scholarly journals The contribution of family physicians to primary health care: Experiences from southwest Nigeria

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Temitope Ilori ◽  
Kemi T. Awoonidanla ◽  
Adedotun A. Adetunji
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Family Medicine ◽  
Family Physicians ◽  
Community Outreach ◽  
Health Care Team ◽  
University Teaching ◽  
Short Report ◽  
College Hospital ◽  
Primary Health

Although an emerging speciality in Africa, family medicine contributes significantly to African health systems. Leadership from family physicians can enable the delivery of high-quality primary health care that is accessible, comprehensive, coordinated, continuous and person-centred. This short report chronicles how family physicians from a university teaching hospital in Ibadan, Nigeria, adopted a health post located in a home for persons with mild physical and mental disabilities and changed it into a hub of comprehensive, holistic and person-centred care for residents and staff of the home, as well as individuals and families in the neighbouring communities and its environs. The Department of Family Medicine of the University College Hospital, Ibadan, with the aid of a benefactor, reorganised a modest health facility to include the services of family medicine senior registrars (undergoing training-related rotations) with supervision by consultant family physicians. Family physicians led the primary health care team that provided both facility-based care and community outreach services. This report demonstrates how family physicians can improve the quality of primary health care and outcomes such as health equity in the community served.

scholarly journals Recommendations of Polish Society of Physiotherapy, Polish Society of Family Medicine and College of Family Physicians in Poland for hip joint pain in primary health care

2018 ◽  
Vol 20 (2) ◽  
pp. 183-193
Author(s):  
Krzysztof Kassolik ◽  
Elżbieta Rajkowska-Labon ◽  
Tomasz Tomasik ◽  
Agnieszka Pisula-Lewadowska ◽  
Krzysztof Gieremek ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Family Medicine ◽  
Hip Joint ◽  
Joint Pain ◽  
Family Physicians ◽  
Primary Health ◽  
Polish Society

scholarly journals Physical activity prescription by Canadian Emergency Medicine Physicians

2018 ◽  
Vol 43 (8) ◽  
pp. 861-864
Author(s):  
Robert Soegtrop ◽  
Matt Douglas-Vail ◽  
Taylor Bechamp ◽  
Melanie Columbus ◽  
Kevin Wood ◽  
...  
Keyword(s):  
Physical Activity ◽  
Health Care ◽  
Emergency Medicine ◽  
Primary Health Care ◽  
Family Medicine ◽  
Family Physicians ◽  
Further Education ◽  
Emergency Physicians ◽  
Primary Health ◽  
Canadian Association

An increase in physical activity has been shown to improve outcomes in many diseases. An estimated 600 000 Canadians receive their primary health care from emergency departments (ED). This study aims to examine physical activity prescription by emergency medicine physicians (EPs) to determine factors that influence decisions to prescribe physical activity. A survey was distributed to EPs via email using the Canadian Association of Emergency Physicians (CAEP) survey distribution protocol. Responses from 20% (n = 332) of emergency physician/residents in Canada were analyzed. Of the EPs, 62.7% often/always counsel patients about preventative medicine (smoking, diet, and alcohol). Only 12.7% (42) often/always prescribe physical activity. The CCFP-trained physicians (College of Family Physicians Canada) were significantly more likely to feel comfortable than CCFP-EM–trained physicians (Family Physicians with Enhanced Skills in Emergency Medicine) prescribing physical activity (p = 0.0001). Both were significantly more likely than the FRCPC-trained EPs (Fellows of the Royal College of Physicians of Canada). Of the EPs, 73.4% (244) believe the ED environment does not allow adequate time for physical activity prescription. Family medicine-trained EPs are more likely to prescribe physical activity; the training they receive may better educate them compared with FRCPC-trained emergency medicine. Further education is required to standardize an approach to ED physical activity prescription.

scholarly journals Portugal's primary health care human resources assessment

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J Oliveira Miranda ◽  
P Santos Luis ◽  
M Sarmento
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Family Medicine ◽  
Human Resources ◽  
Health Professional ◽  
Health Care Services ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services ◽  
The Mean

Abstract Background Primary health care services are the cornerstone of all health systems. Having clear data on allocated human resources is essential for planning. This work intended to map and compare the primary health care human resources of the five administrative regions (ARS) of the Portuguese public health system, so that better human resources management can be implemented. Methods The chosen design was a descriptive cross sectional study. Each of the five ARS were divided into primary health care clusters, which included several primary health care units. All of these units periodically sign a “commitment letter”, where they stand their service commitments to the covered population. This includes allocated health professionals (doctors, nurses), and the information is publicly accessible at www.bicsp.min-saude.pt. Data was collected for 2017, the year for which more commitment letters were available. Several ratios were calculated: patients/health professional; patients/doctor (family medicine specialists and residents); patients/nurse and patients/family medicine specialist. Mean, standard deviation, minimum and maximum values were calculated. Results National patients/health professional ratio was 702 with the mean of the 5 ARS calculated at 674+-7.15% (min 619, max 734) whilst the national patients/doctor ratio was 1247 with the mean of the 5 ARS calculated at 1217+-7.17% (min 1074, max 1290). National patients/nurse ratio was 1607 with the mean of the 5 ARS calculated at 1529+-13.08% (min 1199, max 1701). Finally, national patients/family medicine specialist ratio was 1711 with the mean of the 5 ARS calculated at 1650+-6,36% (min 1551, max 1795). Conclusions Human resources were differently spread across Portugal, with variations between the five ARS in all ratios. The largest differences occur between nursing staff, and may translate into inequities of access, with impact on health results. A more homogeneous human resources allocation should be implemented. Key messages Human resources in the Portuguese primary health care services are not homogeneously allocated. A better and more homogeneous allocation of human resources should be implemented to reduce access health inequities.

Evaluating health promotion projects in primary care: recent experiences in Scotland

1995 ◽  
Vol 54 (2) ◽  
pp. 226-240 ◽  
Author(s):  
Cora Shiroyama ◽  
Lorna McKee ◽  
Linda McKie
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Primary Health Care ◽  
Care Setting ◽  
Health Care Team ◽  
Team Members ◽  
Primary Health ◽  
Academic Researchers ◽  
Health Care Fund ◽  
Evaluation Approaches

The evaluation of health promotion in primary health care has been brought to the forefront of debates in Scotland with the introduction of an evaluation component in every project funded under the Development of Health Care Fund scheme. The level of skills and empathy with evaluation approaches and research methods varies considerably between primary health care team members, and consequently academic researchers are increasingly being drawn into NHS debates on evaluation and health promotion in primary health care. In this article the authors draw upon their respective experiences as evaluators to highlight specific issues and concerns in the evaluation of health promotion in a primary health care setting.

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