dr brian o'doherty, gp gorey

Primary Care Centre State:

Better Outcome with Scarce Resources

Dr. Brian O’DohertyConal House

Primary Care Centre

PatientPatient

RESOURCES

PRIMARY CARE

SECONDARYCARE

Patient Expectation

Public Expectation

MEDICAL INFLATION

Medical Advances Have Developed At A Level That

is Ahead of Society’s Willingness to Pay for

Them

Primary Care Centres -Stadium Without A Team

Primary Care Centres

Vocationally Trained GPGP’s with Special Interests

Joint Injections

Mirena

Minor Surgery

Chronic Disease

Phlebotomy

OPEN ACCESS RADIOLOGY

PHLEBOTOMY

STRESS REST

HOLTER/ECHO/24 HR BP MONITORING

ENDOSCOPY

Patient Education

HEALTH EDUCATION

LIFESTYLE MODIFICATION

SMOKING CESSATION

DIET

PATIENT SELF HELP

MEDIA CAMPAIGN

SCHOOLS

IT

DIFFERENT SOFTWARE

COMMUNICATION PATHWAYS

SMART CARD - DUPLICATION

INFRASTRUCTURE IT

REFERAL PATHWAYS

ROADS

AMBULANCE SERVICE

Non – Medical Therapies

Group EducationPhysioDiabetes

Patient Self Help

Education

Schools

CIT Early Discharge

Geographical Borders

Money Follows Patient

Reduce Hospital Workload

Dublin Teaching Hospital 1984

2nd Care Can’t Be Reduced Without Primary Care

He Who Shouts Loudest Is Heard

What about Marginalised

Secondary Care Can’t Be Reduced Without Primary

Care Backup