scholarly journals Biomedicine, holism and general medical practice: responses to the 2004 General Practitioner contract

2008 ◽  
Vol 30 (5) ◽  
pp. 788-803 ◽  
Author(s):  
Kath Checkland ◽  
Stephen Harrison ◽  
Ruth McDonald ◽  
Suzanne Grant ◽  
Stephen Campbell ◽  
...  
Keyword(s):  
General Practitioner ◽  
Medical Practice ◽  
General Medical Practice

scholarly journals METHODOLOGICAL APPROACHES TO ASSESSMENT OF THE ACTIVITY OF THE GENERAL PRACTITIONER

2021 ◽  
Vol 27 (1) ◽  
pp. 3604-3610
Author(s):  
Adolf Alakidi ◽  
◽  
Vanina Mihaylova ◽  
Kristina Kilova ◽  
Mariana Liochkova ◽  
...  
Keyword(s):  
General Practitioner ◽  
Medical Practice ◽  
Objective Assessment ◽  
Working Time ◽  
Working Environment ◽  
Efficiency Coefficient ◽  
Working Process ◽  
General Medical Practice ◽  
Medical Standards ◽  
Basic Approaches

After the launching of the health reform in the sphere of primary medical aid and a comparatively successful 20-years' accomplishment, a need has arisen for an update of the medical standards ratifying the activity of the general medical practice (2011). The study of the work of the general practitioner in an ergonomic aspect requires the construction of a reliable complex of methodological studies providing a realistic assessment of the organization of the working process and of basic psycho-physical functions in the daily and weekly dynamics, carried out on the background of a dominant attachment of the physician to the chosen area of expertise. The basic approaches for determination of the structure and expenses of the working time, or the efficiency coefficient (EC) respectively and intensity of labour involve the photochronometric- and the method of linear timing (also tracing the synchronization of the activity of the medical team); the spatial timing measuring the working trajectories, evidencing the degree of provision of functional working equipment and the objective conditions of labour. Sociological studies provide data on the style of communication with the patient and the occurrence of dilemmas of bioethical nature, as well as the strategies for their overcoming; sanitary and hygienic conditions of the working environment and their observation in accordance with the required criteria and indicators. The methodologies enable objective assessment of the workload and structure of the physician's working time and the resulting fatigue. Preconditions are created for the implementation of optimal organizational and technological operations in the provision of medical services, aiming to increase in the efficiency of the working process, and establishment of a physiological regime of labour in the general medical practice within the framework of the effective legislation.

scholarly journals Promising models of the organization of general medical practices in a city

2017 ◽  
Vol 98 (6) ◽  
pp. 1034-1039
Author(s):  
I M Son ◽  
A A Kalininskaya ◽  
L A Gadzhieva ◽  
A V Gazheva ◽  
S I Shlyafer
Keyword(s):  
General Practitioner ◽  
Medical Practice ◽  
Professional Competence ◽  
Adult Population ◽  
Medical Organization ◽  
Medical Practices ◽  
General Medical Practice ◽  
Family Doctors ◽  
Use Of Resources ◽  
Functional Models

Aim. To propose promising organizational and functional models of general medical practices in a city with the expansion of the functions of paramedical personnel. Methods. Analysis of the forms data of federal statistical observation in Russia and its subjects was carried out. The following research methods were used: content analysis, statistical method, direct observation, sociological method (questionnaire), functional organizational modelling. Results. The indicators of availability of general practitioners (family doctors) and nurses of a general practitioner in Russia and its subjects are presented. The main reasons for inhibiting the introduction of the institute of general medical practice in a city are revealed. The actual model of general medical practice in a medical organization is presented, that provides outpatient medical care, as well as prospective models of general medical practices, focused on the rational use of resources, including specialists with secondary-level medical education in accordance with their level of professional competence. Different variants of perspective models are discussed for general medical practice in the conditions of city policlinics serving the adult population and distinguished by the forms of work; (1) an independent appointment for patients with the general practitioner’s nurse is organized; (2) preliminary appointment for patients with general practitioner’s nurse together with a general practitioner; (3) independent, before-doctor appointment for patients with a medical assistant and a nurse of a general practitioner; (4) a complex team of general practice can include a medical register. Conclusion. The proposals on improving the organizational bases for the activities of general medical practices in a city were developed.

scholarly journals The structure of working timetable and work measurement of medical nurse of general practitioner in conditions of municipal polyclinic

2019 ◽  
Vol 60 (5) ◽  
pp. 245-250
Author(s):  
Aleftina A. Kalininskaya ◽  
L. M. Gadzhieva
Keyword(s):  
General Practitioner ◽  
Medical Practice ◽  
General Medical Practice ◽  
Work Measurement

The article presents form of work of medical nurse of general practitioner in conditions of total transition of municipal polyclinic at general medical practice. The results of study of work measurement of medical nurse of general practitioner in the new conditions with organization of independent medical nurse reception.

Historical and medical aspects of the formation and development of regional general medical practice

2021 ◽  
pp. 55-61
Author(s):  
Lyudmila Ilyinichna Kaspruk
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Health Care ◽  
Medical Practice ◽  
Public Health Care ◽  
General Medical Practice ◽  
Orenburg Region ◽  
Medical Analysis ◽  
Territorial Systems

The results of the historical and medical analysis of the processes of formation and development of primary care in the Orenburg Region are quite relevant, especially in connection with the renewed demand for resolving urgent issues that have arisen in the system of domestic health care. Consideration of the above aspects on the example of a separate territory, the Orenburg Region, is significant, given that public health care is formed by various structures of territorial systems in the context of demographic, social and economic gradations.

ANXIETY AND DEPRESSIVE DISORDERS IN GENERAL MEDICAL PRACTICE: TOPICAL ISSUES AND UNSOLVED PROBLEMS

2021 ◽  
pp. 14-22
Author(s):  
A. A. Kirpichenka ◽  
Keyword(s):  
General Practitioners ◽  
Medical Practice ◽  
Depressive Disorders ◽  
Psychiatric Care ◽  
Modern Medicine ◽  
General Medical Practice ◽  
Foreign Countries ◽  
The Republic ◽  
Somatic Diseases ◽  
Quality Diagnosis

Diagnosis of anxiety and depressive disorders in general medical practice is a very important problem of modern medicine. This review article provides basic information about the epidemiology and economic burden of anxiety-depressive disorders, their comorbidity with other mental and somatic diseases, and the connection with suicidal behavior. According to the Decree of the Ministry of Health of the Republic of Belarus dated 02.03.2020 № 13 «On approval of the clinical protocol» «Diagnosis and treatment of patients with mental and behavioral disorders by general practitioners», this article focuses on depression, generalized anxiety, panic, mixed anxiety and depressive disorder in general medical practice. Relevant issues of low quality diagnosis of anxiety and depressive disorders are identified, which are associated both with the complexity of the clinical picture of the diseases in question and with organizational problems. Particular attention is also paid to the need for further integration of psychiatric care into general medical practice while increasing its accessibility and quality. For this, it is necessary to continue studying the best practices of foreign countries in which family and general practitioners have been providing psychiatric care to patients for many years.

Anxiety Disorders in General Medical Practice

2016 ◽  
pp. 55-59
Author(s):  
Liudmyla Dzyak ◽  
Olena Tsurakalenko
Keyword(s):  
Anxiety Disorders ◽  
Medical Practice ◽  
Modern Medicine ◽  
Early Initiation ◽  
Diagnosis And Treatment ◽  
General Medical Practice ◽  
Timely Diagnosis ◽  
Adequate Therapy ◽  
Medical Network

Timely diagnosis and early initiation of adequate therapy of disorders of the alarming spectrum (AS) remains one of the urgent tasks of modern medicine. The article considers aspects of diagnosis and treatment of AS in General medical network, particularly were described the currently recommended schemes of application of the drug Eglonil and benefits of this drug. Eglonil demonstrates the possibility of wide application of different variants of anxiety disorders, which gives the drug a special status among other psychotropic compounds.

General introduction

2020 ◽  
pp. 6445-6446
Author(s):  
Michael Sharpe
Keyword(s):  
Medical Care ◽  
Psychiatric Disorders ◽  
Medical Practice ◽  
Psychotropic Drugs ◽  
Psychiatric Illness ◽  
Differential Diagnoses ◽  
Evidence Based ◽  
Medical Patients ◽  
General Introduction ◽  
General Medical Practice

All physicians experience situations in which they need the knowledge, skills, and attitudes commonly thought of as belonging to psychiatry. This section of the book aims to help physicians to acquire these. It includes: (1) guidance on how to assess medical patients for psychiatric illness; (2) information about psychiatric presentations and the differential diagnoses most relevant to general medical practice; (3) brief reviews of the psychiatric disorders most commonly seen in general medical practice and the practical management of these; (4) guidance on the use of psychotropic drugs and psychological treatments when given as part of general medical care; (5) evidence-based strategies for helping patients who are smoking, using alcohol excessively, or who are overweight.

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