scholarly journals Following McWhinney’s footsteps: from family medicine to traditional and complementary medicine

2019 ◽  
Vol 23 ◽  
Author(s):  
Armando Henrique Norman ◽  
Charles Dalcanale Tesser
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Complementary Medicine ◽  
Family Physicians ◽  
Holistic Approach ◽  
Explanatory Models ◽  
Moderate Risk ◽  
Safe Environment ◽  
Primary Health ◽  
Risk Patients

Family physicians have developed a holistic approach to patients’ care which can facilitate a mutual understanding of different Traditional and Complementary Medicine (T&CM) practices. This analytical paper considers three intertwined issues: (1) Ian McWhinney’s critique of biomedical abstractions (i.e., disease categories); (2) The similarity between the cosmology of family medicine’s organismic thinking and homeopathy’s vitalism as an example of T&CM; and (3) The gradient of explanatory models (EMs) to delineate the space within which T&CM can be applied to patients’ care. In primary health care predominates a blend of physiopathological and semiological EMs comprised of low to moderate risk patients. In this scenario, the introduction of T&CM practices can enhance family physicians’ therapeutic scope. Thus, the combination of gradient of EMs, primary health care attributes, and family physicians’ professionalism can provide the required safe environment for implementing T&CM services.

scholarly journals Problem-Orientated Antenatal Notekeeping: A Useful Primary Health Care Tool

Curationis ◽  
1978 ◽  
Vol 1 (3) ◽  
Author(s):  
J.V. Larsen
Keyword(s):  
Risk Factors ◽  
South Africa ◽  
Health Care ◽  
Primary Health Care ◽  
High Risk ◽  
Significant Risk ◽  
Obstetric Care ◽  
Antenatal Screening ◽  
Primary Health ◽  
Risk Patients

It has recently been demonstrated that about 56 percent of patients delivering in a rural obstetric unit had significant risk factors, and that 85 percent of these could have been detected by meticulous antenatal screening before the onset of labour. These figures show that the average rural obstetric unit in South Africa is dealing with a large percentage of high risk patients. In this work, it is hampered by: 1. Communications problems: i.e. bad roads, long distances. and unpredictable telephones. 2. A serious shortage of medical staff resulting in primary obstetric care being delivered by midwives with minimal medical supervision.

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 Prevalence and sociodemographic correlates of medication intake adherence among primary health-care users in Albania

2021 ◽  
Vol 27 (5) ◽  
pp. 516-523
Author(s):  
Dajana Roshi ◽  
Genc Burazeri ◽  
Salvatore Italia ◽  
Peter Schröder-Bäck ◽  
Alban Ylli ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Low Cost ◽  
Family Physicians ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Medication Intake ◽  
Primary Health ◽  
Sociodemographic Correlates

Background: Evidence about the magnitude and determinants of medication intake adherence among patients and the general population in Southeastern Europe is scant. Aims: To assess the prevalence and sociodemographic correlates of medication intake adherence among adult primary health-care (PHC) users in Albania. Methods: A cross-sectional study was conducted in 2018–2019 in a representative sample of 1553 adult PHC users (response: 94%) selected probabilistically from 5 major regions of Albania. There were 849 (55%) women and 704 (45%) men, with a mean age 54.6 (16.4) years. A structured interviewer-administered questionnaire inquired about medication intake adherence prescribed by family physicians, and sociodemographic characteristics. Binary logistic regression was used to assess the sociodemographic correlates of medication intake adherence. Results: Three hundred (19.8%) participants did not take the prescribed medication. In multivariable-adjusted logistic model, significant correlates of nonintake of medication included rural residence, low educational level, unemployment and low economic level. Among these 300 participants, 273 (91%) considered the high cost of the drugs as a reason for not taking the medication. Conclusion: We found a high prevalence of nonintake of medication prescribed by family physicians. Decision-makers and policy-makers in Albania and elsewhere should consider the provision of essential drugs free of charge or at low cost to low socioeconomic groups and other vulnerable and marginalized population categories, because the costs of noncompliance will eventually be higher.

scholarly journals Evaluation of Patients’ Behavior with Bleeding Disorder in Preferring Primary Health Care Centre for Follow-Up and Treatment

2020 ◽  
Vol 9 (3) ◽  
pp. 176-183
Author(s):  
Gökmen Özceylan
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Family Physicians ◽  
Bleeding Disorder ◽  
Health Care Institution ◽  
Sufficient Information ◽  
Bleeding Disorders ◽  
Care Institution ◽  
Primary Health

Aim: The aim of this study is to examine the behaviors of patients who are members of the hemophilia association due to bleeding disorder, and due to health problems related to their diseases preferring primary health care institutions first, and to determine the reasons if they do not. Methods: The study was a descriptive cross-sectional study. The universe of the study was composed of hemophilia patients who are members of the hemophilia association living in Tekirdağ province (n=48). In the study face to face questionnaire was applied. People were asked about their first medical institutions in their complaints about their illness. The patients were asked about their age, gender, working status, educational status, types of bleeding disorders, severity and history of diseases. Results: Nobody preferred the primary health care institution for his complaints about bleeding disorder. Of the participants, 42.9% (n=18) stated that family physicians do not have sufficient information about this disease as the reason for not choosing primary health care institution. Conclusion: The trust of patients with bleeding disorders to family physicians is not sufficient. Regardless of the severity, type and prophylactic drug use of their disease, they do not prefer primary health care institution for their follow-up and treatment. Keywords: hemophilia, bleeding, family practice

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