Cf9.3 Family Practice Principles, An Opportunity For Renaissance And Evolution Of A Healthcare Model In Colombia

Author(s): 
M. Mesa
Wonca Direct Member, Medellín, Colombia
Text: 
The working population in Colombia is affiliated to a HMO like institution (Health Maintenance Organization), which administrates a standard and mandatory health insurance plan, covering workers and their families through Healthcare centres, giving them access to a wide range of healthcare services. Usually, most healthcare activities are provided by general practitioners in primary care institutions. Unfortunately, even having primary care as the gateway to this healthcare system, it is common to find that patients receive uncoordinated, fragmented and disease-centred care. We will speak about the effort that SUSALUD, a HMO like organization, is making towards the evolution of our health care system implementing a model relying on family practice principles. Our work aims for a model of care involving patient-centred, coordinated and comprehensive care, based on longitudinal continuity and interdisciplinary team work. This model stimulates an attitudinal change in general practitioners and provides them with basic elements to use a biopsychosocial approach acting as patient-care companions and coordinators. Furthermore, we will speak about the strengthening of a nurse’s role, the inclusion of psychosocial professionals to family practice teams to promote and support a holistic approach, and new strategies to foster team work of specialists and generalists, leading to the improvement of general practitioners’ clinical resolution, allowing them and their teams to provide healthcare and well-being using health promotion and prevention as their core strategy.
Literature: 
CF9.3 FAMILY PRACTICE PRINCIPLES, AN OPPORTUNITY FOR RENAISSANCE AND EVOLUTION OF A HEALTHCARE MODEL IN COLOMBIA