Medical Division Public Health - WHO · MENTARI program. Source: BPKK. EMERGENCY MEDICINE INTERNAL...
Transcript of Medical Division Public Health - WHO · MENTARI program. Source: BPKK. EMERGENCY MEDICINE INTERNAL...
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Level 6 -Centre of
Excellence
Level 5 -Hospital with
Rehab subspecialty
services
Level 4 -Hospital with
Resident Rehab.
Physician
Level 3 -District
Hospital/State Hospital
Level 2 -Health Clinics
/DH with PT/OT/ST
Level 1 -Health Clinics - with trained
MA/SN
Medical Division Public Health
REHABILITATION MEDICINE- MOH
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MOH: Rehabilitation in Primary Care setting
1996 : plan for rehabilitation service in primary careCurrent:
•597 / 1061 Health Clinics has Physiotherapist and/ or Occupational Therapist / or Speech Therapist•Workforce: PT: 326 OT: 246 SLT: 2
Scope•Emphasis is more towards primary prevention •Service is delivered in clinic/nearby hospital or home through Domiciliary service. •15 Health clinics offers Psychosocial Rehabilitation through MENTARI program.
Source: BPKK
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EMERGENCY MEDICINE
INTERNAL MEDICINE
GENERAL SURGERY
GENERAL PAEDIATRICS
RADIATION ONCOLOGYOBSTETRICS AND GYNAECOLOGY (O & G)
CARDIOTHORACIC
SURGERY
NEU
RO
SUR
GER
Y
PAEDIATRIC
SURGERY
CLINICAL ONCOLOGY
ANAESTHESIOLOGY AND
CRITICAL CARE
ORTHOPAEDIC SURGERY
UROLOGY
OTORHINOLARYNGOL
OGY
OPHTHALMOLOGY
PLASTIC SURGERY
FAMILY MEDICINE
PSYCHIATRY
PATHOLOGY
MEDICAL DIVISIONPUBLIC HEALTH
DIVISION
PUBLIC HEALTH
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Integration in other Medical Specialities
orthopedics rehab
SCI Rehabilitation
Amputee Rehab
General Medicine
rehab
Stroke Rehab
Neurological Rehab
Neurosurgery Rehab ABI Rehab
Emergency Medicine
RehabPre-empted
Admission for thrombolysis
Knowing and understanding what and where services can be offered in both speciality
Dual directional relationships
Benefits:• Improvement in
communication• Seamless care for
patients• Rehab preparedness• Closing the gap
between specialities
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Integration in other Medical Specialities -Hybrids
Obs & GynaeSCI
RehabilitationFertility clinics for SCI patients
Neurological rehabilitation/
ABI rehabilitation
Palliative Medicine
NeuroPalliative
Neurosurgery Rehab Psychiatry Neuropsychiatry
Neurological Rehab/ABI
rehabOphthalmology Neuro-Ophthal
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Emphasis on in-patient rehabilitation programme
Prioritize services in major hospitals
Buy in from other
members of the rehab
team
Regular meetings and emphasis on
goals and time line
Rehab Cycle: Audiology
service
Interaction with other specialities on a regular
basis
Focus and build a
service one at a time
Postings to other
speciality during post
grad training
Reflection
Reh
abili
tati
on
in t
he
com
mu
nit
y
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Outcomes
• Visibility Breeds Strengths
• Involvement in the extremes of continuum spectrum
• Diversified Rehab Role
Specialty
• Can be general but some are possibly unique to different subsets of disability group
Health outcomes