Family Medicine

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Take Home Messages Proactive and holistic thinking World Book of Family Medicine – European Edition 2015 Attention to patient and family as unit of care; patient-centred approach Education and support for the patient and family, and continuing medical education for care providers Effective communication Interdisciplinary team approach Original Abstract http://www.woncaeurope.org/content/4325-when-chronic-care-becomes-end-life-care-bridging-gap Reference Ambigga KS, Ramli AS,Suthahar A,Tauhid N,Clearihan L, Browning C. Bridging the gap in ageing: Translating policies into practice in Malaysian Primary Care. Asia Pac Fam Med 2011;10(1):2. Effiong A, Effiong AI. Palliative care for the management of chronic illness: a systematic review study protocol. BMJ Open 2012;2:e000899 doi:10.1136/bmjopen-2012-000899 Foreva G, Asenova R, Semergjieva M. Follow-up of patients needing palliative care in general practice. Progress in Palliative Care 2014, DOI: http://dx.doi.org/10.1179/1743291X13Y.0000000072. Foreva G, Assenova R. Hidden Patients: The Relatives of Patients in Need of Palliative Care. Journal of Palliative Medicine 2014,17(1):56-61. doi:10.1089/jpm.2013.0333. http://www.goldstandardsframework.org.uk http://www.improvingchroniccare.org/; available 2014 https://kce.fgov.be/; KCE Report 109C 2012. Health Services Research. Organisation of Care for Chronic Patient in Belgium: Development of a position paper; available 2014 O'Grady EL, VanGraafeiland B. Bridging the Gap in Care for Children Through the Clinical Nurse Leader. Pediatr Nurs. 2012;38(3):155-158, 167. 78
World Book of Family Medicine – European Edition 2015 Matie Obazee, FWACP(GP), FMCGP, MBA matieobazee77@gmail.com 24 – What is Universal in Primary Care? Challenges for North/South Co-operation. Ehimatie M. Obazee FWACP(GP); FMCGP; MBA. Medical Director Echos Hospital Ltd, Benin City, Nigeria. Visiting Consultant, Department of. Family Medicine, University of Benin Teaching Hospital, Benin City. Nigeria Co-author Michael Kidd AM Executive Dean Faculty of Medicine, Nursing and Health Sciences, Flinders University, Australia President World Organization of Family Doctors (WONCA) Introduction A cursory examination of the way Primary Care is practised in the Northern and the Southern hemispheres gives the impression of vast differences in orientation, settings and operations. With the advent of the global focus on Primary Health Care heralded by the Alma Mata declaration of 1978, the focus of Primary Health Care in the South was predominantly Community oriented. Emphasis was on disease prevention through immunization, provision of water and environmental hygiene (1). The operation was driven by Community Health Extension Workers and other Physician assistant personnel. On the other hand, in the North, the orientation has traditionally been based on physician-led individual person-centred care often with strong Private Public Partnership. Over the years, there has been a convergence in the approach to Primary Care with more integration of both models to varying degrees. However, differences still exists in broad terms. The apparent differences often give the impression that there is nothing in common in Primary Care between the North and South. The impression is further accentuated by the vast array of ethnic, cultural, social, economic and technological diversity in which Primary Care operates in both settings. The apparent differences give the impression of a parallel paradigm with no meeting point, nothing in common and nothing to learn from each other. This is misleading. What is Universal? Within the midst of the array of ethnic, cultural, social and economic diversity is the universal cord that ties us all together – the humanity in us. At the most basic level, man’s needs are the same irrespective of the circumstances, location or situation of our birth – the need for self-preservation, safety and security, love and self esteem. Primary Care is at the heart of the most basic of these needs - the instinct for self preservation. Forging alliances with people and their families to promote optimum health, prevent disease, and when necessary make prompt accurate diagnosis and implement /coordinate effective care to our patients in the most dignified manner possible. The basic elements of Primary Care - accessibility, comprehensiveness, continuity and coordination apply universally (3). The attributes of good primary care - compassion, patience, love of people, love of communication and care are universally demanded and appreciated(4). Perhaps the strongest articulation of the universality of the quest for Primary Care is that of Margaret Chan, the Director General of WHO in her introductory remarks to the World Health Assembly 2008 World Health Report: 79
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Family Medicine

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