Primary Health Care: in a world of specializations

Patient 2019

(Sharon McCutcheon, Unsplash)

This article was exclusively written for The European Sting by Ms. Clara Marques Santana, a second-year medical student at the Federal University of Juiz de Fora in Governador Valadares (UFJF-GV), Brazil. She is affiliated to the International Federation of Medical Students Associations (IFMSA), cordial partner of The Sting. The opinions expressed in this piece belong to the writer and do not necessarily reflect IFMSA’s view on the topic, nor The European Sting’s one.


In recent years aroused the question of how to promote Primary Health Care (PHC) to the young health workforce although specialization careers overate – since this job line attracts workers from basic attention to large health centers more focused on treating than preventing. That question could be answered by the work of different spheres of society – as colleges, medical institutions, and media – in the sense of promoting PHC for providing the existence of conscientious workers – more interested in a humanized and efficient care.

In the last years, the medical field has experienced an increase of the discussion about the impact of specialization careers in the generation of new health workforces while the need of structured Primary Health Care (PHC) only grows. More explainable, specialization careers are well seen in the medical field for allowing a deep knowledge about specifics diseases by using high technology, and, this overate removes workforce from basic attention and attracts to large health centers very focused on treatment1.

However, medical practice shows the wish for preventing illness, promoting health and avoiding damages2– consequently, there is a demand for organized PHC, and for that, people available to work must be interested on it. So, how to promote PHC to the young health workforce? That question could be answered by the work of different spheres of society – as colleges, medical institutions, and media – in the sense of promoting PHC for providing the existence of conscientious workers – more concerned about humanized and efficient care3.

First of all, colleges have the duty to aware health students about how good is to preclude from ill health. For example, teachers can show how the vaccines’ invention was important for the eradication of smallpox, in global level, and other illness, in the local one. In addition, students must have lessons about health surveillance and health systems4 – to understand that: some diseases always could be avoided; for an economy, prevention is cheaper than treatment; and, for a patient, to prevent is fundamental5.

In the other hand, encouragement of medical institutions – as support for the training of basic care professionals and promotion of better working conditions – is equally crucial in the struggle of better health care. Moreover, media should spread the legacy of people which changed the history of community health, like John Snow6– whose discovered that one huge epidemic was caused by cholera using revolutionary technics that allowed the existence of modern epidemiology.

In conclusion, these three spheres of society could help overcome the dichotomy7 between more technological and treatment-focused assistance and PHC – contributing to a collective health concept. Therefore, although the rate of specialization carriers, exalting the significance of PHC for health students is essential for better health care, because it will provide the existence of conscientious workers.

References

  • Fertonani, Hosanna Pattrig, et al. “Modelo assistencial em saúde: conceitos e desafios para a atenção básica brasileira.” Ciência & Saúde Coletiva 20 (2015): 1869-1878.
  • van Weel, Chris, et al. “Primary healthcare policy implementation in the Eastern Mediterranean region: Experiences of six countries.” European Journal of General Practice 24.1 (2018): 39-44.
  • van Weel, Chris, et al. “IMPLEMENTING PRIMARY HEALTH CARE POLICY UNDER CHANGING GLOBAL POLITICAL CONDITIONS: LESSONS LEARNED FROM 4 NATIONAL SETTINGS.” The Annals of Family Medicine2 (2018): 179-180;
  • Kluge, Hans, et al. “How primary health care can make universal health coverage a reality, ensure healthy lives, and promote wellbeing for all.” The Lancet10156 (2018): 1372-1374;
  • Santos-Lozano, Alejandro, et al. “mHealth and the legacy of John Snow.” The Lancet 391.10129 (2018): 1479-1480;
  • Heidemann, Ivonete Teresinha Schulter Buss, et al. “Estudo comparativo de práticas de promoção da saúde na atenção primária em Florianópolis, Santa Catarina, Brasil e Toronto, Ontário, Canadá.” Cadernos de saúde pública 34 (2018): e00214516.
  • Mendes, Eugênio Vilaça. “A construção social da atenção primária à saúde.” Brasília: Conselho Nacional de Secretários de Saúde (2015).

About the author

Clara Marques Santana is a second-year medical student at the Federal University of Juiz de Fora in Governador Valadares (UFJF-GV), Brazil. She is affiliated to the International Federation of Medical Students Associations (IFMSA Brazil), as a trainee. Moreover, she dedicates her time to an extension project in epidemiology at UFJF-GV (EPIMOBS). Therefore, she seeks to study how to promote Primary Health Care, and tries to combine her studies with epidemiology’s knowledge.

the sting Milestones

Featured Stings

Can we feed everyone without unleashing disaster? Read on

These campaigners want to give a quarter of the UK back to nature

How to build a more resilient and inclusive global system

Stopping antimicrobial resistance would cost just USD 2 per person a year

Public climate finance to developing countries is rising

How data is transforming the way we care for the ocean

Fact-checking Day: Fighting the virus of disinformation on Covid-19

Improved access to financial information to curb serious crime

Air pollution: How to end the deaths of 7 million people per year

Germany takes cover from Trump in Eurozone and decides to pay for it

OECD presents revised Codes on capital flows to G20

Investing in rural women and girls, ‘essential’ for everyone’s future: UN chief

One year on from #MeToo, what’s changed?

Youth and Participation: are the people rising up in Spain? 


MEPs push for high ambitions at the COP25 in Madrid

Where labour costs the most (and least) in the European Union

ECB guarantees the liquidity of the Atlantic financial volume

93 million children with disabilities ‘among the most likely to be left behind’: UN rights chief

3 lessons from India in creating equal access to vaccines

How to rebuild trust and integrity in South Africa

Why Nordic nations are the best places to have children

How to help an ageing population stay wealthy for longer

EU mobilises international donors to support Venezuelan refugees and migrants and countries in the region

Human rights breaches in Azerbaijan and Sudan

Top officials say UN will support Bahamas’ rescue, relief efforts as Hurricane Dorian churns in Atlantic

Our indispensable problem: the paradox of modern plastics

Iraq protests: UN calls for national talks to break ‘vicious cycle’ of violence

Who should be responsible for protecting our personal data?

The European giant tourism sector in constant growth

Mali: UN chief calls for calm as clashes leave over 20 dead in Mopti

World Population Day: ‘A matter of human rights’ says UN

Berlin repels proposal for cheaper euro

After COVID-19, we must rethink how we find and produce new drugs

Coronavirus: 23 new research projects to receive €128 million in EU funding

Cash for babies: How Europe is tackling its falling birthrate

6 innovative technologies about to transform our infrastructure

Consumer product quality: Parliament takes aim at dual standards

Global public-private collaboration tackles cybersecurity skills gap

A seafood fraud investigation DNA tested fish sold in the US. Here’s what they found

Achieving an optimal student-to-tutor ratio during the COVID-19 pandemic

FROM THE FIELD: Free tutorials in Mali, ‘a life-saver’ for Fatouma

The children’s continent: keeping up with Africa’s growth

Developed and developing financial markets are more similar than you think. Here’s why

End Syria fighting to avoid ‘even greater humanitarian catastrophe’

State aid: Commission approves €254 million Romanian aid to support rehabilitation of district heating system in Bucharest

CLIMATE CHANGE FOCUS: Cows, coffee and sustainable farming

World is ‘on notice’ as major UN report shows one million species face extinction

Telemedicine in medical practices and its contribution to quality and accessibility to care

‘Climate change is the battle of my life’, UN chief tells students living on the frontline in Fiji

The world to teach Germans to…un-German

Why Eurozone needs a bit more inflation

UN allocates $20 million in emergency funding, as Cyclone Idai disaster unfolds

What if nature became a legal person?

20th EU-China Summit in Beijing, 16/07/2018

In Bahrain, Global Forum for Entrepreneurs and Investment examines empowerment of women, youth through innovation

Europe’s far-right launches attacks on neighboring nations

EU and Germany join efforts to support the African Union’s response to coronavirus

Posting of workers: final vote on equal pay and working conditions

Where EU air pollution is deadliest

Youth Forum welcomes positive ruling on non-EU student visas

3 ways to use digital identity systems in global supply chains

Yellow vests, rising violence – what’s happening in France?

UN chief praises New Zealand premier’s ‘admirable’ response to Christchurch attacks

More Stings?

Advertising

Speak your Mind Here

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s