Person-centred medicine in the context of primary care: a view from the World Organization of Family Doctors (Wonca)

2011 ◽  
Vol 17 (2) ◽  
pp. 337-338 ◽  
Author(s):  
Chris van Weel
Keyword(s):  
Primary Care ◽  
Family Doctors ◽  
The World ◽  
World Organization

scholarly journals Vaccination against human papilloma virus in the light of quaternary prevention

2019 ◽  
Vol 14 (41) ◽  
pp. 1800 ◽  
Author(s):  
Miguel Pizzanelli ◽  
Marc Jamoulle
Keyword(s):  
Cervical Cancer ◽  
Hpv Vaccine ◽  
Pharmaceutical Companies ◽  
Papilloma Virus ◽  
Family Doctors ◽  
Multiple Dimensions ◽  
The World ◽  
World Organization ◽  
Quaternary Prevention ◽  
Opinion Article

In spite of the demonstrated benefits, the question of HPV massive vaccination is still subject to intense discussions and controversies. The protection against cancer is still unproven and need more time to be accurate about the quantification of the decrease in cervical cancer. The analysis of HPV vaccine relevance is very complex due to several overlapped levels to be considered. The authors analyze many of the ethical, sociological, economic, political and finally scientific issues involved. The population trust in vaccines has been affected owing to dubious practices of many pharmaceutical companies. Faced with this manipulation of information on a worldwide scale, general practitioners have organized themselves to fight this uncertainty. Quaternary prevention, a concept supported by the World Organization of Family doctors, advocates the application of ethically acceptable procedures in health care. This opinion article addresses some of the multiple dimensions involved to encourage reflection on this issue.

11th Geneva Conference on Person Centered Medicine: Summary Report

2019 ◽  
Author(s):  
C Ruth Wilson ◽  
Juan E. Mezzich
Keyword(s):  
Medical Association ◽  
World Health Organization ◽  
University Hospital ◽  
World Health ◽  
Annual Conference ◽  
World Medical Association ◽  
Family Doctors ◽  
The World ◽  
Health Organization ◽  
World Organization

For the 11th time, the International College for Person-Centered Medicine (ICPCM) held its annual conference on Person-Centered Medicine in Geneva, Switzerland. As in previous years, the conference was supported by the World Health Organization, the World Medical Association, the World Organization of Family Doctors, the International Council of Nurses, the International Alliance of Patients’ Organizations and 30 other global health professional and academic institutions. The organizing committee was composed of the ICPCM Board members, with Ruth Wilson as program director. Material support was provided by the World Medical Association, the World Health Organization, the Geneva University Hospital, and the Paul Tournier Association.

scholarly journals A global picture of family medicine: the view from a WONCA Storybooth

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Vincent K. Cubaka ◽  
Clayton Dyck ◽  
Russell Dawe ◽  
Baraa Alghalyini ◽  
Molly Whalen-Browne ◽  
...  
Keyword(s):  
Family Medicine ◽  
Value Added ◽  
Care Patient ◽  
Patient Centeredness ◽  
Family Doctors ◽  
Inquiry Approach ◽  
The World ◽  
Shared Stories ◽  
World Organization ◽  
The Impact

Abstract Background Family Medicine is a novel discipline in many countries, where the motivation for training and value added to communities is not well-described. Our purpose was to understand the reason behind the choice of Family Medicine as a profession, the impact of Family Medicine on communities, and Family Medicine’s characterizing qualities, as perceived by family doctors around the world. Methods One-question video interviews were conducted using an appreciative inquiry approach, with volunteer participants at the 2016 World Organization of Family Doctors conference in Rio de Janeiro. Qualitative data analysis applied the thematic, framework method. Results 135 family doctors from 55 countries participated in this study. Three overarching themes emerged: 1) key attributes of Family Medicine, 2) core Family Medicine values and 3) shared traits of family doctors. Family Medicine attributes and values were the key expressed motivators to join Family Medicine as a profession and were also among expressed factors that contributed to the impact of Family Medicine globally. Major sub-themes included the principles of comprehensive care, holistic care, continuity of care, patient centeredness, and the patient-provider relationship. Participants emphasized the importance of universal care, human rights, social justice and health equity. Conclusion Family doctors around the world shared stories about their profession, presenting a heterogeneous picture of global Family Medicine unified by its attributes and values. These stories may inspire and serve as positive examples for Family Medicine programs, prospective students, advocates and other stakeholders.

scholarly journals Management of Patients with COVID-19 at the Level OF PMC in Ukraine: Analysis of the Results of the Survey of Family Doctors in Comparison with Worldwide

2021 ◽  
pp. 5-11
Author(s):  
Oksana Ilkov ◽  
Pavlo Kolesnyk
Keyword(s):  
Primary Care ◽  
Comparative Analysis ◽  
Primary Care Physicians ◽  
Online Survey ◽  
Treatment Strategies ◽  
Family Physicians ◽  
Infectious Agent ◽  
Diagnostic Methods ◽  
Family Doctors ◽  
The World

The emergence of the new infectious agent SARS COVID-19 quickly led to an epidemic and later a pandemic in 2020. Currently, the world has accumulated enough descriptive data on the management of patients with COVID-19, but many countries have not yet clearly developed evidence protocols for different levels medical care. Therefore, it is actual to conduct a comparative analysis of the management of patients with coronavirus infection at the level of PMC in different countries. The objective: to conduct a comparative analysis of the management of COVID-19 patients at the level of PMC in different countries and in Ukraine. Materials and methods. Data from family physicians from 9 countries on the management of COVID-19 patients at the PMC level (which were presented in the form of reports with answers to 5 questions at the international conference «Hot topic: COVID-19 and comorbid conditions in primary care» 3–5 December 2020). The results of a survey of Ukrainian family doctors conducted by an online survey were also evaluated. The answers of Ukrainian family doctors were received in the process of anonymous questionnaires in the format of Google-forms from November to December 2020. Results. The analysis of reports of international experts and survey data of domestic doctors revealed similar features in treatment strategies, diagnosis and control strategies for recovery of patients at the level of PMC: for example, assessment of the patient’s condition by pulse oximetry, respiratory rate, telephone and video triage etc. However, certain directions in the domestic routine medical practice differed significantly from those in the management of patients by family physicians in the world (for example, the widespread use of antibiotics, anticoagulants and many other additional means, frequent unjustified use of CT by primary care physicians colleagues at the PMC level. Conclusions. A comparative analysis of diagnosis and treatment revealed both similar (diagnostic methods, assessment of patients’ condition) and distinctive features (hyperdiagnosis and оver-treatment) in the management of COVID-19 in Ukraine, compared to global strategies.

scholarly journals East Asian Primary Care Research Network (EAPCRN)

2020 ◽  
Author(s):  
Harry H.X. Wang ◽  
CHYIFENG JAN ◽  
Takuya Aoki ◽  
Jae-Ho Lee
Keyword(s):  
Primary Care ◽  
Research Group ◽  
East Asian ◽  
Research Network ◽  
World Conference ◽  
Primary Care Research ◽  
Family Doctors ◽  
Care Research ◽  
Catholic University ◽  
World Organization

The East Asian Primary Care Research Network (EAPCRN), initially proposed by Professor Jae-Ho Lee who is the Chairman of the Korean Primary Care Research Group, was officially established during the 22nd World Organization of Family Doctors (WONCA) World Conference – "Primary Care in the Future: Professional Excellence" during 17-21 October 2018 in Seoul, South Korea. The EAPCRN inauguration seminar at WONCA Seoul 2018 was convened by Jae-Ho Lee (Korean Primary Care Research Group; The Catholic University of Korea) and co-convened by Harry H.X. Wang (Sun Yat-Sen University), Takuya Aoki (Kyoto University), and Chyi-Feng Jan (National Taiwan University).

Balint 2.0: A virtual Balint group for doctors around the world

2018 ◽  
Vol 53 (3) ◽  
pp. 115-125 ◽  
Author(s):  
Donald E Nease ◽  
Albert Lichtenstein ◽  
Luis Pinho-Costa ◽  
Kyle Hoedebecke
Keyword(s):  
The Internet ◽  
Family Doctors ◽  
Internet Surveys ◽  
Balint Groups ◽  
Individual Session ◽  
The World ◽  
Balint Group ◽  
World Organization ◽  
Survey Responses ◽  
Patient Relationships

Objective Balint groups have shown promise in addressing clinician–patient relationships, clinician burnout, referral practices, and psychological mindedness. However, their traditional format of in-person sessions limits their ability to meet the needs of clinicians practicing in locations without trained Balint leaders. We report on a pilot of an international, internet-based Balint group in collaboration between the World Organization of Family Doctors regional Young Doctors Movements and the International Balint Federation. Method Balint 2.0 arose through interest of the Young Doctors Movements leadership, who approached the International Balint Federation for assistance. Initial discussions and some trialing of videoconference platforms led to monthly group meetings over the internet. Surveys evaluated each individual session as well as quarterly progress of the group. Survey items were borrowed from existing surveys in use by the American and German Balint Societies. Results Session surveys demonstrated the effectiveness of the videoconferencing platform for convening a Balint group, with a majority of participants expressing agreement with survey items evaluating each session. Quarterly survey responses were more positive reflecting agreement with outcomes seen from in-person Balint groups. Conclusions The Balint 2.0 pilot has demonstrated the ability of a Balint group to successfully convene over the internet and reach the common outcomes of a Balint group meeting in-person. The Young Doctors Movements and International Balint Federation plan to expand this work based on this successful pilot. We hope that others may also be able to build on this success with the result that Balint groups are available to clinicians in areas where they might not otherwise be accessible.

scholarly journals What do psychiatrists think about primary mental health competencies among family doctors? A WPA–WONCA global survey

2020 ◽  
pp. 1-5
Author(s):  
R.M.K. Ng ◽  
T.F. Chan ◽  
H. Herrman ◽  
C. Dowrick
Keyword(s):  
Mental Health ◽  
Health Knowledge ◽  
Common Mental Disorders ◽  
Core Competencies ◽  
Medical Attention ◽  
Family Doctors ◽  
The World ◽  
Primary Care Doctors ◽  
World Organization ◽  
Mental Health Knowledge

People with common mental disorders often seek medical attention from their family doctors. Thus, it is essential for family doctors to possess primary mental health knowledge. The aim of this study was to understand whether psychiatrists endorse the primary mental health competencies identified by the World Organization of Family Doctors and whether they agree that family doctors are demonstrating these competencies. A questionnaire was constructed based on 32 core competencies. Presidents of all World Psychiatric Association member societies were invited to complete the questionnaire or to forward it to local experts. According to the respondents, these competencies are considered relevant yet not sufficiently possessed by typical primary care doctors. Proposals are made to bridge this assumed competency gap.

scholarly journals Ethical, pedagogical, socio-political and anthropological implications of quaternary prevention

2018 ◽  
Vol 13 (40) ◽  
pp. 1-14 ◽  
Author(s):  
Marc Jamoulle ◽  
Michel Roland ◽  
Jong-Myon Bae ◽  
Bruno Heleno ◽  
Giorgio Visentin ◽  
...  
Keyword(s):  
Patient Relationship ◽  
The European Union ◽  
Family Doctors ◽  
Political Implications ◽  
Do No Harm ◽  
The Social ◽  
The World ◽  
World Organization ◽  
Quaternary Prevention ◽  
Ethical Requirement

The concept of quaternary prevention, resulting from a reflection on the doctor-patient relationship, is presented as a renewal of the age-old ethical requirement: first, a doctor must do no harm; second, the doctor must control himself/herself. The origin of the concept, its endorsement by the World Organization of Family Doctors (WONCA) and the European Union of General Practitioners (UEMO), its dissemination, and the debates to which it has given rise, are presented by a panel of authors from 10 countries. This collective text deals more specifically with: the bioethics of prevention, the importance of teaching Quaternary prevention and factual medicine, the social and political implications of the concept of quaternary prevention, and its anthropological dimensions.

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