P

H
E

National Periodic Health

Examination Guideline
Periodic Health Examination )
(Project in Primary Health Centres

P
1

Periodic Health Examination Training Program (P.H.ETP) 2014

1434 1438

Introduction to
PHE:

PHE Timeline
)Dobell( PHE started

1861

1921

AMA policy for

1st literature

annual ex >35

Frame &Carlson

1925

1945-1969

1975

1979

1st Study by life

insurance company

?? the
usefulness of

1989-96

Canadian task

USPSTF

Force for PHE

Guide to

AHE ( Morgan &

preventive

Roemer)

services

Benefits of PHE

Provide physicians an opportunity to become familiar with

their patients, and to establish a trusting relationship.

Stresses the importance of a healthy lifestyle.

Promote appropriate screening and prevention strategies.

Natural History of the disease

Preclinical
Phase
Stage of
Pre-symptomatic
pathologic
stage
onset

Death
Clinically
manifest disease

Recovery
Disability

Primary

P.H.ETP

Secondary

Tertiary

Levels of prevention

Primordial

Primary

Secondary

Tertiary

P.H.ETP

The prevention of the emergence or

of risk factors in countries or
population groups in which they
have not yet appeared
The action taken prior to the onset of
disease, which removes the
possibility that the disease will ever
occur.
The action which halts the progress
of a disease at its incipient stage and
prevents complications.
All the measures available to reduce
or limit impairments and disabilities,
and to promote the patients
adjustment to irremediable
conditions
6

Effective Prevention Program

Based on scientific evidence

Supported by effective data system
Flexible
Sensitive to ethical issues
Targeted to recipient most in need
Muster a variety of community resources.
Require legislative action and social policy
decision
Must be continuous

Vision To be a role model in achieving the health of

the community leading to socially and economically
productive life and achieving the Health strategic
improvements goals of kingdom of Saudi Arabia

 Mission

To provide gold
standard
evidence based,
age appropriate,
preventive and
promotive health
care through
family practice in
primary health
care setting.

Values
Initiative
Justice and Equality
Teamwork
Empowerment
Communication
Quality and
Excellence
Motivation

Aim &
Objectives


AIM




.

AIM To provide evidence based gold-standard and ageappropriate preventive & health maintenance care
through family practice in primary heath care setting

Objectives of the project

Preventive & health
maintenance services:
1.Early detection of cases
according to age group
2.Provide counseling and
advice
3.Age appropriate
vaccination according to
international
recommendation
4.Chemoprophylaxis

-
:
-1

.
-2

.
-3
.
. -4

Objectives
of
the project

Referral of suspected or
confirmed cases for
management.

-
.
Health education to the
community about periodic -
health examination &early
.
management of illness.


PHE

: Interventions
Chemoprophylaxis
And
Immunization

Counseling
And Health
Education

Screening and
Early Detection
of diseases

:Targeted Groups

.
All age-group of
family members.

Project
Rationale

-1

) (
.

Support the Ministry of Health and the conscious

orientation to improve the preventive and promotive
services.
(Health Promotion) is the strategic goal within the
first strategic plan for better future health in kingdom
of Saudi Arabia

P.H.ETP

Project
Rationale
2. Local orientation,
regional and
international for the
application of the
universal periodic
examination of all age
groups for the
community to realize
the concept of health to
try to early detection of
disease and the
discovery of the most
susceptible to the
groups programs

, -2



3. Increased demand and
high ceiling clients and
beneficiaries of the service
expectations of size in the
process of accelerating
developments and scientific
progress in the medical and
technological field

-3

Strategies of Implementation of The

Program

Adopt the concept of the Periodic health

examination as a methodology to promote
health

The integration of the periodic health

examination program within the activities and
services provided in public clinics, primary
health care centers.

Guided by the recommendations of global

guidelines and evidence based on scientific
evidence.
Utilization and investment of local and
international experiences in this field.

The introduction of new programs such as

immunizations program for adults according
to the international recommendations.

Training and continuing medical education

Following the methodology of training of trainers.

Provide and training manpower for skills

of health education and counseling
(counsellor.(

Providing preventive services

currently available

Activation of referral
between the various
levels of health system.

PHE
outcome
s

Outcomes of the project:

the primary (short-term)
1434H)

Allocation
and
training
of 20
coordinato
rs, one
coordinato
r in each
health
region of
the
kingdom

1435H)

Publishing
and
distributio
n of the
guidelines
for the
program
of the
periodic
health
examinati
on in the
primary
health

1436-1437H)
Provide
the
necessary
resources
to
implemen
t the
program
in all
health
centers

H 1438

)4

Follow-up
Program
Performance
with
periodic
reports and
indicators of
program
performance

Project Outcomes: The final

(impact)
Increase
the life
expectanc
y of the
individual
and
improve
quality of
life.

Reduce
mortality
and
morbidity
due to noncommunica
ble and
communica
ble
diseases.

identifica
tion of
risk
factors
and act
to
prevent
or
minimize
risks.

The
achievem
ent of
health
and
getting
to a
healthy
.society

Stages of the implementation of

project of the periodic health
Examination program.

1434 H

>>>>>>>>>>>>>>>
1438
H
Initializati
A on phase

Preparation
B phase
Application
C stage
Continuous
improvement
D
phase

Immunizations for adults

program according to
international recommendations
.( (Td
.( (influenza
.( ( Hepatitis B B
(Pneumococcal polysaccharide).
.( MMR )
.
.(( Meningococcal meningitis
.(Hepatitis A)
.Zoster

GUIDE LINE
METHODOLOGY

Methodology

The Development committee of periodic health

examination tried to find the most reputable
international task force recommendation.

They looked at the sources of evidence and the quality of

recommendations.

The evidences' resources were appraised using AGREE

tool.

Other sources of, evidences and recommendation to fill

the gaps were looked for and references were cited
accordingly.

Main Guideline used

Main:
U.S. Preventive Services Task Force
(USPSTF) www.ctfphc.org main
Advisory Committee on Immunization Practices
(ACIP)
The Canadian Task Force on Preventive Health Care
(CTFPHC)
The Royal Australian College of General
Practitioners (RACGP).

Methodology
Strength was based on the stated
recommendation grading criteria.
A or B recommended grade
The panel members reach a consensus after
discussing the recommendations which fill the gap
based on:
Currency, Applicability and Prevalence of the
condition in our setting.

The mechanism of implementation of the program

within the primary health care center:

Through the
general clinics

The organizational structure within

the primary health care center:

The PHE clinic nurse

Receives the patient and welcomes him/her & fills the
demographic data in the periodic health examination
form
Provide an idea about periodic health examination
program, its goals and importance to the patient.

The PHE clinic nurse

Takes the vital signs & calculate the height, weight &
determine the body mass index
Document the results in the patient's health record.
Directs the patient to the physician.

GENERAL CLINIC PHYSICIAN

perform the periodic health examination based on
the PHE Form as follows:
Assessment of the patient's history: Complete medical history,
and the current complaint.
Ask the patient about his/her current treatments, previous
admissions to hospital.
Inquire about the family history of the patient and history of
allergies in details.
Inquire about the social & psychological history.

GENERAL CLINIC PHYSICIAN

Conduct medical examination based on the forms
after taking permission from the patient.
Document all lab results of the clinical evaluation
in the forms.
Laboratory and radiological investigation are
requested based on patient assessment.

GENERAL CLINIC PHYSICIAN

Refer the cases that need further testing and
evaluation to higher level of health care. Counseling
(refer to the policy of counseling and health advice).
Updating patient immunizations.
Schedule PHE according to the forms attached and
patients circumstances.
Direct the patient to the nurse in charge to give him
next appointment.

Resources and needs of the periodic health examination clinic

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Periodic health examination models

according age groups:
Periodic examination of the age group below 6 years.
Periodic examination for the age group 6-17 years.
Periodic examination for the age group 18-60 years.
Periodic examination of the age group above 60 years.