FIVE-STAR FAMILY

PHYSICIAN

Marijen Benigno-Uy, MD
PHFCM1 2022

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NOTICE
These slides are created for the use and
guidance of Lyceum Northwestern University
–Dr Francisco Q Duque Medical Foundation
students under the course of Preventive Health,
Family and Community Medicine.
Any reproduction or communication of this
material by you, without the expressed written
permission of the author, is illegal.
Hippocratic Oath

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Hippocratic Oath

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Core Values of Health Care Services

1. Relevance
2. Quality
3. Cost-effectiveness
4. Equity

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Core Values of Health Care Services

1. Relevance ● The degree to which the

most important problems
2. Quality are tackled first
● Prioritize
3. Cost-effectiveness
● Primary attention
4. Equity ○ to those who suffer most
○ To most prevalent ailments
○ To conditions that can be
addressed with locally
available means
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Core Values of Health Care Services

1. Relevance ● High quality health care

using evidence based data
2. Quality and appropriate
technology to deliver
3. Cost-effectiveness comprehensive health
care
4. Equity ● Health care must be
comprehensive,
continuous, and
personalized
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Core Values of Health Care Services

1. Relevance ● Must have greatest

positive impact on the
2. Quality health of a society while
making the best use of
3. Cost-effectiveness available resources
4. Equity ● Address the rise in
health care cost due to
specialization in health
care
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Core Values of Health Care Services

1. Relevance ● Striving to making

high-quality health care
2. Quality
available to all
3. Cost-effectiveness
● Everyone has the right
4. Equity to have access to health
care services

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WHO Global Strategy for Health for All
by Year 2000 (Geneva, 1981)
●Central goal is that all people receive “at least
such a level of health that they are capable of
working productively and of participating
actively in the social life of the community in
which they live. To attain such a level of health,
every individual should have access to primary
health care and through it all levels of a
comprehensive health system.”
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Charles Boelen, 1993
●Ideal profile of a doctor
○Care provider
○Decision maker
○Communicator
○Community leader
○Manager

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The WHO’s (World Health Organization)
FIVE STAR PHYSICIAN Concept
CARE PROVIDER

DECISION MAKER
MANAGER

COMMUNICATOR COMMUNITY LEADER

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 CARE PROVIDER

● The doctor considers the patient holistically as

an individual and as an integral part of a family
and community
○ Total (physical, mental, social) needs of the
patient
● Provide high quality, comprehensive,
continuous and personalized care
● Long-term relationship based on trust
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 COMMUNITY LEADER

● The doctor, having won the trust of the people

among whom he works, can recouncil
individual and group health requirements
● Initiates actions on behalf of the community
● Advise citizen groups
● Address the needs and problems of the whole
community

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 MANAGER

●The doctor works harmoniously with individuals and

organizations, within and outside the health care
system to meet his patients and communities needs,
making use of available data
●Serve to initiate exchanges of information to make
better decisions
●To work within a multidisciplinary team in close
association with other partners for health and social
development
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 COMMUNICATOR

● The doctor promotes healthy lifestyle by

effective explanation and advocacy
● Empowers individuals and groups to
enhance and protect their health
● Lifestyle aspects: balanced diet, safety
measures at work, type of leisure pursuits,
respect for environment can affect health
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 DECISION MAKER

● The physician applies ethical and

cost-effective management based on the
patient’s wishes while enhancing the care
he provides
● The doctor makes scientifically sound
judgments in selecting the appropriate
diagnostic/ancillary tests, and treatments
for the patient and the patient’s family
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 Medicine Program Learning Outcomes
PLO WHO 5 Star
1. Demonstrate clinical competence CARE
PROVIDER
2. Communicate effectively COMMUNICATOR
3. Lead and manage health care teams MANAGER
4. Engage in research activities
5. Collaborate within interprofessional MANAGER
teams
6. Utilize systems-based approach
7. Engage in continuing personal and CARE
professional development PROVIDER
8. Adhere to ethical, professional and legal COMMUNICATOR DECISION
standards MAKER
9. Demonstrate nationalism, COMMUNITY
internationalism and dedication to service LEADER
10. Practice the principles of social COMMUNITY DECISION
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accountability LEADER MAKER
1994: WHO and WONCA

●The Family Doctor (general

practitioner/family physician) should have a
central role in the achievement of quality,
cost-effectiveness and equity in health care
systems. To fulfill this responsibility, the
family doctor must be highly competent in
patient care and must integrate individual
and community health care.
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1995: World Health Assembly

Resolution WHA48.8 “Reorientation of

medical education and medical practice for
health for all”
●Urging WHO and its member states to
undertake coordinated reform in health care
and in health professions practice and
education
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Dr. Ryan Guinaran

MANGGAGAMOT MANLULUSOG
● Healer of the sick ● Doctor for health
● Physician ● Provides promotive,
● Cure-finding
preventive, curative,
and rehabilitative care
● Holistic healing
“As we attempt to dissect and see our real and ordinary experiences extraordinarily to inspire for a fuller
spiritual health, we also offer this book as a humble contribution to contemporary Igorot Cordilleran
literature,” said Dr. Ryan Guinaran during the launching of his book “AnecDoc’s: Brown sauce for health
students” at the BSU Gladiola Center last July 25, 2009.
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PAFP’s (Philippine Academy of Family Physicians)
5-STAR PHYSICIAN
CLINICIAN/
Health care
provider

MANAGER/
RESEARCHER/
Community Lifelong
Leader learner

ADVOCATE/
EDUCATOR/ Social
Counselor mobilizer
 CARE PROVIDER
CLINICIAN/
Health care
provider

MANAGER/ DECISION MAKER

RESEARCHER/
Community
MANAGER Lifelong
Leader learner

ADVOCATE/
EDUCATOR/ Social
Counselor
COMMUNICATOR COMMUNITY
mobilizer LEADER

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 Comparison of the
Five-Star Doctor
WHO DOH-APMC CHED PAFP
(1994) (2000) (2006)
Care Provider Care Provider Care Provider Clinician/ Care Provider

Decision maker Researcher Researcher/ Researcher/

Information Manager Lifelong Learner
Communicator Teacher Educator/ Educator/
Teacher Counselor
Community Leader Social Mobilizer Social Mobilizer Advocate/
Social Mobilizer
Manager Manager Manager/ Manager/
Leader Community Leader

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 CLINICIAN
•The FP facilitate entry to the health system as
first-contact physicians
•Provide continuing, comprehensive, cost-effective
and high-quality care
•See patients with undifferentiated problems
•Know limitations and refer appropriately and
promptly
•Provide patient-centered, family-focused and
community-oriented care
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 CLINICIAN
•Apply BPS* approach in health care; evidence-based
and validated complementary/alternative health care
practice
•Provide care: health promotion, disease prevention,
early diagnosis and treatment, disability limitation,
rehabilitation and palliation
•Appropriate use of health data
•Manage health care facilities
•Practice self-directed learning

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 RESEARCHER

•Appraise and apply research to clinical

decision-making, manage information about
patients and the community through record
keeping with reporting
•Analyze health statistics and data/ utilize
health information for improvement of health
of the population
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 RESEARCHER

●Maintain continuing professional

development (CME activities: conferences,
seminar, trainings, internet, journals)
●Document experiences and conduct
researches in practice that has direct benefits
and relevance to the community
●Adhere to clinical practice guidelines

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 EDUCATOR

•Empowers individuals and groups to enhance

and protect their health
•Educates patients and their family members
about their illness, the treatment plan,
procedures, and prognosis
•Counsels patient/family when an emotionally
critical issue accompanies the physical illness
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 EDUCATOR

●Promote healthy lifestyles through effective

explanations and advocacies
●Show sensitivity to health beliefs, reinforce
positive knowledge and practices, bridge
gaps, and correct misconceptions
●Organize, implement, monitor, and evaluate
training programs for groups
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 ADVOCATE

•They lead and actively participate in health

policy-making
•Advocate patients’ rights and safety
•Mobilize communities towards worthy
projects with will improve the quality of life
•Promote quality health care development and
progress among colleagues
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 ADVOCATE

•Advocate important and relevant issues

•Practice environmental awareness/
protection
•Improve human relationships through
enhanced personal and interpersonal
relationships
•Integrate traditional practices of community
with western medicine
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 MANAGER

•Establish a trusting relationship with the people they

work with
•Reconcile individual and community health
requirements
•Advise citizen groups
•Initiate action on behalf of the community
•Work harmoniously with individuals and
organizations to meet needs of patients and
communities
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 MANAGER
•Deal with other health providers through collaborative
endeavors and teamwork
•Identify linkages with government and non-government
organizations
•Conduct resource generation and financial management
•Plan and propose projects and identify indigenous materials as
community resources
•Discuss basic concepts and methods of quality assurance (QA)

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 Medicine Program Learning Outcomes
PLO PAFP 5-STAR
1. Demonstrate clinical competence CLINICIAN

2. Communicate effectively EDUCATOR

3. Lead and manage health care teams MANAGER

4. Engage in research activities RESEARCHER

5. Collaborate within interprofessional teams MANAGER

6. Utilize systems-based approach CLINICIAN

7. Engage in continuing personal and CLINICIAN RESEARCHER

professional development
8. Adhere to ethical, professional and legal EDUCATOR
standards
9. Demonstrate nationalism, internationalism ADVOCATE
and dedication to service
10. Practice the principles of social ADVOCATE
accountability
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Thank you!

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References
● Charles Boelen (1993). THE FIVE-STAR DOCTOR: An asset to health care reform?
https://www.who.int/hrh/en/HRDJ_1_1_02.pdf [accessed 25 Sept 2020]

● ZE Leopando (Editor, 2014). Five-Star Family Physician. Textbook of Family Medicine, Volume 1.
C&E Publishing, pages 157-162.

● WONCA five-star doctors.

https://www.globalfamilydoctor.com/member/awards/WONCAfive-stardoctors.aspx [accessed 25
Sept 2020]

● EL Yu-Maglonzo (2003). The Five-Star Physician. The Filipino Physician Today: A Practice Guide to
Holistic Medicine. UST Publishing House, pages 14-24.

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Battle of the Five Stars
● Divide the class into 10 groups
● Each group should come up with other unique terms (at least three (3)) for each of the following
words:
○ CLINICIAN
○ RESEARCHER
○ EDUCATOR
○ ADVOCATE
○ MANAGER
● List down the words in the sheets shared in the Google Classroom
● Grouping based on the Breakout room numbers
● List also the names of all group members

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Battle of the Five Stars
● Game proper
○ Each representative with submit 3 terms for comparison with other groups
○ The terms will be evaluated
○ Each similar term will be eliminated
○ The team with the most words retained wins

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