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Family Medicine And Primary Care Teaching Programs As A Priority Discipline In Pakistan Dr. Sunita Dodani The Aga Khan University Hospital Karachi, Pakistan Presentation outline Introduction Health care system in developed and developing countries Pakistan, a developing country Medical education in Pakistan Health care system health care policy in Pakistan Reflection of health care policy on poor community Reasons for poor health care system Recommendation for change in health care policy Resources for change in policy Introduction Health Care History: 500 years ago: death before 50th birthday Today: Global average 65 years Health expectancy: average number of years an individual can expect to live in a favorable state. Increased longevity does not come free. 21st century: Still many millions die prematurely or are disabled by diseases. Longer life can be a penalty as well as a prize Introduction (cont’d) WHAT IS HEALTH CARE SYSTEM? An investment organization and infrastructure for the deployment of health care providers who work to improve the quantity and quality of life of the individuals that make up the population for whom the system is responsible Providers with appropriate skills guarantee efficient delivery Health care needs vary world wide Health Care System in Developed Countries NORTH AMERICA: World’s largest health care system Use of GATEKEEPERS: Family physicians - first point to provide health care services to a common man. Strong Health Care Policy: Strong accountability and licensing of family physician in USA. Canadian Medicare System: Provides comprehensive, universal, accessible, and portable provincial health care programs. Health Care System in Developing Countries Significant health and education improvement in 20th century resulted in: ? Infant Mortality, ? Life Expectancy, ? Literacy Rates Asian and Pacific poverty marked by two significant factors: magnitude and diversity. 900 million or 75% of the world’s poor live in the