scholarly journals Hivatással és hálapénzzel kapcsolatos vélekedések a magyarországi családorvosok és családorvos rezidensek körében

2016 ◽  
Vol 157 (36) ◽  
pp. 1438-1444
Author(s):  
Péter Torzsa ◽  
Dalma Csatlós ◽  
Ajándék Eőry ◽  
Csenge Hargittay ◽  
Ferenc Horváth ◽  
...  
Keyword(s):  
Family Medicine ◽  
Quantitative Study ◽  
Family Physician ◽  
Health Sector ◽  
Family Physicians ◽  
Payment Method ◽  
Informal Payment ◽  
The Family ◽  
Two Generations ◽  
Human Resource Crisis

Introduction: The changing of the family medicine can be observed in the New Millennium. Migration, the aging of the healers and informal payment are crucial to the human resource crisis of the health sector. Aim: The aim of this study was to investigate the family physicians’ and residents’ opinions about the vocation and informal payment. Method: Exploratory, quantitative study was carried out among family physicians (n = 363) and family physician residents (n = 180). The central questions of the study were the vocation, the income and the informal payment. Results: The most decisive factors of the carrier choice were altruism, service and responsibility. Residents were significantly rejective (19.7% vs. 38.3%, p<0.001) about informal payment. They would accept smaller amounts of informal payment (14.3% vs. 8.9%, p<0.034), and would spend it on praxis development (1.4% vs.9.4% p<0.023). Conclusions: The attitudes of family physicians and residents are the same in case of the vocation, but on the issue of informal payment, the two generations have different opinions. Orv. Hetil., 2016, 157(36), 1438–1444.

scholarly journals Psychiatry and Family Medicine: The McMaster Approach

1987 ◽  
Vol 32 (3) ◽  
pp. 170-174 ◽  
Author(s):  
Nick Kates ◽  
Art Lesser ◽  
Dave Dawson ◽  
John Devine ◽  
Jackie Wakefield
Keyword(s):  
Family Medicine ◽  
Continuing Education ◽  
Family Physician ◽  
Psychiatric Treatment ◽  
Emotional Problems ◽  
Family Physicians ◽  
Psychiatric Services ◽  
Community Practice ◽  
Psychiatry Residents ◽  
The Family

Family physicians may spend up to 50% of their time dealing with emotional problems but will refer less than 10% of these cases for psychiatric treatment. This paper describes an approach developed at McMaster University which emphasizes the importance of understanding the needs of family physicians and helping them make optimum use of available psychiatric services. Such an approach aims at increasing the comfort and expertise of family physicians in handling the problems they see on a regular basis, involving them actively in their patient's care after a referral, and offering relevant services that supplement those of the family physician, while monitoring and correcting problems that can arise when the two specialities work together. The implications that this has on the training of family medicine and psychiatry residents are discussed as well as ways in which continuing education can be provided for family physicians in community practice.

scholarly journals Awareness of Family Physician Residents of their Roles in Disaster Health Management: A Cross-Sectional Study in Saudi Arabia

2021 ◽  
pp. 254-261
Author(s):  
Fawaz Hassan Alamri ◽  
Faisal Dhahi Aldahash ◽  
Sa’ad Alqahtani
Keyword(s):  
Saudi Arabia ◽  
Disaster Management ◽  
Family Physician ◽  
Emergency Services ◽  
Health Management ◽  
Family Physicians ◽  
Cross Sectional Study ◽  
Disaster Medicine ◽  
Cross Sectional ◽  
The Family

Background: Family physicians have a pivotal role in responding to the medical community's needs and have a crucial role in disaster health management. Family physicians have several tasks and duties during and after the disaster, such as event detection, critical information’ collection and distribution, and rehabilitative activities. It is important to identify the level of awareness of the family physicians regarding their role in the management of disasters. Aim: To assess the awareness of family physician residents of their roles in disaster health management, Saudi Arabia. Methods: This study was cross-sectional; it was performed on Saudi family physician residents in family practice clinics and centers in Saudi Arabia. A self-administrated questionnaire has been sent electronically to the participants to investigate their awareness. IMB SPSS version 22 was used to analyze the collected data. Results: This study included 400 family physicians; more than one-half 52.75%were in the age of 28-30 years old. There were 61.5% worked previously at hospital emergency services. A few percentages reported receiving training on disaster medicine management in the clinic, 38.5%. 47.75% reported willingness to train on disaster management. There was 71% of physicians had high knowledge regarding their role in disaster management. Conclusion: There was high awareness among the family physicians regarding their role in the management of disaster with an acceptable attitude toward receiving training.

scholarly journals Abordagem do Doente com Psoríase pela Medicina Geral e Familiar: Algoritmo de Referenciação e Gestão Partilhada com a Dermatologia

2020 ◽  
Vol 33 (13) ◽  
Author(s):  
Tiago Torres ◽  
Martinha Henrique ◽  
Hugo Oliveira ◽  
Madalena Rodrigues ◽  
Paulo Ferreira ◽  
...  
Keyword(s):  
Family Physician ◽  
Family Physicians ◽  
High Impact ◽  
Psoriatic Patient ◽  
Shared Management ◽  
Systemic Treatments ◽  
The Family ◽  
Topical Treatments

Introduction: The implementation of models capable of improving referral quality, limiting the growth of waiting lists in hospitals, and ensuring the best possible treatment and follow-up of the psoriatic patient is of the utmost importance.Material and Methods: A panel of Family Physicians and Dermatologists discussed and created a simple and effective algorithm of referral for patients with psoriasis.Results: The proposed algorithm starts when the Family Physician suspects of psoriasis. In case of diagnostic doubt, the patient should be referred to Dermatology. In case of a confirmed diagnosis, the Family Physician should assess the patient’s severity and responder profile, evaluate comorbidities and assess the presence of psoriatic arthritis. If psoriasis is mild, topical treatments should be initiated, and if there is no clinical improvement or worsening of the disease, the patient should be referred to Dermatology. If psoriasis is moderate to severe, is located in high impact locations, or in pediatric age, the patient should be referred to Dermatology. In order to enable shared management in terms of follow-up and treatment of these patients, it is critical that the Family Physician has the necessary knowledge regarding the systemic treatments used in psoriasis and their side effects.Discussion and Conclusion: Only a shared management of the psoriatic patient can allow for the best treatment and follow-up of these patients, a more rational use of available medical resources, thus giving the patient the best possible quality of life.

scholarly journals Evaluation of the Quality of Services in Primary Health Care Institutions

Medicina ◽  
2011 ◽  
Vol 47 (1) ◽  
pp. 9
Author(s):  
Leonas Valius ◽  
Daiva Rastenytė ◽  
Vilija Malinauskienė ◽  
Daina Krančiukaitė-Butylkinienė
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Family Physician ◽  
Family Physicians ◽  
Quality Of Services ◽  
Primary Health ◽  
The Family ◽  
Primary Health Care Institutions ◽  
Primary Health Care Settings

The aim of the study was to evaluate patients’ satisfaction with the quality of provided services in private primary health care institutions in Kaunas. Material and Methods. A questionnaire-based inquiry of 280 persons registered to family physicians at primary health care settings was performed. The study was carried out using 20-item anonymous questionnaires with questions about the quality of services provided in primary health care settings. Results. More than 50.0% of the respondents stated that they waited for more than 15 minutes at the physician’s office, while 17.0% of the respondents stated that the waiting time exceeded 30 minutes. More than 25.0% of the respondents positively evaluated the possibility to consult their family physician by phone. In 67.0% of patients, the family physician determined the cause of the disorder and administered treatment; in 32.0% of patients, the family physician referred them to a specialist, and 1.0% of patients were urgently sent to hospital. More than 90.0% of the respondents were satisfied with the services provided by their family physicians. Those who were dissatisfied with these services indicated that the provided treatment failed to eliminate the disorder, that they wanted to be referred to a specialist, and that they expected more diagnostic tests to be performed for more effective treatment. Conclusions. A greater part of the patients indicated that the main reason for long waiting at the physician’s office was physicians’ wish to serve too many patients. More than two-thirds (67.0%) of the patients stated that their family physicians determined the cause of the disorder and prescribed treatment. The overwhelming majority (more than 90.0%) of the patients were satisfied with the services provided by their family physicians.

scholarly journals A Preliminary Study of the Attitudes and Barriers of Family Physicians to Prescribing HIV Preexposure Prophylaxis

2019 ◽  
Vol 10 (2) ◽  
pp. 40-42 ◽  
Author(s):  
Nicholas Ojile ◽  
Donna Sweet ◽  
K. James Kallail
Keyword(s):  
Family Medicine ◽  
High Risk Patient ◽  
Family Physicians ◽  
Perceived Barriers ◽  
Limiting Factors ◽  
Preexposure Prophylaxis ◽  
The Family ◽  
Preliminary Study ◽  
Sex With Men ◽  
Medicine Community

Introduction. Attitudes of individuals who provide HIV caretowards prescribing Preexposure Prophylaxis (PrEP) to at-riskpopulations have been studied, but few studies indicate if familyphysicians would be willing to prescribe PrEP as most familyphysicians do not specialize in HIV medicine. Few data existon the perceived barriers preventing family physicians fromprescribing PrEP. The purpose of this project was to assess theattitudes and perceived barriers of family physicians in Kansastowards prescribing PrEP to high risk patient populations. Methods. This study was a descriptive, observational,and cross-sectional survey of family physicians who respondto email surveys issued through the Family MedicineResearch and Data Information Office (FM RADIO). Results. Fifty-three percent of family physicians take a sexualhistory on new patients less than frequently, and only35% frequently ask about the use of safe sex practices. Only29% frequently ask if the patient has sex with men, women,or both. Seventy-six percent of respondents would be willingto prescribe PrEP to men who have sex with men, and anequal percentage would be willing to prescribe to heterosexuallyactive men and women who are at substantial risk of acquiringHIV. While 59% of participants agreed that PrEP belongsin the primary care domain of treatment, 71% agreedthat they had limited or no knowledge of PrEP guidelines. Conclusions. This preliminary study indicated a need for increasedfamily physician screening of new patients for high risksexual behaviors who would be eligible for PrEP. The limitedknowledge of PrEP guidelines and its use in clinical practiceare significant limiting factors to increasing prescribing practicesin the family medicine community rather than a perceivedethical dilemma of prescribing PrEP to men who have sex withmen. As a result, an increase in continuing medical educationabout PrEP could significantly increase its prescribing inthe family medicine community. KS J Med 2017;10(2):40-42.

Assessing the Quantitative and Qualitative Status of the Family Physician Plan from the Perspective of Family Physicians, Health Team Members and Staff Experts

2021 ◽  
Vol 6 (4) ◽  
pp. 308-318
Author(s):  
Mohammad Javad Kabir ◽  
Alireza Heidari ◽  
Rahman Adel ◽  
Zahra Khatirnamani ◽  
◽  
...  
Keyword(s):  
Family Physician ◽  
Family Physicians ◽  
Team Members ◽  
Health Team ◽  
The Family

The Current Situations and Problems of Family Physicians in the Province of Kayseri and Their Views about the Family Medicine System

2014 ◽  
Vol 36 (3) ◽  
pp. 108-114
Author(s):  
Fevziye Cetinkaya ◽  
Zeynep Baykan ◽  
Melis Nacar ◽  
Ahmet Oksuzkaya
Keyword(s):  
Family Medicine ◽  
Family Physicians ◽  
The Family

scholarly journals Sharing experience from Chinese General Practitioners to International colleagues on how to tackle COVID-19

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Shanzhu Zhu ◽  
Donald Li
Keyword(s):  
Family Medicine ◽  
Health Service ◽  
Health System ◽  
General Practitioners ◽  
Health Sector ◽  
Hubei Province ◽  
The Novel ◽  
The Family ◽  
Novel Coronavirus

China was the first country where the novel coronavirus appeared. General Practitioners (GPs) in China are at the forefront of tackling the spread of the virus. While the health sector in China has been under scrutiny globally, many articles have been disseminated within the country about the response. GPs in China are keen to share their experiences with GP colleagues, as other countries go through similar experiences. The hope is that by sharing our experiences, our international colleagues can benefit from what worked well and what went less well. Coronavirus started spreading from Wuhan in Hubei Province in late 2019. As in many parts of China, Wuhan is a hospital-oriented health service, as the family medicine system is not yet fully implemented. The surge of patients to hospitals quickly overwhelmed the health system in Wuhan and surrounding towns and cities, as patients sought testing and treatment, and in the process helped to spread the virus more quickly. The experience has put the spotlight on the ineffectiveness of hospitals as the first port of call for this and other types of virus.

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