scholarly journals Do the experiences of patients of state-employed family physicians and concessionaires in Slovenia differ?

2015 ◽  
Vol 84 (10) ◽  
Author(s):  
Danica Rotar Pavlic ◽  
Maja Sever ◽  
Zalika Klemenc-Ketiš ◽  
Igor Švab ◽  
Janko Kersnik ◽  
...  
Keyword(s):  
Family Practice ◽  
Health Sector ◽  
Family Physicians ◽  
Cross Sectional Study ◽  
Patient Experiences ◽  
Sectional Study ◽  
Cross Sectional ◽  
Personal Problems ◽  
The Family ◽  
Patient’S Experience

 Background: Family practice in Slovenia is provided by state-employed family physicians as well as concessionaires. However, both work under a contract withthe National Health Insurance Institute. This study focuses on comparing patients’ experiences with Slovenian concessionaires and state- employed physicians. Methods: We performed analyses using survey data from a cross-sectional study on patient experiences, which took place from September 2011 to April 2012 as a part of the international QUALICOPC study. The Slovenian branch of this study included 1,962 patients visiting family practices. Patients were classified into two groups regarding the registered status of their family physician. They completed the questionnaires immediately after visiting their family physicians. Data used in the analyses included 76variables:18socio-economic and 58variableslinked to the patient's experience. Results:The analyses showed few differences between concessionaires and state-employed family physicians. In comparison to patients of state-employed family physicians, patients of concessionaires were less likely to make an appointment for a visit (19.8% vs. 29.2%), were generally more frequent visitors (43.7% vs. 50.7%), and more often felt that opening hours are too restricted (25.7 % vs. 31.9%). Patients of concessionaires believed more often that in general, doctors can be trusted (40.1% vs.47.1 %). A smaller percentage of patients of concessionaires felt that their physician had the capacity to deal with personal problems as well as provide medical care (61.9% vs. 54.7%). Conclusions: There are few differences in patients’ experiences of state-employed family physicians and concessionaires. Slovenian patients have a generally positive experience with family practice services regardless of the family physicians’ status. Plans for organizational change of the health sector should include patients’ perceptions of services.  

scholarly journals Subspecialization in Family Medicine: Opinions, Preferences, and Practices of Family Physicians in Saudi Arabia

2020 ◽  
Vol 11 ◽  
pp. 215013272098130
Author(s):  
Mohammed A. AlAteeq ◽  
Abdullah S. AlJoudi ◽  
Yahia M. AlKhadli
Keyword(s):  
Family Medicine ◽  
Family Practice ◽  
Family Physicians ◽  
Cross Sectional Study ◽  
Sense Of Control ◽  
Sectional Study ◽  
Cross Sectional ◽  
Family Doctors ◽  
Saudi Family ◽  
Self Administered Questionnaire

Objective In recent years, family medicine (FM) has shown many changes, including the development of sub-specialization. This study aimed to explore the opinions, preferences, and practices of Saudi family physicians with regard to sub-specialization within family practice. Methods This cross-sectional study was conducted from January to May 2018. Data were collected from 561 Saudi FM board-certified physicians and family medicine residents from all over SA via personal emails using a self-administered questionnaire consisting of questions aimed at examining participants’ opinions, preferences, and practices with regard to sub-specialization in family practice. Results Only 48 family doctors (20.2%) had the qualification of subspecialist. Diabetology was the most common clinical subspecialty. The majority of participants agreed with the statements in favor of sub-specialization in FM. About 73% approved of the idea of sub-specialization in FM, while 89% thought that sub-specialization would provide a source of expertise within the FM context. The most stated reasons to go for FM subspecialties were to earn more experience (65.1%), gain some sense of control of huge knowledge and skills of FM (53.7%), and earning extra money (47.8%). Conclusions This study revealed that majority of certified family physicians and FM residents in SA have positive attitude towards sub-specialization in FM and support the idea of sub-specialization to be practiced within the context of FM

scholarly journals Patients’ Perspectives about Lifestyle Behaviors and Health in the Context of Family Medicine: A Cross-Sectional Study in Portugal

2021 ◽  
Vol 18 (6) ◽  
pp. 2981
Author(s):  
Rosália Páscoa ◽  
Andreia Teixeira ◽  
Micaela Gregório ◽  
Rosa Carvalho ◽  
Carlos Martins
Keyword(s):  
Family Medicine ◽  
Family Doctor ◽  
Cross Sectional Study ◽  
Demographic Variables ◽  
Future Research ◽  
Lifestyle Behaviors ◽  
Sectional Study ◽  
Self Assessment ◽  
Cross Sectional ◽  
The Family

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.

scholarly journals Effect of family practice contract services on the quality of primary care in Guangzhou, China: a cross-sectional study using PCAT-AE

BMJ Open ◽  
2018 ◽  
Vol 8 (11) ◽  
pp. e021317 ◽  
Author(s):  
Lina Li ◽  
Chenwen Zhong ◽  
Jie Mei ◽  
Yuan Liang ◽  
Li Li ◽  
...  
Keyword(s):  
Primary Care ◽  
Family Practice ◽  
Assessment Tool ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Quality Of Primary Care ◽  
Care Assessment ◽  
First Contact

ObjectiveCurrent healthcare reform in China has an overall goal of strengthening primary care and establishing a family practice system based on contract services. The objective of this study was to determine whether contracting a general practitioner (GP) could improve quality of primary care.DesignA cross-sectional study using two-stage sampling conducted from June to September 2014. Propensity score matching (PSM) was employed to control for confounding between patients with and without contracted GP.SettingThree community health centres in Guangzhou, China.Participants698 patients aged 18–89 years.Main outcome measuresThe quality of primary care was measured using a validated Chinese version of primary care assessment tool (PCAT). Eight domains are included (first contact utilisation, accessibility, continuity, comprehensiveness, coordination, family-centredness, community orientation and cultural competence from patient’s perceptions).ResultsA total of 692 effective samples were included for data analysis. After PSM, 94 pairs of patients were matched between the patients with and without contracted GPs. The total PCAT score, continuity (3.12 vs 2.68, p<0.01), comprehensiveness (2.31 vs 2.04, p<0.01) and family-centredness (2.11 vs 1.79, p<0.01) were higher in patients who contracted GPs than those did not. However, the domains of first contact utilisation (2.74 vs 2.87, p=0.14) and coordination (1.76 vs 1.93, p<0.05) were lower among patients contracted with GPs than in those who did not.ConclusionOur findings demonstrated that patients who had a contracted GP tend to experience higher quality of primary care. Our study provided evidence for health policies aiming to promote the implementation of family practice contract services. Our results also highlight further emphases on the features of primary care, first contact services and coordination services in particular.

scholarly journals Awareness of Family Physician Residents of their Roles in Disaster Health Management: A Cross-Sectional Study in Saudi Arabia

2021 ◽  
pp. 254-261
Author(s):  
Fawaz Hassan Alamri ◽  
Faisal Dhahi Aldahash ◽  
Sa’ad Alqahtani
Keyword(s):  
Saudi Arabia ◽  
Disaster Management ◽  
Family Physician ◽  
Emergency Services ◽  
Health Management ◽  
Family Physicians ◽  
Cross Sectional Study ◽  
Disaster Medicine ◽  
Cross Sectional ◽  
The Family

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.

Relationship Quality and Distress in Caregivers of Persons With Dementia: A Cross-Sectional Study

2017 ◽  
Vol 32 (3) ◽  
pp. 157-165 ◽  
Author(s):  
Heidi Bjørge ◽  
Kari Kvaal ◽  
Milada Cvancarova Småstuen ◽  
Ingun Ulstein
Keyword(s):  
Leisure Time ◽  
Expressed Emotion ◽  
Rating Scale ◽  
Cross Sectional Study ◽  
Regression Analyses ◽  
Sectional Study ◽  
Factor Analyses ◽  
Cross Sectional ◽  
The Family ◽  
The Relationship

This cross-sectional study aimed to investigate the relationship between caregivers and care receivers, defined as home-dwelling family members with dementia. We used a self-rating questionnaire, the Felt Expressed Emotion Rating Scale (FEERS; 6 simple questions), to measure caregiver perceptions of the care receiver’s criticisms (CCs) and emotional overinvolvement (EOI) toward the caregiver. We performed factor analyses to rank single items on the FEERS pertaining to CC and EOI. We included 208 caregiver/care receiver pairs. Logistic regression analyses tested associations between FEERS items and caregiver and care receiver variables. The main contributors to caregiver perceptions of CC were the caregiver’s own distress and the amount of time spent with the care receiver. Socially distressed caregivers perceived the care receiver as emotionally overinvolved. When offering a psychosocial intervention, a tailored program should target the caregiver’s perceived relationship with the family member and the caregiver’s distress. The program should also endeavor to give the caretaker more opportunities for leisure time.

scholarly journals Common psychiatric symptoms among public school teachers in Palmas, Tocantins, Brazil. An observational cross-sectional study

2015 ◽  
Vol 133 (5) ◽  
pp. 435-438 ◽  
Author(s):  
Leonardo Baldaçara ◽  
Álvaro Ferreira Silva ◽  
José Gerley Díaz Castro ◽  
Gessi de Carvalho Araújo Santos
Keyword(s):  
Public School ◽  
Mental Disorders ◽  
Psychiatric Symptoms ◽  
Health Sector ◽  
Cross Sectional Study ◽  
Public School Teachers ◽  
Sectional Study ◽  
School Teachers ◽  
Cross Sectional ◽  
Self Reporting Questionnaire

CONTEXT AND OBJECTIVE: Teachers are at great risk of physical and mental stress due to material or psychological difficulties associated with their work. This study aimed to assess the prevalence of common psychiatric symptoms measured on the Self-Reporting Questionnaire (SRQ-20) scale that would suggest a diagnosis of psychiatric disorders among public school teachers in Palmas, Tocantins, Brazil, in 2012. DESIGN AND SETTING: Observational cross-sectional study in Palmas, Tocantins, Brazil. METHOD: We assessed 110 municipal teachers in the city of Palmas, Tocantins, Brazil. They were selected randomly from a list of employees of the Municipal Education Department of Palmas. All of them answered the SRQ-20 questionnaire after giving their consent. RESULTS: Between the years 2008 and 2011, 24 cases of absence from work due to mental disorders were found. We excluded one case and 109 teachers answered the SRQ-20questionnaire. Out of the 109 teachers assessed, 54 had ≥ 7 points on the SRQ-20 scale. This finding suggests that 49.5% of the teachers had symptoms that were sufficient to consider a diagnosis of mental disorder, with the need for treatment. CONCLUSION: Our study found that the prevalence of mental disorders among teachers is as high as seen in the literature. Our results suggest that recognition of mental disorders is low and that the current statistics fail to reach the occupational health sector.

Morbidity Pattern and Its Determinants in Urban Field Practice Area of VIMS, Bellary - A Cross-Sectional Study

2021 ◽  
Vol 8 (30) ◽  
pp. 2763-2767
Author(s):  
Pratibharani Reddy ◽  
Ramesh K ◽  
Anju Mariam Jacob ◽  
Gangadhara Goud T
Keyword(s):  
Quality Of Life ◽  
Disease Burden ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Age Group ◽  
Sectional Study ◽  
Cross Sectional ◽  
Training Centre ◽  
The Family

BACKGROUND India is doubly burdened with communicable and non-communicable diseases (NCD). Knowledge regarding morbidity profile is important for timely intervention so as to improve the quality of life. For effective health strategies, it is important to know the disease burden of a community. As for the effective preventive strategies, it’s important to know the information regarding disease burden and changing trends of diseases in the locality. Hence this study was done to find the morbidity pattern of urban population in Bellary district, Karnataka. METHODS A cross sectional study was carried out in Millerpet, urban health training centre (UHTC), Bellary, Karnataka. The respective UHTC covers 69195 populations, which has eight wards. Simple random sampling technique was adopted to select the ward. The study was carried out in the selected ward and the study duration was for a period of 3 months. Based on the estimated sample size, 416 houses were selected using random number method. Statistical package for social sciences (SPSS) software version 26 was used for analysing data. Descriptive statistics were used to describe socio demographic and morbidity conditions. RESULTS The most common morbidity among 416 houses were found to be diabetes (22.8 %) followed by hypertension (20 %) and musculoskeletal problems (9 %). Majority of the houses were of nuclear type and the most common age group was 31 - 60 (91.8 %) years followed by 13 - 30 years (80.8 %). 167 (40.1 %) houses had at least one morbidity and 451 (41.4) subjects had at least one morbidity. Socio-demographic variables like age group, family size, monthly income, occupation of head of the family and type of the family were found to be statistically significant. CONCLUSIONS The study revealed that non communicable are the most common diseases present and there is a need to further evaluate the factors responsible so that preventive measures can be taken at the earliest so as to improve the quality of life. KEYWORDS Morbidity Pattern, Urban, Bellary

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