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 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 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.

scholarly journals Following McWhinney’s footsteps: from family medicine to traditional and complementary medicine

2019 ◽  
Vol 23 ◽  
Author(s):  
Armando Henrique Norman ◽  
Charles Dalcanale Tesser
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Complementary Medicine ◽  
Family Physicians ◽  
Holistic Approach ◽  
Explanatory Models ◽  
Moderate Risk ◽  
Safe Environment ◽  
Primary Health ◽  
Risk Patients

Family physicians have developed a holistic approach to patients’ care which can facilitate a mutual understanding of different Traditional and Complementary Medicine (T&CM) practices. This analytical paper considers three intertwined issues: (1) Ian McWhinney’s critique of biomedical abstractions (i.e., disease categories); (2) The similarity between the cosmology of family medicine’s organismic thinking and homeopathy’s vitalism as an example of T&CM; and (3) The gradient of explanatory models (EMs) to delineate the space within which T&CM can be applied to patients’ care. In primary health care predominates a blend of physiopathological and semiological EMs comprised of low to moderate risk patients. In this scenario, the introduction of T&CM practices can enhance family physicians’ therapeutic scope. Thus, the combination of gradient of EMs, primary health care attributes, and family physicians’ professionalism can provide the required safe environment for implementing T&CM services.

scholarly journals Establishment of an Accelerated Doctor of Family Medicine Program at Unaizah College of Medicine, Qassim University, Kingdom of Saudi Arabia

2019 ◽  
Vol 6 ◽  
pp. 238212051881884
Author(s):  
Ahmad Al-Shafei ◽  
Saleh Al-Damegh ◽  
Fahad Al-Matham ◽  
Abdulrahman Al-Mohaimeed ◽  
Abdullah Al-Nafeesah ◽  
...  
Keyword(s):  
Health Care ◽  
Saudi Arabia ◽  
Primary Health Care ◽  
Family Medicine ◽  
Rural Areas ◽  
Total Duration ◽  
Performance Outcomes ◽  
Primary Health Care System ◽  
Kingdom Of Saudi Arabia ◽  
Primary Health

Primary health care is well known to be the cornerstone for the health of the society. Furthermore, efficient health care at the secondary and tertiary levels is entirely dependent on effective primary health care. The Kingdom of Saudi Arabia (KSA) is currently building up a rigorous primary health care system with a large number of well-equipped primary health care centers. However, there is an acute shortage of Saudi family physicians throughout the country; both in urban and rural areas. There is no evidence in the literature supporting the relatively long 7 years’ traditional duration of medical programs in the KSA. Rather, several US and Canadian medical schools have established accelerated programs in Internal Medicine and Family Medicine with graduates comparable with those of the traditional curricula in terms of standardized tests, initial resident characteristics, and performance outcomes. In response to the challenges the KSA is facing in primary health care, Unaizah College of Medicine at Qassim University is proposing to establish an accelerated Doctor of Family Medicine Program that would run for total duration of 6 years. Herein, we describe a concise outline of this program.

scholarly journals Evaluation of the Quality of Services in Primary Health Care Institutions

Medicina ◽  
2011 ◽  
Vol 47 (1) ◽  
pp. 9
Author(s):  
Leonas Valius ◽  
Daiva Rastenytė ◽  
Vilija Malinauskienė ◽  
Daina Krančiukaitė-Butylkinienė
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Family Physician ◽  
Family Physicians ◽  
Quality Of Services ◽  
Primary Health ◽  
The Family ◽  
Primary Health Care Institutions ◽  
Primary Health Care Settings

The aim of the study was to evaluate patients’ satisfaction with the quality of provided services in private primary health care institutions in Kaunas. Material and Methods. A questionnaire-based inquiry of 280 persons registered to family physicians at primary health care settings was performed. The study was carried out using 20-item anonymous questionnaires with questions about the quality of services provided in primary health care settings. Results. More than 50.0% of the respondents stated that they waited for more than 15 minutes at the physician’s office, while 17.0% of the respondents stated that the waiting time exceeded 30 minutes. More than 25.0% of the respondents positively evaluated the possibility to consult their family physician by phone. In 67.0% of patients, the family physician determined the cause of the disorder and administered treatment; in 32.0% of patients, the family physician referred them to a specialist, and 1.0% of patients were urgently sent to hospital. More than 90.0% of the respondents were satisfied with the services provided by their family physicians. Those who were dissatisfied with these services indicated that the provided treatment failed to eliminate the disorder, that they wanted to be referred to a specialist, and that they expected more diagnostic tests to be performed for more effective treatment. Conclusions. A greater part of the patients indicated that the main reason for long waiting at the physician’s office was physicians’ wish to serve too many patients. More than two-thirds (67.0%) of the patients stated that their family physicians determined the cause of the disorder and prescribed treatment. The overwhelming majority (more than 90.0%) of the patients were satisfied with the services provided by their family physicians.

Sign in / Sign up

Export Citation Format

Share Document