Forecasting of labor resources in the system of primary health care in Kazakhstan

2020 ◽  
pp. 71-80
Author(s):  
A.D. Kharin ◽  
◽  
I.M. Son ◽  
B.K. Koichubekov ◽  
B.K. Omarkulov ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
General Practitioners ◽  
Primary Care Physicians ◽  
Demographic Data ◽  
Logic Program ◽  
Well Being ◽  
Primary Health ◽  
Labor Resources

Primary health care is a highly effective and efficient way to tackle the root causes and risks of poor health status, and to address emerging problems that threaten future health and well-being. Goal: Develop a model for predicting the need for general practitioners (GPs) until 2030, taking into account various input data in the equations describing the movement of labor resources in the form of “flows” and “ stocks “ using the method of system dynamics. Methods: The model was built using the Any Logic program, based on information about the availability of primary health care doctors, demographic data and the general prevalence of diseases in the population. Three scenarios were considered to predict the need for general practitioners. The base year was 2018, the forecast was carried out until 2030. Results: All of three scenarios indicate that with the current number of graduated GPs, the shortage of primary care physicians will be exacerbated. In general, the shortage can reach more than two thousand. Conclusion: Government and medical universities need to take measures to correct the number of students in the specialty of “General Practitioner” in order to avoid a growing shortage of primary care physicians in the future until 2030.

scholarly journals Partnership in Practice: a multidisciplinary approach to quality improvement in primary health care

1995 ◽  
Vol 19 (6) ◽  
pp. 371-371
Author(s):  
Michael Phelan
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Quality Improvement ◽  
Primary Health Care ◽  
General Practitioners ◽  
Multidisciplinary Approach ◽  
Professional Groups ◽  
Primary Health ◽  
Audit Team

This one day seminar was arranged by the King's Fund Organisational Audit team (KFOA), to take a multidisciplinary view of quality improvement in primary care. Despite the title of the day all the speakers were general practitioners and managers, and input from other professional groups was limited to questions and comments from the audience of nearly 200.

scholarly journals ASSESSMENT OF AWARENESS OF FAMILY PHYSICIANSABOUT THE OSTEOPOROSIS AS A PROBLEM OF ELDERLY

2017 ◽  
Vol 9 (1) ◽  
pp. 79-82
Author(s):  
O Yu Kuznetsova ◽  
I E Moiseeva
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Primary Care Physicians ◽  
Age Group ◽  
Treatment Of Osteoporosis ◽  
Family Doctors ◽  
Primary Health ◽  
Prevalence Of Osteoporosis

The prevalence of osteoporosis in Russia is about 10%, and in the age group over 50 years - up to 25-35%. The role of primary care physicians in the prevention, diagnosis and treatment of this disease is high, because 80% of patients seeking medical help in primary health care. The article presents the results of the assessment of the awareness of the general practitioners (family doctors) on the preven- tion, diagnostics and treatment of osteoporosis

scholarly journals Knowledge, Attitudes and Practices of Primary Health Care Physicians Regarding Diabetes Management: A Cross Sectional Study in Gharbia Governorate, Egypt

2020 ◽  
pp. 1-15 ◽  
Author(s):  
Mai Mohamed Mahmoud Abu Kahf ◽  
Khalil Mohamed Abbas Ayad ◽  
Mamdoh Ahmed Gabr ◽  
Walaa Mohamed El Sayed Shehata
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Primary Care Physicians ◽  
Diabetes Management ◽  
P Value ◽  
Attitudes And Practices ◽  
Primary Health ◽  
Primary Health Care Physicians ◽  
Knowledge Attitudes And Practices

Background: With increasing prevalence of diabetes mellitus worldwide, primary health care physicians are the main providers of diabetes care and their knowledge, attitudes and practices are important to achieve goals in diabetes management. Objectives: Assessment of the knowledge, attitude and practices (KAP) of primary health care physicians regarding management of diabetes. To find-out gaps between the practices of primary health care physicians and the already established national and international guidelines. Methods: This cross- sectional study was conducted on 144 primary health care physicians working in a randomly chosen primary health care centers in Al Garbia Governorate. Data collected concerning knowledge, attitudes and practices of primary care physicians regarding diabetes management. Results: The study included 144 primary health care physicians working in 38 primary health care centers in Gharbia governorate. About two thirds (95) of the studied physicians were working in rural areas and the rest (49) in urban ones. As regards years since graduation, fifty three of the studied physicians were graduated <5 years and the rest (91) were graduated ≥5 years. Concerning relevant certifications or training courses, about three fourths (106) had relevant past experiences while one fourth (38) had no such experiences. Urban primary care physicians had higher percentage of correct knowledge than the rural ones as regards diagnosis, complications and managements of DM (p value <0.05). Primary care physicians with increased years of practice and who attended relevant training courses had favorable attitude and practices as regards counseling and regular examination of diabetic patients (p value <0.05). Conclusion: The current study revealed a shortage of knowledge, attitude and practices of primary health care physicians as regards management of diabetes. The defect in knowledge and unfavourability of attitude and inappropriateness of practices are obvious in family physicians working in the rural health care facilities, those without relevant experience and those graduated less 5 years.

scholarly journals Knowledge regarding Spread, Diagnosis and Treatment of HCV patients among Primary Health Care Physicians in Islamabad and Rawalpindi

2021 ◽  
Vol 2 (2) ◽  
pp. 24-27
Author(s):  
Najma Javed ◽  
Sumera Naz
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Disease Transmission ◽  
Primary Care Physicians ◽  
Hcv Infection ◽  
Diagnosis And Treatment ◽  
Basic Knowledge ◽  
Primary Health ◽  
Primary Health Care Physicians

To explore the basic knowledge of primary health care doctors on transmission routes, risk factors and management of HCV infection. A cross-sectional facility based study of six-month (Dec. 2008 - June 2009). Universal sampling technique. Thirty three Basic Health Units (BHUs) in Islamabad and Rawalpindi districts with their attached 07 dispensaries were surveyed. A total of 40 Primary Health Care Physicians (PHCPs) from two cities (Islamabad and Rawalpindi) were interviewed. A pretested questionnaire with multiple choices was used to record their knowledge on transmission routes, causative factors and management of this infection. A total of 40 primary care physicians were interviewed. There was poor knowledge about modes of disease transmission while diagnosis and treatment was wellknown in the majority. The frequency of disease transmission to neonate and the time of checking the child in case of a HCV positive mother were not known by many GPs, which need to be taken seriously specially in our setting where GP is the first or second line person that is approached by the patient. Majority of the physicians knew that HCV is not transmitted through breast feeding. Genotyping is done by about 61% physicians thus adding a very expensive test with very limited use. About 60% GPs counsel the patients that are found positive for the test, which is a good sign. The study identified a strong need for continuing education program for the primary care physicians on HCV infection.

scholarly journals Analysis of General Practitioners’ Attitudes and Beliefs about Psychological Intervention and the Medicine–Psychology Relationship in Primary Care: Toward a New Comprehensive Approach to Primary Health Care

Healthcare ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 613
Author(s):  
Attà Negri ◽  
Claudia Zamin ◽  
Giulia Parisi ◽  
Anna Paladino ◽  
Giovanbattista Andreoli
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
General Practitioners ◽  
Psychological Intervention ◽  
World Health ◽  
Attitudes And Beliefs ◽  
Primary Health ◽  
Comprehensive Primary Health Care

The biopsychosocial paradigm is a model of care that has been proposed in order to improve the effectiveness of health care by promoting collaboration between different professions and disciplines. However, its application still faces several issues. A quantitative–qualitative survey was conducted on a sample of general practitioners (GPs) from Milan, Italy, to investigate their attitudes and beliefs regarding the role of the psychologist, the approach adopted to manage psychological diseases, and their experiences of collaboration with psychologists. The results show a partial view of the psychologist’s profession that limits the potential of integration between medicine and psychology in primary care. GPs recognized that many patients (66%) would often benefit from psychological intervention, but only in a few cases (9%) were these patients regularly referred to a psychologist. Furthermore, the referral represents an almost exclusive form of collaboration present in the opinions of GPs. Only 8% of GPs would consider the joint and integrated work of the psychologist and doctor useful within the primary health care setting. This vision of the role of psychologists among GPs represents a constraint in implementing a comprehensive primary health care approach, as advocated by the World Health Organization.

scholarly journals Primary health care physicians’ perspective on COVID-19 pandemic management in Qatar: a web-based survey

BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e049456
Author(s):  
Mansoura Ismail ◽  
Anwar Joudeh ◽  
Marwa Neshnash ◽  
Nourhan Metwally ◽  
Mai Hassan Seif ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Primary Care Physicians ◽  
Case Definition ◽  
Strongly Correlated ◽  
Work Safety ◽  
Web Based ◽  
Primary Health

ObjectivesTo assess primary care physicians’ satisfaction towards COVID-19 pandemic management in Qatar and to identify the associated factors with their satisfaction.DesignA cross-sectional web-based survey conducted from 1 June to 30 July 2020.SettingAll the 27 public primary healthcare centres in Qatar.Participants294 primary care physicians working in the publicly run primary healthcare corporation in Qatar.Primary outcome measuresOverall satisfaction towards COVID-19 management in Qatar and satisfaction towards each aspect of this management including COVID-19 clinical practice guidelines, psychological support, team dynamics, work safety as well as institutional and governmental regulations.Results294 primary care physicians participated in the survey with a response rate of 65%. Overall satisfaction of physicians towards COVID-19 19 management at Primary Health Care Corporation was 77%. The highest satisfaction was towards institutional and governmental support while it was the lowest towards the corporation case definition and management of COVID-19 guidelines. Female physicians were less satisfied with psychological support in comparison to males (64.1% and 51% respectively, p=0.049). Overall satisfaction towards case definition and management of COVID-19 guidelines were strongly correlated with their clarity, updating these guidelines in due time and applicability of the guidelines (r=0.759 P<0.001; r=0.701 P<0.001; r=0.698 P<0.001) respectively, while satisfaction towards work safety was strongly correlated with availability and quality of Personal Protective Equipment provided (r=0.83 P<0.001 and r=0.811 P<0.001 respectively).ConclusionMost primary care physicians in Qatar who responded to the survey were satisfied with the COVID-19 guidelines developed rapidly in response to this pandemic. Availability and quality of PPE were a particular concern. The clinicians who were less satisfied were younger and female.

scholarly journals Determinants of Increased Primary Health Care Use in Cancer Survivors

2012 ◽  
Vol 30 (33) ◽  
pp. 4155-4160 ◽  
Author(s):  
Marianne Heins ◽  
Francois Schellevis ◽  
Mieke Rijken ◽  
Lucas van der Hoek ◽  
Joke Korevaar
Keyword(s):  
Breast Cancer ◽  
Prostate Cancer ◽  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Cancer Survivors ◽  
Primary Care Physicians ◽  
Health Care Use ◽  
Annual Number ◽  
Primary Health

Purpose The number of cancer survivors is increasing, and patients with cancer often experience long-lasting consequences of cancer and its treatment. Because of the variety of health problems and high prevalence of comorbidity, primary care physicians (PCPs) seem obvious candidates to take care of these patients, and insight into primary health care (PHC) use of cancer survivors is needed. We aimed to find determinants for PHC use in cancer survivors. Methods Using data from the Netherlands Information Network of Primary Care, we determined the volume of PHC use in 1,256 adult patients with breast cancer, 503 patients with prostate cancer, and 487 patients with colorectal cancer 2 to 5 years after diagnosis and compared this with age- and sex-matched controls without cancer from the same practice. We also examined whether age, comorbidity, and time since diagnosis were related to PHC use. Results The mean annual number of primary care contacts was increased compared with control patients by 24% in patients with breast cancer (P < .001) and by 33% in patients with prostate cancer (P < .001). This difference remained constant between 2 and 5 years after diagnosis. In patients with colon cancer, the difference with controls tended to decrease with age (12% per 10 years; P = .005). Conclusion PHC use is significantly increased 2 to 5 years after diagnosis of cancer, especially in younger patients without a chronic disease. Given the expected increase in cancer survivors, PCPs should prepare themselves for this increasing amount of aftercare. The development of multidisciplinary care standards for cancer survivors could be helpful.

scholarly journals Adaptation and reorganisation of primary care facility during COVID-19 pandemic: a perspective from primary health care corporation, Qatar

2020 ◽  
Vol 8 (1) ◽  
pp. 434
Author(s):  
Abdul Bari Shaik ◽  
Noor Fathima Shaik ◽  
Shawqiya Salman Al Majid ◽  
Sanaulla Sheik
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Healthcare Providers ◽  
Care Facility ◽  
Well Being ◽  
Safe Delivery ◽  
Primary Health ◽  
The World

The COVID-19 pandemic has brought unprecedented challenges to healthcare systems across the world. It has had a devastating impact on peoples’ health, well-being and livelihood, crippling the economy, aviation, travel, hospitality and various other sectors. In order to curb its impact various governments had to take drastic measures to deal with this crisis. In Qatar, the major healthcare providers led by the MOPH responded swiftly by implementing major changes. They developed infrastructure, revisited public health policies, modified their operations and functioning which helped to cope with this evolving public health emergency. This paper reviews how a small health center in Qatar had to adapt its services, infrastructure and pathways to the changing needs and demands in a timely fashion leading to improved patient care and helping to contain the outbreak in both patients and staff alike. It also evaluates how Primary health care corporation at an organization level paved the transition in every aspect to ensure efficient and safe delivery of primary care services to everyone. As the world is preparing to overcome the pandemic, the paper highlights the value of teamwork in responding to the adversity by creating innovative ways of working and how good leadership can have a positive influence on healthcare and society in general.   

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