THE DISAPPEARANCE OF THE GENERAL PRACTITIONER: TWO SIMILAR VIEWS—1872 and 1968

PEDIATRICS ◽  
1968 ◽  
Vol 42 (3) ◽  
pp. 414-414
Author(s):  
T. E. C.
Keyword(s):  
General Practitioner ◽  
General Practitioners ◽  
Family Physician ◽  
Small Towns ◽  
Home Life ◽  
The Family ◽  
Childhood Population ◽  
Medical Manpower ◽  
Existing Data

In 1968 Doctor Helen M. Wallace in writing about the decrease in the number of general practitioners cites the following facts: It is clear from the existing data on medical manpower that although the total number of all physicians and of all pediatricians is increasing, the ratio of general practitioners to population is decreasing markedly. . . . For example, the ratio of general practitioners to the childhood population under fifteen years of age fell from 345 pen 100,000 in 1940 to a ratio of 135 in 1961.1 About a hundred years earlier Doctor J. B. Fonssagrives was similarly bothered by the disappearance of the family (general) practitioner. In a book widely read by mothers in the 1870's he wrote: In former times there was such a person as the family physician; he exists no longer, except in a few small towns where old-time customs are still kept up, and in which free thus far from the cosmopolitan mania, the various generations of a family quietly succeed each other under the same roof. But how vastly different (1872) is the ordinary course of events! The placid home life is becoming the exception; the house is giving place to the tent; we are born in one town reared in another, married in a third, and we shall die, God knows where. Thus situated–encamped as it were–we do not dream of providing ourselves with a physician. There comes an emergency, and we go from door to door in quest of the first one we may meet.

scholarly journals The preferences of general practitioners regarding family physician contract in the underprivileged areas of Iran in using conjoint analysis

2019 ◽  
Author(s):  
Sima Rafiei ◽  
Rafat Mohebbifar ◽  
Mohammad Ranjbar ◽  
Fatemeh Akbarirad
Keyword(s):  
Logistic Regression ◽  
General Practitioners ◽  
Family Physician ◽  
Family Doctor ◽  
Medical Specialty ◽  
Cross Sectional Study ◽  
International Standards ◽  
Cross Sectional ◽  
Ordered Logistic Regression ◽  
The Family

Background: One of the most important methods for improving the fair access of people to health services is the family physician program, which is facing many challenges. One of these challenges is the lack of policymakers' understanding of physicians' preferences regarding the provisions of the family physician contract. Therefore, this study was aimed to investigate general practitioners' preferences regarding the type of family doctor contract in one of the underprivileged regions of Iran. Methods: An analytical-cross-sectional study was conducted among 150 general practitioners (GPs) who registered in Ministry of Health and Medical Education (MoHME) family physician plan and were working in the health network of deprived regions in Iran. A discrete choice experiment (DCE) questionnaire was developed by the researchers and then distributed to GPs. Results were analyzed using Ordered Logistic Regression. Data were collected using a questionnaire designed by orthogonal method in SPSS 20. Data analysis was performed using logistic regression model in Stata 13 software. Results: Findings revealed that “type of employer” had the most significant effect on GPs’ preferences (OR = 2.5), followed by “allocating quota for admission to medical specialty courses after 5 years” (OR = 2.25), being allowed to give medical services to population without geographical restriction (OR = 2.8), being allowed to provide services out of the defined service packet (OR =   1.4), and “decreased length of contract” (OR  =  0.93). Conclusion: The amendment of the provisions of the family physician contract in accordance with physicians' preferences increases the probability of their participation in and compliance with the family physician program. However, the compliance of the provisions of this contract with relevant international standards and upstream laws of the country should be maintained as much as possible.  

Flaws in Study of Management of Children with Febrile Illness

PEDIATRICS ◽  
1983 ◽  
Vol 71 (5) ◽  
pp. 866-867
Author(s):  
JOURNAL CLUB
Keyword(s):  
General Practitioner ◽  
General Hospital ◽  
General Practitioners ◽  
Family Physician ◽  
Journal Club ◽  
Febrile Illness ◽  
Emergency Rooms ◽  
Children's Hospital ◽  
Children’S Hospital

To the Editor.— Our residency's journal club recently reviewed your October issue and the article on management of febrile illness.1 We found it to be misleading and inconclusive for the following reasons. First, the study presented itself as a comparison of the management of fever in children by pediatricians and "general practitioners." Based on introductory statements the term "general practitioner" implies family physician, but this is not clearly stated. As the article progresses, we find the data collected are based on experience in emergency rooms at a children's hospital v a "general" hospital, each staffed by residents or interns.

The Physician in Practice

Cinema, MD ◽  
2020 ◽  
pp. 1-24
Author(s):  
Eelco F.M. Wijdicks
Keyword(s):  
General Practitioners ◽  
Family Physician ◽  
Hospital Specialist ◽  
The Family ◽  
History Of

Celluloid physicians emerged early in cinema. When medicine changed and became more sophisticated, cinema took notice and changed in parallel. The family physician became a hospital specialist, primarily saving lives, but then physicians’ vulnerability (and misjudgments) entered screenplays. The cinematic history of general practitioners shows film doctors doing very little actual doctoring. Many specialties are absent in film because they are less understood or provide no inspiration for a plot line. The psychiatrist, gynecologist, and surgeon have common appearances due to the preferred topic matter. This chapter discusses the portrayal of physicians by actors and how this could affect the audience’s perception of the profession. This chapter reviews the authenticity of the doctor. What does cinema think we are?

On the appropriateness of including phytotherapy in the therapeutic activities of a general practitioner

1997 ◽  
Vol 78 (2) ◽  
pp. 145-149
Author(s):  
V. F. Bogovyavlensky ◽  
R. M. Gazizov
Keyword(s):  
Health Care ◽  
Medical Education ◽  
General Practitioner ◽  
Medical Care ◽  
Family Physician ◽  
Healthy Lifestyle ◽  
Gradual Transition ◽  
Medical Sciences ◽  
The Family ◽  
Therapeutic Activities

At present there is a gradual transition of domestic health care to a new method of medical care according to the regulations of the family physician (general practitioner). According to Professor I.N. Denisov, Corresponding Member of the Russian Academy of Medical Sciences, the curator of this type of activity, it is necessary to radically restructure the program of higher and secondary medical education with maximum attention to creating a doctrine of healthy lifestyle within the family, collective and society as a whole.

Postmarketing Surveillance Based on Electronic Patient Records: The IPCI Project

1999 ◽  
Vol 38 (04/05) ◽  
pp. 339-344 ◽  
Author(s):  
J. van der Lei ◽  
B. M. Th. Mosseveld ◽  
M. A. M. van Wijk ◽  
P. D. van der Linden ◽  
M. C. J. M. Sturkenboom ◽  
...  
Keyword(s):  
General Practitioner ◽  
General Practitioners ◽  
Validation Studies ◽  
Resource Planning ◽  
Routine Practice ◽  
Patient Records ◽  
Postmarketing Surveillance ◽  
Electronic Patient Records ◽  
Use Of Data ◽  
Data Requirements

AbstractResearchers claim that data in electronic patient records can be used for a variety of purposes including individual patient care, management, and resource planning for scientific research. Our objective in the project Integrated Primary Care Information (IPCI) was to assess whether the electronic patient records of Dutch general practitioners contain sufficient data to perform studies in the area of postmarketing surveillance studies. We determined the data requirements for postmarketing surveil-lance studies, implemented additional software in the electronic patient records of the general practitioner, developed an organization to monitor the use of data, and performed validation studies to test the quality of the data. Analysis of the data requirements showed that additional software had to be installed to collect data that is not recorded in routine practice. To avoid having to obtain informed consent from each enrolled patient, we developed IPCI as a semianonymous system: both patients and participating general practitioners are anonymous for the researchers. Under specific circumstances, the researcher can contact indirectly (through a trusted third party) the physician that made the data available. Only the treating general practitioner is able to decode the identity of his patients. A Board of Supervisors predominantly consisting of participating general practitioners monitors the use of data. Validation studies show the data can be used for postmarketing surveillance. With additional software to collect data not normally recorded in routine practice, data from electronic patient record of general practitioners can be used for postmarketing surveillance.

Errata

1973 ◽  
Vol 3 (1) ◽  
pp. i-i
Keyword(s):  
Drug Abuse ◽  
Family Physician ◽  
State Prison ◽  
Medical Office ◽  
The Family ◽  
Human Side

The articles referred to in the footnote in Dr. Kaplan's paper on page 61, and intended to follow his article, were misplaced in this issue of the Journal. The articles referred to are: A Proposal To Place the Treatment of Addiction in The Private Medical Office…………………Alvin J. Cronson A Human Side To The Addict………………………Joan C/chosz Developing a Comrnunlty-Oriented Drug Abuse Program in a State Prison……………………Leont/ H. Thompson The Treatment of Drug Abuse by the Family Physician…………………………Ronald N. Horowitz and Ronald North

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