The knowledge and perceptions regarding the role of family physicians
                        among patients in primary care clinics in Nairobi

Family physicians act as gatekeepers of the healthcare system and have an indispensable role in providing holistic care in the primary care system. While previous studies had focused on the geographic maldistribution of family physicians, the current study investigated the distribution of job opportunities for family physicians by analyzing recruitment advertisements posted in medical association journals, as an indirect way to observe the marketplace demand for physicians. We collected all the recruitment advertisements for family physicians in the twelve issues of the Taiwan Medical Journal, the official organ of the Taiwan Medical Association, in 2018. In contrast to 124 new trainees annually, 739 advertisements for family physicians were posted within the entire year. After eliminating repeated advertisements, there were 302 distinct advertisements, of which hospitals accounted for 18.9% (n = 57). The job opportunities at hospitals were offered mainly by regional hospitals (n = 26) and community hospitals (n = 29), but only two by medical centers. Family physicians in Taiwan were in great demand not only by primary care clinics but also by hospitals. The role of family physicians in hospitals is worth further study.

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1207-P: Positioning the Role of the Graduate of the Advanced Course in Diabetes in Primary Care Clinics by Diabetes Nurse Specialist

Diabetes ◽

10.2337/db20-1207-p ◽

2020 ◽

Vol 69 (Supplement 1) ◽

pp. 1207-P

Author(s):

ORIT WAIZINGER

Keyword(s):

Primary Care ◽

Nurse Specialist ◽

Primary Care Clinics

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Primary Care Role in the Management of Childhood Depression: A Comparison of Pediatricians and Family Physicians

PEDIATRICS ◽

10.1542/peds.105.s3.957 ◽

2000 ◽

Vol 105 (Supplement_3) ◽

pp. 957-962

Author(s):

Jerry L. Rushton ◽

Sarah J. Clark ◽

Gary L. Freed

Keyword(s):

Primary Care ◽

North Carolina ◽

Primary Care Physicians ◽

Pediatric Patients ◽

Response Rate ◽

Childhood Depression ◽

Mail Survey ◽

Family Physicians ◽

Future Studies

Objective. To provide a self-described assessment of pediatricians' and family physicians' management of childhood depression. Design. Mail survey of 595 general pediatricians and 557 family physicians in North Carolina. Results. The response rate was 66%. Most primary care physicians used referral (65%) and counseling (61%) for management of childhood depression. Family physicians used medications more commonly (18% vs 9%), and pediatricians referred patients more commonly (77% vs 48%). In logistic regression analysis, physicians comfortable with management of depression (odds ratio [OR], 4.8: 2.7–8.4), physicians who believed that antidepressants are more effective than counseling (OR, 2.6: 1.4–4.8), and family physicians (OR, 2.2: 1.9–4.1) were more likely to have used medications for childhood depression. Conclusions. Most primary care physicians refer pediatric patients with depression; however, practice patterns vary by specialty and other factors. Future studies must consider the role of primary care and evaluate how interspecialty variations affect costs and outcomes of childhood depression.

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Early Pregnancy Confirmation—The Role of Urine Pregnancy Test in Military Primary Care Clinics

Military Medicine ◽

10.7205/milmed-d-11-00455 ◽

2012 ◽

Vol 177 (8) ◽

pp. 947-951 ◽

Cited By ~ 1

Author(s):

Eldar Hochman ◽

Matan Elami-Suzin ◽

Hagar Gur Soferman ◽

Tamar Galil ◽

Yehuda Hershkovitz ◽

...

Keyword(s):

Primary Care ◽

Early Pregnancy ◽

Pregnancy Test ◽

Primary Care Clinics ◽

Urine Pregnancy Test

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It's the Right Direction

PEDIATRICS ◽

10.1542/peds.56.5.840a ◽

1975 ◽

Vol 56 (5) ◽

pp. 840-840

Author(s):

Starkey D. Davis

Keyword(s):

Primary Care ◽

Nurse Practitioners ◽

Family Physicians ◽

The Right

I was pleased to see the paper by McAtee and Silver on the recent expansion of the role of the nurse practitioner1. It provides another push in what I think is the right direction. Pediatricians are overtrained for the delivery of wellchild care. Primary care for children should be provided by well-trained family physicians, nurse practitioners, MEDEX, and other assistants. Most pediatricians should be hospital-based consultants. Some of these would have welldefined subspecialties such as neonatology, neurology, immunology, and hematology.

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