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.

scholarly journals DEVELOPMENT AND EVALUATION OF THE EFFECTIVENESS OF THE HEALTH SCHOOL FOR CHILDREN WITH OBESITY UNDER THE CONDITIONS OF THE CHILD POLYCLINIC

2019 ◽  
Vol 20 (5) ◽  
pp. 276-282
Author(s):  
I. N. Martynova ◽  
Irina V. Vinyarskaya
Keyword(s):  
Quality Of Life ◽  
Medical Care ◽  
Weight Control ◽  
Healthy Lifestyle ◽  
Practical Skills ◽  
Quality Of Life Inventory ◽  
The Family ◽  
Excessive Body Weight ◽  
Life Inventory

The article is devoted to the development and evaluation of the effectiveness of the organizational model of rendering medical care to children with obesity: «Health School - Weight Control». Тhis is a modern preventive technology. The main direction in its activity is the creation and maintenance of the motivation of the family and child with excessive body weight and/or obesity to a healthy lifestyle. Its tasks include the raise the awareness of family members and children with obesity about the disease, development of practical skills for eliminating unhealthy habits, and improvement of the quality of life of patients and their relatives. To assess the effectiveness of the Health School, not only the anthropometric method was used, but also indices of the quality of life of children and adolescents according to the questionnaire «Pediatrics Quality of Life Inventory (PedsQLТМ 4.0)». The study involved 50 patients aged of from 8 to 18 years. 75% of patients showed a gradual weight reduction during the year. The analysis of the dynamics of the quality of life revealed a statistically significant increase in all the components of indices in children involved in the Health School, especially in aspects of emotional and role functioning. The developed model of rendering medical care to patients with obesity allowed optimize the organization of treatment and preventive care for this category of patients.

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 The Need to Reform the Health Care System in the Implementation of the Family Physician Curriculum in Iran

2016 ◽  
Vol 4 (2) ◽  
pp. 109-110 ◽  
Author(s):  
Soleiman Ahmadi ◽  
Reza Ghaffari ◽  
Saeideh Ghaffarifar
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Family Physician ◽  
The Family ◽  
Care System

scholarly journals General medical care of long-stay psychiatric patients: a pilot study

1992 ◽  
Vol 16 (6) ◽  
pp. 332-334
Author(s):  
Danny Allen ◽  
Sally Pugh-Williams
Keyword(s):  
Health Care ◽  
General Practice ◽  
General Practitioner ◽  
Pilot Study ◽  
Medical Care ◽  
Psychiatric Patients ◽  
The Elderly ◽  
General Medical Care ◽  
Psychiatric Units ◽  
Physical Morbidity

Studies have shown that significant physical morbidity exist within psychiatric units (Honig et al, 1989), yet general medical care is often left in the hands of psychiatrists who may not always be the most appropriate people to deliver it (Colenda et al, 1988). The new general practice contract places certain obligations on the general practitioner (GP) with regard to his or her patients, especially the elderly, yet these provisions do not extend to many of our patients. Our study looks at four areas of health care and examines how they are delivered to long-stay patients in a district pyschiatric unit with no GP input.

The 3,000 Who Stayed

2016 ◽  
Vol 68 (1) ◽  
pp. 43 ◽  
Author(s):  
Don Fitz
Keyword(s):  
Health Care ◽  
Medical Education ◽  
Health System ◽  
Medical Care ◽  
Tropical Diseases ◽  
Rural Regions ◽  
Material Force ◽  
Monthly Review ◽  
Number Of Patients ◽  
Daunting Task

Stories of Cuban medical accomplishments often note that half of the country's 6,000 doctors had left by 1963. But just as professionals were forsaking their homeland en masse for the comforts of Miami, 3,000 doctors chose to stay. Why did they remain? More important, the number of patients per doctor now doubled, how did they face the daunting task of transforming medicine? In addition to treating patients, their goals included expanding medical care to rural regions; increasing medical education to replace doctors who had left; making care preventive, community-oriented, and focused on tropical diseases; and redesigning a fractured and non-cohesive health system.… The consciousness of the 3,000 who stayed became the "material force" in the production of Cuban health care, as much a material force as the manufacture of pharmaceuticals or the construction of hospitals.Click here to purchase a PDF version of this article at the Monthly Review website.

scholarly journals Effect of the Implementation of the Family Physician Program 2015 on Fair Accessibility for People to Health Care Services in the Sistan Region

2016 ◽  
Vol 8 (12) ◽  
pp. 20 ◽  
Author(s):  
Mohammad Sarani ◽  
Azizollah Arbabisarjou ◽  
Soleyman Saravani ◽  
Ali Miri ◽  
Aziz Shahrakivahed
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Family Physician ◽  
Health Care Services ◽  
Family Doctor ◽  
Public Access ◽  
Human Beings ◽  
Care Services ◽  
Primary Health ◽  
The Family

<p>Equitable access to primary health care is an indispensable right and a basic need of all human beings. Currently, the development of any society is judged based on the level of public access to primary health care services. This comparative study attempted to examine the fairness accessibility of people in Sistan to health care services through Family Physician Program 2015.</p><p>This was a descriptive, analytical research focusing on the level of equitable public access to primary health care in Sistan. Samples were taken from all the service-providing centers. Data were collected through HNIS software, network management center to analyze the gathered data. The results showed that prior to the implementation of the family doctor plan (before 2005), there was a doctor for every 9545 people, a midwife for every 10,000 people and one paramedic for 1,111 people. After beginning the family doctor plan, the figures showed that there was one doctor or MD for every 3387 people and one midwife for every 2916 people, and one health worker for every 549 rural residents. The implementation of the family physician program was an opportunity for the health system in Sistan region, where the appropriate resources management and equitable distribution of health care services throughout the region could facilitate accessibility to identical services.</p>

scholarly journals Matching physicians to newly arrived refugees in a context of physician shortage: innovation through advocacy

2014 ◽  
Vol 10 (1) ◽  
pp. 36-51 ◽  
Author(s):  
Fern Brunger ◽  
Pauline S. Duke ◽  
Robyn Kenny
Keyword(s):  
Health Care ◽  
Medical Students ◽  
Medical Care ◽  
Family Physician ◽  
Cross Cultural ◽  
Physician Shortage ◽  
Content Type ◽  
High Satisfaction ◽  
Access To Medical Care ◽  
High Engagement

Purpose – Access to a continuum of care from a family physician is an essential component of health and wellbeing. Refugees have particular barriers to accessing medical care. The MUN MED Gateway Project is a medical student initiative in partnership with a refugee settlement agency that provides access to and continuity of health care for new refugees, while offering medical students exposure to cross-cultural health care. This paper aims to report on the first six years of the project. Design/methodology/approach – Here the paper reports on: client patient uptake and demographics, health concerns identified through the project, and physician uptake and rates of patient-physician matches. Findings – Results demonstrate that the project integrates refugees into the health care system and facilitates access to medical care. Moreover, it provides learning opportunities for students to practice cross-cultural health care, with high engagement of medical students and high satisfaction by family physicians involved. Originality/value – Research has shown that student run medical clinics may provide less than optimum care to marginalized patients. Transient staff, lack of continuity of care, and limited budgets are some challenges. The MUN MED Gateway Project is markedly different. It connects patients with the mainstream medical system. In a context of family physician shortage, this student-run clinic project provides access to medical care for newly arrived refugees in a way that is effective, efficient, and sustainable.

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