RETROSPECTIVE ANALYSIS OF THE MEDICAL DOCUMENTATION OF PATIENTS WHO APPLIED TO THE AMBULATORY OF GENERAL PRACTICE - FAMILY MEDICINE

2019 ◽  
Vol 72 (5) ◽  
pp. 938-941
Author(s):  
Оlexander Ye. Kononov ◽  
Liliana V. Klymenko ◽  
Ganna V. Batsiura ◽  
Larysa F. Matiukha ◽  
Olha V. Protsiuk ◽  
...  
Keyword(s):  
Family Medicine ◽  
Middle Ages ◽  
Risk Groups ◽  
Medical Documentation ◽  
Aged Patients ◽  
Family Doctors ◽  
Functional Changes ◽  
Medicine Clinic ◽  
Leading Role ◽  
The Family

Introduction: In today’s realities of health care reform in Ukraine family doctors play a leading role. The aim of our work was to analyze the medical cards of patients who applied for medical care to the family medicine clinic. Materials and methods: It was analyzed outpatient medical cards of 87 patients who applied to the family medicine clinic in the Khotov village, Kyiv region. The study included people aged 18 to 60 years, which corresponded to the groups of young and middle ages according to the WHO classification. Review: Our findings indicate the prevalence of functional changes among young people: somatoform dysfunction of the autonomic nervous system - 9 (37,5%) and the development of organic manifestations at middle-aged patients: arterial hypertension - 32 (62,7%) and coronary artery disease - 17 (33,3%). Conclusions: This study is important for determining the risk groups, early diagnosis and prevention of diseases.

scholarly journals Effect of diabetes self-management education on glycaemic control among type 2 diabetic patients at a family medicine clinic in Kenya: A randomised controlled trial

2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Catherine W. Gathu ◽  
Jacob Shabani ◽  
Nancy Kunyiha ◽  
Riaz Ratansi
Keyword(s):  
Family Medicine ◽  
Usual Care ◽  
Primary Outcome ◽  
Self Management ◽  
Diabetic Patients ◽  
Educational Approach ◽  
Medicine Clinic ◽  
The Family

Background: Diabetes self-management education (DSME) is a key component of diabetes care aimed at delaying complications. Unlike usual care, DSME is a more structured educational approach provided by trained, certified diabetes educators (CDE). In Kenya, many diabetic patients are yet to receive this integral component of care. At the family medicine clinic of the Aga Khan University Hospital (AKUH), Nairobi, the case is no different; most patients lack education by CDE.Aim: This study sought to assess effects of DSME in comparison to usual diabetes care by family physicians.Setting: Family Medicine Clinic, AKUH, Nairobi.Methods: Non-blinded randomised clinical trial among sub-optimally controlled (glycated haemoglobin (HbA1c) ≥ 8%) type 2 diabetes patients. The intervention was DSME by CDE plus usual care versus usual care from family physicians. Primary outcome was mean difference in HbA1c after six months of follow-up. Secondary outcomes included blood pressure and body mass index.Results: A total of 220 diabetes patients were screened out of which 140 met the eligibility criteria and were randomised. Around 96 patients (69%) completed the study; 55 (79%) in the DSME group and 41 (59%) in the usual care group. The baseline mean age and HbA1c of all patients were 48.8 (standard deviation [SD]: 9.8) years and 9.9% (SD: 1.76%), respectively. After a 6-month follow-up, no significant difference was noted in the primary outcome (HbA1c) between the two groups, with a mean difference of 0.37 (95% confidence interval: -0.45 to 1.19; p = 0.37). DSME also made no remarkable change in any of the secondary outcome measures.Conclusion: From this study, short-term biomedical benefits of a structured educational approach seemed to be limited. This suggested that offering a short, intensified education programme might have limited additional benefit above and beyond the family physicians’ comprehensive approach in managing chronic conditions like diabetes.

Urban female patients' perceptions of the family medicine clinic as a site for abortion care

Contraception ◽  
2009 ◽  
Vol 80 (2) ◽  
pp. 174-179 ◽  
Author(s):  
Susan E. Rubin ◽  
Emily M. Godfrey ◽  
Miriam Shapiro ◽  
Marji Gold
Keyword(s):  
Family Medicine ◽  
Female Patients ◽  
Medicine Clinic ◽  
Abortion Care ◽  
The Family ◽  
A Site

scholarly journals Socio-philosophical understanding of transformation of family in the dynamics of civilization over the period from Middle Ages to Modern Age

2020 ◽  
pp. 45-58
Author(s):  
Nataliia Viktorovna Blokhina
Keyword(s):  
Comparative Analysis ◽  
Middle Ages ◽  
Historical Context ◽  
Well Being ◽  
Social Institution ◽  
Historical Period ◽  
Functional Changes ◽  
Modern Age ◽  
The Family ◽  
Philosophical Texts

Understanding of reasons and consequences of ongoing transformations with modern institution of the family is impossible without gaining insight into the processes, results and concept of changes that rook place with the family in its historically observable past. The subject of this research is the family and transformation of functions of the family in a historical context. The author conducts a socio-philosophical comparative analysis in compliance with the principle of systematicity and value of functions of the family through structural-comparative analysis of a historical type of medieval family with three ideal models of transitional historical periods from Middle Ages to Modern Age. The utopic concepts of T. More, T. Companella and F. Bacon served as the foundation for this research. Having examined the acceptable for philosophers types of family structure at various stages of the indicated historical period, the author determines dominant factors that affected the qualitative and essential changes of internal environment of the family as a small group, as well as structural-functional changes of the family as an institution, which led to transformation of the family and its functions. The author sees family as the basis of harmonious and happy life of an individual and a source of social well-being. The article is written from the perspective of familialism and viewed as a social institution. The scientific novelty lies in analysis of the historical type of family with hypothetical models of family, reflected in philosophical texts of this historical period, in order to determine the dominants that transform family, and establish the peculiarities of emergence of socio-philosophical concepts of studying institution of the family depending on social processes in the historical context of development. Such approach allow identifying the inward nature of structural relationships “individual – family – society – government” in a specific society.

scholarly journals Comparison of patients’ satisfaction with eye care and family medicine services at a primary health centre in Ogun State, Nigeria

2021 ◽  
Vol 8 (12) ◽  
pp. 5687
Author(s):  
Anthony O. Betiku ◽  
Akinsola B. Folashade ◽  
Olufisayo T. Aribaba ◽  
Omodele O. Jagun ◽  
Omobola O. Oduyoye
Keyword(s):  
Patient Satisfaction ◽  
Family Medicine ◽  
Health Centre ◽  
Primary Health Centre ◽  
Eye Care ◽  
Medicine Clinic ◽  
Ogun State ◽  
Primary Health ◽  
The Family ◽  
Eye Clinic

Background: Patient satisfaction need to be assessed to enable the health care provider assess the quality of care from the patients’ perspective. This study aimed to assess and compare the level of patient satisfaction with the two main health services (primary eye care and family medicine services) at primary health centre (PHC), Pakoto, Ifo local government area of Ogun State, Nigeria.Methods:  This study was a descriptive cross-sectional study. A total of 280 adult patients attending the eye clinic and family medicine clinic at the PHC, Pakoto were recruited. A structured, interviewer-administered questionnaire-the patient satisfaction questionnaire (PSQ-III) was used. Data analysis was done using Epi Info 7.0.9.7 version.Results: The average overall mean score was higher in the eye clinic (3.7±0.4) than the family medicine clinic (3.5±0.3) and mean difference was statistically significant (p=0.004, t=-2.876). Most listed areas of dissatisfaction by respondents in the eye clinic were waiting period (17.2%) and number and visiting days of doctors (19%). However, at the family medicine clinic the most listed areas of dissatisfaction were all aspects of medical care (17.7%), electricity (17.7%) and toilet facilities (14.7%). There was significant association between income and general satisfaction (p=0.001)Conclusions: Most patients were generally satisfied with medical care at both clinics studied at the PHC, Pakoto. However, areas of dissatisfaction included waiting period, number of doctors and visiting days and provision of basic amenities. The study recommends that doctors should be encouraged to reside at the PHC, Pakoto and there should be provision of good basic amenities. 

scholarly journals Statement of consensus on Family Medicine in Africa

2010 ◽  
Vol 2 (1) ◽  
Author(s):  
Robert Mash ◽  
Steve Reid
Keyword(s):  
Family Medicine ◽  
Consensus Statement ◽  
Sub Saharan Africa ◽  
District Health ◽  
Family Doctors ◽  
Training Requirements ◽  
The Family ◽  
African Context ◽  
Sub Saharan ◽  
World Organisation

Family Medicine is an emerging speciality in sub-Saharan Africa and yet potential interest in the contribution of Family Medicine to health, primary care and district health services is limited by the lack of a regional definition. Governments, health departments and academic institutions would benefit from a clearer understanding of Family Medicine in an African context.The 2nd African Regional WONCA (World Organisation of Family Doctors) Conference, held in Rustenberg, South Africa in October 2009, engaged participants from sub-Saharan Africa in the development of a consensus statement on Family Medicine. The consensus statement agreed to by the conference defined the contribution of Family Medicine to equity, quality and primary health care within an African context, as well as the role and training requirements of the family physician. Particular attention was given to the contribution of women in Family Medicine.

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