{"id":1638,"date":"2025-03-06T17:49:35","date_gmt":"2025-03-06T15:49:35","guid":{"rendered":"https:\/\/uhc.org.ua\/?p=1638"},"modified":"2025-03-06T18:35:31","modified_gmt":"2025-03-06T16:35:31","slug":"what-is-the-enhanced-primary-care-phc-model","status":"publish","type":"post","link":"https:\/\/uhc.org.ua\/en\/what-is-the-enhanced-primary-care-phc-model\/","title":{"rendered":"What is the Enhanced Primary Care (PHC+) Model?"},"content":{"rendered":"\n<p class=\"has-black-color has-text-color has-link-color wp-elements-1 wp-block-paragraph\"><em><em>Ukraine&#8217;s healthcare system has faced severe challenges due to the full-scale invasion by the Russian Federation. Many medical facilities have been destroyed, and healthcare professionals are struggling with a critical shortage of resources while needing to adapt to new realities.<\/em><strong><em> In these conditions, primary healthcare plays a key role as the main access point to medical services for the population<\/em><\/strong><em>.<\/em><\/em><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-2 wp-block-paragraph\"><a href=\"https:\/\/drive.google.com\/file\/d\/1ezT-q0IbeBA-q92-PbotsrN6pRuRsGof\/view?usp=sharing\"><strong>The Enhanced Primary Care (PHC+)<\/strong><\/a><strong> <\/strong>Model aims to expand the capabilities of primary healthcare. It strengthens the roles of family doctors and nurses while integrating rehabilitation, palliative care, emergency medical assistance, and mental health services. This approach improves the quality of medical services and ensures that patients receive the necessary care without turning to secondary or tertiary levels of healthcare.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote has-white-color has-text-color has-background has-link-color wp-elements-3 is-layout-flow wp-block-quote-is-layout-flow\" style=\"background-color:#19529e\">\n<p class=\"has-text-align-left has-white-background-color has-text-color has-background has-link-color wp-elements-4 wp-block-paragraph\" style=\"color:#19529e\"><strong><strong>PHC+ is a community-based health center primarily focused on the needs of the community. It is not about creating another type of healthcare facility, but about changing the way primary care is delivered in the community. It&#8217;s about better coordination of patient care and higher quality and depth of contact with patients and the community. PHC+ is about changing the philosophy of PHC from sporadic healthcare delivery to \u201cprimary care\u201d as part of the welfare infrastructure in the community.<\/strong><\/strong><\/p>\n<\/blockquote>\n\n\n\n<div class=\"wp-block-buttons is-vertical is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-9e854a8b wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-white-color has-text-color has-background has-link-color has-text-align-center wp-element-button\" href=\"https:\/\/drive.google.com\/file\/d\/1ezT-q0IbeBA-q92-PbotsrN6pRuRsGof\/view?usp=sharing\" style=\"background-color:#19529e\"><strong>Read about the PHC+ model in communities<\/strong><\/a><\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-5 wp-block-paragraph\">One significant advantage of the model is the expansion of nurses&#8217; authority, allowing them to perform some of the doctors&#8217; functions within their competencies. This reduces the burden on the healthcare system. While changes at the policy level are needed to formalize this role, many communities can already begin implementing this transformation within their teams under current regulations.<\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-6 wp-block-paragraph\">For medical institutions, adopting the PHC+ model leads to better resource optimization, improved interaction between different levels of care, and a more resilient healthcare system. A crucial component is coordination between healthcare professionals, social services, and local communities to provide a comprehensive approach to public health.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote has-white-color has-text-color has-background has-link-color wp-elements-7 is-layout-flow wp-block-quote-is-layout-flow\" style=\"background-color:#19529e\">\n<p class=\"has-text-align-left has-white-background-color has-text-color has-background has-link-color wp-elements-8 wp-block-paragraph\" style=\"color:#19529e\"><strong><strong><strong>Primary care aims to effectively address as many of the patient&#8217;s problems as possible, specifically within the community. To do this, the PHC+ model significantly expands the medical functions of the practice: from 24\/7 emergency care to mental health services, rehabilitation, palliative care, ultrasound, and more.<\/strong><\/strong><\/strong><\/p>\n<\/blockquote>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-9 wp-block-paragraph\" style=\"color:#19529e\"><strong>The document provides detailed recommendations for implementing the PHC+ model in Ukraine. <\/strong>It will be helpful for medical institutions, local governments, and community organizations seeking to integrate modern healthcare standards.<\/p>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-space-between is-layout-flex wp-container-core-buttons-is-layout-994b1590 wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-white-color has-text-color has-background has-link-color has-text-align-center wp-element-button\" href=\"https:\/\/drive.google.com\/file\/d\/1ezT-q0IbeBA-q92-PbotsrN6pRuRsGof\/view?usp=sharing\" style=\"background-color:#19529e\"><strong><strong>Recommendations and Measures to Implement the Model<\/strong><\/strong><\/a><\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-10 wp-block-paragraph\">The model will help restore medical services in war-affected communities and contribute to developing rural and small-town healthcare facilities. If specific legal and organizational barriers are overcome, full-scale implementation of the model is possible by 2030. <strong>However, many of its elements can already be introduced now.<\/strong><\/p>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-11 wp-block-paragraph\">In 2025, the UHC team will conduct a series of public discussions with stakeholders on PHC+ implementation models to provide more detailed recommendations for policymakers and local authorities.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p class=\"has-black-color has-text-color has-link-color wp-elements-12 wp-block-paragraph\"><em>The document, prepared by the CF \u201cPatients of Ukraine\u201d in partnership with the<\/em> <em>Ukrainian Health\u0441are Center (UHC), was realised through the project \u201cStrengthening the Capacity of Health Care Institutions in Communities of Priority Regions in the Context of Military Aggression by the Russian Federation\u201d with the support of the project \u201cEU4ResilientRegions \u2014 Special Assistance Programme Ukraine.\u201d This project is co-financed by the European Union and the German Federal Ministry for Economic Cooperation and Development (BMZ) and is implemented by the Deutsche Gesellschaft f\u00fcr Internationale Zusammenarbeit (GIZ) GmbH.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ukraine&#8217;s healthcare system has faced severe challenges due to the full-scale invasion by the Russian Federation. Many medical facilities have been destroyed, and healthcare professionals are struggling with a critical shortage of resources while needing to adapt to new realities. In these conditions, primary healthcare plays a key role as the main access point to [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":1650,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[12],"tags":[],"class_list":["post-1638","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-analytics"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/uhc.org.ua\/en\/wp-json\/wp\/v2\/posts\/1638","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/uhc.org.ua\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/uhc.org.ua\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/uhc.org.ua\/en\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/uhc.org.ua\/en\/wp-json\/wp\/v2\/comments?post=1638"}],"version-history":[{"count":7,"href":"https:\/\/uhc.org.ua\/en\/wp-json\/wp\/v2\/posts\/1638\/revisions"}],"predecessor-version":[{"id":1647,"href":"https:\/\/uhc.org.ua\/en\/wp-json\/wp\/v2\/posts\/1638\/revisions\/1647"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/uhc.org.ua\/en\/wp-json\/wp\/v2\/media\/1650"}],"wp:attachment":[{"href":"https:\/\/uhc.org.ua\/en\/wp-json\/wp\/v2\/media?parent=1638"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/uhc.org.ua\/en\/wp-json\/wp\/v2\/categories?post=1638"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/uhc.org.ua\/en\/wp-json\/wp\/v2\/tags?post=1638"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}