are uniquely trained to provide the service:
- recognize early symptoms of the serious disease;
- distinguish between self-limited illnesses and problems requiring further medical intervention;
- perform time-efficient histories, physicals, and diagnoses carried out at the quick pace required in most ambulatory care settings;
- provide screening and counseling to prevent disease;
- communicate with a variety of patients in a long-term relationship;
- access and utilize social and financial resources for patients.
Best primary care providers in Haiti
#1) Sante Nou Haiti
Starting in 2020, the Primary Care Voucher extends a primary healthcare regime to persons being sponsored by the main subscriber. The care for a Primary Care Voucher subscriber takes place inside a Santé Nou affiliated clinic or a designated healthcare center. The Primary Care Voucher will extend its services to all sponsored persons of the main subscriber from children to adults as well as women needing maternal care.
Sante Nou Is Improving Primary Care Practice In Haiti
Sante Nou's Care coordination in the primary care practice involves deliberately organizing patient care activities and sharing information among all of the participants concerned with a patient's care to achieve safer and more effective care.
The main goal of care coordination is to meet patients' needs and preferences in the delivery of high-quality, and valued health care. This means that Sante Nou ensured that the patient's needs and preferences are known and communicated at the right time to the right people and that this information is used to guide the delivery of safe, appropriate, and effective care in Haiti.
Sante Nou's care coordination approaches include:
- Care management.
- Medication management.
- Health information technology.
- Health educations.
Examples of some specific care coordination activities include:
- Establishing accountability and agreeing on responsibility.
- Communicating/sharing knowledge.
- Helping with transitions of care.
- Assessing patient needs and goals.
- Creating a proactive care plan for the patient.
- Monitoring and followup, including responding to changes in patients' needs.
- Supporting patients' self-management goals.
- Linking to community resources for prevention.
- Working to align resources with patient and population needs in the community.
Sante Nou will create sustainable, effective linkages between the clinical and community settings that can improve patients' access to preventive and chronic care services by developing partnerships between organizations that share a common goal of improving the health of people and the communities in which they live in Haiti. These linkages connect clinical providers, community organizations, and public health agencies through our community inclusion board.
The goals of clinical-community linkages include:
- The community inclusion board will coordinate health care delivery, public health, and community-based activities to promote healthy behavior.
- Forming partnerships and relationships among clinical, community, and public health organizations to fill gaps in needed services in Haiti.
- Promoting patient, family, and community involvement in strategic planning and improvement activities that will help all Sante Nou's subscribers.
The clinical department run by Sante Nou will involve in making systematic changes to primary care practices and health systems to improve the quality, efficiency, and effectiveness of patient care in Haiti. The frameworks, models, and concepts such as the Chronic Care Model can be used independently or together to reorganize care delivery for the purpose of improving patient outcomes.
The redesign of primary care systems and practices by Sante Nou includes the following:
- Adopting strategies for transforming a practice to improve quality, reduce costs, and better satisfy the needs of patients and families in Haiti.
- Incorporating preventive services and self-management support into care.
- Empowering all clinic owners and staff to suggest and help implement effective changes.
- Develop leadership for change and ongoing quality improvement.
- May involve practice "coaches" or facilitators to help with the process of health care redesign.
In primary care, examples of health care technology include the following:
- Clinical decision support.
- Computerized disease registries.
- Computerized provider order entry.
- Access to care information through the mobile app
- Health tips from the mobile app
- Electronic medical record systems (EMRs, EHRs, and PHRs).
- Electronic prescribing will be added
Sante Nou will focus on high-quality mental and behavioral health care that will be delivered in primary care settings. Because mental health, behavioral health, and substance use disorders are among the most common conditions seen in primary care settings and frequently occur with other medical problems, primary care providers are often in the best position to identify, diagnose, and treat them. A primary care practice will not reach its full potential without adequately addressing patients' mental health needs.
Full physical examination
A physical examination helps your PCP to determine the general status of your health. The exam also gives you a chance to talk to them about any ongoing pain or symptoms that you’re experiencing or any other health concerns that you might have.
A physical examination is recommended at least once a year, especially in people over the age of 50. These exams are used to:
- check for possible diseases so they can be treated early
- identify any issues that may become medical concerns in the future
- update necessary immunizations
- ensure that you are maintaining a healthy diet and exercise routine
- build a relationship with your PCP
Laboratory tests check a sample of your blood, urine, or body tissues. A technician or your doctor analyzes the test samples to see if your results fall within the normal range. The tests use a range because what is normal differs from person to person. Many factors affect test results. These include
- Your sex, age and race
- What you eat and drink
- Medicines you take
- How well you followed pre-test instructions
Your doctor may also compare your results to results from previous tests. Laboratory tests are often part of a routine checkup to look for changes in your health. They also help doctors diagnose medical conditions, plan or evaluate treatments, and monitor diseases.
Medicines can treat diseases and improve your health. If you are like most people, you need to take medicine at some point in your life. You may need to take medicine every day, or you may only need to take medicine once in a while. Either way, you want to make sure that your medicines are safe, and that they will help you get better. In Haiti, Sante Nou is in charge of ensuring that your prescription and over-the-counter medicines are safe and effective.
There are always risks to taking medicines. It is important to think about these risks before you take a medicine. Even safe medicines can cause unwanted side effects or interactions with food, alcohol, or other medicines you may be taking. Some medicines may not be safe during pregnancy. To reduce the risk of reactions and make sure that you get better, it is important for you to take your medicines correctly. Sante Nou have professional staff yo make sure that happen.
Ordinary X-ray Included
What can ordinary X-rays show?
- Bones, teeth, bone fractures and other abnormalities of bone.
- Joint spaces and some abnormalities of joints, such as osteoarthritis.
- The size and shape of the heart. So, certain heart conditions can be detected.
- Changes in the density of some softer tissues. For example, a lung tumour is more dense than air-filled lung and will show as a 'shadow' on a chest X-ray. A breast tumour is more dense than ordinary breast tissue and shows as a 'shadow' on an X-ray of the breast. An X-ray of the breast is also known as a mammogram.
- Collections of fluid - for example, in the lung or gut - may show as grey 'shadows' against the normal black of the air-filled chest, or hollow gut.
#2) Partners In Health
Partners IN Health now helps deliver comprehensive, high-quality health care in some of the poorest, most remote regions of Haiti. A local staff of 5,300 doctors, nurses, and community health workers serve an area of 4.5 million people, and we do it all in partnership with the national Ministry of Health.
We believe health is a human right—regardless of where you live or under which conditions you were born. That’s why we offer basic medical care, such as safe births, as well as perform lifesaving surgeries, treat cancer, and support patients living with chronic illnesses, such as diabetes and heart disease.
PIH also builds the next generation of doctors and nurses. University Hospital in Mirebalais, a 300-bed teaching hospital, is home to residency programs in emergency medicine, surgery, pediatrics, obstetrics and gynecology, internal medicine, and nurse anesthesiology. Graduates from these multi-year programs work throughout the country, reinforcing the local health system and allowing more patients access to the care they deserve.