Attending Antenatal Clinics
Submitted by freefortermpapers on 06/24/2008 03:00 PM
- Category: Social Issues
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Attending Antenatal Clinics
The World Health Organisation's programme Health For All by the year 2000 aimed at giving everyone equal access to health care, however many inequalities remain. The inequalities are directly related to socio-economic and cultural factors that are not adequately addressed by the medically dominated model of health (Murray et al, 1994). The new NHS philosophy encourages patient choice and the tailoring of the process of care to benefit the patient. Participation of the public in decision making and evaluating health care has been more difficult to promote in practice. Especially in poorer areas, General Practitioners need to work with community representatives, teachers, benefit rights workers, councillors and the clergy to establish health education projects. The Cumberlege Report (1986) emphasised the need for services to be more sensitive to the requirements of individuals, families and communities.
Hawtin et al (1994) suggest that identified need is regarded as the legitimate basis on which decisions, allocation of resources and service provision can be made. The demand for clinical effectiveness and efficiency has underlined major changes in health care policy (DOH, 1997; DHSSPS, 2002a). The Labour Government is committed to establishing a primary care led National Health Service designed to respond to identified need. A major tool in identifying the Health and Social needs of the population is a community profile, which Hawtin et al (1994) defined as being
" A comprehensive description of the needs of a population that is defined, or defines itself, as a community, and the resources that exist within that community carried out with the active involvement of the community itself." (p5)
This profile aims to consider the health needs of the elderly with leg ulcers in Lisnaskea in County Fermanagh within a leg ulcer clinic setting. Information was gathered from practice records, The Census 2001, Registrar General...
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