LEC 3: Class Presentations

Question 1

Saskatchewan: Group 1

Answer 1

1. Strength
   - Enhanced accessibility, less emergency visits, reduced psychological implications (white coat fear), overall cost reduction.
2. Weakness
   - Patient/HCP vulnerabilities, staffing rural issues, excludes non senior
3. Upstream/Downstream
   - Upstream
4. Improvement
   - Health link system (like medical alert) to reduce travel time and help to identify if they need emergency care. Easy quick access to HCP. Avoid unnecessary visits
5. Primary Health Care or Primary Care
   - PHC. Overall well-being and ease of care for registered seniors.

Question 2

Saskatchewan: Group 2

Answer 2

1. Strength
   - Accessibility
2. Weakness
   - Only for 65+, excludes other vulnerable groups, only Regine
3. Upstream/ Downstream
   - Downstream: provides urgent care but doesn’t prevent problems
4. Improvement
   - Expand to other demographics and in other areas/cities/rural
5. Primary Health Care or Primary Care
   - Primary health care: health promotion, community based

Question 3

Saskatchewan: Group 3

Answer 3

1. Strength
   - Reduced emergency visits/filled emergency rooms. Ensures care for seniors without access
2. Weakness
   - Subjective assessment if it’s an emergency or not
3. Upstream/Downstream
   - Downstream: treatment for current issues
4. Improvement
   - Provide to other demographics, pregnant, disabilities
5. Primary Health Care or Primary Care
   - Primary care: first contact point for help

Question 4

Saskatchewan: Group 4

Answer 4

1. Strength
2. Weakness
3. Upstream/Downstream
4. Improvement
5. Primary Health Care or Primary Care

Question 5

Saskatchewan: Group 5

Answer 5

1. Strength
   - Keeps at risk clients from hospital
2. Weakness
   - Decreased demographic covered
3. Upstream/Downstream
   - Upstream: connects individuals with community services supports those without access
4. Improvement
   - Broaden demographic
5. Primary Health Care or Primary Care
   - PHC: holistic approach that encourages health promotion in proactive ways due to accessibility

Question 6

Brazil: Group 6

Answer 6

Community health workers reporting to a Nurse and Physician after community involvement

1. Strength
   - Used people within the community. So they have a better rapport with the community
2. Weakness
   - Individuals who are working won’t get much from the program. Harder to get specialist out to the poorer communities
3. Upstream/Downstream
   - Upstream: education within home to prevent issues
4. Improvement
   - Better funding, incentives for HCP
5. Primary Health Care or Primary Care
   - PHC: screenings, education, health promotion to reduce demand for primary care

Question 7

Brazil: Group 7

Answer 7

Community health workers reporting to a Nurse and Physician after community involvement

1. Strength
   - Focus of equity: equal access by going into poor homes
2. Weakness
   - Emphasis on low income, neglect middle or upper class. This system is preventative, where the other systems are reactive
3. Upstream/Downstream
   - Upstream: monthly visits to check in, vaccines, education. Health eating. Health promotion, Maternal child care
4. Improvement
   - Nurse practitioners to fill the gap of Dr. shortage
   - In Brazil: extended class nurses given provision to expand scope
5. Primary Health Care or Primary Care
   - PHC: holistic community approach focused on health care promotion incorporating the 8 elements

Question 8

Brazil: Group 8

Answer 8

Community health workers reporting to a Nurse and Physician after community involvement

1. Strength
   - Building relationships with different families and understanding the local challenges. Built trust and rapport through ongoing 1/month visits. So family feels cared for
2. Weakness
   - Lack of electronic health records and technology. Continuity of care is lacking
3. Upstream/Downstream
   - Upstream: screening, education, immunization
4. Improvement
   - Increase education for community health care workers to give them a larger scope. Better collection of health care records stored in safe place and leaving nothing out
5. Primary Health Care or Primary Care
   - Primary care: first access to care in most cases

Question 9

Brazil: Group 9

Answer 9

Community health workers reporting to a Nurse and Physician after community involvement

1. Strength
   - Locally accessible, strong rapport
2. Weakness
   - Cant chose the community health worker. Issues with using service if rapport isn’t there
3. Upstream/Downstream
   - Upstream: cheaper preventative and holistic care
4. Improvement
   - Regulate education standards for health care workers, recruitment of generalized workers
5. Primary Health Care or Primary Care
   - PHC: health promotion and prevention.

Question 10

Brazil: Group 10

Answer 10

Community health workers reporting to a Nurse and Physician after community involvement

1. Strength
   - Addresses most of the determinants of health: Collaborations, accessibility, education, childhood
2. Weakness
   - Status imbalance: CHW seen as low income solution, others have private access
3. Upstream/Downstream
   - 3. Upstream: Reduced chronic disease
4. Improvement
   - Sustainability long term instead of dependable on political issues. Better health care records
5. Primary Health Care or Primary Care
   - PHC perspective