scholarly journals A qualitative study of resident and early-career family physicians’ focused practice choices in Canada

2022 ◽  
pp. BJGP.2021.0512
Author(s):  
Monisha Kabir ◽  
Ellen Randall ◽  
Goldis Mitra ◽  
M Ruth Lavergne ◽  
Ian Scott ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Family Physician ◽  
Family Physicians ◽  
Influential Factors ◽  
Early Career ◽  
Factors Influencing ◽  
Canadian Provinces ◽  
Current Health Care System ◽  
Care System

Background: Although focused practice within family medicine may be increasing globally, there is limited research on the factors contributing to decisions to focus practice. Aim: We aimed to examine the factors influencing resident and early-career family physician choices of focused practice across three Canadian provinces. Design and Setting: We analyzed a subset of qualitative interview data from a study across British Columbia, Ontario, and Nova Scotia. Method: A total of 22 resident family physicians and 38 early-career family physicians in their first 10 years of practice who intend to or currently practice in a focused area were included in our analysis. We compared participant types, provinces, and the degree of focused practice while identifying themes related to factors influencing the pursuit of focused practice. Results: We identified three key themes of factors contributing to choices of focused practice: self-preservation within the current health care system, support from colleagues, and experiences in medical school and/or residency. Minor themes included alignment of practice with skills, personal values, or ability to derive professional satisfaction; personal lived experiences; and having many attractive opportunities for focused practice. Conclusion: Both groups of participants unanimously viewed focused practice as a way to circumvent the burnout or exhaustion they associated with comprehensive practice in the current structure of the health care system. This finding, in addition to other influential factors, was consistent across the three provinces. More research is needed to understand the implications of resident and early-career family physician choices of focused practice within the physician workforce.

scholarly journals Factors influencing focused practice: A qualitative study resident and early-career family physician practice choices

2021 ◽  
Author(s):  
Monisha Kabir ◽  
Ellen Randall ◽  
Goldis Mitra ◽  
M Ruth Lavergne ◽  
Ian Scott ◽  
...  
Keyword(s):  
Health Care ◽  
Family Physician ◽  
Family Physicians ◽  
Influential Factors ◽  
Early Career ◽  
System Support ◽  
Current Health ◽  
Factors Influencing ◽  
Canadian Provinces ◽  
Current Health Care System

Background: Although focused practice within family medicine may be increasing globally, there is limited research on the factors contributing to decisions to focus practice. We aimed to examine the factors influencing resident and early-career family physician choices of focused practice across three Canadian provinces. Methods: We analyzed a subset of qualitative interview data from a study across British Columbia, Ontario, and Nova Scotia. A total of 22 resident family physicians and 38 early-career family physicians in their first 10 years of practice who intend to or currently practice in a focused area were included in our analysis. We compared participant types, provinces, and the degree of focused practice while identifying themes related to factors influencing the pursuit of focused practice. Results: We identified three key themes of factors contributing to choices of focused practice: self-preservation within the current health care system, support from colleagues, and experiences in medical school and/or residency. Minor themes included alignment of practice with skills, personal values, or ability to derive professional satisfaction; personal lived experiences; and having many attractive opportunities for focused practice. Interpretation: Both groups of participants unanimously viewed focused practice as a way to circumvent the burnout or exhaustion they associated with comprehensive practice in the current structure of the health care. This finding, in addition to other influential factors, was consistent across the three provinces. More research is needed to understand the implications of resident and early-career family physician choices of focused practice within the physician workforce.

scholarly journals Factors influencing coordination and continuity across care levels in the Catalan Health Care System

2015 ◽  
Vol 25 (suppl_3) ◽  
Author(s):  
MB Aller ◽  
S Waibel ◽  
I Vargas ◽  
ML Vázquez ◽  
J Coderch ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Factors Influencing ◽  
Care System

scholarly journals Factors Influencing Colorectal Cancer Screening Participation

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Antonio Z. Gimeno García
Keyword(s):  
Colorectal Cancer ◽  
Health Care ◽  
Health Care System ◽  
Population Based ◽  
Average Risk ◽  
Major Health Problem ◽  
Crc Screening ◽  
Screening Uptake ◽  
Factors Influencing ◽  
Care System

Colorectal cancer (CRC) is a major health problem worldwide. Although population-based CRC screening is strongly recommended in average-risk population, compliance rates are still far from the desirable rates. High levels of screening uptake are necessary for the success of any screening program. Therefore, the investigation of factors influencing participation is crucial prior to design and launches a population-based organized screening campaign. Several studies have identified screening behaviour factors related to potential participants, providers, or health care system. These influencing factors can also be classified in non-modifiable (i.e., demographic factors, education, health insurance, or income) and modifiable factors (i.e., knowledge about CRC and screening, patient and provider attitudes or structural barriers for screening). Modifiable determinants are of great interest as they are plausible targets for interventions. Interventions at different levels (patient, providers or health care system) have been tested across the studies with different results. This paper analyzes factors related to CRC screening behaviour and potential interventions designed to improve screening uptake.

scholarly journals An Empirical study on the importance of Task Shifting in current Health Care System

2016 ◽  
pp. 21-32
Author(s):  
Architha Aithal ◽  
Ateendra Jha
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Health Care System ◽  
Health Care Professionals ◽  
Health Workers ◽  
Health Resources ◽  
Task Shifting ◽  
Current Health ◽  
Current Health Care System ◽  
Care System

Many developing countries are facing a crisis in human health resources due to a critical shortage of health workers. Despite of many trained health care professionals our health care system is struggling to provide optimum services to the patients. Gaps still exist with respect to patient care, which are unevenly delivered. The data collected from 228 subjects reveals that only 7.01% of the subjects have received counseling always, 59.65% think that counseling should be given and only 41.66% are satisfied with current health care system while 56.57% are not satisfied. Our study shows that there is a huge burden on health care professionals due to a high number of the patient load which leads to the hindrance in optimum patient care and finally leads to the degradation in the quality of health care services. Now time has approached when the term task shifting should be taken seriously especially in the health care sectors. Pharmacists, an ignored profession in the health care sector have a crucial role for optimum patient care. It is the demand of the scenario that pharmacist should be taken as a key role player between the patient and prescriber. A proper communication between the patient and prescriber can be established only if all health care professionals will start working to assist each other not to compete with each other.

scholarly journals Problems of Development of Health Monitoring at Residential Settings

Medicina ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. 50-60
Author(s):  
V. Ya. Gelman ◽  
◽  
M. A. Dokhov ◽  
◽  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Remote Monitoring ◽  
Rapid Development ◽  
Chronic Patients ◽  
Scientific Publications ◽  
Residential Settings ◽  
Treatment And Prevention ◽  
Current Health Care System ◽  
Care System

Due to its rapid development, telemonitoring technologies in the field of healthcare significantly outstripped the possibilities of implementation in real practice. Therefore, there is a need for the active development of this area of prevention and treatment of chronic patients, identifying emerging problems and finding possible solutions. The aim of this work was to assess the status and development prospects of monitoring of patient health in residential settings and analyze the problems of its inclusion in the existing health care system. Based on the analysis of scientific publications and expert assessments, the existing at-home telemonitoring systems, the main pathologies observed, and the organization of medical care for chronic patients under remote monitoring are examined. It was shown that the on-line treatment of monitored patients in the current health care system is very difficult due to its unpreparedness for the introduction of such technologies and the undeveloped concept of clinical and economic efficiency of their use. The article proposes to carry out special training of patients on effective participation in the process of remote monitoring, and it is also proposed to provide in the treatment and prevention institutions the position of a consultant (general practitioner, with an appropriately equipped workstation) for conducting remote patient consultations.

scholarly journals What are factors influencing coordination and continuity across care levels in the Catalan national health care system?

2016 ◽  
Vol 16 (6) ◽  
pp. 168
Author(s):  
Marta B Aller ◽  
Sina Waibel ◽  
Ingrid Vargas ◽  
M Luisa Vázquez ◽  
Jordi Coderch ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
National Health ◽  
National Health Care ◽  
National Health Care System ◽  
Factors Influencing ◽  
Care System

scholarly journals Factors influencing adverse events reporting within the health care system: the case of artemisinin-based combination treatments in northern Ghana

2016 ◽  
Vol 15 (1) ◽  
Author(s):  
Samuel Chatio ◽  
Raymond Aborigo ◽  
Philip Baba Adongo ◽  
Thomas Anyorigiya ◽  
Philip Ayizem Dalinjong ◽  
...  
Keyword(s):  
Health Care ◽  
Adverse Events ◽  
Health Care System ◽  
Northern Ghana ◽  
Combination Treatments ◽  
Factors Influencing ◽  
Care System
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