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Kerala state to revive Family Doctor concept


Kerala state to revive Family Doctor concept

Kozhikode: Identifying the important role that family physicians play in the health and well-being of patients, the state health department is all ready to incorporate “family doctor” concept in a government run health scheme. As a part of the state run Ardram scheme, family doctors are going to provide treatment at specially identified “family health centres.

The Nava Kerala Mission, launched recently by the state government includes the Ardram scheme which primarily aims at improving facilities in government run hospitals with a view to extend treatment at a reasonable cost. The scheme proposes to re-introduce the concept of family doctor in the state for the ease and feasibility of the population. Block level health centres will now be upgraded to family health centres.

“We have been told to identify locations to introduce family doctor services in the district. The final decision on whether to introduce the family doctor scheme on few selected health centres on pilot model or cover all will be made by the state government and steps will be taken on the basis of government directions” District Medical Officer (DMO),  Dr R L Saritha told the TOI.

The initial phase of the project, will concentrate in providing services of family doctors through family health centres in Kozhikode, with other centres being added in the following phases.

For the development of the scheme, one primary health centre in each panchayat, one taluk hospital in each taluk and a district hospital are being identified by the officials. The officials have also identified a primary health centre in each constituency in the district.

Additional district medical officer Dr Asha Devi said,” We have submitted the list to DMO about CHC’s at centres identified at 12 blocks and 13 constituencies, PHC in 74 panchayats and four taluk hospitals and a district hospital. ”

“With the effective execution of the scheme, the doctors from the health centres will refer patients to district and medical college hospital only if there are no health facility available at the centre to cure the illness. Apart from this, the doctors from higher government health institutions can easily obtain details on patients and hereditary diseases details from family doctor of the health centre where the patient first approached for the treatment,” she elaborated.

The data on the health status of each members in families will now be collected by respective doctors so that the first-hand-information can be used at the time of an emergency.

Read Also: MCI to initiate MD in Family Medicine




Source: with inputs
2 comment(s) on Kerala state to revive Family Doctor concept

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  1. A family doctor ideally should be a doctor in individual private practice within the community, who can cater to all common medical needs and has the acumen to empathise with the patient and family, available on call in times of distress,
    We used to have this well developed system. Unfortunately thoughtless top-down \’reforms\’ from insular administrators sitting in their offices and their crony doctors have managed to throw the baby with the bath water!
    The GPs of today (barring a few exceptions) thrive on the fat commissions from drug/device manufacturers, imaging system manufacturers, corporates, doctors with affluent practice etc, NOT on their professional attributes able to render selfless service to the community.

    Any government scheme as this one in Kerala will not be the same and in any case it will soon degenerate into another Specialty.
    Unfortunately, the Courts also have not been alive to the good old system of GPs and have issued orders curtailing the freedom of a doctor of what he/she can do/ cannot do. We now have a ludicrous situation where an MBBS doctor cannot deliver a baby, do a Ceasarean, stitch a gaping wound, do a tracheostomy, splint or do closed reduction, or a tonsillectomy, dispense formulary medicines like powders and mixtures and the list is long. In my younger days they would do all these to perfection at very little cost. And they would be the friend, philosopher and guide to the family. I still remember with great pleasure our family physician was so happy that I qualified for admission to the Medical College, that he gave me his Gray\’s Anatomy!

  2. user
    Dr.Sunila Sharma November 22, 2016, 9:57 am

    This should be the basic model all over India . Kudos to Kerala state Think tanks