Better Outcomes with Scarce Resources

1. Primary Care Centre
State:
Better Outcome with
Scarce Resources
Dr. Brian O’Doherty
Conal House
Primary Care Centre

3. R PRIMARY
E CARE
Patient
S
O Patient
U
R
C SECONDARY
E CARE
S

4. Patient Expectation
Public Expectation

6. MEDICAL INFLATION

7. Medical Advances Have
Developed At A Level That
is Ahead of Society’s
Willingness to Pay for
Them

8. Primary Care Centres -
Stadium Without A Team

9. Primary Care Centres

11. Vocationally Trained GP
GP’s with Special Interests
 Joint Injections
 Mirena
 Minor Surgery
 Chronic Disease
 Phlebotomy

13. OPEN ACCESS
 RADIOLOGY
 PHLEBOTOMY
 STRESS REST
 HOLTER/ECHO/24 HR BP MONITORING
 ENDOSCOPY

14. Patient Education

15. HEALTH EDUCATION
 LIFESTYLE MODIFICATION
 SMOKING CESSATION
 DIET
 PATIENT SELF HELP
 MEDIA CAMPAIGN
 SCHOOLS

16. IT
 DIFFERENT SOFTWARE
 COMMUNICATION PATHWAYS
 SMART CARD - DUPLICATION

18. INFRASTRUCTURE
 IT
 REFERAL PATHWAYS
 ROADS
 AMBULANCE SERVICE

19. Non – Medical Therapies
Group Education
Physio
Diabetes

20. Patient Self Help
Education
Schools

22. CIT Early
Discharge

23. Geographical Borders
Money Follows Patient

25. Reduce Hospital Workload
Dublin Teaching Hospital
1984

27. 2nd Care Can’t Be Reduced
Without Primary Care

28. He Who Shouts Loudest
Is Heard
What about Marginalised

30. Secondary Care
Can’t Be Reduced
Without Primary
Care Backup