dr brian o'doherty, gp gorey
DESCRIPTION
Better Outcomes with Scarce ResourcesTRANSCRIPT
Primary Care Centre State:
Better Outcome with Scarce Resources
Dr. Brian O’DohertyConal House
Primary Care Centre
PatientPatient
RESOURCES
PRIMARY CARE
SECONDARYCARE
Patient Expectation
Public Expectation
MEDICAL INFLATION
Medical Advances Have Developed At A Level That
is Ahead of Society’s Willingness to Pay for
Them
Primary Care Centres -Stadium Without A Team
Primary Care Centres
Vocationally Trained GPGP’s with Special Interests
Joint Injections
Mirena
Minor Surgery
Chronic Disease
Phlebotomy
OPEN ACCESS RADIOLOGY
PHLEBOTOMY
STRESS REST
HOLTER/ECHO/24 HR BP MONITORING
ENDOSCOPY
Patient Education
HEALTH EDUCATION
LIFESTYLE MODIFICATION
SMOKING CESSATION
DIET
PATIENT SELF HELP
MEDIA CAMPAIGN
SCHOOLS
IT
DIFFERENT SOFTWARE
COMMUNICATION PATHWAYS
SMART CARD - DUPLICATION
INFRASTRUCTURE IT
REFERAL PATHWAYS
ROADS
AMBULANCE SERVICE
Non – Medical Therapies
Group EducationPhysioDiabetes
Patient Self Help
Education
Schools
CIT Early Discharge
Geographical Borders
Money Follows Patient
Reduce Hospital Workload
Dublin Teaching Hospital 1984
2nd Care Can’t Be Reduced Without Primary Care
He Who Shouts Loudest Is Heard
What about Marginalised
Secondary Care Can’t Be Reduced Without Primary
Care Backup
