PRIMARY Vs Secondary Vs Tertiary
PRIMARY Vs Secondary Vs Tertiary
The Primary Health Care Facility offers professional medical care for individuals based on a locality
or community such as rural health units, chest clinics, malaria eradication units, schistosomiasis control
units, puericulture centers, tuberculosis clinics, private clinics, and other health facilities operated by the
different organizations. In fact, it provides patients with the first set of clinical treatment by
implementing a holistic approach that utilizes multiple preventive steps, chronic disease management,
and the promoting of self-care. Along with that, primary health care provides increased accessibility to
advanced health care system for the community, which results in excellent health outcomes and
prevention of delay. The number of staff and the ideal number of patients cater at the primary level will
depend on the bed capacity. If there is a minimum of 25 and a maximum of 75 beds at the primary level,
this means that the ideal number of staff required is 113-166.
On the other hand, Secondary Health Care Facility refers to a second level of health system, in which
patients from primary health care are referred to specialists in higher hospitals for treatment. The
secondary health care facility are generally more complex services than the primary health care facility.
They often include a greater range of diagnostic services such as x-ray and pathological laboratory
services; they may also include specialized treatment, such as cancer treatment, medical care for
pneumonia, care for broken bones and other severe infections. The number of staff and the ideal
number of patients cater at the secondary level will also depend on the bed capacity. Thus, if a
secondary level has bed capacity with minimum of 100 and a maximum of 200 hence, the ideal number
of staff starts from 292 until 493.
As mentioned above, secondary healthcare facility are generally more complex services than the
primary healthcare facility. Secondary care is where the secondary healthcare providers act as a channel
of communication for a better advanced medical care. Meanwhile, the Tertiary Healthcare Facility offers
the most complex level of services in the health care system. This is the care which is provided to a
patient after a referral is made for patients by the primary and secondary healthcare providers. The
tertiary care services include such as cancer treatment and management, hormone transplant, plastic
surgery, cardiac surgery, neurosurgery pediatrics, obstetrics, general medicine, physiotherapy,
gynecology, clinical pharmacology, diagnostic radiology, gastroenterology, neonatology, nephrology,
ophthalmology, geriatrics and nuclear medicine.
The number of staff and ideal number of patients will always depend on the bed capacity which
every level of health care system have. The number of staffs and ideal number of patients increases as
the facility level becomes more complex. As stated above, the secondary level has a maximum of bed
capacity of 200, where in tertiary level has a minimum of 200. On the other hand, the secondary level
minimum of staff is 493 while in tertiary level, the minimum of staff needed is 609. This simply means, as
the level of the facility becomes more complex, the staff and ideal number of every level depends on the
services offered and bed capacity of every level of health care system.