DOCSLIB.ORG

The Health Care System in Australia and the Role of General Practice

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
The Health Care System in Australia and the Role of General Practice The Health Care System In Australia and the Role of General Practice Winthrop Professor Geoff Riley Acting Dean Faculty of Medicine, Dentistry and Health Sciences The University of Western Australia Email: [email protected] Starting points China has the opportunity to develop the best aspects of western health systems. Comparing Health Systems Expenditure and Indicators Country Health % GDP Life Expectancy Infant Mortality (2009)/ rank (2012)/rank (Deaths/1000 live births) Australia 8.5/47 81.9/9 4.5/189 UK 9.3/41 80.1/30 4.56/188 Canada 10.9/22 81.4/12 4.85/181 US 16.2/2 78.5/51 6.0/173 China 4.6/148 74.8/96 15.6/110 The Australian Health System Tertiary Care − All Australians have the right to free treatment at public hospitals − Large city public (teaching) hospitals and Private hospitals − Salaried Specialist doctors and Tertiary services eg Liver transplant, Emergency services, Specialist outpatient clinics etc. Secondary Care − Specialist doctors in Private practice. Mostly urban. Some rural − Some regular rural visiting but only larger rural towns Primary Care Private General Practice / Generalist – Primary Care - Gatekeeping, Access / point of entry to system – Comprehensive service, Generalist, holistic – Local, community, accessible, contextual, coordination of care – Personal consultation-based (WHO model), Continuity of care Funding the Health System Medical Benefits Scheme (MBS – “Medicare”) Universal health care is provided to Australians through Medicare which funds free hospital treatment and subsidised medical treatment – but gap / co-payment of about 30% for all but the very poor in primary and secondary care. Public hospital care is free. IMedicare is funded through general tax revenue plus a tax levy for high income earners and an additional levy for high income earners who do not have private insurance. Private insurance available. Offers services earlier care (eg operations) or in better facilities, but the quality of the Medicine is the same. Plus other services eg Dentist Pharmaceutical Benefits Scheme (PBS) Provides reliable, timely and affordable access for medications Australian Government through the PBS meets 84% of the total cost of all prescribed pharmaceuticals Primary Care • Definition − Community-based health care which is therefore available, accessible and affordable − Private and public providers − Public health and social determinants of health • Professionals and programmes − General Practitioners and practice nurses − Community Nurse and rural and remote nurses − Allied health professionals in Private practice Primary Care Some examples of Primary Care Services General Practice, General Dental practice, Specialised nursing services (domiciliary aged care, Child development, and immunisation clinics), local Pathology and Radiology services, Physiotherapy, Occupational therapy, Speech pathology, Pharmacy, Mental Health services, Youth Mental Health services, Drug and Alcohol services, Psychologists, Optometry, visiting specialist services, Aboriginal Medical Services, Health education and specialised education eg Diabetes care. Related services – Medicare offices, disability support services, Child protection services, Population Health services, Dept of Community Health and Welfare, financial counselling services and so on. Primary Care Provides Access Access is central to the performance of health care systems around the world and includes the opportunity to identify healthcare needs, to seek healthcare services, to reach, to obtain or use health care services, and to actually have a need for services fulfilled. We conceptualise five dimensions of accessibility: approachability; acceptability; availability; affordability; appropriateness and accommodation (flexibility). Levesque et al (2013) Comparing Primary Health Care Systems Outpatients or Polyclinics Models of Primary Care The Non-medical models ‘Bypass’ Comparing Primary Health Care Systems Country Provider Gatekeeping Payment Insurance IT Australia GP Yes FFS Gov + Pat (Gap) Good UK GP Yes Cap/Sal/Inc Gov (NHS) Good Canada GP Incentives FFS/Cap Gov Good US Family Pract/Int /O No FFS Pat (employer) Poor & G/Paed China GP No Sal? ? ? Schoen, C, Osborn R, Doty MM, Squires D, Peugh J, Applebaum S. A Survey of Primary Care Physicians in Eleven Countries, 2009: Perspectives on Care, Costs and Experiences. Health Affairs (Millwood). 2009;28(6):w1171-83. Why is Primary Care an essential part of the Health System? • Access means more timely care – treatment before more severe problems develop • Fewer preventable emergency department visits and hospital admissions • Avoids unnecessary care – fewer tests, overtreatment, less cost • Better health outcomes – especially for the poor, immunisation, BP control, reduced mortality, and improved quality of life • More preventive services than those who lack this source of care • Increased trust with primary care physician and improved treatment compliance Primary Care enhances the performance of health care systems. It is not the solution to every health-related problem, but few, if any, health related problems can be adequately addressed without it. Phillips, RL and Bazemore, AW 2010 A Better Health System A Health Care System which has General Practice in the Gatekeeping role Common conditions and Acute illness chronic illness, acute illness General Practitioner Ambulance 80% Home Specialist Hospital “Gatekeeping” means mandated referral by GP and no direct access to Specialists A Better Health System A Health Care System which has General Practice in the Gatekeeping role. Primary Care – GP and Patient Secondary Care – Private Specialist Tertiary Care – Hospital Specialist “Gatekeeping” means mandated referral by GP and no direct access to Specialists The Best Health System A Health Care System which has General Practice at its core. Tertiary Care – Hospital Specialist Secondary Care – Private Specialist Primary Care – GP and Patient General Practice in Primary Care Primary Care requires high quality vocationally trained General Practitioners (GP) as it’s core to provide leadership and skilled clinical care GPs provide local, accessible, affordable high quality health care and therefore health care security for local communities, including rural communities Gatekeeping GPs are the coordinators of care and decide who needs to be referred for hospital / specialist services and who can be managed locally This system is the most cost effective (it saves money) and provides the best health outcomes for patients Summary A primary health care system which includes gatekeeping GPs can be best understood as creating an orderly delivery system which by referral connects the correct patient to the correct specialist, thus maximising the most cost effective and efficient use of the Specialist / tertiary services. This save money and produces better outcomes BUT, the GPs have to be highly skilled and therefore highly trained to get these decision right. Accordingly China must develop high quality training for GPs and expect to pay them properly. The Role of General Practice The role of The General Practitioner in a health care system is no more or less important than the role of the Specialist. Each has a distinctive set of knowledge and skills. The General Practitioner is a just different kind of doctor, with a different function in the Health System. The system needs both types of doctor to function effectively. Specialism Generalism The Characteristics of Generalism • “Technical Generalism”, Broad knowledge base • “Evidentiary Generalism” – Use of patients’ knowledge (epistemology) and worldview (ontology) – “meaning”, sociological and cultural awareness, contextual thinking, systems theory, psychological insight • “Reflexive Generalism” – Intentional choosing of generalism, reflection, time, growth of understanding and objective self- awareness, “wisdom” Heath and Sweeney 2006 So what does General Practice look like in Australia? A Typical Day in GP in Australia Standard GPs treat all consultation stages of life 15 minutes Long consultations 35—45 30-50 patients/day minutes Less common and More common Acute Medical Emergency Common conditions and chronic • Road trauma illness (including metal health). • Myocardial infarct And Multi-morbidity - Long term • Infants in respiratory distress management required. Presentations to General Practitioners in Australia National average % Social Male genital system Female genital system Pregnancy & family planning Urology Endocrine & metabolic Skin Respiratory Psychological Neurological Musculoskeletal Circulatory Ear Eye Digestive Blood General & unspecified 0 2 4 6 8 10 12 14 16 18 20 The Nature of General Practice Care Primary Gate keeping Contextual Local Comprehensive Generalism Personal Consultation Continuing Care Long term Coordinated Not fragmented care Consultative style of Practice "Spending time with patients listening to their story and their concerns actually saves money.” “More listening means less referral for tests. The best investigation is the conversation – taking a history, and then examining the patient.” A General Practitioner Undifferentiated Presentations Primary: First point of contact. Gatekeeping. Point of entry to system. Undifferentiated presentations. Requires excellent diagnostic skills. “A 48 yr old female says “Just a quick visit because my muscle therapist sent me to see you as I have a pain in the side of my chest and he thinks I have a broken rib”. History reveals no trauma and local examination reveals point tenderness
Load more

Recommended publications
  • Patient Referral Guidelines
    SULTANATE OF OMAN MINISTRY OF HEALTH MANUAL ON PATIENT REFERRAL GUIDELINES SECOND EDITION – 2004 DIRECTORATE GENERAL OF HEALTH AFFAIRS 1 PREFACE Patient Referral system is the back-bone of health services infrastructure, offering highest possible levels of health services to each and every member of the community through a network of Primary, Secondary, & Tertiary Health Care providing institutions. MOH assigns high priority to this essential component of health services, evidenced by a recent National Workshop and revision of the Manual on Patient Referral Guidelines within five years of publication of the previous edition of the manual. Manual on Patient Referral Guidelines has been revised in consideration with the changing needs of the community, rapid development of health services in Oman, and changing concepts in the medical profession. We have also attempted to make the referral system even more patient friendly, as well as making the manual user-friendlier. Following changes in the manual (and policies therein) make it simpler to read and understand, despite further elaboration of referral protocols and inclusion of beneficial and relevant information. 1. Permissibility of skipping service levels with certain explicit criteria applied. Thereby, offering referring clinicians a margin to select appropriate referral institution and save precious time of patients, making the referral system more patient friendly. 2. Necessary amendments in the Patient Referral Form, making it suitable to serve the purpose as an appointment request form and monitoring the referral system as well. 3. Revision of concepts and definitions for referral assessment criteria, and their incorporation in Monitoring & Reporting system. 4. Inclusion of scientific definitions for clinical categories of referrals i.e.
    [Show full text]
  • The Provision of American Medical Services at Or Via Southampton During WWII
    The Provision of D-Day: American Medical Stories Services at or via from Southampton the Walls during WWII During the Maritime Archaeology Trust’s National Lottery Heritage Funded D-Day Stories from the Walls project, volunteers undertook online research into topics and themes linked to D-Day, Southampton, ships and people during the Second World War. Their findings were used to support project outreach and dissemination. This Research Article was undertaken by one of our volunteers and represents many hours of hard and diligent work. We would like to take this opportunity to thank all our amazing volunteers. Every effort has been made to trace the copyright hold-ers and obtain permission to reproduce this material. Please do get in touch with any enquiries or any information relating to any images or the rights holder. The Provision of American Medical Services at or via Southampton during WWII Contents Introduction ..................................................................................................................................... 2 Planning for D-Day and Subsequently ............................................................................................. 2 Royal Victoria Hospital, Netley near Southampton ......................................................................... 3 Hospital Trains .................................................................................................................................. 5 Medical Services associated with 14th Port ...................................................................................
    [Show full text]
  • How Australia Can Use Big Data for Better Healthcare
    THE McKell Institute Insti tute McKell THE MCKELLTHE INSTITUTE Big Data, Big Possibilities How Australia can use big data for better healthcare About the 1.McKell Introduction Institute The McKell Institute is an independent, not-for-profit, public policy institute dedicated to developing practical policy ideas and contributing to public debate. The McKell Institute takes its name from New South Wales’ wartime Premier and Governor–General of Australia, William McKell. William McKell made a powerful contribution to both New South Wales and Australian society through significant social, economic and environmental reforms. For more information phone (02) 9113 0944 or visit www.mckellinstitute.org.au About the Author RACHEL GARCIA With more than 15 years managerial and professional experience in the public and private sectors, Rachel has a particular interest in health and human services policy and reform. Rachel is currently an Associate Director at KPMG where she focuses on transformational change management, designing and facilitating stakeholder engagement programs, change leadership and strategic communications for government and not-for-profit organisations. Prior to consulting, Rachel was a Senior Policy Advisor in the Ministry of Health and before that a Senior Patent Attorney specialising in the area of Medical Science. Rachel holds a Master of Business Administration (Exec) (AGSM), Master of International Development (Deakin University), and an honors degree in Medical Science (Sydney University). Acknowledgement The McKell Institute’s research would not be possible without the generous support of our members. The McKell Institute would like to thank THE Roche and Allens for sponsorship of this report. McKell Institute The opinions in this report are those of the author and do not necessarily Insti Insti tute represent the views of the McKell Institute’s members, affiliates, tute McKell individual board members or research committee members.
    [Show full text]
  • Fleet Medicine Pocket Reference 2001
    Fleet Medicine Pocket Reference 2001 Surface Warfare Medicine Institute This booklet is designed to be useful to senior medical officers filling billets for CATF Surgeons and Officers-in-Charge of Fleet Surgical Teams. The information herein is derived from primary sources that are usually identified within the text. Non-referenced information is included in order to tap the experience of previous CATF Surgeons. Please send all correspondence concerning the content and style of this booklet to CDR Ralph Pene, MC, USN, at the address below. All feedback is useful, and updates are scheduled for release annually. This 2001 edition was updated by CDR Doug Kempf, MC, USNR. Surface Warfare Medicine Institute Building 500, Room 114 50 Rosecrans Street Naval Submarine Base San Diego CA 92106-4408 (619) 553-0097 email: [email protected] TABLE OF CONTENTS Acronyms and Abbreviations ................................................... 5 Bibliography............................................................................ 11 Blood Program ...................................................................... 14 BUMED-14 Message ............................................................. 23 Casualty Receiving and Treatment Ships .............................. 24 CATF Surgeon Tasks............................................................. 30 CLF Surgeon Tasks ............................................................... 32 Communications .................................................................... 33 Crisis Management
    [Show full text]
  • Review Style Sheet
    xxxxxxxxxx Canadian Military Hospitals at Sea 1914-1919 Jonathan C Johnson, OTB S there was an ocean between Canada and the fighting during WWI, the movement of casualties needing lengthy treatment required special arrangements. Many of the Acasualties returning home, especially in 1915 and 1916, came back to Canada on relatively empty troop ships (ex-passenger ships) and were accompanied by a small medical team. The more serious casualties came home on either hospital ships or ambulance transports, most of which were equipped as floating convalescent hospitals. Hospital ships and ambulance transports generally were identically equipped. The former were commissioned naval auxiliaries painted white with green stripe and large red crosses and protected by the Geneva Convention (Figure 1). The latter were normal naval auxiliaries painted troop ship colours that sailed in convoy and were not protected by the Geneva Figure 1. Colour postcard of HMHS LETITIA with the correct Convention. Like most military colour scheme for a commissioned hospital ship under the Geneva Convention. units each ship had an ‘Orderly Room’ where mail could be posted and, if lucky, picked up upon arrival at port. Military service personnel overseas could post mail unpaid. For much of the war, the Canada Post Office added postage upon arrival in Canada so postage due would not be applied. Canada had six hospital ships and ambulance transports during WWI. Of this number, two were lost while in service. A return trip from Liverpool to Canada and back took one month. HMCHS PRINCE GEORGE The HMCHS PRINCE GEORGE was Canada’s only naval hospital ship.
    [Show full text]
  • South Dakota Health and Educational Facilities Authority (The “Authority”) Will Issue Its $213,690,000* Revenue Bonds
    PRELIMINARY OFFICIAL STATEMENT DATED AUGUST 14, 2017 NEW ISSUE RATINGS: See “RATINGS” herein. BOOK-ENTRY ONLY Subject to compliance by the Authority and the Members of the Obligated Group with certain covenants, in the opinion of Bond Counsel, under present law, interest on the Series 2017 Bonds is excludable from gross income of the owners thereof for federal income tax purposes and is not included as an item of tax preference in computing the alternative minimum tax for individuals and corporations. See “TAX EXEMPTION” herein for a more complete discussion. $213,690,000* SOUTH DAKOTA HEALTH AND EDUCATIONAL FACILITIES AUTHORITY Revenue Bonds, Series 2017 (Regional Health) Dated: Date of Delivery Due: September 1, as shown on the inside front cover Maturities, Principal Amounts, Interest Rates, Yields/Prices and CUSIPs® as Shown on the Inside Front Cover The South Dakota Health and Educational Facilities Authority (the “Authority”) will issue its $213,690,000* Revenue Bonds, Series 2017 (Regional Health) (the “Series 2017 Bonds”) through a book-entry system under a Bond Trust Indenture dated as of September 1, 2017 (the “Bond Indenture”), between the Authority and The First National Bank in Sioux Falls, as bond trustee for the Series 2017 Bonds (the “Bond Trustee”), and loan the proceeds thereof to Regional Health, Inc., a South Dakota nonprofit corporation (the “Corporation”), for the purpose of financing the improvement of certain facilities of the Corporation and other Members of the Obligated Group (as defined herein) located in South Dakota and refunding all or a portion of certain outstanding bonds. See “PLAN OF FINANCE” herein.
    [Show full text]
  • Fm 8-10-14 Employment of the Combat Support Hospital Tactics, Techniques, and Procedures
    FM 8-10-14 FIELD MANUAL HEADQUARTERS No. 8-10-14 DEPARTMENT OF THE ARMY Washington, DC, 29 December 1994 FM 8-10-14 EMPLOYMENT OF THE COMBAT SUPPORT HOSPITAL TACTICS, TECHNIQUES, AND PROCEDURES Table of Contents PREFACE CHAPTER 1 - HOSPITALIZATION SYSTEM IN A THEATER OF OPERATIONS 1-1. Combat Health Support in a Theater of Operations 1-2. Echelons of Combat Health Support 1-3. Theater Hospital System CHAPTER 2 - THE COMBAT SUPPORT HOSPITAL 2-1. Mission and Allocation 2-2. Assignment and Capabilities 2-3. Hospital Support Requirements 2-4. Hospital Organization and Functions 2-5. The Hospital Unit, Base 2-6. The Hospital Unit, Surgical CHAPTER 3 - COMMAND, CONTROL, AND COMMUNICATIONS OF THE COMBAT SUPPORT HOSPITAL DODDOA-004215 ACLU-RDI 320 p.1 3-1. Command and Control 3-2. Communications CHAPTER 4 - DEPLOYMENT AND EMPLOYMENT OF THE COMBAT SUPPORT HOSPITAL 4-1. Threat 4-2. Planning Combat Health Support Operations 4-3. Mobilization 4-4. Deployment 4-5. Employment 4-6. Hospital Displacement 4-7. Emergency Displacement 4-8. Nuclear, Biological, and Chemical Operations APPENDIX A - TACTICAL STANDING OPERATING PROCEDURE FOR HOSPITAL OPERATIONS A-1. Tactical Standing Operating Procedure A-2. Purpose of the Tactical Standing Operating Procedure A-3. Format for the Tactical Standing Operating Procedure A-4. Sample Tactical Standing Operating Procedure (Sections) A-5. Sample Tactical Standing Operating Procedure (Annexes) APPENDIX B - HOSPITAL PLANNING FACTORS B-1. General B-2. Personnel and Equipment Deployable Planning Factors B-3. Hospital Operational Space Requirements B-4. Logistics Planning Factors (Class 1, II, III, IV, VI, VIII) APPENDIX C - FIELD WASTE Section I - Overview DODDOA-004216 ACLU-RDI 320 p.2 • C-1.
    [Show full text]
  • Joint CAFM Comments on the FY 2022 IPPS Proposed Rule
    June 8, 2021 The Honorable Chiquita Brooks-LaSure Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services 7500 Security Boulevard Baltimore, MD 21244 Re: CMS-172-P; Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Proposed Policy Changes and Fiscal Year 2022 Rates Dear Administrator Brooks-LaSure: On behalf of the Council of Academic Family Medicine (CAFM), including the Society of Teachers of Family Medicine, Association of Departments of Family Medicine, Association of Family Medicine Residency Directors, and the North American Primary Care Research Group, as well as the American Academy of Family Physicians (AAFP) we write to provide comments on the FY 2022 Medicare Inpatient Prospective Payment System proposed rule. The Graduate Medical Education (GME) provisions included in the Consolidated Appropriations Act, 2021, will help strengthen the GME program and diversify training options for resident physicians. A recent report projects that the U.S. will face a shortage of between 54,100 and 139,000 physicians by 2033.1 Currently, most physicians are trained at large academic medical centers in urban areas. Evidence indicates physicians typically practice within 100 miles of their residency program, meaning that the current distribution of trainees also leads to physician shortages in medically underserved and rural areas.2 These shortages result in access barriers and disparities in health outcomes for Medicare beneficiaries and other patients living in rural communities.3 However, our organizations believe that the implementation of these GME provisions could help to correct the maldistribution of physicians and ultimately improve equitable access to high-quality care.
    [Show full text]
  • Medical Railroading During the Korean War 1950-1953
    Medical Railroading During the Korean War By Dr. Eric A. Sibul PhD Baltic Defence College, Tartu, Estonia 1950-1953 hile the role of rail transportation during the of the conflict were carefully studied in Prussia and other American Civil War, World War I, and World German states.3 In the Franco-Prussian War (1870-1871), WWar II has largely been acknowledged by historians, the the Prussians improved on American evacuation concepts, importance of railroads in the Korean War 1950-1953, devising an elaborate medical evacuation system based on like the conflict itself, has mostly been forgotten. Both railway transport. The relatively small number of deaths sides, the United Nations Command and the Communist from wounds of German forces attested to the success of forces, relied heavily on railroad transportation during this system. Casualties were evacuated from the front lines the hostilities. to the interior of Germany by special trains that were staffed Though described as a limited war, the Korean Conflict by surgeons, nurses, pharmacists, and cooks. The most was not a small war: Large quantities of men and materiel heavily wounded were removed from the train into hospitals moved up and down the Korean peninsula. Due to the situated in towns nearest the frontier, and their places were inherent efficiency of railways in large-scale movements filled with men whose wounds were healing; the process and the inadequacy of roads and air transport, railways held continued into the interior of Germany. Observers of the a paramount role in UNC-theater military transportation. German medical evacuation system noted the favorable Approximately 95 percent of all supplies that were cleared effect on the morale of soldiers.
    [Show full text]
  • Preparing Your ICU for Disaster Response
    PREPARING YOUR ICU FOR DISASTER RESPONSE J. Christopher Farmer, MD, FCCM, Editor Randy S. Wax, MD, FCCM, Editor Marie R. Baldisseri, MD, FCCM, Editor ix CONTENTS FOREWORD xi CHAPTER ONE What Matters? The Role of an ICU During Disaster 1 D. E. Amundson, MS, DO, FCCM; Mary J. Reed, MD, FCCM TWO Assessing Your ICU: Are You Ready to Respond to Disaster? 9 John S. Parrish, MD; Jeffry L. Kashuk, MD THREE Leadership During a Disaster 23 Asha Devereaux, MD, MPH; Jeffrey R. Dichter, MD FOUR Building an ICU Response Plan for Disasters 49 Christian Sandrock, MD, MPH, FCCP FIVE Implementing an Effective ICU Disaster Response Plan 67 Vincent M. Nicolais, MD, Macp, FCCM; Elizabeth Bridges, PhD, RN, CCNS, FAAN, FCCM SIX Communication During Disaster 79 James A. Geiling, MD, FCCM SEVEN How to Build ICU Surge Capacity 93 Lisa Burry, PharmD; Dauryne L. Shaffer, MSN EIGHT Ethical Decision Making in Disasters: Key Ethical Principles 107 and the Role of the Ethics Committee Dan R. Thompson, MD, MA, Facp, FCCM NINE Behavioral Health Issues 117 Merritt Schreiber, PhD; Sandra Stark Shields, LMFT, ATR-BC, CTS; Dan Hanfling, MD TEN Pediatric Considerations: What Is Needed in My ICU to 127 Care for These Casualties? Dana A. Braner, MD, FCCM; JoDee M. Anderson, MD, MEd APPENDIX ONE Disaster Education and Training Resources 141 Abhijit Duggal, MD, MPH, Facp; Jonathan Simmons, DO, MS; Pablo A. Perez D’Empaire, MD TWO Additional Resources and Websites 151 Brittany A. Williams, MS, Bsrt, NREMT-P x THREE Clinical Strategies During Disaster Response 155 John L. Hick, MD FOUR Developing an ICU Supply and Other Templates for 173 Disaster Response Lisa Burry, PharmD; Jana A.
    [Show full text]
  • Employment of the Combat Support Hospital Tactics, Techniques, and Procedures
    FM 8-10-14 Table of Contents RDL Document Download Homepage Information Instructions FM 8-10-14 FIELD MANUAL HEADQUARTERS No. 8-10-14 DEPARTMENT OF THE ARMY Washington, DC, 29 December 1994 FM 8-10-14 EMPLOYMENT OF THE COMBAT SUPPORT HOSPITAL TACTICS, TECHNIQUES, AND PROCEDURES Table of Contents PREFACE CHAPTER 1 - HOSPITALIZATION SYSTEM IN A THEATER OF OPERATIONS http://www.adtdl.army.mil/cgi-bin/atdl.dll/fm/8-10-14/toc.htm (1 of 9) [1/9/2002 10:43:35 AM] FM 8-10-14 Table of Contents 1-1. Combat Health Support in a Theater of Operations 1-2. Echelons of Combat Health Support 1-3. Theater Hospital System CHAPTER 2 - THE COMBAT SUPPORT HOSPITAL 2-1. Mission and Allocation 2-2. Assignment and Capabilities 2-3. Hospital Support Requirements 2-4. Hospital Organization and Functions 2-5. The Hospital Unit, Base 2-6. The Hospital Unit, Surgical CHAPTER 3 - COMMAND, CONTROL, AND COMMUNICATIONS OF THE COMBAT SUPPORT HOSPITAL 3-1. Command and Control 3-2. Communications CHAPTER 4 - DEPLOYMENT AND EMPLOYMENT OF THE COMBAT SUPPORT HOSPITAL 4-1. Threat 4-2. Planning Combat Health Support Operations 4-3. Mobilization 4-4. Deployment http://www.adtdl.army.mil/cgi-bin/atdl.dll/fm/8-10-14/toc.htm (2 of 9) [1/9/2002 10:43:35 AM] FM 8-10-14 Table of Contents 4-5. Employment 4-6. Hospital Displacement 4-7. Emergency Displacement 4-8. Nuclear, Biological, and Chemical Operations APPENDIX A - TACTICAL STANDING OPERATING PROCEDURE FOR HOSPITAL OPERATIONS A-1. Tactical Standing Operating Procedure A-2.
    [Show full text]
  • Understanding My Healthcare Rights: a Summary Booklet for Consumers)
    Understanding My Healthcare Rights A summary booklet for consumers Australian Charter of Healthcare Rights (second edition) Published by the Australian Commission on Safety and Quality in Health Care Level 5, 255 Elizabeth Street, Sydney NSW 2000 www.safetyandquality.gov.au ISBN (print): 978-1-925948-91-2 ISBN (online): 978-1-925948-92-9 © 2020 Commonwealth of Australia This publication is protected by Commonwealth copyright. It may be reproduced in whole or in part for study or training purposes, subject to an acknowledgement of the source using this citation: Australian Commission on Safety and Quality in Health Care (2020) (Understanding my healthcare rights: a summary booklet for consumers). Sydney: ACSQHC; 2020. Enquiries about the use of this publication are welcome and can be sent to [email protected]. This document is published for general information purposes and is not intended to provide specific healthcare advice. About this booklet Acknowledgements This booklet provides an overview The Commission would like of the seven healthcare rights to thank the many individuals described in the Charter and what and organisations who have they mean for you. For further shared their time, experience information about your healthcare and expertise to support the rights and who you can contact, development of this booklet. visit the Australian Commission on Safety and Quality in Health Care’s website.* A detailed guide, called Understanding My Healthcare Rights: a guide for consumers, is also available if you want more information. * www.safetyandquality.gov.au/consumers/working-your-healthcare-provider/australian-charter- healthcare-rights The Charter What is the Australian Charter of Healthcare Rights? The Australian Charter of Healthcare Rights (the Charter) explains what you or someone you care for can expect when receiving health care.
    [Show full text]