A 1-11-different roles of a physician
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Transcript of A 1-11-different roles of a physician
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Different Roles of a Physician
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Relations between functions and objectives of a health system
Stewardship(oversight)
Financing(collecting, poolingAnd purchasing)
Creating resources(investment
And training)
Delivering services(provision)
Responsiveness(to non-medical
expectations)
Fair (financial)contribution
Health
Functions the system performs Objectives of the system
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Stewardship(oversight)
Financing(collecting, poolingAnd purchasing)
Creating resources(investment
And training)
Delivering services(provision)
Responsiveness(to non-medical
expectations)
Fair (financial)contribution
HealthDelivering services(provision)
Relations between functions and objectives of a health systemFunctions the system performs Objectives of the system
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Intervention LevelProblem Level
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Individualized Solo-rider Traditional Mode of Practice (Main Role of GPs, Specialists)Horizontally Integrated Clinical Care System; Case Management (Main Role of Family Physicians)
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Physicians as Health Advocates (Main Role of Family Physicians, Accessory Role of Clinical Specialists)
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Main Role of Social Health WorkersAccessory but Increasingly Important Role of Family Physicians
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Limited Disease Management in Catchment Area or Defined Population(Accessory Role of Family Physicians)
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Health Risk Management; Assessment of Epidemiologic Indices, Health Literacy Initiatives, Behavior Change CampaignsAccessory Role of Family Physicians; Main Role of Epidemiologists (Community Assessment) and Community Medicine Specialists (Community Interventions))
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Main Role of Local Governments’ Welfare AuthoritiesAccessory Role of Physicians as Community Leaders
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Stewardship(oversight)
Financing(collecting, poolingAnd purchasing)
Creating resources(investment
And training)
Delivering services(provision)
Responsiveness(to non-medical
expectations)
Fair (financial)contribution
Health
Stewardship(oversight)
Relations between functions and objectives of a health systemFunctions the system performs Objectives of the system
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Health Technology Assessment:Public and Administrative Policies
Clinical Policies: Clinical Practice Guidelines
Main Role of Epidemiologists, Community Medicine Specialists, and Health Policy Experts
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Main Role of Epidemiologists (Community Assessment) and Community Medicine Specialists (Community Interventions))
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Main Role of Welfare Economists and Social Policy Experts
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Stewardship(oversight)
Financing(collecting, poolingAnd purchasing)
Creating resources(investment
And training)
Delivering services(provision)
Responsiveness(to non-medical
expectations)
Fair (financial)contribution
HealthCreating resources
(investment And training)
Relations between functions and objectives of a health systemFunctions the system performs Objectives of the system
Accessory Role of GPs as preceptors, facilitators, and mentors in GP, or Mid-care-providers training Courses e.g. Office Based Training
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Stewardship(oversight)
Financing(collecting, poolingAnd purchasing)
Creating resources(investment
And training)
Delivering services(provision)
Responsiveness(to non-medical
expectations)
Fair (financial)contribution
HealthCreating resources
(investment And training)
Relations between functions and objectives of a health systemFunctions the system performs Objectives of the system
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Dr. Shahram Yazdani 17
Audience Method Research Needs
Industrial
Clinical
ManagerialAdministrative
PolicymakingLegislative
Basic Biomedical Research
Clinical Research
Health Services Research
Marketable Product
EffectivenessEthics
Patient Preference
Program EvaluationPractice VariationCost-Effectiveness
Problem DefinitionAffirmation of Assumed Causes
Policy Ideas
Range of Research Needs
Health Policy Analysis
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Policy Makers
Managers
Service Professionals
Decision Makers
Solutions
Problem
s
ResearchersMission Oriented
Discovery Driven
ResearchFunders
Applications
Discovery
Issues and Priorities
Service Delivery
Problems
Dx, Tx, Px
Incentives
ResearchableQuestions
KnowledgePurveyors
Stories
Facts
Ideas
Best Practice
Evidences
AnecdotesInterestsWantsValuesMyths
Interventions
Knowledge Brokers
Solutions
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Stewardship(oversight)
Financing(collecting, poolingAnd purchasing)
Creating resources(investment
And training)
Delivering services(provision)
Responsiveness(to non-medical
expectations)
Fair (financial)contribution
Health
Financing(collecting, poolingAnd purchasing)
Relations between functions and objectives of a health systemFunctions the system performs Objectives of the system
Accessory Role of GPs as: •“Cost Containment Agents” (e.g. Gatekeepers), •“Financial Risk Takers” (e.g. Per-capita Contracted GPs) or •“Allocation Agents” (Fund-holder GPs)
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Thank You !Any Question?