Primary health care centres emphasising prevention of illnesses could be the solution to Ireland's health care delivery

Patslatt1

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Primary health care centres emphasising prevention of illnesses could be the solution to Ireland's health care delivery

Taoiseach Leo Varadkar pointed out that Ireland is spending more as a share of national income (not the inflated GNP number) on health care than most countries,possibly implying that past habits of throwing more money at health care can't continue.

The best results for health care spending are likely to come from implementing the primary care strategy which was talked about for over a decade but is only now starting up.

The emphasis should be on prevention, not just cure. A letter to the editor from an Oxford health care academic Dr Luke Allen,"Healthy Alternatives",in The Economist September 16th to 22nd (unavailable online) called for this:

[]"We need to put more emphasis on on training primary care workers to be proactive in preventing disease and promoting health in their local communities,rather than waiting for illnesses to brew."

In the case of chronic illnesses, primary care centres should be far more efficient at treatment than expensive hospitals. The dramatic rise of these illnesses is summarised in the letter's quote:

"Chronic diseases such as dementia and diabetes have spectacularly dethroned infections and malnutrition to become the dominant causes of death and disability. In rich countries, smoking, drinking, eating badly and little exercise cause up to 50% of all disease."

The latter 50% could be prevented to an extent by advice from primary care workers.

However, eating habits are hard to change in the fast food culture. Schools could play a role with basic advice on nutrition and provision of some nutritious school meals, especially at primary level. As for exercise,since the core lifelong exercise of most people is walking, brisk walking of about 20 minutes a day should be recommended for fitness.
 


ger12

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"Meet the malady on its way." - Roman poet Persius (A.D.c 58).

It's a no brainer.
 

Armchair Activist

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Diet is the major one. Less meat, dairy and processed foods. More veg and fibre. No sugar.

It's a no brainer really, every second article on Facebook is about healthy eating.

Rigerous exercise more than moderate. Swimming is excellent and doesn't stress joints, cycling is also fantastic. Moderate exercise with weights and plenty of stretching.

Meditation is great for people who are anxious and stressed. It's also linked to reduced feelings of depression.

Get a good night sleep (8 hours). Try and rise as early as possible. This is also linked with better mood and less depression.

Practise good oral hygenie because harmful bacteria can spread to the gut or cause heart trouble or even contribute to some cancers.

Vitamin d (sunshine vitamin) is essential. So are other vitamins and minerals like magnesium and zinc.

Get outside and be active as much as you can while making sure to socialise with people who are positive and pleasant to be around.

Enjoy alcohol responsibly and no smoking.
 

LDF

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The Cuban health system had to emphasise prevention over cure after the US led sanctions. It's served them well.

This, reforming work practices and getting rid of a significant number of administrators and 'managers' and we'll be well on the way to getting our health service up to something resembling 1st world status.
 

Armchair Activist

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Surgery drinks are a real killer. I know some people that go through at least 4 litres a day. None of them are healthy and cough violently every few minutes.
 

Patslatt1

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Diet is the major one. Less meat, dairy and processed foods. More veg and fibre. No sugar.

It's a no brainer really, every second article on Facebook is about healthy eating.

Rigerous exercise more than moderate. Swimming is excellent and doesn't stress joints, cycling is also fantastic. Moderate exercise with weights and plenty of stretching.

Meditation is great for people who are anxious and stressed. It's also linked to reduced feelings of depression.

Get a good night sleep (8 hours). Try and rise as early as possible. This is also linked with better mood and less depression.

Practise good oral hygenie because harmful bacteria can spread to the gut or cause heart trouble or even contribute to some cancers.

Vitamin d (sunshine vitamin) is essential. So are other vitamins and minerals like magnesium and zinc.

Get outside and be active as much as you can while making sure to socialise with people who are positive and pleasant to be around.

Enjoy alcohol responsibly and no smoking.
A recent major study across many countries identified two new dangers to health: white bread and white rice, most of whose nutritious parts including many vitamins are removed in milling, presumably to prolong shelf life.

As for exercice, many people who don't want to do rigorous stuff should walk briskly for at least 10 minutes a day, but preferably 20.The best non medical measure of a person's life expectancy is the pace of walking.

If you don't know positive, pleasant people, get a dog! The dog's unquestioning affection will add years to your life, aside from the exercise benefits.However, some dog owners spend small fortunes on them when they need medical treatments such as surgery.

People who drink alcohol have a life expectancy 7 years longer than teetotalers based on a survey of 20,000 English civil servants over 20 years.A red flag was having two drinking sessions a day, however.

Vitamin D is plentiful in mackeral and sardines,useful to know when the Irish sunshine is scarce.
 
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Patslatt1

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The Cuban health system had to emphasise prevention over cure after the US led sanctions. It's served them well.

This, reforming work practices and getting rid of a significant number of administrators and 'managers' and we'll be well on the way to getting our health service up to something resembling 1st world status.
The Irish health care system is a workers co-op, a plaything for militant trade unions and professional associations. It is riddled with restrictive practices. Failure of diagnostic services to work beyond 9 to 5 causes major bottlenecks in hospital bed management, for instance.
 

Patslatt1

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Surgery drinks are a real killer. I know some people that go through at least 4 litres a day. None of them are healthy and cough violently every few minutes.
Americans are finally realising the health risks of fizzy sugary drinks and cutting back sharply from huge consumption. When will the Irish learn of the danger?

People used to drink many spoons of sugar in numerous cups of tea in the old days without obvious harm probably because they got minimal exercise when car ownership was low. Seven cups with two spoons per cup would be roughly equivalent to the sugar content of two cans of fizzy drinks.
 
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Armchair Activist

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Cannabis has remarkable medicinal properties. If Leo is serious about health care, legalisation should be passed.
 

Patslatt1

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Cannabis has remarkable medicinal properties. If Leo is serious about health care, legalisation should be passed.
Lack of interest here in the very important topic of primary health care is disappointing given the scandal of huge waiting lists for health care.
 

Armchair Activist

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Lack of interest here in the very important topic of primary health care is disappointing given the scandal of huge waiting lists for health care.
Fully agreed.

I read recently that doctors only take one hour in their entire studies out for nutrition and diet. This class is of course obligatory. Most doctors therefore have no idea as to the role of adequate nutrition.
 

Armchair Activist

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myrak

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Primary care requires GP's, who currently care for everyone who is unwell in Ireland on just over 3% of the Health budget.

Some patients are referred to hospital/ consultants by GP's and return to their care after treatment - and this service is expected to manage on just over 3% of the health budget.

Our next generation of doctors are leaving Ireland for countries that value both sectors of healthcare - community and hospital.

Ireland has yet to give community and general practice the respect they deserve and the funding they need.
 
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Armchair Activist

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An interesting mental health documentary is on tonight on rte2.
 

Gin Soaked

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Cannabis has remarkable medicinal properties. If Leo is serious about health care, legalisation should be passed.
It also turns many young brains paranoid and most habitual users are wasters. I know many who get palliative relief from horrible diseases (cancers and MS). Cure? Not so much... The hard cases with debilitating epilepsy are interesting but require caution. Would be wary of the motives of POP on this. Basically pandering to a certain demographic.

You know what they call alternative medicine that works? Medicine.

I'm on the fence on Hash legalisation. Fear is its effects on young brains. Accept that as a crop and as a source of interesting and useful active ingredients / compounds, we need to relax and allow more research.
 

Gin Soaked

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Fully agreed.

I read recently that doctors only take one hour in their entire studies out for nutrition and diet. This class is of course obligatory. Most doctors therefore have no idea as to the role of adequate nutrition.
I think nutrition, cooking and excercise to be healthy should be part of the school curriculum. At leaving cert so there is skin in the game. Think Home economics without the "how to be a wife" theme.
 

Armchair Activist

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I think nutrition, cooking and excercise to be healthy should be part of the school curriculum. At leaving cert so there is skin in the game. Think Home economics without the "how to be a wife" theme.
It also turns many young brains paranoid and most habitual users are wasters. I know many who get palliative relief from horrible diseases (cancers and MS). Cure? Not so much... The hard cases with debilitating epilepsy are interesting but require caution. Would be wary of the motives of POP on this. Basically pandering to a certain demographic.

You know what they call alternative medicine that works? Medicine.

I'm on the fence on Hash legalisation. Fear is its effects on young brains. Accept that as a crop and as a source of interesting and useful active ingredients / compounds, we need to relax and allow more research.
Our culture isn't really compatabile with substances that make you think too much. Such would high percentage thc cannabis, otger strains contain a non psycho active compound called cbd. This is what was giving to the patients with seizures because it doesn't effect the mind.
 


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