Assessing the Quantitative and Qualitative Status of the Family Physician Plan from the Perspective of Family Physicians, Health Team Members and Staff Experts

Background: Family physicians have a pivotal role in responding to the medical community's needs and have a crucial role in disaster health management. Family physicians have several tasks and duties during and after the disaster, such as event detection, critical information’ collection and distribution, and rehabilitative activities. It is important to identify the level of awareness of the family physicians regarding their role in the management of disasters. Aim: To assess the awareness of family physician residents of their roles in disaster health management, Saudi Arabia. Methods: This study was cross-sectional; it was performed on Saudi family physician residents in family practice clinics and centers in Saudi Arabia. A self-administrated questionnaire has been sent electronically to the participants to investigate their awareness. IMB SPSS version 22 was used to analyze the collected data. Results: This study included 400 family physicians; more than one-half 52.75%were in the age of 28-30 years old. There were 61.5% worked previously at hospital emergency services. A few percentages reported receiving training on disaster medicine management in the clinic, 38.5%. 47.75% reported willingness to train on disaster management. There was 71% of physicians had high knowledge regarding their role in disaster management. Conclusion: There was high awareness among the family physicians regarding their role in the management of disaster with an acceptable attitude toward receiving training.

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Abordagem do Doente com Psoríase pela Medicina Geral e Familiar: Algoritmo de Referenciação e Gestão Partilhada com a Dermatologia

Acta Médica Portuguesa ◽

10.20344/amp.13159 ◽

2020 ◽

Vol 33 (13) ◽

Author(s):

Tiago Torres ◽

Martinha Henrique ◽

Hugo Oliveira ◽

Madalena Rodrigues ◽

Paulo Ferreira ◽

...

Keyword(s):

Family Physician ◽

Family Physicians ◽

High Impact ◽

Psoriatic Patient ◽

Shared Management ◽

Systemic Treatments ◽

The Family ◽

Topical Treatments

Introduction: The implementation of models capable of improving referral quality, limiting the growth of waiting lists in hospitals, and ensuring the best possible treatment and follow-up of the psoriatic patient is of the utmost importance.Material and Methods: A panel of Family Physicians and Dermatologists discussed and created a simple and effective algorithm of referral for patients with psoriasis.Results: The proposed algorithm starts when the Family Physician suspects of psoriasis. In case of diagnostic doubt, the patient should be referred to Dermatology. In case of a confirmed diagnosis, the Family Physician should assess the patient’s severity and responder profile, evaluate comorbidities and assess the presence of psoriatic arthritis. If psoriasis is mild, topical treatments should be initiated, and if there is no clinical improvement or worsening of the disease, the patient should be referred to Dermatology. If psoriasis is moderate to severe, is located in high impact locations, or in pediatric age, the patient should be referred to Dermatology. In order to enable shared management in terms of follow-up and treatment of these patients, it is critical that the Family Physician has the necessary knowledge regarding the systemic treatments used in psoriasis and their side effects.Discussion and Conclusion: Only a shared management of the psoriatic patient can allow for the best treatment and follow-up of these patients, a more rational use of available medical resources, thus giving the patient the best possible quality of life.

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Evaluation of the Quality of Services in Primary Health Care Institutions

Medicina ◽

10.3390/medicina47010009 ◽

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.

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Involvement of the Family Physician in the Care of Chemotherapy-Treated Patients With Cancer: Patients' Perspectives

Journal of Oncology Practice ◽

10.1200/jop.2013.001182 ◽

2014 ◽

Vol 10 (5) ◽

pp. 298-305 ◽

Cited By ~ 14

Author(s):

Eytan Ben-Ami ◽

Hadar Merom ◽

Fabienne Sikron ◽

Jessica Livneh ◽

Siegal Sadetzki ◽

...

Keyword(s):

Cancer Patients ◽

Family Physician ◽

Medical Training ◽

Comprehensive Care ◽

Team Members ◽

Patients With Cancer ◽

The Family ◽

Data Point

The authors' data point to a lack of communication between team members and inadequate medical training as major barriers to comprehensive care for chemotherapy-treated patients.

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Hivatással és hálapénzzel kapcsolatos vélekedések a magyarországi családorvosok és családorvos rezidensek körében

Orvosi Hetilap ◽

10.1556/650.2016.30539 ◽

2016 ◽

Vol 157 (36) ◽

pp. 1438-1444

Author(s):

Péter Torzsa ◽

Dalma Csatlós ◽

Ajándék Eőry ◽

Csenge Hargittay ◽

Ferenc Horváth ◽

...

Keyword(s):

Family Medicine ◽

Quantitative Study ◽

Family Physician ◽

Health Sector ◽

Family Physicians ◽

Payment Method ◽

Informal Payment ◽

The Family ◽

Two Generations ◽

Human Resource Crisis

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.

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A Review of the Complex Role of Family Caregivers as Health Team Members and Second-Order Patients

Healthcare ◽

10.3390/healthcare7020063 ◽

2019 ◽

Vol 7 (2) ◽

pp. 63 ◽

Cited By ~ 1

Author(s):

Sherman

Keyword(s):

Family Caregivers ◽

Family Caregiving ◽

Well Being ◽

Health Care Team ◽

Second Order ◽

Team Members ◽

Physical Decline ◽

Health Team ◽

The Family

In Palliative Care, the unit of care is the patient and their family. Although members of the health care team often address the family caregiver’s opinions and concerns, the focus of care remains on the needs of the patient. The readiness and willingness of the family caregiver is often overlooked as they are expected to assume a complex caregiving role. When family caregivers are not intellectually or emotionally prepared or physically capable, the caregiver is at high risk for serious health issues and cognitive, emotional, and physical decline particularly as caregiving extends over time. Family caregivers are often a neglected and at-risk population. Illustrated through the use of a case study, this article addresses the complex role of family caregivers, as both health team members and second-order patients. It emphasizes the importance of family assessment and interventions to balance the burdens and benefits of family caregiving and protect caregivers’ health and well-being.

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Psychiatry and Family Medicine: The McMaster Approach

The Canadian Journal of Psychiatry ◽

10.1177/070674378703200302 ◽

1987 ◽

Vol 32 (3) ◽

pp. 170-174 ◽

Cited By ~ 13

Author(s):

Nick Kates ◽

Art Lesser ◽

Dave Dawson ◽

John Devine ◽

Jackie Wakefield

Keyword(s):

Family Medicine ◽

Continuing Education ◽

Family Physician ◽

Psychiatric Treatment ◽

Emotional Problems ◽

Family Physicians ◽

Psychiatric Services ◽

Community Practice ◽

Psychiatry Residents ◽

The Family

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.

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Factors Affecting the Family Physicians' Intention to Leave the Job: A Case of Iran

The Open Public Health Journal ◽

10.2174/1874944501912010482 ◽

2019 ◽

Vol 12 (1) ◽

pp. 482-488

Author(s):

Rita Rezaee ◽

Pegah Shoaahaghighi ◽

Najmeh Bordbar ◽

Karam Tavani ◽

Ramin Ravangard

Keyword(s):

Organizational Commitment ◽

Family Physician ◽

Family Physicians ◽

Intention To Leave ◽

Work Life ◽

Quality Of Work Life ◽

Factors Affecting ◽

Quality Of Work ◽

The Family

Background: Family physician program is a complete health-care system, and its human resources are the most important resources like any other healthcare program. Organizational Commitment (OC) and Quality of Work-Life (QWL) are important factors in attracting and retaining employees. Objective: To investigate the association of OC and QWL with the intention to leave the job by family physicians in Shiraz, Iran in 2017. Methods: This was a descriptive analytical study conducted on a sample of 268 family physicians in 2017. For data collection, Porter's organizational commitment, Walton's Quality of Work Life, and Cammann's intention to leave the job questionnaires were used. The collected data were analyzed using SPSS 23.0. Results: The results showed that the levels of OC, QWL, and the intention to leave the job were moderate among the studied family physicians. In addition, the results showed that QWL and OC had negative and significant associations with the intention to leave the job (p-value<0.001), and the QWL had a greater association (Beta=-0.348). Conclusion: It is suggested that more attention should be paid to the family physicians at the Ministry of Health and the provincial level to improve the QWL and OC of the family physicians, and thereby preventing the physicians from leaving their job from the family physician program.

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Family physician hospitalists: the good and the bad

McGill Journal of Medicine ◽

10.26443/mjm.v15i1.64 ◽

2017 ◽

Vol 15 (1) ◽

Author(s):

Satya Rashi Khare

Keyword(s):

Family Physician ◽

Inpatient Care ◽

Family Physicians ◽

Post Discharge ◽

Advantages And Disadvantages ◽

The Family

A hospitalist is the most responsible physician for inpatient care without the responsibility for care post discharge. In Canada, the majority of hospitalists are family physicians which raises concerns in the context of a shortage of family physicians in the community. In this commentary, advantages and disadvantages of the hospitalist model are discussed, with a focus on the necessity of family physician hospitalists. Finally, some challenges for maintaining the family physician hospitalist model going forward are presented.

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ROLE OF THE FAMILY PHYSICIAN IN THE TREATMENT OF PATIENTS WITH POLYTRAUMA ON THE OBESITY BACKGROUND ON AN AMBULATORY STAGE

Wiadomości Lekarskie ◽

10.36740/wlek201904124 ◽

2019 ◽

Vol 72 (4) ◽

pp. 631-634

Author(s):

Sergii D. Khimich ◽

Orest M. Chemerys

Keyword(s):

Family Physician ◽

System Analysis ◽

Muscle Tone ◽

Dominant Role ◽

Family Physicians ◽

Pharmacological Therapy ◽

The Body ◽

Outpatient Basis ◽

The Family

Introduction: Obesity rates have continued to increase recently, what is connected to the reduction of physical activity of population. The aim: To determine the peculiarities of treatment of patients with obesity, who sustained a severe concomitant body trauma on an outpatient basis by family physicians. Materials and methods: Clinical material composed of 67 patients who sustained severe concomitant body trauma. Results: On the grounds of the long-term outcomes assessment cards developed by us, treatment of the severe concomitant trauma in persons with obesity, we found typical complications of the traumatic disease, which family physicians faced on an ambulatory stage. These cards contained by system analysis of consequences of the sustained polytrauma on the systems and organs respectively to the body mass index meaning. In general, treatment of such patients was complex and included applying of the diet therapy (a low-calorie diet with enough protein, vitamins and low levels of animal fats and carbohydrates, especially easily digestible), pharmacological therapy (antibiotics, mucolytics, solvents) as well as therapeutic exercise, which played almost dominant role. In particular, therapeutic massage was prescribed for improvement of general body tone, activation of peripheral circulation and lymph flow, oxidation-reduction and metabolic processes, retroaction to the impaired motor-evacuation function of the large intestine, eliminating fatigue and increasing muscle tone and functioning. Conclusions: Role of the family physician in the process of traumatic disease treatment is especially important and lies in the organization of medical treatment of patients on an ambulatory stage.

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