Which Health Professionals and How Many Are Needed to reorient the Health Care Model?

Abstract:

During the 20^th century there have been three overlapping generations of health systems reforms. The greater the orientation towards primary care, the better the outcomes of care in relation to costs. Needs assessment is mainly the role of primary care, and that is where the structure of the health care system can frustrate or facilitate exploitation of the specialized fields, the functions of each level of clinical care and of public health are presented hare, along with the respective administrative levels. Human resources management in a health system, including primary care, requires some 50% of Family practitioners. The others specialties - more than 60 - normally involve relatively smaller proportions of general specialists, and public health personnel. This means not only a change of paradigm (rather than merely adding one more specialist to others), but also charges in medical training meanwhile giving rise to countless conflicts that can only be resolved through broad agreements by all protagonists , including the lay public.

Key-words:
Health Policy; Family Health; Health Manpower; Primary Health Care