TPA.4 — Healthcare — A National Responsibility

 

TPA.4 — Healthcare — A National Responsibility

Prevention before treatment

TPA.4.1 — HEALTHCARE AS AN INDIVIDUAL NATIONAL RESPONSIBILITY

Healthcare shall be treated as a fundamental national responsibility, beginning from birth and continuing throughout the entire lifetime of every citizen.

PREVENTS ILLNESS → DETECTS EARLY → TREATS EFFECTIVELY → RESTORES HEALTH → MAINTAINS HEALTH

Healthcare must therefore move from a predominantly treatment-oriented model to a prevention-first, community-based and continuously monitored national system.

Every individual shall have a continuous healthcare record from birth.

EVERY CITIZEN SHOULD HAVE ACCESS TO COMPLETE HEALTHCARE THROUGHOUT LIFE WITHOUT FINANCIAL BARRIERS.

TPA.4.2 — NO HEALTH INSURANCE INTERMEDIARY

The proposed system does not require the citizen to purchase health insurance to obtain healthcare.

Healthcare shall be a direct national responsibility.

The Government shall provide the financial framework and ensure that recognised healthcare services are available to every citizen.

There shall therefore be no dependence upon private health-insurance intermediaries for access to essential healthcare.

The question should be:

“What is the appropriate healthcare required?”

The national system should pay for the recognised healthcare service directly.

TPA.4.3 — COMMUNITY-FIRST HEALTHCARE

Healthcare should begin where people live.

The Community Centre shall provide the first local interface for preventive healthcare, health information, screening, basic healthcare services and coordination with higher-level medical facilities.

The community-based system shall enable:

  • Early identification of health problems

  • Regular health monitoring

  • Preventive healthcare

  • Basic medical consultation

  • Health education

  • Referral to appropriate medical professionals

  • Follow-up after treatment

  • Local health information

  • Coordination with hospitals and specialist services

PREVENTION CLOSE TO HOME.

SPECIALIST TREATMENT WHERE REQUIRED.

CONTINUITY THROUGH THE SYSTEM.

TPA.4.4 — PROFESSIONAL GRADING OF HEALTHCARE PERSONNEL

Healthcare professionals shall be professionally graded according to education, training, competency, experience and demonstrated professional capability.

Different levels of healthcare personnel shall have clearly defined responsibilities and limitations.

A healthcare worker should perform only those functions for which he or she is properly trained and authorised.

PROFESSIONAL COMPETENCE + DEFINED RESPONSIBILITY + ACCOUNTABILITY

TPA.4.5 — RECOGNISED SYSTEMS OF MEDICINE

The national healthcare system should recognise and integrate appropriate systems of medicine.

These shall include recognised systems such as:

  • Modern medicine

  • Ayurveda

  • Yoga

  • Naturopathy

  • Other recognised systems where appropriate

The objective is to use the appropriate system or combination of systems according to the individual's requirement and professional medical judgement.

Preventive health, nutrition, physical activity, Yoga and traditional knowledge should form part of the broader national healthcare architecture.

TPA.4.6 — COMPLETE HEALTHCARE WITHOUT COST TO THE INDIVIDUAL

Healthcare shall be available to every citizen without direct financial payment at the point of recognised service.

This shall cover:

  • Preventive healthcare

  • Periodic health screening

  • Consultation

  • Diagnostic services

  • Medicines

  • Hospitalisation

  • Surgery

  • Specialist treatment

  • Rehabilitation

  • Follow-up care

  • Continuing healthcare requirements

HEALTHCARE SHOULD BE PROVIDED ACCORDING TO NEED, NOT ACCORDING TO ABILITY TO PAY.

TPA.4.7 — SENIOR-DOCTOR OVERSIGHT OF PRESCRIPTIONS

The system shall introduce appropriate professional oversight of medical prescriptions.

Prescriptions should be subject to review according to defined professional protocols, particularly where complex, expensive or potentially harmful treatment is involved.

The objective is to ensure that:

  • Treatment is clinically appropriate

  • Unnecessary medication is avoided

  • Dangerous drug interactions are identified

  • Duplicate treatment is prevented

  • The patient's complete medical history is considered

  • Professional accountability is maintained

The purpose is not to interfere unnecessarily with the treating doctor.

The purpose is to create a professional safety system around the patient.

TPA.4.8 — CONTINUOUS HEALTH RECORD

Every citizen shall have a continuous, secure healthcare record from birth.

The record shall progressively contain relevant information concerning:

  • Birth and early development

  • Vaccination and preventive care

  • Medical history

  • Allergies

  • Diagnoses

  • Prescriptions

  • Investigations

  • Hospitalisation

  • Surgery

  • Specialist treatment

  • Rehabilitation

  • Continuing healthcare requirements

The citizen should not have to reconstruct his or her medical history every time a new doctor or hospital is visited.

ONE INDIVIDUAL → ONE CONTINUOUS HEALTHCARE RECORD → LIFELONG CONTINUITY OF CARE

TPA.4.9 — PREVENTION AS THE FIRST HEALTHCARE SERVICE

The most efficient healthcare system is not the one that treats the greatest number of sick people.

It is the one that prevents avoidable illness.

The national system should therefore continuously promote:

  • Proper nutrition

  • Physical fitness

  • Yoga and exercise

  • Healthy living

  • Clean water and sanitation

  • Early screening

  • Health education

  • Prevention of lifestyle-related disease

  • Mental and social wellbeing

  • Healthy ageing

The Community Centre shall become an important point for preventive healthcare and early detection.

PREVENTION BEFORE TREATMENT.

TPA.4.10 — INTEGRATED NATIONAL HEALTHCARE SYSTEM

The complete healthcare system shall function as an integrated national structure.

INDIVIDUAL

↓

FAMILY

↓

COMMUNITY HEALTHCARE

↓

PRIMARY / GENERAL MEDICAL CARE

↓

SPECIALIST CARE

↓

HOSPITAL / ADVANCED TREATMENT

↓

REHABILITATION AND FOLLOW-UP

Every stage should remain connected to the same continuous healthcare record.

The individual should move through the healthcare system according to medical need—not according to the ability to navigate disconnected institutions.

TPA.4.11 — HEALTHCARE DATA FOR NATIONAL PLANNING

Properly anonymised and aggregated healthcare information can provide the country with a continuously improving understanding of its actual health requirements.

The system can identify:

  • Emerging disease patterns

  • Geographic health problems

  • Capacity requirements

  • Shortages of healthcare professionals

  • Medicine requirements

  • Preventive-health priorities

  • Hospital and specialist requirements

Healthcare planning should therefore be based increasingly on actual national requirements rather than delayed and fragmented information.

TPA.4.12 — THE FUNDAMENTAL PRINCIPLE

The proposed healthcare system is based on a simple principle:

KEEP PEOPLE HEALTHY.

When illness occurs:

DETECT EARLY.

TREAT APPROPRIATELY.

USE THE RIGHT PROFESSIONAL.

USE THE RIGHT SYSTEM OF MEDICINE.

ENSURE CONTINUITY OF CARE.

REMOVE FINANCIAL BARRIERS.

Healthcare is not a commodity that should depend upon a family's ability to pay.

It is a continuous national responsibility for every individual throughout life.

PREVENTION BEFORE TREATMENT.

HEALTHCARE THROUGHOUT LIFE.

CARE ACCORDING TO NEED.

A NATIONAL RESPONSIBILITY.

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