scholarly journals Prostate Cancer Decision-Making, Health Services, and the Family Physician Workforce

2012 ◽  
Vol 25 (6) ◽  
pp. 753-755
Author(s):  
M. A. Bowman ◽  
A. V. Neale
Keyword(s):  
Prostate Cancer ◽  
Decision Making ◽  
Health Services ◽  
Family Physician ◽  
Physician Workforce ◽  
The Family

scholarly journals Perceptions of Decision-making in Accessing Reproductive Healthcare Services of Urban Women

2019 ◽  
Vol 14 (1) ◽  
pp. 15-20
Author(s):  
Md Mahbubur Rahman ◽  
Taniza Tabassum ◽  
Md Shafiqur Rahman ◽  
Abu Noman Mohammed Mosleh Uddin ◽  
Mushtaq Ahmad ◽  
...  
Keyword(s):  
Decision Making ◽  
Reproductive Health ◽  
Health Services ◽  
Antenatal Care ◽  
Family Size ◽  
Urban Women ◽  
Healthcare Services ◽  
Reproductive Health Services ◽  
The Family ◽  
Reproductive Healthcare

Introduction:  Women’s healthcare during the reproductive period of life, especially decisions involving her own health is generally one of the least concerns to the common people. Women’s autonomy in decision-making within the family is fairly debatable and determines the health service seeking behaviour. Objective: To find out the perceptions about key persons involved in decision-making for accessing reproductive healthcare services as well as factors that influence those decisions among urban women of Bangladesh. Materials and Methods: The study was conducted by key informant interviewing (KII) of 72 respondents about their perceptions of decision-making in women’s reproductive health services in Dhaka South City Corporation during the period of January 2019 to April 2019. Health professionals of various levels, administrators, family heads were selected as key informants by purposive sampling method. An open-ended semi-structured questionnaire was used for data collection. Result: Among the key informants, more than half were doctors (58.3%). The majority of the respondents were female (72%) and having educational qualification up to graduate level (40.3%). Majority of the informants (73.9%) mentioned ‘both parents’ as key persons in under 18 marriage of their daughters; 57.1% of respondents opined that ‘Factors like social environment, social status, uncertainty to find better groom, dowry etc.’ influences in decision-making. All of the respondents felt antenatal care ‘essential’ and about half of them (50.0%) mentioned the importance of complication detection and treatment during pregnancy. According to the respondents, ‘mother-in-law’ is the key person in women’s decision-making regarding antenatal care (65.3%) and ‘husband’ is the key person regarding selection of the place of delivery and postnatal care (79.2%, 72.2%) respectively. Half of the respondents (50%) expressed the family size determination in an urban area is done mutually by ‘both partners’ while the role of the ‘husband’ is still perceived important (41.7%). Majority expressed that economic condition of the family (63.9%) have an influence in determining family size by the respondents. According to more than half of the respondents (52.8%), both partners take part in decision-making regarding family planning. Conclusion: Although the educated employed women enjoy some degree of autonomy in urban areas of Bangladesh, the decision-making in accessing woman’s reproductive healthcare services is directed by the husband. Involvement of both partners in decision-making is essential for better utilization of reproductive health services. Journal of Armed Forces Medical College Bangladesh Vol.14(1) 2018: 15-20

scholarly journals PHP104 A Correspondence Analysis of the Patient's Perspective on Shared Decision Making at the Family-Physician Unit

2012 ◽  
Vol 15 (7) ◽  
pp. A307
Author(s):  
M. Cuziol ◽  
T.D. Baumgratz ◽  
R. Battisti ◽  
A.C.R. Janini ◽  
R.A. Levy ◽  
...  
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Correspondence Analysis ◽  
Family Physician ◽  
Shared Decision ◽  
Patient’S Perspective ◽  
The Family

scholarly journals Antibiotic Prescribing in Outpatient Before and After Implementation of the Urban Family Physician and Referral System

2021 ◽  
Vol 15 (6) ◽  
pp. 1749-1755
Author(s):  
Ehsan Nabovati ◽  
Hamed Mahmoudi ◽  
Reza Abbasi ◽  
Saeed Barzegari ◽  
Hossein Akbari ◽  
...  
Keyword(s):  
Health Services ◽  
Family Physician ◽  
Positive Impact ◽  
Referral System ◽  
Antibiotic Prescribing ◽  
Mazandaran Province ◽  
Medication Prescription ◽  
The Family ◽  
Before And After ◽  
Urban Family

Background The Family Physician and Referral System was piloted in Mazandaran and Fars provinces, Iran in 2012. The goal of this program was to improve the provision of health services including medication prescription. Objective This study aimed to determine the trends in antibiotic prescribing in outpatient before and after implementation of the Family Physician and Referral System in Babol, Iran from 2010 to 2018. Methods In this retrospective study, all prescriptions of urban family physicians in Babol, which were registered in the database of the Health Services Insurance Organization of Mazandaran province, were included. The trends of average number of items per prescription, percentage of antibiotics per prescription, frequency of antibiotic groups, and cost of antibiotics were calculated using SQL Server and IBM SPSS version 22. Results The average number of items per prescription was found to be 3.4±1.82, and 2.8±1.60, and percentage of antibiotics per prescription was 49% and 32% in 2010 and 2018, respectively. The most prescribed antibiotic groups were penicillin (54.8%) and cephalosporin (39.9%). Amoxicillin 500mg capsules (13.1%), metronidazole 250 mg (10.2%), and ciprofloxacin 500 mg (8.2%) were the most prescribed antibiotics. Also, the mean cost of prescriptions containing antibiotics compared to the total prescriptions had decreased from 22% in 2010 to 5.5% in 2018. Conclusion The pattern of medication prescription especially antibiotics, improved after the implementation of the Family Physician and Referral System. Due to the positive impact of the Family Physician and Referral System on medication prescription by physicians, we recommend the implementation of this program in low and middle-income countries. Keywords: Antibiotic, medication prescribing, Health system reform plan, Family physician, Trend

scholarly journals Setting goals in chronic care: Shared decision making as self-management support by the family physician

2014 ◽  
Vol 21 (2) ◽  
pp. 1-7 ◽  
Author(s):  
Stephanie A. Lenzen ◽  
Ramon Daniëls ◽  
Marloes A. van Bokhoven ◽  
Trudy van der Weijden ◽  
Anna Beurskens
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Family Physician ◽  
Chronic Care ◽  
Self Management ◽  
Shared Decision ◽  
Management Support ◽  
The Family

scholarly journals Urban Mental Health Initiative: Developing Interdisciplinary Collaboration, the Role of the Family Physician in Management of Severe Mentally Ill Patients

2021 ◽  
Vol 27 (1) ◽  
pp. 104-119
Author(s):  
Seyed Kazem Malakouti ◽  
◽  
Amirabbas Keshavarz Akhlaghi ◽  
Fatemeh Shirzad ◽  
Vahid Rashedi ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Family Physician ◽  
Urban Areas ◽  
Psychiatric Patients ◽  
Community Based ◽  
Urban Mental Health ◽  
The Family ◽  
Community Based Services

Introduction: Mental health in Iran was approved in 1988. However, and then this program was integrated into the primary care system in our country and was implemented within the villagers' family physician program with great success. In urban areas, there is no structured health network. However, regarding the demographic changes in the country's population, huge sprawling of cities, and the changes in urban-rural population proportion, demands for a coherent plan to provide mental health services to the urban population are felt more than ever. This study aimed to investigate the feasibility and establishment of a model of urban mental health network for severe psychiatric patients. Methods: This plan is based on resource reviews, Use the experiences of other countries, Model World Health Organization, The services available in the country currently run by the beneficiary organizations, Description of the responsibilities of the responsible organizations, Collaboration between the Ministry of Health and various organizations responsible for mental health, Having the views of national expert and international constant in this field from other countries cooperated with the aim of examining how to compile a coherent and integrated urban health service plan. This model is estimated by community-based services for 100,000 people. Results: The proposed model for providing immediate psychiatric services with greater cohesion and increasing training and skills capacity among staff 110, 115, 1480, and 123 services, as well as a space for hospitalization of 3 to 5 emergency patients next to the public hospital, is recommended. Depending on the number of patients in a population of 100,000, we will need community-based services, including 2 to 3 home visit teams to cover 80 patients per team, and 3 daily centers to provide services to 40 patients. If community-based services are provided, we will need 12 acute psychiatric beds and 5 beds for mid-term rehabilitation to provide inpatient services. In terms of employment and accommodation, 50 patients will need supported employment, respectively, and two apartments with an area of about 60 meters will be needed to accommodate about eight people. The provision of the above services requires the equal participation of the interested organizations. The family physician will play an essential role in continuing medical care for severe and mild psychiatric patients under the constant supervision of specialists Discussion and Conclusion: To achieve a better model of mental health services in cities that can cover a wide range of people in urban areas and at various levels from prevention and care to treatment and rehabilitation, we need the coordination between the organizations providing these services for the accurate planning of the interests of each organization, elimination of duplicate services, and saving human capital and resources of the country.

scholarly journals Morbidity, utilization of curative care and service entry point preferences in metropolitan Centro Habana, Cuba

2016 ◽  
Vol 32 (10) ◽  
Author(s):  
Armando Rodríguez ◽  
Addys Díaz ◽  
Susana Balcindes ◽  
René García ◽  
Pol De Vos ◽  
...  
Keyword(s):  
Health Care ◽  
Chronic Disease ◽  
Health Services ◽  
Chronic Diseases ◽  
Family Physician ◽  
Health Problems ◽  
Entry Point ◽  
Adult Women ◽  
The Family ◽  
Formal Services

Abstract: First-line health services with a primary health care approach are a strong trigger for adequate health-care-seeking behavior. Research on the association between prevalence of chronic diseases and acute illnesses and use of health services emphasizes the importance of socioeconomic determinants in such patterns of utilization. In a cross-sectional study of 408 families in Centro Habana, Cuba, home interviews were conducted between April and June 2010 to analyze socio-demographic determinants of acute and chronic health problems and use of formal health services. Bivariate and logistic regression models were used. 529 persons reported a chronic disease. During the previous month, 155 of the latter reported an exacerbation and 50 experienced an unrelated acute health problem. 107 persons without chronic diseases reported acute health problems. Age was the strongest determinant of chronic disease prevalence. Adult women and the elderly were more likely to report acute problems. Acute patients with underlying chronic disease used formal services more often. No socio-demographic variable was associated with services use or consultation with the family physician. While the family physician is defined as the system's entry-point, this was the case for only 54% of patients that had used formal services, thus compromising the physician's role in counseling patients and summarizing their health issues. The importance of chronic diseases highlights the need to strengthen the family physician's pivotal role. New economic policies in Cuba, stimulating self-employment and private initiative, may increase the strain on the exclusively public health care system. Still, the Cuban health system has demonstrated its ability to adapt to new challenges, and the basic premises of Cuba's health policy are expected to be preserved.

The role of parents in teenagers' independent decision-making

2020 ◽  
Vol 3 (6) ◽  
pp. 45-47
Author(s):  
Sodiqova Gulbarno Odiljon qizi
Keyword(s):  
Decision Making ◽  
The Family ◽  
Role Of Parents ◽  
Independent Decision

This article provides an overview of the role of parents and parenting methods in teenager independent decision-making in the family, and provides relevant conclusions

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