The Current Situations and Problems of Family Physicians in the Province of Kayseri and Their Views about the Family Medicine System

2014 ◽  
Vol 36 (3) ◽  
pp. 108-114
Author(s):  
Fevziye Cetinkaya ◽  
Zeynep Baykan ◽  
Melis Nacar ◽  
Ahmet Oksuzkaya
2016 ◽  
Vol 157 (36) ◽  
pp. 1438-1444
Author(s):  
Péter Torzsa ◽  
Dalma Csatlós ◽  
Ajándék Eőry ◽  
Csenge Hargittay ◽  
Ferenc Horváth ◽  
...  

Introduction: The changing of the family medicine can be observed in the New Millennium. Migration, the aging of the healers and informal payment are crucial to the human resource crisis of the health sector. Aim: The aim of this study was to investigate the family physicians’ and residents’ opinions about the vocation and informal payment. Method: Exploratory, quantitative study was carried out among family physicians (n = 363) and family physician residents (n = 180). The central questions of the study were the vocation, the income and the informal payment. Results: The most decisive factors of the carrier choice were altruism, service and responsibility. Residents were significantly rejective (19.7% vs. 38.3%, p<0.001) about informal payment. They would accept smaller amounts of informal payment (14.3% vs. 8.9%, p<0.034), and would spend it on praxis development (1.4% vs.9.4% p<0.023). Conclusions: The attitudes of family physicians and residents are the same in case of the vocation, but on the issue of informal payment, the two generations have different opinions. Orv. Hetil., 2016, 157(36), 1438–1444.


2019 ◽  
Vol 10 (2) ◽  
pp. 40-42 ◽  
Author(s):  
Nicholas Ojile ◽  
Donna Sweet ◽  
K. James Kallail

Introduction. Attitudes of individuals who provide HIV caretowards prescribing Preexposure Prophylaxis (PrEP) to at-riskpopulations have been studied, but few studies indicate if familyphysicians would be willing to prescribe PrEP as most familyphysicians do not specialize in HIV medicine. Few data existon the perceived barriers preventing family physicians fromprescribing PrEP. The purpose of this project was to assess theattitudes and perceived barriers of family physicians in Kansastowards prescribing PrEP to high risk patient populations. Methods. This study was a descriptive, observational,and cross-sectional survey of family physicians who respondto email surveys issued through the Family MedicineResearch and Data Information Office (FM RADIO). Results. Fifty-three percent of family physicians take a sexualhistory on new patients less than frequently, and only35% frequently ask about the use of safe sex practices. Only29% frequently ask if the patient has sex with men, women,or both. Seventy-six percent of respondents would be willingto prescribe PrEP to men who have sex with men, and anequal percentage would be willing to prescribe to heterosexuallyactive men and women who are at substantial risk of acquiringHIV. While 59% of participants agreed that PrEP belongsin the primary care domain of treatment, 71% agreedthat they had limited or no knowledge of PrEP guidelines. Conclusions. This preliminary study indicated a need for increasedfamily physician screening of new patients for high risksexual behaviors who would be eligible for PrEP. The limitedknowledge of PrEP guidelines and its use in clinical practiceare significant limiting factors to increasing prescribing practicesin the family medicine community rather than a perceivedethical dilemma of prescribing PrEP to men who have sex withmen. As a result, an increase in continuing medical educationabout PrEP could significantly increase its prescribing inthe family medicine community. KS J Med 2017;10(2):40-42.


1987 ◽  
Vol 32 (3) ◽  
pp. 170-174 ◽  
Author(s):  
Nick Kates ◽  
Art Lesser ◽  
Dave Dawson ◽  
John Devine ◽  
Jackie Wakefield

Family physicians may spend up to 50% of their time dealing with emotional problems but will refer less than 10% of these cases for psychiatric treatment. This paper describes an approach developed at McMaster University which emphasizes the importance of understanding the needs of family physicians and helping them make optimum use of available psychiatric services. Such an approach aims at increasing the comfort and expertise of family physicians in handling the problems they see on a regular basis, involving them actively in their patient's care after a referral, and offering relevant services that supplement those of the family physician, while monitoring and correcting problems that can arise when the two specialities work together. The implications that this has on the training of family medicine and psychiatry residents are discussed as well as ways in which continuing education can be provided for family physicians in community practice.


2019 ◽  
Vol 8 (4) ◽  
pp. 175-181 ◽  
Author(s):  
Abdullah Kaan Kurt ◽  
Turan Set ◽  
Elif Ates

Aim: The aim of this study was to determine the effectiveness of family medicine in the detection of pregnancies, the status of pregnant women being registered to family medicine, the time of first contact with the family physician, and the rate of monitoring by family physicians. Methods: This cross-sectional descriptive study was carried out at the pregnant follow-up polyclinic of a university hospital. The pilot study of the study was conducted with 15 participants. Data of 139 participants were analyzed. Results: The median of pregnancy detection week was 5.00 (IQR:4.00-6.00). For the first blood test 23.7% (n=33) of the pregnant women had applied to the family physicians. It was determined that all pregnant women received prenatal care from healthcare workers within the first 14 weeks. The rate of pregnant women who received prenatal care from family medicine at any time of pregnancy was 89.9% (n=125). Conclusion: It is seen that family medicine is not used effectively enough for pregnancy detection. The fact that knowing family medicine by almost all of the individuals, and informing the community will increase the rate and quality of application to family medicine. Improvement of family medicine pregnancy diagnosis and follow-up rates can be ensured by giving the necessary importance to the 15-49 age group follow-up and with the applicability of the referral chain. Keywords: primary care, family practice, pregnancy, pregnancy test


Author(s):  
Ya-An Liu ◽  
Sally Cheng ◽  
Ya-Chuan Hsu ◽  
Po-Chin Yang ◽  
Hsiao-Ting Chang ◽  
...  

Family medicine is officially a specialty, but is often not regarded as a specialty by the general public. Past studies have usually investigated the opinions of medical students and resident physicians regarding family medicine, whereas few have focused on practicing family physicians themselves, especially in terms of analyzing how they represent themselves. This study aimed to investigate the patterns of clinic names to better apprehend whether general practitioners see themselves as being on an equal footing with other medical specialists. The registered names, medical specialties, and levels of urbanization of all clinics of Western medicine in Taiwan were collected. For clinics of each specialty, we examined whether their names contained the corresponding specialty designation. For example, a family medicine clinic was checked to determine whether its name contained the term “family medicine” or its abbreviation. The naming of family medicine clinics was then compared with that of clinics with other specialties. Of the 9867 Western medicine clinics included in this study, two-thirds (n = 6592) were single-specialty clinics. In contrast to the high percentages of single-specialty clinics of other specialties with specialty-containing names (97.5% for ophthalmology, 94.8% for dermatology, and 94.7% for otolaryngology), only 13.3% (132/989) of the family medicine clinics had such names. In addition, the urban family medicine clinics had a higher proportion (15.2%, 74/487) of specialty-containing names than the suburban (12.6%, 44/349) and rural family medicine clinics (9.2%, 14/153). Overall, a low percentage of family medicine clinics in Taiwan included “family medicine” in their names. This issue of professional identity deserves further qualitative investigation.


2021 ◽  
Vol 63 (1) ◽  
Author(s):  
Mergan Naidoo ◽  
Klaus Von Pressentin ◽  
Tasleem Ras ◽  
Hannes Steinberg

The series, ‘Mastering your Fellowship’, provides examples of the question format encountered in the written and clinical examinations, Part A of the Family Physicians of South Africa (FCFP SA) examination. The series is aimed at helping Family Medicine registrars prepare for this examination. Model answers are available online.


2019 ◽  
Vol 72 (5) ◽  
pp. 938-941
Author(s):  
Оlexander Ye. Kononov ◽  
Liliana V. Klymenko ◽  
Ganna V. Batsiura ◽  
Larysa F. Matiukha ◽  
Olha V. Protsiuk ◽  
...  

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.


2016 ◽  
Vol 37 (7) ◽  
pp. 804-808 ◽  
Author(s):  
Saad Alsaad ◽  
Sulaiman Alshammari ◽  
Turki Almogbel

Author(s):  
Rosália Páscoa ◽  
Andreia Teixeira ◽  
Micaela Gregório ◽  
Rosa Carvalho ◽  
Carlos Martins

Lifestyle interventions are recognized as essential in the prevention and treatment of non-communicable diseases. Previous studies have shown that Portuguese patients tend to give more importance to diagnostic and laboratory tests than to lifestyle measures, and seem unaware that behavioral risks are the main modifiable risk factors. The study aimed to analyze patients’ perspectives about lifestyle behaviors and health in the context of family medicine in Portugal. A population-based cross-sectional study was carried out in Portugal (the mainland). A total of 900 Portuguese patients aged ≥20 years, representative of the population, were surveyed using face-to-face questionnaires. Participants were selected by the random route method. Descriptive statistics and non-parametric tests were performed to evaluate differences between the personal beliefs and the personal behavior self-assessment, as well as between the level of importance given to the family doctor to address health behaviors and the reported approach implemented by the family doctor, and its association with bio-demographic variables. The results indicate that the vast majority of this Portuguese cohort has informed beliefs regarding lifestyle behaviors, tends to overestimate their own behavior self-assessment, and strongly agrees that it is important that their family doctor asks/advises on these lifestyle behaviors, although the proportion of those who totally agree that their family doctor usually does this is significantly lower. Differences concerning bio-demographic variables were found. Future research directions should focus on the politics, economics, and policy aspects that may have an impact in this area. It will also be important to understand more broadly the relationships between lifestyle behaviors and clinical, physical, and sociodemographic variables.


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